脳卒中の外科研究会講演集
Online ISSN : 2187-185X
Print ISSN : 0387-8031
ISSN-L : 0387-8031
11. 頸動脈結紮術に対する術前検査としてのballoon occlusion testの有用性
武田 利兵衛中川原 譲二宇佐美 卓橋本 郁郎井出 渉福岡 誠二下道 正幸瓢子 敏夫佐々木 雄彦岡田 好生西谷 幹雄島田 孝田中 靖通中村 順一末松 克美
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1984 年 13 巻 p. 62-66

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It is important to determine the safety of internal carotid artery (ICA) ligation in order to identify those patients who are likely to develop severe cerebral ischemia if this procedure is carried out. For the purpose of reducing the risk of ICA ligation, temporary balloon occlusion by the Swan-Ganz method was performed. Observations of neurological state (tolerance test) and carotid artery back pressure, A-J blood sampling for gas analysis (PjO2,% CBF reduction), cerebral angiography for assessing collateral circulation, EEG monitoring, and rCBF measurement by the xenon inhalation method were undertaken during temporary ICA occlusion.
Our diagnostic procedure allows the risk associated with ICA ligation to be estimated more exactly.

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