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Can Periprocedural Hypotension in Carotid Artery Stenting Be Predicted ? : A Carotid Morphologic Autonomic Pathologic Scoring Model Using Virtual Histology to Anticipate Hypotension
http://hdl.handle.net/2237/16865
http://hdl.handle.net/2237/16865029d3563-3db8-4005-8cd7-6a32b38dac63
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k8218_thesis.pdf (142.5 kB)
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Tsurumi_main.pdf (784.9 kB)
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Tsurumi_cover.pdf (291.1 kB)
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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公開日 | 2012-10-12 | |||||
タイトル | ||||||
タイトル | Can Periprocedural Hypotension in Carotid Artery Stenting Be Predicted ? : A Carotid Morphologic Autonomic Pathologic Scoring Model Using Virtual Histology to Anticipate Hypotension | |||||
言語 | en | |||||
著者 |
TSURUMI, A.
× TSURUMI, A.× MIYACHI, S.× HOSOSHIMA, O.× IZUMI, T.× OHSHIMA, T.× MATSUBARA, N.× KINKORI, T.× NAITO, T.× WAKABAYASHI, T. |
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アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | carotid stenosis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | stenting | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | carotid ultrasound | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | interventional neuroradiology | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | pathology | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Virtual Histology | |||||
抄録 | ||||||
内容記述 | Periprocedural hypotension, which frequently occurs during carotid artery stenting (CAS), is an important risk factor for complications such as stroke or death after CAS. To determine if a scoring model can be established to predict periprocedural hypotension (systolic blood pressure < or = 90 mm Hg) and prolonged periprocedural hypotension (requiring vasopressor for > 3 hours) in CAS, we conducted a prospective cohort study of patients undergoing interventional treatment of cervical carotid artery stenosis in an urban tertiary referral hospital from April 2006 to April 2007. Forty-eight stenotic lesions in 45 consecutive patients treated with CAS were included in the study. Multivariate analysis showed three independent risk factors of periprocedural hypotension; "fibrous plaque on Virtual Histology" (P = 0.029), "stenotic lesion involving both the common carotid artery and internal carotid artery on angiogram" (P = 0.004), and "patients without history of diabetes mellitus" (P = 0.020). Further, "distance between carotid bifurcation and point of minimum lumen size < or = 10 mm on angiogram" (P = 0.003) was an independent risk factor of prolonged periprocedural hypotension. Carotid morphologic autonomic pathologic score (carotid MAPS), determined by adding one point for each of those risk factors (total 0 to 4), had good discrimination for both periprocedural hypotension (area under receiver operating characteristic curve: ROC AUC = 0.876; SE 0.053) and prolonged periprocedural hypotension (ROC AUC = 0.811; SE 0.066). Carotid MAPS is useful for predicting periprocedural hypotension and prolonged periprocedural hypotension during CAS. | |||||
言語 | en | |||||
内容記述タイプ | Abstract | |||||
内容記述 | ||||||
内容記述 | 名古屋大学博士学位論文 学位の種類 : 博士(医学)(課程) 学位授与年月日:平成21年3月25日 靍見有史氏の博士論文として提出された | |||||
言語 | ja | |||||
内容記述タイプ | Other | |||||
出版者 | ||||||
言語 | en | |||||
出版者 | Centauro Srl | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_db06 | |||||
タイプ | doctoral thesis | |||||
関連情報 | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | URI | |||||
関連識別子 | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3306145/ | |||||
ISSN | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 1591-0199 | |||||
書誌情報 |
en : Interventional Neuroradiology 巻 15, 号 1, p. 17-28, 発行日 2009-03 |
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学位名 | ||||||
言語 | ja | |||||
学位名 | 博士(医学) | |||||
学位授与機関 | ||||||
学位授与機関識別子Scheme | kakenhi | |||||
学位授与機関識別子 | 13901 | |||||
言語 | ja | |||||
学位授与機関名 | 名古屋大学 | |||||
言語 | en | |||||
学位授与機関名 | Nagoya University | |||||
学位授与年度 | ||||||
学位授与年度 | 2008 | |||||
学位授与年月日 | ||||||
学位授与年月日 | 2009-03-01 | |||||
学位授与番号 | ||||||
学位授与番号 | 甲第8218号 | |||||
著者版フラグ | ||||||
値 | publisher | |||||
URI | ||||||
識別子 | http://hdl.handle.net/2237/16865 | |||||
識別子タイプ | HDL |