{"created":"2023-06-20T15:59:39.706831+00:00","id":17650,"links":{},"metadata":{"_buckets":{"deposit":"b16b663a-d46a-461c-a288-84b5d3ce40ba"},"_deposit":{"created_by":29,"id":"17650","owners":[29],"pid":{"revision_id":0,"type":"depid","value":"17650"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00017650","sets":["95:28:631"]},"author_link":[],"control_number":"17650","item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-12-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"17","bibliographicPageStart":"12","bibliographicVolumeNumber":"40","bibliographic_titles":[{"bibliographic_title":"静岡赤十字病院研究報"},{"bibliographic_title":"Journal of Japanese Red Cross Shizuoka Hospital","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"遠位弓部大動脈瘤に対する治療戦略として，我々は中枢側ランディングゾーンが十分な場合にはTEVAR（Thoracic endovascular aortic repair）を選択し，ランディングゾーンが不足する場合にはt-TAR　with ET（translocated total arch replacement with elephant trunk）＋TEVARによる2期的手術を選択してきたが，今回当院の治療成績に関して検討した．2015年4月〜2020年6月に上記技法を用いTEVARを併用した遠位弓部大動脈瘤48例を対象とした．内訳はTEVAR24例とt-TAR with ET＋TEVAR 24例で2群間の患者背景，術後成績を比較検討した．全体における周術期死亡は認めなかった．遠隔期死亡は9例（18.8%），大動脈瘤関連死亡は1例（2.1%）であった．瘤関連イベントは全体では9例（18.8%）（10mm以上の瘤径拡大5例typeⅠEL2例，脳梗塞2例，その他1例）で，対麻痺は認めなかった．死亡率，瘤関連イベント回避率のいずれも両群間の有意差は認めなかった．当院の治療成績は諸家の報告と比較して，大動脈瘤関連死亡は低く良好であった．一方，遠隔期におけるエンドリークによる瘤拡大が問題であり，我々の術式における今後の課題と考えられた．","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"静岡赤十字病院"}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0911-9833","subitem_source_identifier_type":"ISSN"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorAlternatives":[{"creatorAlternative":"Ariya,Takumi","creatorAlternativeLang":"en"}],"creatorNames":[{"creatorName":"有谷, 拓実","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"新谷, 恒弘","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"長谷川, 悠人","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"林, 応典","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"夏目, 佳代子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"大倉, 一宏","creatorNameLang":"ja"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-03-19"}],"displaytype":"simple","filename":"jrcsh4001_12-17.pdf","filesize":[{"value":"1.6 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf8933","url":"https://redcross.repo.nii.ac.jp/record/17650/files/jrcsh4001_12-17.pdf"},"version_id":"7cb78041-403f-4e74-beac-7eebb4b691cf"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"遠位弓部大動脈瘤","subitem_subject_scheme":"Other"},{"subitem_subject":"TEVAR","subitem_subject_scheme":"Other"},{"subitem_subject":"t-TAR+TEVAR","subitem_subject_scheme":"Other"},{"subitem_subject":"2期的手術","subitem_subject_scheme":"Other"},{"subitem_subject":"elephant trunk法","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"当院における遠位弓部大動脈瘤の治療成績","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当院における遠位弓部大動脈瘤の治療成績","subitem_title_language":"ja"}]},"item_type_id":"10002","owner":"29","path":["631"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2021-03-19"},"publish_date":"2021-03-19","publish_status":"0","recid":"17650","relation_version_is_last":true,"title":["当院における遠位弓部大動脈瘤の治療成績"],"weko_creator_id":"29","weko_shared_id":-1},"updated":"2024-01-12T07:33:58.497838+00:00"}