{"created":"2021-03-01T06:14:28.639633+00:00","id":10346,"links":{},"metadata":{"_buckets":{"deposit":"0fea5e01-ea48-45d7-a059-84d7b8a410ca"},"_deposit":{"id":"10346","owners":[],"pid":{"revision_id":0,"type":"depid","value":"10346"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00010346","sets":["453:456","471:537:538:964"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Neurologic Complications After Thoracic Aortic Repair Surgery"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-08","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"8","bibliographicPageEnd":"454","bibliographicPageStart":"447","bibliographicVolumeNumber":"124","bibliographic_titles":[{"bibliographic_title":"新潟医学会雑誌"},{"bibliographic_title":"新潟医学会雑誌","bibliographic_titleLang":"en"}]}]},"item_7_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"胸部大動脈置換術では体外循環を使用し, 脳循環を停止させる必要があるため, 中枢神経合併症を回避することが重要である. 本研究の目的は, 胸部大動脈置換術を受けた連続症例を対象として, 中枢神経合併症を回避するために神経症状とMRI所見, 危険因子を明らかにすることを目的とした. 当院で2005年11月から2008年10月の間に当院で胸部大動脈置換術を受けた37例を対象とした. 解析には既往症, 術前画像所見, 手術に関するデータを26項目用いた. 8例 (21.6%) が中枢神経合併症を発症した. 複雑部分発作6例に, せん妄が2例で, 3例で片麻痺が合併していた. 単一因子解析では脳卒中の既往 (p =0.007), 慢性腎臓病 (p =0.006), 術前MRI基底核病変 (p =0.027), 大動脈粥腫病変 (p =0.005) が有意な因子で, ロジスティック回帰分析の結果, 慢性腎臓病のみが中枢神経合併症に寄与した (p =0.017). 8例全例に術後MRIで新規脳梗塞を認め, その原因として塞栓性機序が示唆された. 慢性腎臓病を基盤とする心血管イベントの危険因子が, 中枢神経合併症に関連することを示唆した.","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"71009","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Shimbo, Junsuke"}]}]},"item_7_publisher_7":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"新潟医学会"}]},"item_7_select_19":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_select_item":"publisher"}]},"item_7_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00182415","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"00290440","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"新保, 淳輔"}],"nameIdentifiers":[{"nameIdentifier":"71008","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-08-06"}],"displaytype":"detail","filename":"124(8)_447-454.pdf","filesize":[{"value":"1.8 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"124(8)_447-454.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/10346/files/124(8)_447-454.pdf"},"version_id":"7b29e42c-b732-47e3-a210-0cdd3aefa4df"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"胸部大動脈置換術","subitem_subject_scheme":"Other"},{"subitem_subject":"中枢神経合併症","subitem_subject_scheme":"Other"},{"subitem_subject":"頭部MRI","subitem_subject_scheme":"Other"},{"subitem_subject":"慢性腎臓病","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"胸部大動脈置換術による中枢神経合併症","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"胸部大動脈置換術による中枢神経合併症"},{"subitem_title":"胸部大動脈置換術による中枢神経合併症","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","964"],"pubdate":{"attribute_name":"公開日","attribute_value":"2014-07-25"},"publish_date":"2014-07-25","publish_status":"0","recid":"10346","relation_version_is_last":true,"title":["胸部大動脈置換術による中枢神経合併症"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:44:04.783324+00:00"}