{"created":"2023-07-25T10:22:14.845644+00:00","id":1550,"links":{},"metadata":{"_buckets":{"deposit":"4e8ddfac-3775-409e-83f0-313e142b3537"},"_deposit":{"created_by":3,"id":"1550","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"1550"},"status":"published"},"_oai":{"id":"oai:air.repo.nii.ac.jp:00001550","sets":["611:862:863:865"]},"author_link":["5607","5615","5610","5613","5616","5609","5611","5617","5608","5606","5614","5612","5618"],"item_10001_alternative_title_1":{"attribute_name":"別タイトル","attribute_value_mlt":[{"subitem_alternative_title":"Brain protection for thoracic aortic surgery"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2004-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"130","bibliographicPageStart":"121","bibliographicVolumeNumber":"31","bibliographic_titles":[{"bibliographic_title":"秋田医学"}]}]},"item_10001_description_5":{"attribute_name":"内容記述（抄録）","attribute_value_mlt":[{"subitem_description":"Background: We reviewed our experiences in order to analyze the\nfactors causing central neurological dysfunction in thoracic aortic arch surgeries with\nantegrade selective cerebral perfusion (ASCP).\nMethods: Between October 2000 and September 2003, 76 patients underwent thoracic\naortic surgery with ASCP, comprising 55 men (72.4%) and 21 women (27.6%),\nranging in age from 27 to 86 years (mean 67.8 ± 10.9 years). Thoracic aortic lesions\nwere identified as aneurysms in 43 patients (56_6%) and dissections in 33 patients\n(43.4%). Perioperative factors were analyzed by univariate and multivariate analyse to\nidentify predictors of transient neurological dysfunction (TND).\nResults: Permanent neurological dysfunction (PND) occurred in two patients\n(2.6%), as a result of embolism during surgery, and TND in 15 patients (19.7%).\nUnivariate logistic regression indicated that ruptured aneurysm, hypertension, preoperative\nmean blood pressure, history of neurological disease, and operation time had a\nsignificant influence on the indication of TND. Multivariate analysis revealed that\nruptured aneurysm, history of neurological disease and operation time were statistically\nsignificant predictors of TND.\nConclusions: It is suggested that cerebral autoregulation may influence the outcome\nof TND, and precise blood pressure control might be an important factor for\nmaintaing cerebral perfusion.","subitem_description_type":"Other"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"秋田医学会"}]},"item_10001_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AN00009294","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03866106","subitem_source_identifier_type":"ISSN"}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"成田, 卓也"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山本, 文雄"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山本, 浩史"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石橋, 和幸"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"平居, 秀和"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"柳, 克祥"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"[ほか]"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"NARITA, Takuya","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMAMOTO, Fumio","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMAMOTO, Hiroshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"ISHIBASHI, Kazuyuki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"HIRAI, Hidekazu","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"LIU, KX","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-02-16"}],"displaytype":"detail","filename":"akigaku31-2d.pdf","filesize":[{"value":"1.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"akigaku31-2d.pdf","url":"https://air.repo.nii.ac.jp/record/1550/files/akigaku31-2d.pdf"},"version_id":"bbb94041-af93-472c-aaa3-f0918962ec30"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"thoracic aortic surgery","subitem_subject_scheme":"Other"},{"subitem_subject":"antegrade selective cerebral perfusion","subitem_subject_scheme":"Other"},{"subitem_subject":"permanent neurological dysfunction","subitem_subject_scheme":"Other"},{"subitem_subject":"transient neurological dysfunction","subitem_subject_scheme":"Other"},{"subitem_subject":"cerebral autoregulation","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"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 -","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"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 -"}]},"item_type_id":"10001","owner":"3","path":["865"],"pubdate":{"attribute_name":"公開日","attribute_value":"2009-01-19"},"publish_date":"2009-01-19","publish_status":"0","recid":"1550","relation_version_is_last":true,"title":["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 -"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-07-25T11:49:57.979333+00:00"}