196 SY TAR PND TAR125 7 SCP open distal ODSCP 3 40mmHg 1 L / PND T PND SCP 105 OD
|
|
|
- よしじろう しもかさ
- 5 years ago
- Views:
Transcription
1 SY1-1 SY shaggy aorta TAR 10 TAR 367 SCP CKD Cr EF COPD shaggy aorta Epiaortic echo Fr Dispersion shaggy aorta SCP C CKD OR 2.7 p 0.03 OR 1.03 p shaggy aorta shaggy aorta shaggy aorta OR 4.5 p 0.01 OR 1.01 p 0.02 shaggy aorta CT epiaortic TAR 100 retrospective TAR , CABG 14,Open stent 15,Bentall I 3 TAR 19 II 8mm TAR LOS ICU major stroke4 minor stroke4 II 1 2 Stroke stroke
2 196 SY TAR PND TAR125 7 SCP open distal ODSCP 3 40mmHg 1 L / PND T PND SCP 105 OD PND PND 9 4 p p SCP p SCP TAR SCP SY Clampless technique TAR SCP SCP Debris TAR 2001 TAR CT MRI epi-aortic echo 28 Trendelenburg position Passive RCP SP 20 10ml/min/kg 3 SCP mini-elephant trunk 4 ST-junction E 25 L L 6 24 CABG2,Bentall2,AVR P ,2,2,MAP1 L L ICU
3 SY1-5 brain isolation malperfusion Diamox SPECT 1 cannulation 3 SCP mobile atheroma SCP brain isolation 1 SCP 600ml SCP brain isolation 5 brain isolation SY1-6 Isolated Selective Cerebral Perfusion ISCP ISCP / 138/ RCP52 SCP92 ISCP20 ISCP P P ISCP ISCP 2004 CT 2 ISCP ISCP risk ~Isolated Selective Cerebral Perfusion ISCP ~
4 198 SY2-1 TASC SY TASC-2 EVT EVT 2700 TASC-2 EVT EVT TASC-2 TASC-2 A-B C D A-B 14 C 1 D 7 outflow - / PTA/Stent 1 runoff C,D EVT 16 A B PTA/Stent 6.5 C-D EVT TASC-2A,B outflow C,D PAD PTA PTA FP distal PTA FP distal FP distal / / / FP 11 /4 /12 /11 distal 73 /24 /70 /49 FP 10 distal 9 distal run off PGE1 9 dual bypass 4 distal venous arterialization 3 FP 2 distal 3 FP distal TASC PTA PAD 146
5 SY2-3 SY2-4 SFA vs. EVT TASCII A33 B23 C13 D16 Fontaine II 57 III 9 IV TASC B,C,D 1 PTA PTA/S TASC PTA /S TASCII A 52, B 74, C 64,D 69 TASC TASCII A 1.2,B 1.6,C1.6,D AMI TASCII A69,B42,C46,D TASCII A92,B73,C53,D TASCII A 2 TASCII A B 2 TASCII C D PAD EVT EVT SFA S /23 71 E /46 72 S E 82/70 55/58 60/53 33/23 23/18 Fontaine S 69/11/22 E 144/14/16 TASC A B C D S 0/8/27/67 E 47/42/49/36 S TASC-C/D S AKFP 87 I-F 2 F-F 5 13 CFA TEA13 4 BKFP 15 S 2 E 3 2 AKFP 82 / 94 BKFP 77 / 92 EVT TASC-A/B 82 / 95 EVT TASC-C/D 67 / 83 2 S 100 E 97 S E TASC-C/D EVT 147
6 SY2-5 SY2-6 EVS FA Open Surgery OS, SFA TASC A-C EVS,D OS, PA, BK EVS OS EVS SFA PA 140 TASC A 22,B 46,C 33,D OS 68 F-F 20,F-P 35,distal bypass 4plasty 9 SFA TASC-D,BK EVS SFA 97 5 TASC A 81.3 B 74.1 C 85.7 D 34.5, A 100 B 75.8 C 100 D 53.5 BK inflow 87.6,5 55.6, 73.2, 76.4 OS 1-4 F-F95.0,F-P 89.7,distal bypass 100 FA,OS F-F distal bypass QOL SFA,TASC-D 19.4cm 2.3 Smart control Wall Stent RP 5mm CLI,BK28 EVS 70 SFA TASC-C,D BK TASC inflow EVS QOL TASC- C,D EVS OS 59 EVT 23 OS EVT PTA 8 TASC-A 3 B 3 C 1 D 1 PTA 15 OS EVT OS EVT OS EVT EVT 1 OS EVT OS EVT EVT Run-off 1 148
