| Item type |
文献 / Documents(1) |
| 公開日 |
2024-05-28 |
| アクセス権 |
|
|
アクセス権 |
open access |
| 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 |
| 出版社版DOI |
|
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.2176/nmc.oa.2014-0455 |
|
|
言語 |
ja |
|
|
関連名称 |
10.2176/nmc.oa.2014-0455 |
| 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 |
Intraoperative Arachnoid Plasty Has Possibility to Prevent Chronic Subdural Hematoma after Surgery for Unruptured Cerebral Aneurysms |
|
言語 |
en |
| タイトル別表記 |
|
|
その他のタイトル |
Arachnoid Plasty against Chronic Subdural Hematoma |
|
言語 |
en |
| 著者 |
八木, 謙次
イリエ, シンスケ
イナガキ, トオル
イシイ, ヨウスケ
サイトウ, オサム
Lee, Tejin
ナカガワ, ヒロシ
サイトウ, コウジ
永廣, 信治
|
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Some patients develop chronic subdural hematomas (CSDHs) after the clipping/coating of unruptured aneurysms. The risk factors are not well understood and while no preventive methods are currently available, arachnoid plasty (ARP) may intercept the development of postoperative CSDH. We investigated the risk factors for CSDH and the usefulness of ARP to prevent postoperative CSDH. Between January 2009 and June 2013, 393 patients underwent 416 aneurysm surgeries via the pterional approach at Kushiro Kojinkai Memorial Hospital. Of these, 394 aneurysms (371 patients) were included in this study. Using multivariate analysis we evaluated the relationship between the patient demographics and clinical characteristics, and the development of postoperative symptomatic CSDH. We also studied the effect of ARP performed during aneurysm surgery. We found that symptomatic CSDH developed after 20 (5.1%) of the 394 operations; it was addressed by burr hole surgery and evacuation/irrigation. Male gender, advanced age, and oral anticoagulant therapy were significant risk factors for CSDH. Additive ARP, performed in the course of 132 surgeries (33.5%) was found to be a significant negative risk factor. The incidence of CSDH was significantly lower in patients who had undergone ARP than in patients who had not undergone it (0.8% vs. 7.3%, p < 0.01). We first report that ARP is useful for the prevention of CSDH in patients treated by aneurysm surgery. |
|
言語 |
en |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
arachnoid plasty |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
unruptured aneurysm |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
chronic subdural hematoma |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
clipping |
| 書誌情報 |
en : Neurologia Medico-Chirurgica
巻 55,
号 6,
p. 493-497,
発行日 2015
|
| 収録物ID |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
04708105 |
| 収録物ID |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
13498029 |
| 収録物ID |
|
|
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 |
296533 |
|
識別子タイプ |
URI |
| 言語 |
|
|
言語 |
eng |
nmc_55_6_493.pdf (319 KB)
.png)
