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- 榛沢 和彦
- Second Department of Surgery, Niigata University School of Medicine
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- 大関 一
- Second Department of Surgery, Niigata University School of Medicine
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- 諸 久永
- Second Department of Surgery, Niigata University School of Medicine
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- 渡辺 弘
- Second Department of Surgery, Niigata University School of Medicine
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- 林 純一
- Second Department of Surgery, Niigata University School of Medicine
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- 江口 昭治
- Second Department of Surgery, Niigata University School of Medicine
書誌事項
- タイトル別名
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- HITS by TCD in Patients with V-A ECMO
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We detected HITS in patients with a risk of embolic stroke and V-A ECMO. HITS was detected by TC2020 (EME) with 2.0MHz probe at MCA artery for 15min. HITS was never detected in healthy volunteers (n=20). HITS count in patients with no cerebrovascular disease was 0.5 (n=17). The count in patients receiving open heart surgery without mechanical valve was 0.08 (n=11). In cerebral infarction, HITS was frequently detected, and the counts in patients having antiplatelets (3, n=20) was significantly lower than that in those without antiplatelets (13, n=22) (p<0.01). In mechanical valve replacement, HITS was more frequently than cerebral infarction, and the count in patients suffering from cerebral infarction (83, n=8) was significantly higher her than that in those without a history of stroke (7, n=42) (p<0.01). HITS in patients with V-A ECMO was 118 (ACT=200 sec, n=6) and the count reduced by prolonging ACT. In V-V ECMO, HITS was not detected. HITS was frequently detected in patients with a risk of cerebral infarction. Furthermore, HITS count appeared to be reduced by antiplatelet or anticoagulation therapy. HITS may indicate a risk of embolic event and useful for managing of V-A ECMD.
収録刊行物
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- 人工臓器
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人工臓器 26 (2), 359-363, 1997
一般社団法人 日本人工臓器学会
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詳細情報 詳細情報について
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- CRID
- 1390001204956376704
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- NII論文ID
- 130002387867
- 10007718463
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- NII書誌ID
- AN00120167
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- ISSN
- 18836097
- 03000818
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可