急性期内頚動脈内膜剝離術後に過灌流症候群によるくも膜下出血をきたした1例
「はじめに」内頚動脈分岐部狭窄病変の治療は, 一般に内頚動脈内膜剥離術 (carotid endarterectomy : CEA) と頚動脈ステント留置術 (carotid artery stenting : CAS) が行われているが, これらの術後の共通の転帰不良因子の1つとして過灌流症候群が知られている. 過灌流症候群に続発して, まれに頭蓋内出血を発症することがあり, CEA術後の脳実質内出血 (intracerebral hemorrhage : ICH) の報告が散見される. しかし, くも膜下出血 (subarachnoid hemorrhage : SAH) の報告はきわめて...
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| Published in | 脳卒中の外科 Vol. 47; no. 3; pp. 191 - 195 |
|---|---|
| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本脳卒中の外科学会
2019
日本脳卒中の外科学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0914-5508 1880-4683 |
| DOI | 10.2335/scs.47.191 |
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| Abstract | 「はじめに」内頚動脈分岐部狭窄病変の治療は, 一般に内頚動脈内膜剥離術 (carotid endarterectomy : CEA) と頚動脈ステント留置術 (carotid artery stenting : CAS) が行われているが, これらの術後の共通の転帰不良因子の1つとして過灌流症候群が知られている. 過灌流症候群に続発して, まれに頭蓋内出血を発症することがあり, CEA術後の脳実質内出血 (intracerebral hemorrhage : ICH) の報告が散見される. しかし, くも膜下出血 (subarachnoid hemorrhage : SAH) の報告はきわめて少ない. 今回われわれは, 脳梗塞急性期に行ったCEA術後, 過灌流症候群によりSAHをきたした症例を経験したため, 文献的考察を加え報告する. |
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| AbstractList | 「はじめに」内頚動脈分岐部狭窄病変の治療は, 一般に内頚動脈内膜剥離術 (carotid endarterectomy : CEA) と頚動脈ステント留置術 (carotid artery stenting : CAS) が行われているが, これらの術後の共通の転帰不良因子の1つとして過灌流症候群が知られている. 過灌流症候群に続発して, まれに頭蓋内出血を発症することがあり, CEA術後の脳実質内出血 (intracerebral hemorrhage : ICH) の報告が散見される. しかし, くも膜下出血 (subarachnoid hemorrhage : SAH) の報告はきわめて少ない. 今回われわれは, 脳梗塞急性期に行ったCEA術後, 過灌流症候群によりSAHをきたした症例を経験したため, 文献的考察を加え報告する. |
| Author | 遠藤, 英樹 村橋, 威夫 中垣, 裕介 石田, 裕樹 進藤, 孝一郎 中垣, 陽一 丸賀, 庸平 上山, 憲司 杉尾, 啓徳 |
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| DOI | 10.2335/scs.47.191 |
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| References | 3) Dalton ML : Subarachnoid hemorrhage after carotid endarterectomy. J Vasc Surg 16: 799, 1992 9) Maertens V, Maertens H, Kint M, et al : Complication Rate after Carotid Endarteretomy Comparing Patch Angioplasty and Primary Closure. Ann Vasc Surg 30: 248-252, 2016 7) Huibers A, de Borst GJ, Thomas D, et al : The mechanism of procedural stroke following carotid endarterectomy within the asymptomatic carotid surgery trial 1. Cerebrovasc Dis 42: 178-185, 2016 11) Ogasawara K, Sakai N, Kuroiwa T, et al : Intracranial hemorrhage associated with cerebral hyperperfusion syndrome following carotid endarterectomy and carotid artery stenting: retrospective review of 4494 patients. J Neurosurg 107: 1130-1136, 2007 4) Farooq M, Goshgarian C, Min J, et al : Pathophysiology and management of reperfusion injury and hyperperfusion syndrome after carotid endarterectomy and carotid artery stenting. Exp Transl Stroke Med 8: 7, 2016 13) Thanabalasundaram G, Hernádez-Durán S, Leslie-Mazwi T, et al : Cortical non-aneusymal subarachnoid hemorrhage post-carotid endarterectomy: a case report and literature review. Springerplus 2: 571, 2013 12) Schmidt M, Johansen MB, Lash TL, et al : Antiplatelet drugs and risk of subarachnoid hemorrhage: a population-based case-control study. J Thromb Haemost 8: 1468-1474, 2010 1) Barbetta I, Carmo M, Mercandalli G, et al : Outcomes of urgent carotid endarterectomy for stable and unstable acute neurologic deficits. J Vasc Surg 59: 440-446, 2014 10) McKevitt FM, Sivaguru A, Venables GS, et al : Effect of treatment of carotid artery stenosis on blood pressure: a comparison of hemodynamic disturbance after carotid