Intraarterial therapy for acute ischemic stroke: investigation of prognostic factors

• 資料種別: 記事
• タイトル: Intraarterial therapy for acute ischemic stroke: investigation of prognostic factors
• 著者・編者: 野口 智幸; 吉浦 敬; 小栗 修一 他
• 著者標目: 野口 智幸; 吉浦 敬; 小栗 修一
• 並列タイトル等: 超急性期脳梗塞に対する経動脈的治療の検討--術後ヘパリン持続静注の有用性
• タイトル（掲載誌）: 福岡医学雑誌 = Fukuoka acta medica
• 巻号年月日等（掲載誌）: 98(8) (通号 1031) 2007.8.25
• 掲載巻: 98
• 掲載号: 8
• 掲載通号: 1031
• 掲載ページ: 320～328
• 掲載年月日（W3CDTF）: 2007-08-25
• ISSN（掲載誌）: 0016-254X
• ISSN-L（掲載誌）: 0016-254X
• 出版事項（掲載誌）: 福岡 : 福岡医学会
• 出版地（国名コード）: JP
• 本文の言語コード: eng
• 件名標目: Intraarterial therapy; Acute cerebral infarction; Heparin; CT; MRI; Diffusion-weighted image
• NDLC: ZS7
• 対象利用者: 一般
• 所蔵機関: 国立国会図書館
• 請求記号: Z19-86
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館雑誌記事索引; https://ndlsearch.ndl.go.jp
• 書誌ID（NDLBibID）: 8977300; http://id.ndl.go.jp/bib/8977300
• 整理区分コード: 632

• 要約等: Background : Intraarterial therapy (IAT) for acute cerebral infarction has been proven to be profitable. However,the criteria for the indications,the choice of the thrombolytic agents, and the use of adjunctive agents are controversial. We retrospectively analyzed the prognostic factors of IAT. Materials and methods: From 1994 to 2003, 28 patients underwent IAT due to middle cerebral artery occlusion (17 women and 11 men ; median age,69 years old). We evaluated the following prognostic parameters: institution of treatment, degree of paralysis at visit, size of high-intensity area on diffusion-weighted images, dose of intraarterial urokinase administration, elapsed time from symptom onset to completion of IAT, presence of penetration of embolus by microcatheter and microguidewire, recanalization after IAT, intracranial hemorrhage (ICH) within 24 hours after IAT, and intravenous heparin administration after IAT. The outcome was evaluated at discharge and was classified into the following categories according to the modified Rankin Scale: independence (0 to 2), dependence (3 to 5), and death (6). Results: Seven patients were judged to be independent, 16 patients were judged to be dependent, and five patients died. Patients with recanalization after IAT had a better outcome than those without (p＜0.05); patients with intracranial hemorrhage had a worse outcome than those without (p＜0.05); and patients with intravenous heparin administration after IAT had a better outcome in activities of daily living than those without (p＜ 0.05). Conclusion :In addition to ICH and recanalization,our results suggested that intravenous heparin administration after IAT had a favorable effect on patient outcome.
• DOI: 10.15017/7963; https://doi.org/10.15017/7963
• オンライン閲覧公開範囲: インターネット公開
• 掲載誌（NCID）: AN00215478; https://ci.nii.ac.jp/ncid/AN00215478
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 九州大学学術情報リポジトリ(QIR); https://www.lib.kyushu-u.ac.jp/papers

• 要約等: Background : Intraarterial therapy (IAT) for acute cerebral infarction has been proven to be profitable. However,the criteria for the indications,the choice of the thrombolytic agents, and the use of adjunctive agents are controversial. We retrospectively analyzed the prognostic factors of IAT. Materials and methods: From 1994 to 2003, 28 patients underwent IAT due to middle cerebral artery occlusion (17 women and 11 men ; median age,69 years old). We evaluated the following prognostic parameters: institution of treatment, degree of paralysis at visit, size of high-intensity area on diffusion-weighted images, dose of intraarterial urokinase administration, elapsed time from symptom onset to completion of IAT, presence of penetration of embolus by microcatheter and microguidewire, recanalization after IAT, intracranial hemorrhage (ICH) within 24 hours after IAT, and intravenous heparin administration after IAT. The outcome was evaluated at discharge and was classified into the following categories according to the modified Rankin Scale: independence (0 to 2), dependence (3 to 5), and death (6). Results: Seven patients were judged to be independent, 16 patients were judged to be dependent, and five patients died. Patients with recanalization after IAT had a better outcome than those without (p＜0.05); patients with intracranial hemorrhage had a worse outcome than those without (p＜0.05); and patients with intravenous heparin administration after IAT had a better outcome in activities of daily living than those without (p＜ 0.05). Conclusion :In addition to ICH and recanalization,our results suggested that intravenous heparin administration after IAT had a favorable effect on patient outcome.
• DOI: 10.15017/7963; https://doi.org/10.15017/7963
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（URI）: https://hdl.handle.net/2324/7963; http://id.ndl.go.jp/bib/8977300; https://ndlsearch.ndl.go.jp/books/R000000004-I8977300; https://teikyo-u.repo.nii.ac.jp/records/2026628; https://search.jamas.or.jp/link/ui/2008082560
• 連携機関・データベース: 国立情報学研究所 : CiNii Research; https://cir.nii.ac.jp/
• 提供元機関・データベース: Japan Link Center; https://japanlinkcenter.org/top; 学術機関リポジトリデータベース; https://irdb.nii.ac.jp; 雑誌記事索引データベース; https://ndlsearch.ndl.go.jp; PubMed; https://pubmed.ncbi.nlm.nih.gov; CiNii Articles
• 書誌ID（NDLBibID）: 8977300; http://id.ndl.go.jp/bib/8977300
• NII論文ID: 120000987728