文献詳細
特集 ITを駆使した術前シミュレーション—トラブル回避と時短手術習得
Ⅲ 合併症対策のための術前シミュレーション
文献概要
Point
・頚動脈ステント留置術の適応は,内科的治療の飛躍的な成績向上も考慮して,慎重に吟味する.
・術前にさまざまな画像評価を駆使して,最大限のリスク低減に努める.
・頚動脈ステント留置術の適応は,内科的治療の飛躍的な成績向上も考慮して,慎重に吟味する.
・術前にさまざまな画像評価を駆使して,最大限のリスク低減に努める.
参考文献
1)Chu B, et al:Hemorrhage in the atherosclerotic carotid plaque:a high-resolution MRI study. Stroke 35:1079-1084, 2004
2)Yoshida K, et al:Characterization of carotid atherosclerosis and detection of soft plaque with use of black-blood MR imaging. AJNR Am J Neuroradiol 29:868-874, 2008
3)Yoshimura S, et al:High-intensity signal on time-of-flight magnetic resonance angiography indicates carotid plaques at high risk for cerebral embolism during stenting. Stroke 42:3132-3137, 2011
4)Ogata T, et al:Morphological classification of mobile plaques and their association with early recurrence of stroke. Cerebrovasc Dis 30:606-611, 2010
5)Ogasawara K, et al:Intracranial hemorrhage associated with cerebral hyperperfusion syndrome following carotid endarterectomy and carotid artery stenting:retrospective review of 4494 patients. J Neurosurg 107:1130-1136, 2007
6)Yoshimura S, et al:Staged angioplasty for carotid artery stenosis to prevent postoperative hyperperfusion. Neurosurgery 64:ons122-ons129, 2009
7)Hayakawa M, et al:Effectiveness of staged angioplasty for avoidance of cerebral hyperperfusion syndrome after carotid revascularization. J Neurosurg 132:51-61, 2019
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