血管内血栓回収術における医療連携の現状と課題
急性期脳主幹動脈閉塞に対する血管内血栓回収術の有効性が多くのランダム化比較試験で示されて以降, わが国においても急速にその需要が高まっている. しかしながら, 本治療の効果は良好な再開通率 (TICI＞2b) と発症からの再開通までの時間に大きく左右され, 血管内治療医の偏在や都市部あるいは地方都市における医療体制の問題など課題は多い. 特に課題となっているのはonset to doorをいかに短縮するかであり, プレホスピタルの時間短縮を目指した試みが展開されている. その中で地域それぞれにおいての現状把握を行い, 行政を含めての医療連携および情報共有システムの構築が必須であることは論をまた...
Saved in:
| Published in | 脳神経外科ジャーナル Vol. 29; no. 9; pp. 611 - 618 |
|---|---|
| Main Authors | , , , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本脳神経外科コングレス
2020
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0917-950X 2187-3100 |
| DOI | 10.7887/jcns.29.611 |
Cover
| Abstract | 急性期脳主幹動脈閉塞に対する血管内血栓回収術の有効性が多くのランダム化比較試験で示されて以降, わが国においても急速にその需要が高まっている. しかしながら, 本治療の効果は良好な再開通率 (TICI＞2b) と発症からの再開通までの時間に大きく左右され, 血管内治療医の偏在や都市部あるいは地方都市における医療体制の問題など課題は多い. 特に課題となっているのはonset to doorをいかに短縮するかであり, プレホスピタルの時間短縮を目指した試みが展開されている. その中で地域それぞれにおいての現状把握を行い, 行政を含めての医療連携および情報共有システムの構築が必須であることは論をまたない. |
|---|---|
| AbstractList | 急性期脳主幹動脈閉塞に対する血管内血栓回収術の有効性が多くのランダム化比較試験で示されて以降, わが国においても急速にその需要が高まっている. しかしながら, 本治療の効果は良好な再開通率 (TICI＞2b) と発症からの再開通までの時間に大きく左右され, 血管内治療医の偏在や都市部あるいは地方都市における医療体制の問題など課題は多い. 特に課題となっているのはonset to doorをいかに短縮するかであり, プレホスピタルの時間短縮を目指した試みが展開されている. その中で地域それぞれにおいての現状把握を行い, 行政を含めての医療連携および情報共有システムの構築が必須であることは論をまたない. |
| Author | 諸藤, 陽一 松尾, 孝之 川原, 一郎 松永, 裕希 案田, 岳夫 金本, 正 日宇, 健 立石, 洋平 堤, 圭介 定方, 英作 堀江, 信貴 辻野, 彰 出雲, 剛 |
| Author_xml | – sequence: 1 fullname: 堤, 圭介 organization: 長崎医療センター脳神経外科 – sequence: 1 fullname: 立石, 洋平 organization: 長崎大学脳神経内科 – sequence: 1 fullname: 出雲, 剛 organization: 長崎大学脳神経外科 – sequence: 1 fullname: 諸藤, 陽一 organization: 長崎大学脳神経外科 – sequence: 1 fullname: 案田, 岳夫 organization: 長崎大学脳神経外科 – sequence: 1 fullname: 堀江, 信貴 organization: 長崎大学脳神経外科 – sequence: 1 fullname: 定方, 英作 organization: 長崎大学脳神経外科 – sequence: 1 fullname: 川原, 一郎 organization: 長崎医療センター脳神経外科 – sequence: 1 fullname: 辻野, 彰 organization: 長崎大学脳神経内科 – sequence: 1 fullname: 松尾, 孝之 organization: 長崎大学脳神経外科 – sequence: 1 fullname: 日宇, 健 organization: 長崎医療センター脳神経外科 – sequence: 1 fullname: 松永, 裕希 organization: 長崎大学脳神経外科 – sequence: 1 fullname: 金本, 正 organization: 長崎大学脳神経内科 |
| BookMark | eNo9kM9Kw0AYxBepYK09-Ryp37e7yWYvghb_QcGLgrewTTbaUKskvXhrCnqoxSo9iSAGL6LQgwcPCr5MSNO-hS2Kl5mBHwzMLJNC66ylCVlFqAjbFmuB24oqVFYsxAVSpGgLgyFAgRRBojCkCUdLpBxFAQAwyiwQrEg2J0knHyXZ1eUsjJ-G2cNjNriZJMM0fkvjXhrfpd3rrP-V33ennefx7Wcaj_LBd977SOOXyev7NOmvkEVfNSNd_vMSOdzeOqjuGrX9nb3qRs0IKFBlSO6Bxay69L26dl2Tg20rpC6aXKL2TBScasZ9IQW3FPrgo2KoOReeFHVOWYms__YGUVsda-c8bJyq8MJRYbvhNrUz3-9Q6ci5zE74B-6JCp1AsR8x-G1_ |
| ContentType | Journal Article |
| Copyright | 2020 日本脳神経外科コングレス |
| Copyright_xml | – notice: 2020 日本脳神経外科コングレス |
| DOI | 10.7887/jcns.29.611 |
| DatabaseTitleList | |
| DeliveryMethod | fulltext_linktorsrc |
| EISSN | 2187-3100 |
| EndPage | 618 |
| ExternalDocumentID | article_jcns_29_9_29_611_article_char_ja |
| GroupedDBID | 2WC ALMA_UNASSIGNED_HOLDINGS JSF KQ8 OK1 RJT |
| ID | FETCH-LOGICAL-j202a-94d0636b9fdbecc54088a12c15491ed51742e34f79746a1f0f1a31e447d97b423 |
| ISSN | 0917-950X |
| IngestDate | Wed Sep 03 06:22:39 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | false |
| IsScholarly | true |
| Issue | 9 |
| Language | Japanese |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-j202a-94d0636b9fdbecc54088a12c15491ed51742e34f79746a1f0f1a31e447d97b423 |
| OpenAccessLink | https://www.jstage.jst.go.jp/article/jcns/29/9/29_611/_article/-char/ja |
| PageCount | 8 |
| ParticipantIDs | jstage_primary_article_jcns_29_9_29_611_article_char_ja |
| PublicationCentury | 2000 |
| PublicationDate | 2020 |
| PublicationDateYYYYMMDD | 2020-01-01 |
| PublicationDate_xml | – year: 2020 text: 2020 |
| PublicationDecade | 2020 |
| PublicationTitle | 脳神経外科ジャーナル |
| PublicationTitleAlternate | 脳外誌 |
| PublicationYear | 2020 |
| Publisher | 日本脳神経外科コングレス |
| Publisher_xml | – name: 日本脳神経外科コングレス |
