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海綿静脈洞部硬膜動静脈瘻に対するdouble microcatheter法による経静脈的塞栓術
http://hdl.handle.net/2297/43231
http://hdl.handle.net/2297/43231924ed571-4907-4184-bc2f-eb1a23b4439d
名前 / ファイル | ライセンス | アクション |
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HO-PR-UCHIYAMA-N-3.pdf (757.6 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-10-05 | |||||
タイトル | ||||||
タイトル | 海綿静脈洞部硬膜動静脈瘻に対するdouble microcatheter法による経静脈的塞栓術 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Double microcatheter technique for transvenous embolization of cavernous sinus dural arterio-venous fistulas | |||||
言語 | ||||||
言語 | jpn | |||||
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 | |||||
著者 |
内山, 尚之
× 内山, 尚之× 濱田, 潤一郎× 毛利, 正直× 東, 良× 廣田, 雄一× 見崎, 孝一× 林, 裕× 高畠, 靖志× 山崎, 法明× 荒川, 泰明× 江塚, 勇 |
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書誌情報 |
Journal of Neuroendovascular Therapy = 脳神経血管内治療 巻 4, 号 1, p. 3-8, 発行日 2010-01-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1882-4072 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA1229439X | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.5797/jnet.4.3 | |||||
出版者 | ||||||
出版者 | 日本脳神経血管内治療学会 = The Japanese Society for Neuroendovascular Therapy | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 【目的】海綿静脈洞部硬膜動静脈瘻(CSdAVF)に対するdouble micocatheter technique(DMT)による経静脈的塞栓術(TVE)の有用性について検討した.【対象と方法】CSdAVF 11例(男:女 1:10, 年齢56~81歳 平均66.9歳)に対して13回のTVEを行った.2本のマイクロカテーテルをCS内に留置後,それぞれのカテーテルを逆流静脈(RLVD)および上眼静脈(SOV)へ誘導し,RLVD,SOV,CSの順で塞栓した.【結果】13回のTVEのうち,11回(85%)で2本のマイクロカテーテルをCS内に誘導できた.すべてのRLVDにマイクロカテーテルを選択的に誘導でき,塞栓術中に新たに生じたRLVDに対しても,1本のマイクロカテーテルを移動させることですみやかに塞栓を行った.初回治療後の解剖学的および臨床的治癒率は,ともに82%であった.【結語】CSdAVFに対してDMTによるTVEを行った.RLVDへの選択的なマイクロカテーテルの誘導は困難ではなく,また術中の静脈流出路変化にも容易に対応できた.解剖学的および臨床的予後も良好であり,CSdAVFのTVEの有用な方法である. Objective: We describe a double microcatheter technique for transvenous embolization (TVE) of cavernous sinus dural arterio-venous fistulas (CSdAVFs). Method: Eleven patients with CSdAVF were treated by TVE. We tried to navigate two microcatheters through the inferior petrosal sinus to the cavernous sinus (CS) and catheterized to the veins which had shown retrograde leptomeningeal venous drainage (RLVD), and the superior ophthalmic vein (SOV). We evaluated success rate of navigation of double microcatheters to the CS, success rate of superselective catheterization to the RLVD and the SOV, and angiographical and clinical cure rates. Result: We performed 13 sessions of TVE for 11 patients. Two microcatheters were successfully navigated to the CS in 11 of 13 sessions (85%). The microcatheters were successfully catheterized to all of the RLVD and the SOV superselectively. In one case, we were able to transfer one of the two microcatheters to the new RLVD, which appeared during embolization of pre-existing RLVD, and were able to occlude dangerous drainage immediately. Both angiographical and clinical cure rates at the initial treatment were 82%, and final angiographic and clinical cure rates were 100%. Conclusion: A double microcatheter technique for TVE of CSdAVF is a safe and useful procedure with good angiographical and clinical outcomes. | |||||
権利 | ||||||
権利情報 | Copyright © 2014 The Japanese Society for Neuroendovascular Therapy 日本脳神経血管内治療学会 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://www.jstage.jst.go.jp/browse/jnet/-char/ja/ | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://www.jsnet.umin.jp/ |