endarterectomy and endovascular treatment. Stroke 34: 2576-2581, 2003 8) Isozaki M, Arai Y, Higashino Y, et al : Cerebral hyperperfusion syndrome resulting in subarachnoid hemorrhage after carotid artery stenting. Ann Nucl Med 669-674, 2016 6) Hingorani A, Ascher E, Tsemekhim B, et al : Cause of early post carotid endartectomy stroke in a recent series: the increasing importance of hyperperfusion syndrome. Acta Chir Belg 102: 435-438, 2012 5) Hartmann M, Weber R, Zoubaa S, et al : Fatal subarachnoid hemorrhage after carotid stenting. J Neuroradiol 31: 63-66, 2004 2) Bodenant M, Leys D, Lucas C : Isolated subarachnoidal hemorrhage following carotid endarterectomy. Case Rep Neurol 2: 80-84, 2010 |
| References_xml | – reference: 11) Ogasawara K, Sakai N, Kuroiwa T, et al : Intracranial hemorrhage associated with cerebral hyperperfusion syndrome following carotid endarterectomy and carotid artery stenting: retrospective review of 4494 patients. J Neurosurg 107: 1130-1136, 2007 – reference: 6) Hingorani A, Ascher E, Tsemekhim B, et al : Cause of early post carotid endartectomy stroke in a recent series: the increasing importance of hyperperfusion syndrome. Acta Chir Belg 102: 435-438, 2012 – reference: 2) Bodenant M, Leys D, Lucas C : Isolated subarachnoidal hemorrhage following carotid endarterectomy. Case Rep Neurol 2: 80-84, 2010 – reference: 10) McKevitt FM, Sivaguru A, Venables GS, et al : Effect of treatment of carotid artery stenosis on blood pressure: a comparison of hemodynamic disturbance after carotid endarterectomy and endovascular treatment. Stroke 34: 2576-2581, 2003 – reference: 7) Huibers A, de Borst GJ, Thomas D, et al : The mechanism of procedural stroke following carotid endarterectomy within the asymptomatic carotid surgery trial 1. Cerebrovasc Dis 42: 178-185, 2016 – reference: 5) Hartmann M, Weber R, Zoubaa S, et al : Fatal subarachnoid hemorrhage after carotid stenting. J Neuroradiol 31: 63-66, 2004 – reference: 9) Maertens V, Maertens H, Kint M, et al : Complication Rate after Carotid Endarteretomy Comparing Patch Angioplasty and Primary Closure. Ann Vasc Surg 30: 248-252, 2016 – reference: 3) Dalton ML : Subarachnoid hemorrhage after carotid endarterectomy. J Vasc Surg 16: 799, 1992 – reference: 1) Barbetta I, Carmo M, Mercandalli G, et al : Outcomes of urgent carotid endarterectomy for stable and unstable acute neurologic deficits. J Vasc Surg 59: 440-446, 2014 – reference: 8) Isozaki M, Arai Y, Higashino Y, et al : Cerebral hyperperfusion syndrome resulting in subarachnoid hemorrhage after carotid artery stenting. Ann Nucl Med 669-674, 2016 – reference: 4) Farooq M, Goshgarian C, Min J, et al : Pathophysiology and management of reperfusion injury and hyperperfusion syndrome after carotid endarterectomy and carotid artery stenting. Exp Transl Stroke Med 8: 7, 2016 – reference: 13) Thanabalasundaram G, Hernádez-Durán S, Leslie-Mazwi T, et al : Cortical non-aneusymal subarachnoid hemorrhage post-carotid endarterectomy: a case report and literature review. Springerplus 2: 571, 2013 – reference: 12) Schmidt M, Johansen MB, Lash TL, et al : Antiplatelet drugs and risk of subarachnoid hemorrhage: a population-based case-control study. J Thromb Haemost 8: 1468-1474, 2010 |
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| Title | 急性期内頚動脈内膜剝離術後に過灌流症候群によるくも膜下出血をきたした1例 |
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