アブストラクト
| Title | 脳動静脈奇形 (AVM) |
|---|---|
| Subtitle | 第1特集 脳血管内治療のベーシックと最先端2024 疾患別解説 |
| Authors | 大川将和 |
| Authors (kana) | |
| Organization | 京都大学脳神経外科 |
| Journal | 脳神経外科速報 |
| Volume | 34 |
| Number | 1 |
| Page | 57-61 |
| Year/Month | 2024 / |
| Article | 報告 |
| Publisher | メディカ出版 |
| Abstract | 「はじめに」脳動静脈奇形(brain AVM)は, 1.12〜1.42人/10万人の頻度と報告されており, 各施設で治療する件数は多くない. 特にARUBA study以降, 無症候性に対する治療は極めて慎重にならざるを得ないため, 術者として治療する機会は以前よりも減少していると推測される. 一方で治療の難易度は高く, ARUBAにおいてもinterventionがmedical managementと比較して症候性脳卒中および死亡が3倍程度高かった(30.7% vs 10.1%). Low gradeであれば, 摘出術の成績は良好であり, また塞栓術で根治を目指す場合もある. 「I. 塞栓術の基本的テクニック」AVMの塞栓では本邦においてOnyx, NBCA, コイルなどが用いられる. 「A. NBCA」NBCAは, 油性造影剤であるリピオドールと混合し, 濃度を調節して注入する. NBCA自体に粘度はないが, リピオドールは温度が低下すると粘度が高くなる. |
| Practice | 臨床医学：外科系 |
| Keywords |
- 全文ダウンロード： 従量制、基本料金制の方共に1,749円(税込) です。
参考文献
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残りの12件を表示する
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