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  1. C100 医学部/医学系研究科
  2. C100d 学位論文
  3. 博士論文(医博・論医博)

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/2237/16865
029d3563-3db8-4005-8cd7-6a32b38dac63
名前 / ファイル ライセンス アクション
k8218_thesis.pdf k8218_thesis.pdf (142.5 kB)
Tsurumi_main.pdf Tsurumi_main.pdf (784.9 kB)
Tsurumi_cover.pdf Tsurumi_cover.pdf (291.1 kB)
Item type 学位論文 / Thesis or Dissertation(1)
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.

WEKO 46065

en TSURUMI, A.

Search repository
MIYACHI, S.

× MIYACHI, S.

WEKO 46066

en MIYACHI, S.

Search repository
HOSOSHIMA, O.

× HOSOSHIMA, O.

WEKO 46067

en HOSOSHIMA, O.

Search repository
IZUMI, T.

× IZUMI, T.

WEKO 46068

en IZUMI, T.

Search repository
OHSHIMA, T.

× OHSHIMA, T.

WEKO 46069

en OHSHIMA, T.

Search repository
MATSUBARA, N.

× MATSUBARA, N.

WEKO 46070

en MATSUBARA, N.

Search repository
KINKORI, T.

× KINKORI, T.

WEKO 46071

en KINKORI, T.

Search repository
NAITO, T.

× NAITO, T.

WEKO 46072

en NAITO, T.

Search repository
WAKABAYASHI, T.

× WAKABAYASHI, T.

WEKO 46073

en WAKABAYASHI, T.

Search repository
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
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
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