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  1. 050 医学部, 大学院医学系研究科
  2. 0501 学術論文

Outcome predictors of open embolectomy in middle cerebral artery occlusion

http://hdl.handle.net/10091/11102
http://hdl.handle.net/10091/11102
7845750b-03f0-4bd7-9053-2ee50cf9e3c8
名前 / ファイル ライセンス アクション
Outcome_predictors_open_embolectomy.pdf Outcome_predictors_open_embolectomy.pdf (136.0 kB)
Item type 学術雑誌論文 / Journal Article(1)
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

WEKO 7632

en Horiuchi, Tetsuyoshi

Search repository
Nitta, Junpei

× Nitta, Junpei

WEKO 7633

en Nitta, Junpei

Search repository
Ogiwara, Toshihiro

× Ogiwara, Toshihiro

WEKO 7634

en Ogiwara, Toshihiro

Search repository
Sakai, Keiichi

× Sakai, Keiichi

WEKO 7635

en Sakai, Keiichi

Search repository
Hongo, Kazuhiro

× Hongo, Kazuhiro

WEKO 7636

en Hongo, Kazuhiro

Search repository
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
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
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