{"created":"2023-07-27T06:56:24.828068+00:00","id":53255,"links":{},"metadata":{"_buckets":{"deposit":"430e637e-e905-4e9a-8983-7bd5fad56ba6"},"_deposit":{"created_by":18,"id":"53255","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"53255"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00053255","sets":["2812:2813:2819"]},"author_link":["422"],"item_9_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-06-04","bibliographicIssueDateType":"Issued"},"bibliographicPageStart":"5p.","bibliographicVolumeNumber":"2012-04-01 – 2015-03-31","bibliographic_titles":[{"bibliographic_title":"平成26(2014)年度 科学研究費補助金 基盤研究(C) 研究成果報告書"},{"bibliographic_title":"2014 Fiscal Year Final Research Report","bibliographic_titleLang":"en"}]}]},"item_9_creator_33":{"attribute_name":"著者別表示","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{}],"nameIdentifiers":[{},{},{}]}]},"item_9_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"高度粥状硬化を伴う大動脈疾患に対して安全かつ効果的な手術戦略を構築することを目的として術中塞栓症回避の有効な手段を模索してきた。当初は大動脈内フィルターデバイス導入を試みたがデバイス導入自体の安全性や有効性に問題があり、脳分離循環を導入することによる脳保護を主体とする手術戦略に方針転換した。頚動脈や鎖骨下動脈バイパスに対して右房脱血を行いフィルターおよび酸素化を施し遠心ポンプにより送血する。これらの導入により症候性の脳梗塞や対麻痺を回避することが可能であった。さらに高リスク患者に対しては上行弓部置換術およびエレファントトランクを併用することにより安全な手術が確立できると結論づけた。","subitem_description_type":"Abstract"},{"subitem_description":"One of the major complications of endovascular repair in the thoracic aorta is procedure-related distal embolism. In cases with shaggy aorta, many investigators consider a shaggy aorta a contraindication. We developed an intra-aortic filter device to enhance the safety and reduce the incidence of procedural embolic complications. However, the deployment of the filter device itself has the potential to cause embolic events, and we actually experienced some complications such as spinal cord ischemia or diffuse cerebral infarctions. So that we have changed our principle to proactively use selective cerebral perfusion with PCPS and visceral embolus protection by balloon-tipped catheters during TEVAR with debranching technique. Although these methods require some complicated circuits and are somewhat invasive, those can contribute to reduce the risk of severe embolic events during TEVAR procedure in cases with severely atherosclerotic aortas.","subitem_description_type":"Abstract"}]},"item_9_description_22":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"研究課題/領域番号:24591811, 研究期間(年度):2012-04-01 – 2015-03-31","subitem_description_type":"Other"},{"subitem_description":"出典：研究課題「ステントグラフト内挿術を支援する大動脈フィルターデバイスの開発に関する研究」課題番号24591811\n（KAKEN：科学研究費助成事業データベース（国立情報学研究所））\n（https://kaken.nii.ac.jp/ja/report/KAKENHI-PROJECT-24591811/24591811seika/）を加工して作成","subitem_description_type":"Other"}]},"item_9_description_5":{"attribute_name":"提供者所属","attribute_value_mlt":[{"subitem_description":"金沢大学附属病院","subitem_description_type":"Other"}]},"item_9_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.24517/00059539","subitem_identifier_reg_type":"JaLC"}]},"item_9_relation_28":{"attribute_name":"関連URI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/ja/search/?kw=10313652"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/ja/search/?kw=10313652","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/ja/grant/KAKENHI-PROJECT-24591811/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/ja/grant/KAKENHI-PROJECT-24591811/","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/ja/report/KAKENHI-PROJECT-24591811/24591811seika/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/ja/report/KAKENHI-PROJECT-24591811/24591811seika/","subitem_relation_type_select":"URI"}}]},"item_9_version_type_25":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-10-26"}],"displaytype":"detail","filename":"HO-PR-SANADA-S-kaken 2015-5p.pdf","filesize":[{"value":"175.4 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"HO-PR-SANADA-S-kaken 2015-5p.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/53255/files/HO-PR-SANADA-S-kaken 2015-5p.pdf"},"version_id":"8219658d-237f-46d8-89ad-a701ea435d7a"}]},"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":"research report","resourceuri":"http://purl.org/coar/resource_type/c_18ws"}]},"item_title":"ステントグラフト内挿術を支援する大動脈フィルターデバイスの開発に関する研究","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"ステントグラフト内挿術を支援する大動脈フィルターデバイスの開発に関する研究"},{"subitem_title":"Distal embolus protection with an intra-aortic filter during stent-graft repair of a severely atherosclerotic aortic pathologies","subitem_title_language":"en"}]},"item_type_id":"9","owner":"18","path":["2819"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-10-26"},"publish_date":"2020-10-26","publish_status":"0","recid":"53255","relation_version_is_last":true,"title":["ステントグラフト内挿術を支援する大動脈フィルターデバイスの開発に関する研究"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2023-07-27T10:41:09.324021+00:00"}