| References | 2) Berkhemer OA, Fransen PS, Beumer D, van den Berg LA, Lingsma HF, Yoo AJ, Schonewille WJ, Vos JA, Nederkoorn PJ, Wermer MJ, van Walderveen MA, Staals J, Hofmeijer J, van Oostayen JA, Lycklama a Nijeholt GJ, Boiten J, Brouwer PA, Emmer BJ, de Bruijn SF, van Dijk LC, Kappelle LJ, Lo RH, van Dijk EJ, de Vries J, de Kort PL, van Rooij WJ, van den Berg JS, van Hasselt BA, Aerden LA, Dallinga RJ, Visser MC, Bot JC, Vroomen PC, Eshghi O, Schreuder TH, Heijboer RJ, Keizer K, Tielbeek AV, den Hertog HM, Gerrits DG, van den Berg-Vos RM, Karas GB, Steyerberg EW, Flach HZ, Marquering HA, Sprengers ME, Jenniskens SF, Beenen LF, van den Berg R, Koudstaal PJ, van Zwam WH, Roos YB, van der Lugt A, van Oostenbrugge RJ, Majoie CB, Dippel DW ; MR CLEAN Investigators : A randomized trial of intraarterial treatment for acute ischemic stroke. N Engl J Med 372 : 11-20, 2015. 14) Jovin TG, Chamorro A, Cobo E, de Miquel MA, Molina CA, Rovira A, San Roman L, Serena J, Abilleira S, Ribo M, Millan M, Urra X, Cardona P, Lopez-Cancio E, Tomasello A, Castano C, Blasco J, Aja L, Dorado L, Quesada H, Rubiera M, Hernandez-Perez M, Goyal M, Demchuk AM, von Kummer R, Gallofre M, Davalos A ; REVASCAT Trial Investigators : Thrombectomy within 8 hours after symptom onset in ischemic stroke. N Engl J Med 372 : 2296-2306, 2015. 13) Janssen PM, Venema E, Dippel DWJ : Effect of workflow improvements in endovascular stroke treatment. Stroke 50 : 665-674, 2019. 31) Saver JL, Goyal M, van der Lugt A, Menon BK, Majoie CB, Dippel DW, Campbell BC, Nogueira RG, Demchuk AM, Tomasello A, Cardona P, Devlin TG, Frei DF, du Mesnil de Rochemont R, Berkhemer OA, Jovin TG, Siddiqui AH, van Zwam WH, Davis SM, Castano C, Sapkota BL, Fransen PS, Molina C, van Oostenbrugge RJ, Chamorro A, Lingsma H, Silver FL, Donnan GA, Shuaib A, Brown S, Stouch B, Mitchell PJ, Davalos A, Roos YB, Hill MD ; HERMES Collaborators : Time to treatment with endovascular thrombectomy and outcomes from ischemic stroke : A meta-analysis. JAMA 316 : 1279-1288, 2016. 8) Grotta JC, Lyden P, Brott T : Rethinking training and distribution of vascular neurology interventionists in the era of thrombectomy. Stroke 48 : 2313-2317, 2017. 1) Albers GW, Marks MP, Kemp S, Christensen S, Tsai JP, Ortega-Gutierrez S, McTaggart RA, Torbey MT, Kim-Tenser M, Leslie-Mazwi T, Sarraj A, Kasner SE, Ansari SA, Yeatts SD, Hamilton S, Mlynash M, Heit JJ, Zaharchuk G, Kim S, Carrozzella J, Palesch YY, Demchuk AM, Bammer R, Lavori PW, Broderick JP, Lansberg MG ; DEFUSE3 Investigators : Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging. N Engl J Med 378 : 708-718, 2018. 20) Mendes Pereira V, Cancelliere NM, Nicholson P, Radovanovic I, Drake KE, Sungur JM, Krings T, Turk A : First-in-human, robotic-assisted neuroendovascular intervention. J Neurointerv Surg 12 : 338-340, 2020. 22) Nogueira RG, Jadhav AP, Haussen DC, Bonafe A, Budzik RF, Bhuva P, Yavagal DR, Ribo M, Cognard C, Hanel RA, Sila CA, Hassan AE, Millan M, Levy EI, Mitchell P, Chen M, English JD, Shah QA, Silver FL, Pereira VM, Mehta BP, Baxter BW, Abraham MG, Cardona P, Veznedaroglu E, Hellinger FR, Feng L, Kirmani JF, Lopes DK, Jankowitz BT, Frankel MR, Costalat V, Vora NA, Yoo AJ, Malik AM, Furlan AJ, Rubiera M, Aghaebrahim A, Olivot JM, Tekle WG, Shields R, Graves T, Lewis RJ, Smith WS, Liebeskind DS, Saver JL, Jovin TG ; DAWN Trial Investigators : Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct. N Engl J Med 378 : 11-21, 2018. 38) Uchida K, Yoshimura S, Hiyama N, Oki Y, Matsumoto T, Tokuda R, Yamaura I, Saito S, Takeuchi M, Shigeta K, Araki H, Morimoto T : Clinical prediction rules to classify types of stroke at prehospital stage. Stroke 49 : 1820-1827, 2018. 