| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2009-01-19 |
| タイトル |
|
|
タイトル |
胸部大血管手術と脳保護 - 選択的脳潅流,周術期管理と術後中枢神経障害の発生 - |
|
言語 |
ja |
| タイトル |
|
|
タイトル |
Brain protection for thoracic aortic surgery |
|
言語 |
en |
| 言語 |
|
|
言語 |
jpn |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
thoracic aortic surgery |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
antegrade selective cerebral perfusion |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
permanent neurological dysfunction |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
transient neurological dysfunction |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
cerebral autoregulation |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 作成者 |
成田, 卓也
山本, 文雄
山本, 浩史
石橋, 和幸
平居, 秀和
柳, 克祥
[ほか]
|
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Background: We reviewed our experiences in order to analyze the factors causing central neurological dysfunction in thoracic aortic arch surgeries with antegrade selective cerebral perfusion (ASCP). Methods: Between October 2000 and September 2003, 76 patients underwent thoracic aortic surgery with ASCP, comprising 55 men (72.4%) and 21 women (27.6%), ranging in age from 27 to 86 years (mean 67.8 ± 10.9 years). Thoracic aortic lesions were identified as aneurysms in 43 patients (56_6%) and dissections in 33 patients (43.4%). Perioperative factors were analyzed by univariate and multivariate analyse to identify predictors of transient neurological dysfunction (TND). Results: Permanent neurological dysfunction (PND) occurred in two patients (2.6%), as a result of embolism during surgery, and TND in 15 patients (19.7%). Univariate logistic regression indicated that ruptured aneurysm, hypertension, preoperative mean blood pressure, history of neurological disease, and operation time had a significant influence on the indication of TND. Multivariate analysis revealed that ruptured aneurysm, history of neurological disease and operation time were statistically significant predictors of TND. Conclusions: It is suggested that cerebral autoregulation may influence the outcome of TND, and precise blood pressure control might be an important factor for maintaing cerebral perfusion. |
|
言語 |
en |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 書誌情報 |
秋田医学
巻 31,
号 2,
p. 121-130,
発行日 2004-09-01
|
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
03866106 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00009294 |
| 出版者 |
|
|
出版者 |
秋田医学会 |
akigaku31-2d.pdf (1.2 MB)
