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

• 資料種別: 博士論文
• ISSN: 1387-1307
• タイトル: Motor evoked potential monitoring can evaluate ischemic tolerance to carotid artery occlusion during surgery.
• 巻次・部編番号: 35 5
• 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; 35 5
• 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
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2020-12-24
• 授与年月日（W3CDTF）: 2020-12-24
• 報告番号: 乙第1483号
• 学位: 博士（医学）
• 博論授与番号: 乙第1483号
• 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
• DOI: info:doi/10.1007/s10877-020-00573-0; https://doi.org/info:doi/10.1007/s10877-020-00573-0
• 国立国会図書館永続的識別子: info:ndljp/pid/12263960; https://dl.ndl.go.jp/pid/12263960
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2022-05-09T11:57:37+09:00
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 掲載誌（URI）: http://hdl.handle.net/10564/3828
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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2023-12-06 再収集

2023-12-06 再収集

2023-12-06 再収集