5) Froehler MT, Saver JL, Zaidat OO, Jahan R, Aziz-Sultan MA, Klucznik RP, Haussen DC, Hellinger FR Jr, Yavagal DR, Yao TL, Liebeskind DS, Jadhav AP, Gupta R, Hassan AE, Martin CO, Bozorgchami H, Kaushal R, Nogueira RG, Gandhi RH, Peterson EC, Dashti SR, Given CA 2nd, Mehta BP, Deshmukh V, Starkman S, Linfante I, McPherson SH, Kvamme P, Grobelny TJ, Hussain MS, Thacker I, Vora N, Chen PR, Monteith SJ, Ecker RD, Schirmer CM, Sauvageau E, Abou-Chebl A, Derdeyn CP, Maidan L, Badruddin A, Siddiqui AH, Dumont TM, Alhajeri A, Taqi MA, Asi K, Carpenter J, Boulos A, Jindal G, Puri AS, Chitale R, Deshaies EM, Robinson DH, Kallmes DF, Baxter BW, Jumaa MA, Sunenshine P, Majjhoo A, English JD, Suzuki S, Fessler RD, Delgado Almandoz JE, Martin JC, Mueller-Kronast NH ; STRATIS Investigators : Interhospital transfer before thrombectomy is associated with delayed treatment and worse outcome in the STRATIS Registry (systematic evaluation of patients treated with neurothrombectomy devices for acute ischemic stroke). Circulation 136 : 2311-2321, 2017. 32) Shah S, Xian Y, Sheng S, Zachrison KS, Saver JL, Sheth KN, Fonarow GC, Schwamm LH, Smith EE : Use, temporal trends, and outcomes of endovascular therapy after interhospital transfer in the United States. Circulation 139 : 1568-1577, 2019. 30) Saver JL, Goyal M, Bonafe A, Diener HC, Levy EI, Pereira VM, Albers GW, Cognard C, Cohen DJ, Hacke W, Jansen O, Jovin TG, Mattle HP, Nogueira RG, Siddiqui AH, Yavagal DR, Baxter BW, Devlin TG, Lopes DK, Reddy VK, du Mesnil de Rochemont R, Singer OC, Jahan R ; SWIFT PRIME Investigators : Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke. N Engl J Med 372 : 2285-2295, 2015. 21) Morris S, Ramsay AIG, Boaden RJ, Hunter RM, McKevitt C, Paley L, Perry C, Rudd AG, Turner SJ, Tyrrell PJ, Wolfe CDA, Fulop NJ : Impact and sustainability of centralising acute stroke services in English metropolitan areas : retrospective analysis of hospital episode statistics and stroke national audit data. BMJ 364 : 11, 2019. 11) 今井啓輔, 山上 宏, 白川 学, 中川一郎, 中澤拓也, 八子理恵, 吉村紳一, 今村博敏, 髙木俊範, 坂井信幸 : 各地方の取り組み 近畿地方. 脳血管内治療 4 : 28-36, 2019. 18) 國分康平, 清水宏明, 松本康史 : 各地方の取り組み 東北地方 REBIRTH～JSNET東北支部会の試み～. 脳血管内治療 4 : 14-21, 2019. 24) 太田貴裕, 松丸祐司 : 各地方の取り組み 関東地方 東京都多摩地区における血栓回収療法の現状と取り組み―Tama-FASTからTREATへ―. 脳血管内治療 4 : 22-27, 2019. 36) 髙木俊範, 吉村紳一, 坂井信幸, 飯原弘二, 大石英則, 広畑 優, 松丸祐司, 松本康史, 山上 宏 : 全国の報告 全国調査の結果 : RESCUE-Japan Project 2016. 脳血管内治療 4 : 2-6, 2019. 19) 政平訓貴, 太田剛史, 岡田憲二, 福田真紀, 松岡賢樹, 津野隆哉, 竹村光広, 森本雅徳, 大西広一 : 各地方の取り組み 四国地方. 脳血管内治療 4 : 44-51, 2019. 6) Goyal M, Demchuk AM, Menon BK, Eesa M, Rempel JL, Thornton J, Roy D, Jovin TG, Willinsky RA, Sapkota BL, Dowlatshahi D, Frei DF, Kamal NR, Montanera WJ, Poppe AY, Ryckborst KJ, Silver FL, Shuaib A, Tampieri D, Williams D, Bang OY, Baxter BW, Burns PA, Choe H, Heo JH, Holmstedt CA, Jankowitz B, Kelly M, Linares G, Mandzia JL, Shankar J, Sohn SI, Swartz RH, Barber PA, Coutts SB, Smith EE, Morrish WF, Weill A, Subramaniam S, Mitha AP, Wong JH, Lowerison MW, Sajobi TT, Hill MD ; ESCAPE Trial Investigators : Randomized assessment of rapid endovascular treatment of ischemic stroke. N Engl J Med 372 : 1019-1030, 2015. 39) Walters D, Reeves RR, Patel M, Naghi J, Ang L, Mahmud E : Complex robotic compared to manual coronary interventions : 6- and 12-month outcomes. Catheter Cardiovasc Interv 93 : 613-617, 2019. 26) Panesar SS, Volpi JJ, Lumsden A, Desai V, Kleiman NS, Sample TL, Elkins E, Britz GW : Telerobotic stroke intervention : a novel solution to the care dissemination dilemma. J Neurosurg 2019. [Epub ahead of print] 16) 川原一郎, 森塚倫也, 本田和也, 伊藤健大, 松尾彩香, 日宇 健, 小野智憲, 原口 渉, 牛島隆二郎, 堤 圭介 : 脳神経外科領域におけるナースプラクティショナーの存在意義および今後の展望. No Shinkei Geka 48 : 159-165, 2020. 37) Turc G, Maier B, Naggara O, Seners P, Isabel C, Tisserand M, Raynouard I, Edjlali M, Calvet D, Baron JC, Mas JL, Oppenheim C : Clinical scales do not reliably identify acute ischemic stroke patients with large-artery occlusion. Stroke 47 : 1466-1472, 2016. 