{"_buckets": {"deposit": "10fccfbb-1945-48b4-ad40-66bbd33b9589"}, "_deposit": {"id": "20569", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "20569"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00020569", "sets": ["456", "1168"]}, "item_7_alternative_title_1": {"attribute_name": "その他のタイトル", "attribute_value_mlt": [{"subitem_alternative_title": "Hemodynamic Analysis and a New Reconstructive Vascular Surgery of the Anterior Cerebral Artery Territory in Moyamoya Disease"}]}, "item_7_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "1992-11", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "11", "bibliographicPageEnd": "1054", "bibliographicPageStart": "1041", "bibliographicVolumeNumber": "106", "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": "The hemodynamics in the territory of the anterior cerebral artery (ACA) was studied in 45 patients with moyamoya disease. In 37.5% of 72 cerebral hemispheres in pediatric cases and 38.9% of 18 cerebral hemispheres in adult cases, antegrade filling of the ACA was not verified by preoperative angiography. Regional cerebral blood flow (rCBF) measurements performed by the ^\u003c133\u003eXe inhalation method revealed hypofrontal pattern in 53.8% of 78 cerebral hemispheres. Various revascularization procedures, such as encephalo-myo-synangiosis (EMS), superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis and encephaloduro-arterio-synangiosis (EDAS) showed no development of new collateral pathways in the territory of the ACA on angiograms. Hypofrontal rCBF pattern improved in only two cerebral hemispheres, but newly developed in the other 9 cerebral hemispheres after these operations. New surgical methods for the revascularization in the territory of the ACA have been devised such as “encephalo-arterio-synangiosis (EAS)” and “encephalo-galeo-synangiosis(EGS)”, which is to make a burr hole in the frontal skull and place either the frontal branch of the STA (EAS) or the pedicled galea aponeurotica stump (EGS) on the surface of the frontal cortex through the incised dura mater. EAS and EGS were applied to 50 cerebral hemispheres of 21 pediatric and 7 adult patients. In 30 cerebral hemispheres (60.0%) of 20 patients, postoperative external carotid angiograms showed moderate or marked collateral revascularization in the territory of the ACA. Moreover postoperative improvement of hypofrontal pattern was achieved in 13 cerebral hemispheres. EAS and EGS were effective for the patients with transient ischemic attacks affecting the lower extremities. The results of this study showed the necessity of the revascularization in the territory of the ACA in patients with moyamoya disease and demonstrated that EAS and EGS are simple and effective surgical procedures for the revascularization in this territory.", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "126837", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Ichikawa, Akimichi"}]}]}, "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": "市川, 昭道"}], "nameIdentifiers": [{"nameIdentifier": "126836", "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": "2019-08-16"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "106(11)_1041-1054.pdf", "filesize": [{"value": "7.7 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 7700000.0, "url": {"label": "106(11)_1041-1054.pdf", "url": "https://niigata-u.repo.nii.ac.jp/record/20569/files/106(11)_1041-1054.pdf"}, "version_id": "f731d281-9285-49c5-91f5-5fed16b6ad33"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "moyamoya disease", "subitem_subject_scheme": "Other"}, {"subitem_subject": "anterior cerebral artery", "subitem_subject_scheme": "Other"}, {"subitem_subject": "hemodynamics", "subitem_subject_scheme": "Other"}, {"subitem_subject": "encephalo-arterio-synangiosis", "subitem_subject_scheme": "Other"}, {"subitem_subject": "encephalo-galeo-synangiosis", "subitem_subject_scheme": "Other"}, {"subitem_subject": "モヤモヤ病", "subitem_subject_scheme": "Other"}, {"subitem_subject": "前大脳動脈", "subitem_subject_scheme": "Other"}, {"subitem_subject": "血行動態", "subitem_subject_scheme": "Other"}, {"subitem_subject": "浅側頭動脈・脳表接着術", "subitem_subject_scheme": "Other"}, {"subitem_subject": "帽状腱膜・脳表接着術", "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": "モヤモヤ病における前大脳動脈領域の血行動態分析と新たな血行再建術", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "モヤモヤ病における前大脳動脈領域の血行動態分析と新たな血行再建術"}, {"subitem_title": "モヤモヤ病における前大脳動脈領域の血行動態分析と新たな血行再建術", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["456", "1168"], "permalink_uri": "http://hdl.handle.net/10191/40069", "pubdate": {"attribute_name": "公開日", "attribute_value": "2016-03-25"}, "publish_date": "2016-03-25", "publish_status": "0", "recid": "20569", "relation": {}, "relation_version_is_last": true, "title": ["モヤモヤ病における前大脳動脈領域の血行動態分析と新たな血行再建術"], "weko_shared_id": null}