Neurological Surgery 脳神経外科52巻2号

2024年03月発行

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

血栓回収術

著者： 石井大造¹ 堀江信貴¹

所属機関： ¹広島大学病院脳神経外科

ページ範囲：P.407 - P.414

Point
・各施設の状況に応じて画像診断による病型予想を行い，機を逸せず治療に臨む体制を構築する．
・各種デバイスの特性を理解して，症例に応じて治療戦略を立てる．

参考文献

1）Mair G, et al：Sensitivity and specificity of the hyperdense artery sign for arterial obstruction in acute ischemic stroke. Stroke 46：102-107, 2015

2）Barber PA, et al：Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy. ASPECTS Study Group. Alberta Stroke Programme Early CT Score. Lancet 355：1670-1674, 2000

3）Yoshimura S, et al：Endovascular therapy for acute stroke with a large ischemic region. N Engl J Med 386：1303-1313, 2022

4）Thomalla G, et al：Intravenous alteplase for stroke with unknown time of onset guided by advanced imaging：systematic review and meta-analysis of individual patient data. Lancet 396：1574-1584, 2020

5）Jin X, et al：Jet-like appearance in angiography as a predictive image marker for the occlusion of intracranial atherosclerotic stenosis. Front Neurol 11：575567, 2020　doi:10.3389/fneur.2020.575567

6）Garcia-Bermejo P, et al：Baseline occlusion angiographic appearance on mechanical thrombectomy suggests underlying etiology and outcome. Front Neurol 10：499, 2019　doi:10.3389/fneur.2019.00499

7）Lapergue B, et al：Effect of endovascular contact aspiration vs stent retriever on revascularization in patients with acute ischemic stroke and large vessel occlusion：the ASTER randomized clinical trial. JAMA 318：443-452, 2017

8）Lapergue B, et al：Effect of thrombectomy with combined contact aspiration and stent retriever vs stent retriever alone on revascularization in patients with acute ischemic stroke and large vessel occlusion：the ASTER2 randomized clinical trial. JAMA 326：1158-1169, 2021

9）Tao C, et al：Trial of endovascular treatment of acute basilar-artery occlusion. N Engl J Med 387：1361-1372, 2022

10）Jovin TG, et al：Trial of thrombectomy 6 to 24 hours after stroke due to basilar-artery occlusion. N Engl J Med 387：1373-1384, 2022