| ○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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| ○著者 (必須): | 1. | (英) Yamamoto Yoko (日) 山本 陽子 (読)
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| 2. | (英) Okazaki Toshiyuki (日) (読)
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| 3. | (英) Yoda Keishi (日) (読)
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| 4. | 多田 恵曜 ([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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| 5. | 永廣 信治
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| ○題名 (必須): | □ | (英) Successful emergency carotid endarterectomy after thrombolysis with intravenous recombinant tissue-type plasminogen activator (日)
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| ○要約 (任意): | □ | (英) Acute internal carotid artery (ICA) occlusion may result in severe disability or death. Revascularization by carotid artery stenting after treatment with intravenous (iv) recombinant tissue-type plasminogen activator (rt-PA) has been documented. However, there are few reports on emergency carotid endarterectomy (CEA) within 24 hours after the iv administration of rt-PA. We treated a 58-year-old man with right ICA occlusion with iv rt-PA. Although partial recanalization of the ICA was obtained, severe stenosis at the origin of the ICA persisted and he developed fluctuating neurological deficits. To prevent progressive stroke he underwent CEA 10.5 hours after rt-PA treatment. Thereafter his blood pressure was strictly controlled under sedation. During and after CEA there were no hemorrhagic complications. Our findings suggest that emergency CEA may be an option to address symptomatic severe residual ICA stenosis even after iv rt-PA therapy delivered in the acute stage. J. Med. Invest. 63: 300-304, August, 2016. (日)
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| ○誌名 (必須): | □ | The Journal of Medical Investigation : JMI ([徳島大学.医学部])
(pISSN: 1343-1420, eISSN: 1349-6867)
| ○ISSN (任意): | □ | 1349-6867
ISSN: 1343-1420
(pISSN: 1343-1420, eISSN: 1349-6867) Title: The journal of medical investigation : JMITitle(ISO): J Med InvestSupplier: 徳島大学Publisher: University of Tokushima (NLM Catalog)
(CiNii NCID)
(医中誌Web)
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(CrossRef)
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| ○巻 (必須): | □ | 63
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| ○号 (必須): | □ | 3-4
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| ○頁 (必須): | □ | 300 304
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| ○年月日 (必須): | □ | 西暦 2016年 8月 初日 (平成 28年 8月 初日)
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| ○URL (任意): |
| ○DOI (任意): | □ | 10.2152/jmi.63.300 (→Scopusで検索)
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| ○PMID (任意): | □ | 27644576 (→Scopusで検索)
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| ○機関リポジトリ : | □ | 111198
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| ○備考 (任意): | 1. | (英) Article.ELocationID: 10.2152/jmi.63.300 (日)
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| 2. | (英) Article.PublicationTypeList.PublicationType: Journal Article (日)
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