@article{oai:kanazawa-u.repo.nii.ac.jp:00045021,
 author = {Urayama, Hiroshi and Tsubota, Makoto and Watanabe, Yoh and Iwa, Takashi and 浦山, 博 and 坪田, 誠 and 渡辺, 洋宇 and 岩, 喬},
 issue = {7},
 journal = {日本心臓血管外科学会雑誌, Japanese Journal of Cardiovascular Surgery},
 month = {},
 note = {血行再建術の付加手技としてballoon catheterを用いた術中経管的拡張術を13症例に18回施行した.年齢は57～81歳平均72.7歳であり,全例男性であった.血栓内膜摘除術やバイパス術の術中に経管的拡張術をinflowに3例,outflowに3例,腎動脈に1例施行した.EPTFEグラフトの吻合部狭窄に対して血栓摘除術と経管的拡張術を7例に11回施行した.動脈硬化病変に対する本法の成績は1年開存率100%, 3年開存率80%であり,4例が経過観察中に死亡したが全例で拡張部位は開存していた.吻合部狭窄に対する本法の成績は6か月開存率34.6%, 10か月で0%であり,2回の拡張術を施行した4例のうち,1例にグラフト感染をきたした.動脈硬化病変に対する術中経管的拡張術の開存率は良好であった.吻合部狭窄に対する経管的拡張術は侵襲が少なく血栓摘除と同時に簡便に行える利点があるが,開存率が低いことと繰り返し行うことによる感染の危険性があった., Transluminal angioplasty during vascular reconstructive procedures was performed to 18 lesions in 13 patients. Ages ranged from 57 to 81 years with a mean of 72.7 years, and all patients were men. Transluminal angioplasty during the thromboendarterectomy or bypass grafting was performed to 3 patients for inflow dilatation, 3 patients for outflow dilatation and 1 patient for renal artery dilatation. Transluminal angioplasty with thrombectomy for the anastomotic stenoses of EPTFE grafts was performed 11 times for 7 patients. The results of this method for arteriosclerotic lesions were as follows; patency was 100% at 1 year and 80% at 3 year. Four patients died during the follow-up periods and the dilated lesions were all patent at the time of death. The results of this method for anastomotic stenoses were as follows; patency was 34.6% at 6 month and 0% at 10 months. Graft infection occurred in 1 of 4 patients to whom transluminal angioplasty was performed 2 times. The patency of transluminal angioplasty during vascular reconstructive procedures for arteriosclerotic lesions was good. Transluminal angioplasty for anastomotic stenoses was noninvasive and easily performed with the thrombectomy, but the patency was not so good and there was the risk of graft infection by repeated operations., 金沢大学医薬保健研究域医学系},
 pages = {1280--1283},
 title = {血行再建術の付加手技としての術中経管的拡張術とその成績},
 volume = {20},
 year = {1991}
}