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もやもや病における血行再建術手技の工夫と血流改善効果

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Title: もやもや病における血行再建術手技の工夫と血流改善効果
Other Titles: Characteristic Surgical Procedure and the Effectiveness of the Revascularization for Moyamoya Disease
Authors: 吉本, 哲之1 Browse this author
伊東, 雅基2 Browse this author
川堀, 真人3 Browse this author →KAKEN DB
小林, 理奈4 Browse this author
藤本, 真5 Browse this author
善積, 威6 Browse this author
山内, 亨7 Browse this author
徳田, 耕一8 Browse this author
金子, 貞男9 Browse this author
Authors(alt): Yoshimoto, Tetsuyuki1
Ito, Masaki2
Kawabori, Masato3
Kobayashi, Rina4
Fujimoto, Shin5
Yoshizumi, Takeshi6
Yamauchi, Toru7
Tokuda, Koichi8
Kaneko, Sadao9
Keywords: moyamoya disease
direct and indirect revascularization
meningeal artery
Issue Date: 2010
Publisher: 日本脳卒中の外科学会
Journal Title: 脳卒中の外科
Journal Title(alt): Surgery for Cerebral Stroke
Volume: 38
Issue: 6
Start Page: 375
End Page: 379
Publisher DOI: 10.2335/scs.38.375
Abstract: Surgical treatment for moyamoya disease is basically a combination of direct and indirect revascularization because of the characteristic pathogenesis. Surgical goals are to increase the collateral channels as much as possible and to widely cover the territory of the poor cerebral blood flow. We preoperatively evaluate cerebral perfusion by angiography and single photon emission CT, and plan the direct bypass between STAs and each cortical branch of ACA and MCA. We then add the indirect revascularization over them on the 2 cranial windows. Recently, the middle meningeal artery also has been utilized as a donor of the direct revascularization. We estimated the postoperative perfusional change of the total revascularizations by SPECT, which showed improved cerebral blood flow and vascular reserve.
Type: article
URI: http://hdl.handle.net/2115/70930
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 川堀 真人

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