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Methods: A clinical chart review was retrospectively conducted for 30 patients who had MCA occlusion and were treated with open embolectomy. According to the Glasgow Outcome Scale, the patients\u0027 outcome at discharge is divided in two groups: favorable outcome (good recovery and moderate disability) or unfavorable outcome (severe disability, vegetative state and death). The following variables between the favorable and unfavorable outcomes were analysed: age, sex, Glasgow Coma Scale score on admission, affected side, occlusion site, occlusion time, atrial fibrillation on electrocardiogram, fibrinolysis, aphasia, hemiparesis and hemorrhagic infarction after surgery. Results: The outcomes of 30 patients were favorable in 16 patients (good recovery in nine and moderate disability in seven) and unfavorable in 14 patients (severe disability in 12, vegetative state in one and death in one). 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Outcome predictors of open embolectomy in middle cerebral artery occlusion
http://hdl.handle.net/10091/11102
http://hdl.handle.net/10091/111027845750b-03f0-4bd7-9053-2ee50cf9e3c8
名前 / ファイル | ライセンス | アクション |
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2011-01-19 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Outcome predictors of open embolectomy in middle cerebral artery occlusion | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Embolectomy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | middle cerebral artery | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | outcome | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | surgery | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
Horiuchi, Tetsuyoshi
× Horiuchi, Tetsuyoshi× Nitta, Junpei× Ogiwara, Toshihiro× Sakai, Keiichi× Hongo, Kazuhiro |
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信州大学研究者総覧へのリンク | ||||||
氏名 | Horiuchi, Tetsuyoshi | |||||
URL | http://soar-rd.shinshu-u.ac.jp/profile/ja.uUTpHhkh.html | |||||
信州大学研究者総覧へのリンク | ||||||
氏名 | Hongo, Kazuhiro | |||||
URL | http://soar-rd.shinshu-u.ac.jp/profile/ja.jecFHCkh.html | |||||
出版者 | ||||||
出版者 | MANEY PUBLISHING | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | NEUROLOGICAL RESEARCH. 31(9):892-894 (2009) | |||||
書誌情報 |
NEUROLOGICAL RESEARCH 巻 31, 号 9, p. 892-894, 発行日 2009-11 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Objective: The purpose of this paper was to analyse the outcome of the patients with acute middle cerebral artery (MCA) occlusion treated by open embolectomy. Methods: A clinical chart review was retrospectively conducted for 30 patients who had MCA occlusion and were treated with open embolectomy. According to the Glasgow Outcome Scale, the patients' outcome at discharge is divided in two groups: favorable outcome (good recovery and moderate disability) or unfavorable outcome (severe disability, vegetative state and death). The following variables between the favorable and unfavorable outcomes were analysed: age, sex, Glasgow Coma Scale score on admission, affected side, occlusion site, occlusion time, atrial fibrillation on electrocardiogram, fibrinolysis, aphasia, hemiparesis and hemorrhagic infarction after surgery. Results: The outcomes of 30 patients were favorable in 16 patients (good recovery in nine and moderate disability in seven) and unfavorable in 14 patients (severe disability in 12, vegetative state in one and death in one). The M1 occlusion and fibrinolysis performance were more frequent in the unfavorable outcome group than in the favorable one. Logistic regression analysis with a stepwise method indicated that the only occlusion site was independently associated with the unfavorable outcome. The occlusion time >360 minutes was not the predictor of the unfavorable outcome. Discussion: The outcome of patients with MCA occlusion treated by the open embolectomy depends on the occlusion site and the fibrinolysis performance in the present study. The M1 occlusion is also the independent risk factor of the unfavorable outcome. However, the occlusion time itself has no relation to the unfavorable outcome. These results indicate that therapeutic time windows vary in individuals probably due to the collateral blood flow. | |||||
資源タイプ(コンテンツの種類) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Article | |||||
ISSN | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 0161-6412 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00324041 | |||||
他の資源との関係:URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://www.maney.co.uk/journals/ner | |||||
関連名称 | http://www.maney.co.uk/journals/ner | |||||
他の資源との関係:URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://www.ingentaconnect.com/content/maney/nres | |||||
関連名称 | http://www.ingentaconnect.com/content/maney/nres | |||||
PubMed | ||||||
識別子タイプ | PMID | |||||
関連識別子 | https://pubmed.ncbi.nlm.nih.gov/19138466 | |||||
関連名称 | 19138466 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1179/174313209X382494 | |||||
関連名称 | 10.1179/174313209X382494 | |||||
権利 | ||||||
権利情報 | Copyright (c) 2009 W. S. Maney & Son Ltd | |||||
出版タイプ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
WoS | ||||||
表示名 | Web of Science | |||||
URL | http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000272626700002 |