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フルテキストURLA050061000303.pdf ( 457.5KB ) 公開日 2015-04-13
タイトルPost-procedural management of carotid stenting for internal carotid artery stenosis
作成者Irie, Hiromasa
Wakamatsu, Hiroya
Matsuda, Norimasa
Oshibuchi, Rumi
Matsumoto, Satoshi
Ishihara, Hideyuki
Suzuki, Michiyasu
Ishida, Kazuyoshi
Matsumoto, Mishiya
作成者ヨミイリエ, ヒロマサ
ワカマツ, ヒロヤ
マツダ, ノリマサ
オシブチ, ルミ
マツモト, サトシ
イシハラ, ヒデユキ
スズキ, ミチヤス
イシダ, カズヨシ
マツモト, ミシヤ
作成者別表記若松, 弘也
松田, 憲昌
松本, 聡
石原, 秀行
鈴木, 倫保
石田, 和慶
松本, 美志也
作成者所属山口大学医学部附属病院
山口大学大学院医学系研究科(医学)
内容記述(抄録等)Purpose: Strict control of arterial blood pressure is required if cerebral hyperperfusion after carotid stenting for internal carotid artery stenosis occurs. Here we retrospectively examined the occurrence and management of cerebral hyperperfusion after carotid stenting. Methods: We assessed 23 patients who underwent carotid stenting and whose cerebral perfusion on xenon-enhanced computed tomography was evaluated just after the procedure. The use of nicardipine and propofol was compared between patients whose cerebral blood flow ratio to the contralateral hemisphere increased >1.0 (n=8; hyperperfusion group) and those without cerebral hyperperfusion (n=15; normal perfusion group).Results: Pre-procedural cerebrovascular reactivity to acetazolamide was <20% in 8 patients (100%) in the hyperperfusion group and in 8 patients (53%) in the normal perfusion group (p=0.052). Intravenous administration of nicardipine and propofol was necessary in 5 (63%) and 4 (50%) patients in the hyperperfusion group compared with 2 (13%, p=0.026) and 0 (0%, p=0.008) patients in the normal perfusion group, respectively. No neurological deterioration remained in any patients on discharge from the intensive care unit. Conclusion: In patients with cerebral hyperperfusion, post-procedural hypertension can be treated using nicardipine or propofol.
本文言語eng
著者キーワードcarotid stenting
cerebral hyperperfusion syndrome
nicardipine
propofol
arterial blood pressure
資料タイプtext
ファイル形式application/pdf
出版者Yamaguchi University School of Medicine
NII資料タイプ紀要論文
ISSN0513-1812
NCIDAA00594272
学内刊行物(紀要等)The bulletin of the Yamaguchi Medical School
掲載誌名The bulletin of the Yamaguchi Medical School
61
3-4
開始ページ49
終了ページ55
発行日2014
著者版/出版社版出版社版
リポジトリIDA050061000303
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/A050061000303