| ○種別 (必須): | □ | 学術論文 (審査論文)
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| ○言語 (必須): | □ | 英語
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| ○カテゴリ (推奨): |
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| ○学究種別 (推奨): |
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| ○著者 (必須): | 1. | 高麗 雅章 ([徳島大学.大学院医歯薬学研究部.医学域.先端医学教育研究プロジェクト]/[徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.脳神経外科学])
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| 2. | 兼松 康久
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| 3. | 山口 泉
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| 4. | (英) Yamaguchi Tadashi (日) 山口 真司 (読) やまぐち ただし
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| ○学籍番号 (推奨): | □ | ****
| [ユーザ] |
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| 5. | 山本 雄貴 ([徳島大学.病院.診療科.内科.脳神経内科])
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| 6. | 山本 伸昭
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| 7. | 宮本 健志 ([徳島大学.大学院医歯薬学研究部.医学域.先端医学教育研究プロジェクト]/[徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.脳神経外科学])
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| 8. | 島田 健司 ([徳島大学.病院.先端医科医療開発研究プロジェクト]/[徳島大学.病院.診療科.脳·神経·精神科.脳神経外科])
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| 9. | 里見 淳一郎
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| 10. | (英) Hanaoka Mami (日) 花岡 真実 (読)
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| 11. | 松﨑 和仁
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| 12. | 佐藤 浩一
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| 13. | 髙木 康志 ([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.脳神経外科学])
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| ○題名 (必須): | □ | (英) Subarachnoid Hemorrhage Due to Rupture of Vertebral Artery Dissecting Aneurysms: Treatments, Outcomes, and Prognostic Factors (日)
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| ○副題 (任意): |
| ○要約 (任意): | □ | (英) Mortality rate after subarachnoid hemorrhage due to rupture of vertebral artery dissecting aneurysms (VADAs) is high; endovascular coil trapping is the first-line therapy to prevent rerupture. To select optimal treatments, the positional relationship between the VADA and posterior inferior cerebellar artery (PICA) and the morphology of the contralateral vertebral artery must be considered, and outcome predictors of different treatment methods and their possible complications must be identified. We retrospectively studied 44 patients with ruptured VADAs who had undergone endovascular or surgical treatment. VADA morphology was assessed on conventional preoperative angiograms, and VADAs were categorized based on their site in relation to the PICA. VADA site, treatment method, and complications were used to identify prognostic factors. The sites of the 44 VADAs were PICA-proximal (n = 3), PICA-distal (n = 22), PICA-absent (n = 7), and PICA-involved (n = 12). Treatments included internal coil trapping (n = 30), proximal coil occlusion (n = 5), and stent placement (n = 3); surgical flow alteration via an occipital artery-PICA bypass and ligation at the proximal vertebral artery and the PICA origin was performed in 6 patients. Periprocedural rebleeding was associated with a poor outcome. Internal coil trapping prevented the rerupture of PICA-proximal and PICA-absent VADAs, and flow alteration prevented rerupture of PICA-involved VADAs; there were no complications directly attributable to these procedures. Periprocedural rebleeding was a poor prognostic factor. Internal trapping of PICA-proximal and PICA-absent VADAs and flow alteration in PICA-involved VADAs prevented rerupture. (日)
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| ○キーワード (推奨): | 1. | (英) Adult (日) (読)
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| 2. | (英) Aged (日) (読)
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| 3. | (英) Aged, 80 and over (日) (読)
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| 4. | (英) Aneurysm, Ruptured (日) (読)
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| 5. | (英) Follow-Up Studies (日) (読)
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| 6. | (英) Humans (日) (読)
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| 7. | (英) Male (日) (読)
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| 8. | (英) Middle Aged (日) (読)
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| 9. | (英) Prognosis (日) (読)
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| 10. | (英) Retrospective Studies (日) (読)
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| 11. | (英) Subarachnoid Hemorrhage (日) (読)
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| 12. | (英) Treatment Outcome (日) (読)
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| 13. | (英) Vertebral Artery Dissection (日) (読)
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| ○発行所 (推奨): |
| ○誌名 (必須): | □ | World Neurosurgery (World Federation of Neurosurgical Societies)
(pISSN: 1878-8750, eISSN: 1878-8769)
| ○ISSN (任意): | □ | 1878-8769
ISSN: 1878-8750
(pISSN: 1878-8750, eISSN: 1878-8769) Title: World neurosurgeryTitle(ISO): World NeurosurgPublisher: Elsevier Inc. (NLM Catalog)
(Scopus)
(CrossRef)
(Scopus information is found. [need login]) | [継承] |
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| ○巻 (必須): | □ | 152
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| ○号 (必須): | □ |
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| ○頁 (必須): | □ | e86 e93
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| ○都市 (任意): |
| ○年月日 (必須): | □ | 西暦 2021年 8月 初日 (令和 3年 8月 初日)
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| ○URL (任意): |
| ○DOI (任意): | □ | 10.1016/j.wneu.2021.05.018 (→Scopusで検索)
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| ○PMID (任意): | □ | 34051365 (→Scopusで検索)
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| ○備考 (任意): | 1. | (英) Article.ELocationID: S1878-8750(21)00713-0 (日)
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| 2. | (英) Article.ELocationID: 10.1016/j.wneu.2021.05.018 (日)
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| 3. | (英) Article.PublicationTypeList.PublicationType: Case Reports (日)
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| 4. | (英) Article.PublicationTypeList.PublicationType: Journal Article (日)
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| 5. | (英) KeywordList.Keyword: Flow alteration (日)
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| 6. | (英) KeywordList.Keyword: Internal trapping (日)
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| 7. | (英) KeywordList.Keyword: Rebleeding (日)
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| 8. | (英) KeywordList.Keyword: Rupture (日)
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| 9. | (英) KeywordList.Keyword: Subarachnoid hemorrhage (日)
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| 10. | (英) KeywordList.Keyword: Vertebral artery dissecting aneurysm (日)
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