3) Campbell BC, Mitchell PJ, Kleinig TJ, Dewey HM, Churilov L, Yassi N, Yan B, Dowling RJ, Parsons MW, Oxley TJ, Wu TY, Brooks M, Simpson MA, Miteff F, Levi CR, Krause M, Harrington TJ, Faulder KC, Steinfort BS, Priglinger M, Ang T, Scroop R, Barber PA, McGuinness B, Wijeratne T, Phan TG, Chong W, Chandra RV, Bladin CF, Badve M, Rice H, de Villiers L, Ma H, Desmond PM, Donnan GA, Davis SM ; EXTENDED-IA Investigators : Endovascular therapy for ischemic stroke with perfusion-imaging selection. N Engl J Med 372 : 1009-1018, 2015. 10) Hiu T, Ozono K, Kawahara I, Yamasaki K, Satoh K, Otsuka H, Nakamichi C, Iwanaga H, Fukuda Y, Honda K, Hiu H, Ono T, Haraguchi W, Ushijima R, Tsutsumi K : Efficacy of the drip and ship method in 24-h helicopter transportation and teleradiology for isolated islands. Neurol Med Chir (Tokyo) 59 : 504-510, 2019. 27) Perez de la Ossa N, Carrera D, Gorchs M, Querol M, Millan M, Gomis M, Dorado L, Lopez-Cancio E, Hernandez-Perez M, Chicharro V, Escalada X, Jimenez X, Davalos A : Design and validation of a prehospital stroke scale to predict large arterial occlusion : the rapid arterial occlusion evaluation scale. Stroke 45 : 87-91, 2014. 9) Gupta R, Horev A, Nguyen T, Gandhi D, Wisco D, Glenn BA, Tayal AH, Ludwig B, Terry JB, Gershon RY, Jovin T, Clemmons PF, Frankel MR, Cronin CA, Anderson AM, Hussain MS, Sheth KN, Belagaje SR, Tian M, Nogueira RG : Higher volume endovascular stroke centers have faster times to treatment, higher reperfusion rates and higher rates of good clinical outcomes. J Neurointerv Surg 5 : 294-297, 2013. 17) Khatri P, Yeatts SD, Mazighi M, Broderick JP, Liebeskind DS, Demchuk AM, Amarenco P, Carrozzella J, Spilker J, Foster LD, Goyal M, Hill MD, Palesch YY, Jauch EC, Haley EC, Vagal A, Tomsick TA ; IMS Ⅲ Trialists : Time to angiographic reperfusion and clinical outcome after acute ischaemic stroke : an analysis of data from the Interventional Management of Stroke (IMS Ⅲ) phase 3 trial. Lancet Neurol 13 : 567-574, 2014. 40) Yang P, Zhang Y, Zhang L, Zhang Y, Treurniet KM, Chen W, Peng Y, Han H, Wang J, Wang S, Yin C, Liu S, Wang P, Fang Q, Shi H, Yang J, Wen C, Li C, Jiang C, Sun J, Yue X, Lou M, Zhang M, Shu H, Sun D, Liang H, Li T, Guo F, Ke K, Yuan H, Wang G, Yang W, Shi H, Li T, Li Z, Xing P, Zhang P, Zhou Y, Wang H, Xu Y |
| References_xml | – reference: 3) Campbell BC, Mitchell PJ, Kleinig TJ, Dewey HM, Churilov L, Yassi N, Yan B, Dowling RJ, Parsons MW, Oxley TJ, Wu TY, Brooks M, Simpson MA, Miteff F, Levi CR, Krause M, Harrington TJ, Faulder KC, Steinfort BS, Priglinger M, Ang T, Scroop R, Barber PA, McGuinness B, Wijeratne T, Phan TG, Chong W, Chandra RV, Bladin CF, Badve M, Rice H, de Villiers L, Ma H, Desmond PM, Donnan GA, Davis SM ; EXTENDED-IA Investigators : Endovascular therapy for ischemic stroke with perfusion-imaging selection. N Engl J Med 372 : 1009-1018, 2015. – reference: 40) Yang P, Zhang Y, Zhang L, Zhang Y, Treurniet KM, Chen W, Peng Y, Han H, Wang J, Wang S, Yin C, Liu S, Wang P, Fang Q, Shi H, Yang J, Wen C, Li C, Jiang C, Sun J, Yue X, Lou M, Zhang M, Shu H, Sun D, Liang H, Li T, Guo F, Ke K, Yuan H, Wang G, Yang W, Shi H, Li T, Li Z, Xing P, Zhang P, Zhou Y, Wang H, Xu Y, Huang Q, Wu T, Zhao R, Li Q, Fang Y, Wang L, Lu J, Li Y, Fu J, Zhong X, Wang Y, Wang L, Goyal M, Dippel DWJ, Hong B, Deng B, Roos Y, Majoie C, Liu J ; DIRECT-MT Investigators : Endovascular thrombectomy with or without intravenous alteplase in acute stroke. N Engl J Med 382 : 1981-1993, 2020. – reference: 39) Walters D, Reeves RR, Patel M, Naghi J, Ang L, Mahmud E : Complex robotic compared to manual coronary interventions : 6- and 12-month outcomes. Catheter Cardiovasc Interv 93 : 613-617, 2019. – reference: 24) 太田貴裕, 松丸祐司 : 各地方の取り組み 関東地方 東京都多摩地区における血栓回収療法の現状と取り組み―Tama-FASTからTREATへ―. 