| Item type |
文献 / Documents(1) |
| 公開日 |
2024-04-30 |
| アクセス権 |
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|
アクセス権 |
open access |
| 資源タイプ |
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|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版社版DOI |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
https://doi.org/10.2176/nmc.oa.2016-0236 |
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|
言語 |
ja |
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|
関連名称 |
10.2176/nmc.oa.2016-0236 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
|
|
タイトル |
Treatment Outcome of Carotid Artery Stenting Underwent within 14 Days of Stroke Onset – Consideration of Safety and Efficacy of Urgent Carotid Artery Stenting for Neurologically Progressing Patients |
|
言語 |
en |
| タイトル別表記 |
|
|
その他のタイトル |
Urgent Carotid Artery Stenting |
|
言語 |
en |
| 著者 |
兼松, 康久
里見, 淳一郎
桑山, 一行
山口, 泉
ヨシオカ, ショウタロウ
木内, 智也
多田, 恵曜
山本, 伸昭
松原, 俊二
サトウ, コウイチ
永廣, 信治
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| 抄録 |
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|
内容記述タイプ |
Abstract |
|
内容記述 |
As the safety and effectiveness of urgent carotid artery stenting (CAS) for neurologically progressing patients remain controversial, we retrospectively analyzed the outcome of urgent CAS based on the patients’ pathophysiological condition and neuroimaging findings. We divided 71 patients who underwent CAS within 14 days of stroke onset into two groups. Group 1 (n = 35) was comprised of patients with progressing neurologic signs and a reversible ischemic penumbra on magnetic resonance images (MRI). They were treated by urgent CAS. Group 2 (n = 36) was neurologically stable and underwent prophylactic CAS. In all patients we recorded the National Institutes of Health Stroke Scale (NIHSS) score and the modified Rankin scale (mRS). Urgent CAS resulted in significant improvement in the NIHSS score, when compared before and after CAS in group 1 (5.3 ± 4.3, P < 0.01). The rate of good outcomes (mRS 0-2 at 3 months post-CAS) was 48.6% in group 1, and 75% in group 2. The cumulative incidence of ipsilateral stroke between 31 days and 1 year was 5.9% in group 1, and 0% in group 2. The procedural complication rate was similar in both groups (group 1: 5.7%, n = 2; group 2: 5.6%, n = 2). No patient suffered a symptomatic intracerebral hemorrhage. When the pathophysiological status and neuroimaging findings are used to determine patient eligibility for urgent CAS, this treatment improve neurologic outcome and can be performed as safely as prophylactic CAS in our cohort of patients with acute ischemic stroke. |
|
言語 |
en |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
urgent carotid artery stenting |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
acute ischemic stroke |
| 書誌情報 |
en : Neurologia Medico-Chirurgica
巻 57,
号 6,
p. 278-283,
発行日 2017
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| 収録物ID |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
04708105 |
| 収録物ID |
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収録物識別子タイプ |
ISSN |
|
収録物識別子 |
13498029 |
| 収録物ID |
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|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00358613 |
| 出版者 |
|
|
出版者 |
The Japan Neurosurgical Society |
|
言語 |
en |
| 権利情報 |
|
|
言語 |
en |
|
権利情報 |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License. |
| EID |
|
|
識別子 |
325212 |
|
識別子タイプ |
URI |
| 言語 |
|
|
言語 |
eng |
nmc_57_6_278.pdf (221 KB)
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