2024-03-28T23:57:19Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00014858
2022-12-15T03:46:44Z
453:456
471:537:538:1074
4)虚血性脳血管障害に対する外科的治療(シンポジウム 各科領域における血栓症)
4)虚血性脳血管障害に対する外科的治療(シンポジウム 各科領域における血栓症)
Surgical Treatment of Ischemic Cerebrovascular Diseases(Thrombosis in Individual Medical Fields)
阿部, 博史
ischemic cerebrovascular disease
reconstructive surgery
carotid endarterectomy
local fibrinolytic therapy
stenting
虚血性脳血管障害
血行再建術
頸動脈内膜剥離術
局所線溶療法
ステント留置
The exact evaluation of brain ischemic condition is most important to decide method and timing of treatment for patients with brain ischemic stroke. The measurement of quantitative cerebral blood flow (CBF) mainly by SPECT is now necessary for that evaluation. The treatments of cerebrovascular ischemic stroke are divided into those for acute stage and for chronic stage. They include carotid endarterectomy (CEA) and many kinds of bypass surgeries as surgical treatments, and local fibrinolysis, percutaneous angioplasty and stenting as endovascular treatmens. Local fibrinolysis using microcatheter technique in acute stage is to recanalize the occlusive artery within “therapeutic window”. Reconstructive surgeries in chronic stage is to prevent a new attack due to hemodynamic brain ischemia or artery to artery embolism. Stenting for carotid artery stenosis has been recently advanced as an alternative to CEA. Endovascular surgery is expected to apply more often for the treatment of stenotic cerebrovascular lesions in the near future.
新潟医学会
2001-06
jpn
departmental bulletin paper
http://hdl.handle.net/10191/48257
https://niigata-u.repo.nii.ac.jp/records/14858
AN00182415
00290440
新潟医学会雑誌
新潟医学会雑誌
115
6
232
236
https://niigata-u.repo.nii.ac.jp/record/14858/files/115(6)_232-236.pdf
application/pdf
1.9 MB
2019-08-07