脳血管内治療 4 : 22-27, 2019. – reference: 10) Hiu T, Ozono K, Kawahara I, Yamasaki K, Satoh K, Otsuka H, Nakamichi C, Iwanaga H, Fukuda Y, Honda K, Hiu H, Ono T, Haraguchi W, Ushijima R, Tsutsumi K : Efficacy of the drip and ship method in 24-h helicopter transportation and teleradiology for isolated islands. Neurol Med Chir (Tokyo) 59 : 504-510, 2019. – reference: 21) Morris S, Ramsay AIG, Boaden RJ, Hunter RM, McKevitt C, Paley L, Perry C, Rudd AG, Turner SJ, Tyrrell PJ, Wolfe CDA, Fulop NJ : Impact and sustainability of centralising acute stroke services in English metropolitan areas : retrospective analysis of hospital episode statistics and stroke national audit data. BMJ 364 : 11, 2019. – reference: 35) Suzuki K, Nakajima N, Kunimoto K, Hatake S, Sakamoto Y, Hokama H, Nomura K, Hayashi T, Aoki J, Suda S, Nishiyama Y, Kimura K : Emergent large vessel occlusion screen is an ideal prehospital scale to avoid missing endovascular therapy in acute stroke. Stroke 49 : 2096-2101, 2018. – reference: 38) Uchida K, Yoshimura S, Hiyama N, Oki Y, Matsumoto T, Tokuda R, Yamaura I, Saito S, Takeuchi M, Shigeta K, Araki H, Morimoto T : Clinical prediction rules to classify types of stroke at prehospital stage. Stroke 49 : 1820-1827, 2018. – reference: 2) Berkhemer OA, Fransen PS, Beumer D, van den Berg LA, Lingsma HF, Yoo AJ, Schonewille WJ, Vos JA, Nederkoorn PJ, Wermer MJ, van Walderveen MA, Staals J, Hofmeijer J, van Oostayen JA, Lycklama a Nijeholt GJ, Boiten J, Brouwer PA, Emmer BJ, de Bruijn SF, van Dijk LC, Kappelle LJ, Lo RH, van Dijk EJ, de Vries J, de Kort PL, van Rooij WJ, van den Berg JS, van Hasselt BA, Aerden LA, Dallinga RJ, Visser MC, Bot JC, Vroomen PC, Eshghi O, Schreuder TH, Heijboer RJ, Keizer K, Tielbeek AV, den Hertog HM, Gerrits DG, van den Berg-Vos RM, Karas GB, Steyerberg EW, Flach HZ, Marquering HA, Sprengers ME, Jenniskens SF, Beenen LF, van den Berg R, Koudstaal PJ, van Zwam WH, Roos YB, van der Lugt A, van Oostenbrugge RJ, Majoie CB, Dippel DW ; MR CLEAN Investigators : A randomized trial of intraarterial treatment for acute ischemic stroke. N Engl J Med 372 : 11-20, 2015. – reference: 6) Goyal M, Demchuk AM, Menon BK, Eesa M, Rempel JL, Thornton J, Roy D, Jovin TG, Willinsky RA, Sapkota BL, Dowlatshahi D, Frei DF, Kamal NR, Montanera WJ, Poppe AY, Ryckborst KJ, Silver FL, Shuaib A, Tampieri D, Williams D, Bang OY, Baxter BW, Burns PA, Choe H, Heo JH, Holmstedt CA, Jankowitz B, Kelly M, Linares G, Mandzia JL, Shankar J, Sohn SI, Swartz RH, Barber PA, Coutts SB, Smith EE, Morrish WF, Weill A, Subramaniam S, Mitha AP, Wong JH, Lowerison MW, Sajobi TT, Hill MD ; ESCAPE Trial Investigators : Randomized assessment of rapid endovascular treatment of ischemic stroke. N Engl J Med 372 : 1019-1030, 2015. – reference: 29) Sajja KC, Sweid A, Al Saiegh F, Chalouhi N, Avery MB, Schmidt RF, Tjoumakaris SI, Gooch MR, Herial N, Abbas R, Zarzour H, Romo V, Rosenwasser R, Jabbour P : Endovascular robotic : feasibility and proof of principle for diagnostic cerebral angiography and carotid artery stenting. J Neurointerv Surg 12 : 345-349, 2020. – reference: 9) Gupta R, Horev A, Nguyen T, Gandhi D, Wisco D, Glenn BA, Tayal AH, Ludwig B, Terry JB, Gershon RY, Jovin T, Clemmons PF, Frankel MR, Cronin CA, Anderson AM, Hussain MS, Sheth KN, Belagaje SR, Tian M, Nogueira RG : Higher volume endovascular stroke centers have faster times to treatment, higher reperfusion rates and higher rates of good clinical outcomes. J Neurointerv Surg 5 : 294-297, 2013. – reference: 31) Saver JL, Goyal M, van der Lugt A, Menon BK, Majoie CB, Dippel DW, Campbell BC, Nogueira RG, Demchuk AM, Tomasello A, Cardona P, Devlin TG, Frei DF, du Mesnil de Rochemont R, Berkhemer OA, Jovin TG, Siddiqui AH, van Zwam WH, Davis SM, Castano C, Sapkota BL, Fransen PS, Molina C, van Oostenbrugge RJ, Chamorro A, Lingsma H, Silver FL, Donnan GA, Shuaib A, Brown S, Stouch B, Mitchell PJ, Davalos A, Roos YB, Hill MD ; HERMES Collaborators : Time to treatment with endovascular thrombectomy and outcomes from ischemic stroke : A meta-analysis. JAMA 316 : 1279-1288, 2016. – reference: 1) Albers GW, Marks MP, Kemp S, Christensen S, Tsai JP, Ortega-Gutierrez S, McTaggart RA, Torbey MT, Kim-Tenser M, Leslie-Mazwi T, Sarraj A, Kasner SE, Ansari SA, Yeatts SD, Hamilton S, Mlynash