@article{oai:niigata-u.repo.nii.ac.jp:00014858, author = {阿部, 博史}, issue = {6}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Jun}, note = {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.}, pages = {232--236}, title = {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)}, volume = {115}, year = {2001} }