Neurological Surgery 脳神経外科47巻7号

2019年07月発行

研究

アテローム血栓性脳主幹動脈閉塞症に対する急性期再開通療法の検討

著者： 西脇崇裕貴¹ 榎本由貴子¹ 江頭裕介¹ 岩間亨¹

所属機関： ¹岐阜大学医学部附属病院脳神経外科

ページ範囲：P.745 - P.752

Ⅰ．はじめに
　脳主幹動脈閉塞症に対する急性期再開通療法の有効性が証明され^3,4,6,17)，近年はDEFUSE-3試験²⁾やDAWN試験¹⁵⁾などの結果から，その適応がさらに拡大されつつある．脳主幹動脈閉塞症の多くは心原性脳塞栓症であり，動脈硬化を背景としたアテローム血栓性機序の割合は低いが²¹⁾，両者を術前に鑑別することはしばしば困難である．当院で急性期再開通療法を施行した脳主幹動脈閉塞症を対象に，アテローム血栓性閉塞症における患者背景の特徴や治療成績について，後方視的に検討を行ったため報告する．

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