medicina60巻3号

2023年03月発行

特集 令和の脳卒中ディベート10番勝負—脳卒中治療ガイドライン2021とその先を識る ディベート・セクション　10番勝負 急性期画像診断：灌流画像の有効性・必要性

Pro　発症6時間以内でも灌流画像によって治療適応を決めるべきである

著者： 井上学¹²

所属機関： ¹国立循環器病研究センター脳卒中集中治療科 ²国立循環器病研究センター国際戦略室

ページ範囲：P.470 - P.476

　近年，脳梗塞の再灌流療法は，発症時間によらず，脳組織のもちこたえられる「時間」を灌流画像により診断することで，発症後最大24時間まで治療可能となった．本稿は，ガイドラインに記載のない，あるいは時間がかかるようであればむしろ推奨されない発症6時間以内の灌流画像の適応について論じたものである．灌流画像のメリットとデメリットを交えて，現在のコロナ禍に適した画像診断であることを論じてみたい．

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