7 SY3-1 ASO P3 risk score tcpo2spp P3 risk score tcpo2 SPP 30mmHg mmHg mmHg 6 tcpo2 SPP 30mmHg 30mmHg P3 risk score SY3-2 VG distal bypass BASIL trial VG QOV QOV QOV VG spliced vein graft 30.7 good n 117, fair n 72, poor n 55 3 retrospective IH good, fair, poor QOV IH p good fair poor poor 5 2 good fair poor single sapehenous vein graft spliced vein graft vs 37.4, p VG IH QOV QOV IH
8 202 SY3-3 BASIL EVT ABI Rutherford 2 SY Angiosome angiosome Plast Reconstr Surg, 117 Suppl 261S-293S, angiosome angiosome Ann Vasc Surg, , 2009 angiosome angiosome angiosome modified TMA Catheter Cardiovasc Interv, , 2010 angiosome angiosome modified TMA 95 J Foot Anckle Surg, in press, , in press, 2010 angiosome SPP angiosome angiosome arterial-arterial connection vasculature complex 150
9 SY3-5 SY3-6 Amputation free survival AFS EVT EVT Fontaine 3 4 EVT , ABI EVT EVT - EVT Amputation free survival AFS infrapopliteal bypass AFS retrograde ESRF 48 Fontaine IV AFS ESRF p ESRF ESRF ESRF p 0.01 APS ESRF ESRF p p 0.1 APS p 0.01 Fontaine III IV APS APS 151
10 204 SY TEVAR mm TAR ET TEVAR TEVAR Fenestrated SG Simple TEVAR 12 Debranch Hybrid TEVAR 12 Fenestrated SG Simple TEVAR Type1 endoleak surgical conversion Bridge use surgical conversion 10 Aortic remodeling Delayed endoleak MOF Hybrid TEVAR Delirium Delayed endoleak simple TEVAR Fenestrated SG Branched SG Hybrid TEVAR Debranch SY TEVAR with cervical a. debranching 1997 TEVAR with visceral a. debranching d-tevar 123 d-tevar 96 d-tevar Primary success freedom from aneurysm related death TEVAR 3 3 d-tevar Primary success freedom from aneurysm related death TEVAR 3 follow debranching TEVAR Stent Debranching TEVAR
11 SY4-3 Stent stent branched stent-graft SG debranch debranch HybridEVAR TEVAR TAA52 34 HybridTEVAR12 TAAA12 debranch EVAR 7 HybridTEVAR Ax-Ax bypass2 Ax- Ax bypass Lt.CCA-Ax bypass1 arch debranch2 arch debranch banding2 arch debranch CABG4 arch debranch CABG banding1 fenestratedsg14 handmadesg5 handmade TAG1 TAG paraplegia1 2 arch debranch TAAA debranch Igraft debranch 1 1 spinal drainage paraplegia fitting zone fenestrated SG Zone0 handmade Hybrid TEVAR landing zone TAAA debranch EVAR paraplegia branched SG SY4-4 Stent Landing Zone Zone 0 2 Zone 0 10 Zone 1 21 Zone shaggy aorta transposition 20 debranching 4 limited-access debranching 3 extrathoracic debranching1, reduction aortoplasty A TIA1 4 5 type1 p CT 2 Debranching type1 3 type1 1 2 Landing Zone debranching 153
