Item type |
学術雑誌論文 / Journal Article(1) |
公開日 |
2010-08-10 |
タイトル |
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タイトル |
脳動脈瘤コイル塞栓術の成否に影響を及ぼす要因の解析 |
言語 |
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言語 |
jpn |
資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
別タイトル |
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その他のタイトル |
Factors Affecting Successful Embolization of Intracranial Aneurysms with Guglielmi Detachable Coils |
著者名 |
比嘉, 隆
氏家, 弘
堀, 智勝
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著者別名 |
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姓名 |
HIGA, Takashi |
著者別名 |
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姓名 |
UJIIE, Hiroshi |
著者別名 |
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姓名 |
HORI, Tomokatsu |
出版者 |
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出版者 |
東京女子医科大学学会 |
受付日付 |
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日付 |
2010-08-10 |
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日付タイプ |
Created |
ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
0040-9022 |
NCID |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AN00161368 |
書誌情報 |
東京女子医科大学雑誌
巻 77,
号 3,
p. 126-135,
発行日 2007-03
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著者版フラグ |
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出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
To predict the angiographic outcome of coil embolization of aneurysms using Guglielmi detachable coils (GDCs), we evaluate angiographic findings after the initial treatment and follow-up angiography. Between May 1998 and October 2006, 94 intracranial aneurysms of 88 patients underwent endosaccular embolization with GDCs and follow-up angiography. We statistically analyzed the relationships between aneurysm size, volume embolization ratio (VER), aspect ratio (AR) and arterial geometry and findings on follow-up such as complete occlusion (CO) or incomplete occlusion (ICO). The geometry of the parent artery was subdivided into 3 categories; bifurcation, branching and lateral type. Following the initial treatment, we obtained CO in 74 aneurysms (78.7%) and ICO in 20 aneurysms. Of 74 CO cases, three cases later recanalized and were categorized as ICO. Progressive thrombosis was detected in 10 of 20 ICO cases on follow-up angiography. Branching or lateral aneurysms showed a high tendency toward CO. VER and size of aneurysm did not show any statistical difference between the two groups. However, the difference in AR was significant (p<0.05) between the two groups and aneurysms with an AR larger than 2.0 showed a high success ratio of 92.6%. AR is considered one of most useful indices predicting successful coil embolization for intracranial aneurysm. |
著者所属 |
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東京女子医科大学脳神経センター脳神経外科 |
著者所属 |
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東京女子医科大学脳神経センター脳神経外科 |
著者所属 |
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東京女子医科大学脳神経センター脳神経外科 |
著者キーワード |
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主題Scheme |
Other |
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主題 |
intracranial aneurysm |
著者キーワード |
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主題Scheme |
Other |
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主題 |
Guglielmi detachable coil |
著者キーワード |
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主題Scheme |
Other |
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主題 |
aspect ratio |
著者キーワード |
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主題Scheme |
Other |
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主題 |
arterial geometry |
著者キーワード |
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主題Scheme |
Other |
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主題 |
embolization |