M, Heit JJ, Zaharchuk G, Kim S, Carrozzella J, Palesch YY, Demchuk AM, Bammer R, Lavori PW, Broderick JP, Lansberg MG ; DEFUSE3 Investigators : Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging. N Engl J Med 378 : 708-718, 2018. – reference: 22) Nogueira RG, Jadhav AP, Haussen DC, Bonafe A, Budzik RF, Bhuva P, Yavagal DR, Ribo M, Cognard C, Hanel RA, Sila CA, Hassan AE, Millan M, Levy EI, Mitchell P, Chen M, English JD, Shah QA, Silver FL, Pereira VM, Mehta BP, Baxter BW, Abraham MG, Cardona P, Veznedaroglu E, Hellinger FR, Feng L, Kirmani JF, Lopes DK, Jankowitz BT, Frankel MR, Costalat V, Vora NA, Yoo AJ, Malik AM, Furlan AJ, Rubiera M, Aghaebrahim A, Olivot JM, Tekle WG, Shields R, Graves T, Lewis RJ, Smith WS, Liebeskind DS, Saver JL, Jovin TG ; DAWN Trial Investigators : Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct. N Engl J Med 378 : 11-21, 2018. – reference: 23) Ohta T, Nakahara I, Matsumoto S, Kondo D, Watanabe S, Okada K, Fukuda M, Masahira N, Tsuno T, Matsuoka T, Takemura M, Fukuda H, Fukui N, Ueba T : Optimizing in-hospital triage for large vessel occlusion using a novel clinical scale (GAI2AA). Neurology 93 : e1997-e2006, 2019. – reference: 30) Saver JL, Goyal M, Bonafe A, Diener HC, Levy EI, Pereira VM, Albers GW, Cognard C, Cohen DJ, Hacke W, Jansen O, Jovin TG, Mattle HP, Nogueira RG, Siddiqui AH, Yavagal DR, Baxter BW, Devlin TG, Lopes DK, Reddy VK, du Mesnil de Rochemont R, Singer OC, Jahan R ; SWIFT PRIME Investigators : Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke. N Engl J Med 372 : 2285-2295, 2015. – reference: 28) Pierot L, Jayaraman MV, Szikora I, Hirsch JA, Baxter B, Miyachi S, Mahadevan J, Chong W, Mitchell PJ, Coulthard A, Rowley HA, Sanelli PC, Tampieri D, Brouwer PA, Fiehler J, Kocer N, Vilela P, Rovira A, Fischer U, Caso V, van der Worp B, Sakai N, Matsumaru Y, Yoshimura SI, Anxionnat R, Desal H, Biscoito L, Pumar JM, Diaz O, Fraser JF, Linfante I, Liebeskind DS, Nogueira RG, Hacke W, Brainin M, Yan B, Soderman M, Taylor A, Pongpech S, Tanaka M, Karel T ; Asian-Australasian Federation of Interventional and Therapeutic Neuroradiology (AAFITN), Australian and New Zealand Society of Neuroradiology (ANZSNR), American Society of Neuroradiology (ASNR), Canadian Society of Neuroradiology (CSNR), European Society of Minimally Invasive Neurological Therapy (ESMINT), European Society of Neuroradiology (ESNR), European Stroke Organization (ESO), Japanese Society for NeuroEndovascular Therapy (JSNET), French Society of Neuroradiology (SFNR), Ibero-Latin American Society of Diagnostic and Therapeutic Neuroradiology (SILAN), Society of NeuroInterventional Surgery (SNIS), Society of Vascular and Interventional Neurology (SVIN), World Stroke Organization (WSO) and World Federation of Interventional and Therapeutic Neuroradiology (WFITN) : Standards of practice in acute ischemic stroke intervention : International recommendations. Interv Neuroradiol 25 : 31-37, 2019. – reference: 26) Panesar SS, Volpi JJ, Lumsden A, Desai V, Kleiman NS, Sample TL, Elkins E, Britz GW : Telerobotic stroke intervention : a novel solution to the care dissemination dilemma. J Neurosurg 2019. [Epub ahead of print] – reference: 14) Jovin TG, Chamorro A, Cobo E, de Miquel MA, Molina CA, Rovira A, San Roman L, Serena J, Abilleira S, Ribo M, Millan M, Urra X, Cardona P, Lopez-Cancio E, Tomasello A, Castano C, Blasco J, Aja L, Dorado L, Quesada H, Rubiera M, Hernandez-Perez M, Goyal M, Demchuk AM, von Kummer R, Gallofre M, Davalos A ; REVASCAT Trial Investigators : Thrombectomy within 8 hours after symptom onset in ischemic stroke. N Engl J Med 372 : 2296-2306, 2015. – reference: 17) Khatri P, Yeatts SD, Mazighi M, Broderick JP, Liebeskind DS, Demchuk AM, Amarenco P, Carrozzella J, Spilker J, Foster LD, Goyal M, Hill MD, Palesch YY, Jauch EC, Haley EC, Vagal A, Tomsick TA ; IMS Ⅲ Trialists : Time to angiographic reperfusion and clinical outcome after acute ischaemic stroke : an analysis of data from the Interventional Management of Stroke (IMS Ⅲ) phase 3 trial. Lancet Neurol 13 : 567-574, 2014. – reference: 18) 國分康平, 清水宏明, 松本康史 : 各地方の取り組み 東北地方 REBIRTH～JSNET東北支部会の試み～. 