{"created":"2023-07-25T10:22:14.845644+00:00","id":1550,"links":{},"metadata":{"_buckets":{"deposit":"4e8ddfac-3775-409e-83f0-313e142b3537"},"_deposit":{"created_by":15,"id":"1550","owners":[15],"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":["5606","5607","5608","5609","5610","5611","5612"],"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","attribute_value_mlt":[{"subitem_description":"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.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"秋田医学会"}]},"item_10001_version_type_20":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_1724099666130":{"attribute_name":"収録物識別子","attribute_value_mlt":[{"subitem_source_identifier":"03866106","subitem_source_identifier_type":"ISSN"},{"subitem_source_identifier":"AN00009294","subitem_source_identifier_type":"NCID"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"作成者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"成田, 卓也","creatorNameLang":"ja"},{"creatorName":"NARITA, Takuya","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"5606","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山本, 文雄","creatorNameLang":"ja"},{"creatorName":"YAMAMOTO, Fumio","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"5607","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山本, 浩史","creatorNameLang":"ja"},{"creatorName":"YAMAMOTO, Hiroshi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"5608","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"石橋, 和幸","creatorNameLang":"ja"},{"creatorName":"ISHIBASHI, Kazuyuki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"5609","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"平居, 秀和","creatorNameLang":"ja"},{"creatorName":"HIRAI, Hidekazu","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"5610","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"柳, 克祥","creatorNameLang":"ja"},{"creatorName":"LIU, KX","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"5611","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"[ほか]","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"5612","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":"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 -","subitem_title_language":"ja"},{"subitem_title":"Brain protection for thoracic aortic surgery","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"15","path":["865"],"pubdate":{"attribute_name":"PubDate","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":"15","weko_shared_id":-1},"updated":"2024-08-22T06:31:39.623396+00:00"}