Motor evoked potential monitoring can evaluate ischemic tolerance to carotid artery occlusion during surgery.

• 資料種別: 博士論文
• タイトル: Motor evoked potential monitoring can evaluate ischemic tolerance to carotid artery occlusion during surgery.
• 著者・編者: Takamura, Yoshiaki; Motoyama, Yasushi; Takatani, Tsunenori; Takeshima, Yasuhiro; Matsuda, Ryosuke; Tamura, Kentaro; Yamada, Shuichi; Nishimura, Fumihiko; Nakagawa, Ichiro; Park, Young-Su; Nakase, Hiroyuki
• 著者標目: Takamura, Yoshiaki; Motoyama, Yasushi; Takatani, Tsunenori; Takeshima, Yasuhiro; Matsuda, Ryosuke; Tamura, Kentaro; Yamada, Shuichi; Nishimura, Fumihiko; Nakagawa, Ichiro; Park, Young-Su; Nakase, Hiroyuki
• 出版事項: Springer Nature
• 出版年月日等: 2020-07-31
• 出版年（W3CDTF）: 2020-07-31
• 並列タイトル等: 術中運動誘発電位モニタリングによる内頚動脈閉塞に対する虚血耐性評価
• タイトル（掲載誌）: Journal of clinical monitoring and computing
• 巻号年月日等（掲載誌）: 35 5
• 掲載巻: 35
• 掲載号: 5
• 掲載ページ: 1055-1062
• ISSN（掲載誌）: ISSN : 1387-1307
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2020-12-24
• 報告番号: 乙第1483号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: Balloon test occlusion; Carotid artery occlusion; Intraoperative neurophysiological monitoring; Ischemic tolerance; Motor evoked potential
• 対象利用者: 一般
• 一般注記: type:Thesis; Balloon test occlusion (BTO) is a useful examination for evaluating ischemic tolerance to internal carotid artery (ICA) occlusion. The aim of this study was to investigate the relationships between intraoperative motor evoked potential (MEP) monitoring and the results of preoperative BTO. Between 2013 and 2017, 32 patients undergoing surgery under general anesthesia with intraoperative MEP monitoring, in whom preoperative BTO was performed, were identified. A receiver operator characteristic (ROC) analysis was performed to determine the appropriate cutoff value of MEP amplitude for BTO-positive. Furthermore, the accuracy of MEP monitoring for BTO-positive was compared with electroencephalogram (EEG) and somatosensory evoked potential (SEP) monitoring. Four of 32 (12.5%) patients were BTO-positive. The cutoff value of MEP amplitude for BTO-positive was a > 80% reduction from the baseline level, which showed sensitivity of 100% and specificity of 100%. Thus, the sensitivity and specificity for BTO-positive were significantly higher for MEP than for EEG (100% and 72.0%, p = 0.02) in 28 patients, but they were not significantly different compared with SEP (33.3% and 100%, p = 0.48) in 21 patients. MEP monitoring might be one of the alternatives for evaluating ischemic tolerance to ICA occlusion during surgery. The cutoff value of MEP amplitude was a > 80% reduction.; 博士（医学）・乙第1483号・令和2年12月24日; © Springer Nature B.V. 2020; This is a post-peer-review, pre-copyedit version of an article published in Journal of clinical monitoring and computing. The final authenticated version is available online at: http://dx.doi.org/10.1007/s10877-020-00573-0.; identifier:Journal of clinical monitoring and computing Vol.35 No.5 p.1055-1062 (2021 Oct); identifier:13871307; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3828; identifier:Journal of clinical monitoring and computing, 35(5): 1055-1062
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.1007/s10877-020-00573-0
• 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: 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU

目次

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3828/1/01%e4%b9%991483%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3828/2/02%e4%b9%991483%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3828/6/03%e4%b9%991483%e6%9c%ac%e6%96%87.pdf fulltext