脳血管内治療 4 : 14-21, 2019. – reference: 15) Kakita H, Yoshimura S, Uchida K, Sakai N, Yamagami H, Morimoto T ; RESCUE-Japan Registry 2 Investigators : Impact of endovascular therapy in patients with large ischemic core : Subanalysis of recovery by endovascular salvage for Cerebral Ultra-Acute Embolism Japan Registry 2. Stroke 50 : 901-908, 2019. – reference: 5) Froehler MT, Saver JL, Zaidat OO, Jahan R, Aziz-Sultan MA, Klucznik RP, Haussen DC, Hellinger FR Jr, Yavagal DR, Yao TL, Liebeskind DS, Jadhav AP, Gupta R, Hassan AE, Martin CO, Bozorgchami H, Kaushal R, Nogueira RG, Gandhi RH, Peterson EC, Dashti SR, Given CA 2nd, Mehta BP, Deshmukh V, Starkman S, Linfante I, McPherson SH, Kvamme P, Grobelny TJ, Hussain MS, Thacker I, Vora N, Chen PR, Monteith SJ, Ecker RD, Schirmer CM, Sauvageau E, Abou-Chebl A, Derdeyn CP, Maidan L, Badruddin A, Siddiqui AH, Dumont TM, Alhajeri A, Taqi MA, Asi K, Carpenter J, Boulos A, Jindal G, Puri AS, Chitale R, Deshaies EM, Robinson DH, Kallmes DF, Baxter BW, Jumaa MA, Sunenshine P, Majjhoo A, English JD, Suzuki S, Fessler RD, Delgado Almandoz JE, Martin JC, Mueller-Kronast NH ; STRATIS Investigators : Interhospital transfer before thrombectomy is associated with delayed treatment and worse outcome in the STRATIS Registry (systematic evaluation of patients treated with neurothrombectomy devices for acute ischemic stroke). Circulation 136 : 2311-2321, 2017. – reference: 25) 長内俊也 : 各地方の取り組み 北海道地区. 脳血管内治療 4 : 7-13, 2019. – reference: 27) Perez de la Ossa N, Carrera D, Gorchs M, Querol M, Millan M, Gomis M, Dorado L, Lopez-Cancio E, Hernandez-Perez M, Chicharro V, Escalada X, Jimenez X, Davalos A : Design and validation of a prehospital stroke scale to predict large arterial occlusion : the rapid arterial occlusion evaluation scale. Stroke 45 : 87-91, 2014. – reference: 33) 進藤誠悟 : 各地方の取り組み 九州地方. 脳血管内治療 4 : 52-54, 2019. – reference: 8) Grotta JC, Lyden P, Brott T : Rethinking training and distribution of vascular neurology interventionists in the era of thrombectomy. Stroke 48 : 2313-2317, 2017. – reference: 4) Fargen KM, Arthur AS, Leslie-Mazwi T, Garner RM, Aschenbrenner CA, Wolfe SQ, Ansari SA, Dabus G, Spiotta A, Mokin M, Linfante I, Mocco J, Hirsch JA : A survey of burnout and professional satisfaction among United States neurointerventionalists. J Neurointerv Surg 11 : 1100-1104, 2019. – reference: 36) 髙木俊範, 吉村紳一, 坂井信幸, 飯原弘二, 大石英則, 広畑 優, 松丸祐司, 松本康史, 山上 宏 : 全国の報告 全国調査の結果 : RESCUE-Japan Project 2016. 脳血管内治療 4 : 2-6, 2019. – reference: 13) Janssen PM, Venema E, Dippel DWJ : Effect of workflow improvements in endovascular stroke treatment. Stroke 50 : 665-674, 2019. – reference: 11) 今井啓輔, 山上 宏, 白川 学, 中川一郎, 中澤拓也, 八子理恵, 吉村紳一, 今村博敏, 髙木俊範, 坂井信幸 : 各地方の取り組み 近畿地方. 脳血管内治療 4 : 28-36, 2019. – reference: 34) 杉生憲志, 築家秀和, 浜崎 理, 春間 純, 石原秀行, 鈴木倫保 : 各地方の取り組み 中国地方 中国四国地方会の取り組み. 脳血管内治療 4 : 37-43, 2019. – reference: 12) Ismail M, Armoiry X, Tau N, Zhu F, Sadeh-Gonik U, Piotin M, Blanc R, Mazighi M, Bracard S, Anxionnat R, Schmitt E, Mione G, Humbertjean L, Lacour JC, Richard S, Barbier C, Lapergue B, Gory B : Mothership versus drip and ship for thrombectomy in patients who had an acute stroke : a systematic review and meta-analysis. J Neurointerv Surg 11 : 14-19, 2019. – reference: 19) 政平訓貴, 太田剛史, 岡田憲二, 福田真紀, 松岡賢樹, 津野隆哉, 竹村光広, 森本雅徳, 大西広一 : 各地方の取り組み 四国地方. 脳血管内治療 4 : 44-51, 2019. – reference: 37) Turc G, Maier B, Naggara O, Seners P, Isabel C, Tisserand M, Raynouard I, Edjlali M, Calvet D, Baron JC, Mas JL, Oppenheim C : Clinical scales do not reliably identify acute ischemic stroke patients with large-artery occlusion. Stroke 47 : 1466-1472, 2016. – reference: 7) Goyal M, Menon BK, van Zwam WH, Dippel DW, Mitchell PJ, Demchuk AM, Davalos A, Majoie CB, van der Lugt A, de Miquel MA, Donnan GA, Roos YB, Bonafe A, Jahan R, Diener HC, van den Berg LA, Levy EI, Berkhemer OA, Pereira VM, Rempel J, Millan M, Davis SM, Roy D, Thornton J, Roman LS, Ribo M, Beumer D, Stouch B, Brown S, Campbell BC, van Oostenbrugge RJ, Saver JL, Hill MD, Jovin TG ; HERMES collaborators : Endovascular thrombectomy after large-vessel ischaemic stroke : a meta-analysis of individual patient data from five randomised trials. Lancet 387 : 1723-1731, 2016. – reference: 32) Shah S, Xian Y, Sheng S, Zachrison KS, Saver JL, Sheth KN, Fonarow GC, Schwamm LH, Smith EE : Use, temporal trends, and outcomes of endovascular therapy after interhospital transfer in the United States. Circulation 139 : 1568-1577, 2019. – reference: 16) 川原一郎, 森塚倫也, 本田和也, 伊藤健大, 松尾彩香, 日宇 健, 小野智憲, 原口 渉, 牛島隆二郎, 堤 圭介 : 脳神経外科領域におけるナースプラクティショナーの存在意義および今後の展望. No Shinkei Geka 48 : 159-165, 2020. – reference: 20) Mendes Pereira V, Cancelliere NM, Nicholson P, Radovanovic I, Drake KE, Sungur JM, Krings T, Turk A : First-in-human, robotic-assisted neuroendovascular intervention. J Neurointerv Surg 12 : 338-340, 2020. |
| SSID | ssj0003236073 ssib023160918 ssib002223908 ssib000937641 |
| Score | 2.2010977 |
| Snippet | 急性期脳主幹動脈閉塞に対する血管内血栓回収術の有効性が多くのランダム化比較試験で示されて以降, わが国においても急速にその需要が高まっている. しかしながら, 本治療の効果は良好な再開通率 (TICI＞2b) と発症からの再開通までの時間に大きく左右され,... |
| SourceID | jstage |
| SourceType | Publisher |
| StartPage | 611 |
| SubjectTerms | hub spoke stroke thrombectomy |
| Title | 血管内血栓回収術における医療連携の現状と課題 |
| URI | https://www.jstage.jst.go.jp/article/jcns/29/9/29_611/_article/-char/ja |
| Volume | 29 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| ispartofPNX | 脳神経外科ジャーナル, 2020, Vol.29(9), pp.611-618 |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnR3LahRBcIjx4kUUFd_kYB839rz6cZweZwmKgpDA3oaZ2ZnDHqLI5pJTNqCHGIySkwji4kUUcvDgQcGfGTa78Sus6nlsCznEvTQ1VdXV1VXb01U93b2Wdc-Hl14uaNHxWEY7EP_DkPJ8KBI3cwQrBM_xoPDjJ2xtw3vY83tL5_4Yu5a2hulqtn3quZJFvAo48Cuekv0Pz7ZCAQEw-BdK8DCUZ_IxiQQJbNysEHESRAhHPhGMCN8gMRJQIl0kSUVkpHm6REQ1D5JciChJoGpABDUgbQ04RChdKyRKYVtSIjKSKD9wsQlJiWpqgSbAA02oCgiIYg1J6EYBo6ujhqEZHyNVeES5uke-1pYTpZsGBQKPSKZJfK6bEhpwtSYaUGEN1B0BUvtlSYuhKAl-XNomIQkekMjDrgmDjaM9RNXdLmqk-RlRXm0NJQFrihVc20CimaF_tXyBz3M2gWKVNoPkrRoSTaoqNcAC1FyMcWg7cLSltWEQAMXDhQzW2sltMLSxU9hgpLmIa-MHeNqrZnONg5gNV54pNec4RxpjWRoTFqunurx-EqdNq7jjFKfVDEaLI1fbOv_cU16Pghi5YkfGEgtgjRsCHiOMB5DLnHc4t3H77aOnRioAcTIzQ3OIW-X83ilIQxj0VrTrp67jMlptIGmMUB2_RWXvG6pCaDmARKvZpKnjxvVL1sU64VsJKvUuW0uD5IqlZuOd6dF48uolAMefDicfPk4O3szGh-XoWznaK0fvyt3Xk_1f0_e7Jzufj9_-LEdH04Pf070f5ejL7Ov3k_H-VWujG62Ha53630w6A_ilJPAK7EM6wFJZ9PG9CZmSEIntZHhHop338cZ4J3e9gkOGzxK7oIWduHbuebwveQpZzzVrefPZZn7dWvEpk2k_T1ye-h7EJxDR5FkiWWZzntic3rB41eX4eXVlTXxW59xcuOYt6wIOiGp18ra1PHyxld-BeH2Y3tWO_gt9Nbhe |
| linkProvider | Colorado Alliance of Research Libraries |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E8%A1%80%E7%AE%A1%E5%86%85%E8%A1%80%E6%A0%93%E5%9B%9E%E5%8F%8E%E8%A1%93%E3%81%AB%E3%81%8A%E3%81%91%E3%82%8B%E5%8C%BB%E7%99%82%E9%80%A3%E6%90%BA%E3%81%AE%E7%8F%BE%E7%8A%B6%E3%81%A8%E8%AA%B2%E9%A1%8C&rft.jtitle=%E8%84%B3%E7%A5%9E%E7%B5%8C%E5%A4%96%E7%A7%91%E3%82%B8%E3%83%A3%E3%83%BC%E3%83%8A%E3%83%AB&rft.au=%E5%A0%A4%2C+%E5%9C%AD%E4%BB%8B&rft.au=%E7%AB%8B%E7%9F%B3%2C+%E6%B4%8B%E5%B9%B3&rft.au=%E5%87%BA%E9%9B%B2%2C+%E5%89%9B&rft.au=%E8%AB%B8%E8%97%A4%2C+%E9%99%BD%E4%B8%80&rft.date=2020&rft.pub=%E6%97%A5%E6%9C%AC%E8%84%B3%E7%A5%9E%E7%B5%8C%E5%A4%96%E7%A7%91%E3%82%B3%E3%83%B3%E3%82%B0%E3%83%AC%E3%82%B9&rft.issn=0917-950X&rft.eissn=2187-3100&rft.volume=29&rft.issue=9&rft.spage=611&rft.epage=618&rft_id=info:doi/10.7887%2Fjcns.29.611&rft.externalDocID=article_jcns_29_9_29_611_article_char_ja |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0917-950X&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0917-950X&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0917-950X&client=summon |