12 206 SY TEVAR [76] Logistic Euroscore 31.3 MK24 TAG79 Talent18 TAG Talent3 27 total debranching mmHg [8] TEVAR deployment 1 tug of wire shower embolism TEVAR Z1 1 Z3 4 T11 3 T12 1 L mm 3 250mm 226mm 1 1 Modified Tarlov Score AKA MEP deployment 12cm 90mmHg 150mmHg TEVAR TEVAR TEVAR SY TEVAR TEVAR CT TEVAR TEVAR SG TEVAR CT TEVAR 14 air SG 16 SG SG 24 SG 8 TEVAR SG 154
13 SY5-1 Open, TEVAR, Hybrid SY5-2 Hybrid TEVAR Hybrid TAR 37 SG 59 Hybrid HD 33 TAR 70 9 SG 75 8 HD 70 9 SG TAR SG HD SG A TAR SG HD TAR SG 0 HD HD TAR SG HD 4 78 TAR SG HD 1994 Open stent OS 1997 Debranch TEVAR DT OS Debranching landing DT OS 2010 OS 280 OS 126, Branched OS , 5.0 CABG / , 3.6, / /8 CT 96.1 DT 2010 DT 142 debranch 17 Chimney COPD / , 0.7, / /8 CT 98.9 Open Stent, Debranch EVAR Hybrid 155
14 SY5-3 SY Frozen elephant trunk Frozen ET Elephant trunk TEVAR TEVAR 209 CABG 54 5 AVR 4 MVR 1 Frozen ET 14 CABG CABG 8 26 Clamshell 1 Pull-through 1 TAR ET TEVAR 12 TEVAR 10 1 Inoue SG 6 2 Debranch Frozen ET TEVAR Frozen ET TEVAR 2 Frozen ET TEVAR Elephant trunk TEVAR TEVAR 2007 TEVAR TEVAR TAR TEVAR Open surgery 264 TEVAR TAR TEVAR TEVAR TAR TAR77 open stent 10 9 TEVAR TAR3 3.9 TE- VAR TAR 5 1 open stent 1 TEVAR 1 TEVAR TEVAR 156
15 SY5-5 Open or Stent or Hybrid PD TEVAR TEVAR TEVAR Open stent/elephant trunk 19 TE- VAR18 TEVAR18 3 Open stent Elephant trunk 2 TEVAR 8 13 Open-stent2 TEVAR Open-stent Ube Z Open-stent/ Elephant trunk5.3 1 TEVAR Open-stent/Elephant trunk1 5.3 TEVAR1 5.6 Paraplegia Open-stent/Elephant trunk 0 TEVAR 1 II 3 TEVAR TEVAR ASO - ASO - Ax-F F-F cross Ax-F 30 F-F cross TASK Ax-F B 7 C 6 D 15 F-F cross B 71 C 6 D 24 F-F cross B A 5 Ax-F 67 9 F-F cross 65 5 p Ax-F 66 8 F-F cross 86 3 p Ax-F 78 1 F-F cross 91 0 p F-F cross B D 157
ALL FOR ONE OCN Opinions Comments & News OCN-1 OCN-2 OCN-3 OCN-4 opinions OCN-5 OCN-6 IMS OCN
2012 40 211 1 1 5 24 8 50 9 00 9 00 10 30 1 Open TEVAR/EVAR Hybrid SY1-1 SY1-2 Stanford A TEVAR SY1-3 SY1-4 Stanford B SY1-5 SY1-6 B B TEVAR 10 30 12 00 2 Open debranching TEVAR SY2-1 SY2-2 SY2-3 SY2-4
最近の人工血管の動向 ─大口径人工血管を中心に─
Hitoshi OGINO 1. はじめに arteriosclerosis obliterans ASO 2. 人工血管の必要条件 1) 3. 人工血管 代用血管の分類 表 1 biologic graft synthetic graft 1) textile non-textile Dacron expanded polytetrafluoloethylene eptfe 1)Dacron 製
valiant_captivia_product_catalog
SETTLE FOR NOTHING LESS VALIANT CAPTIVIA BARE STENT TYPE FREEFLO VALIANT Captivia FREEFLOはチップキャプチャーシステムにより ショートネック症例において正確な位置決めを可能にします 1. ZONE-2 and Short Neck 独自のベアステント構造 外骨格 シーリング サポート ステントにより ショートネック症例への留置を実現
第１部 一般的コメント
(( 2000 11 24 2003 12 31 3122 94 2332 508 26 a () () i ii iii iv (i) (ii) (i) (ii) (iii) (iv) (a) (b)(c)(d) a) / (i) (ii) (iii) (iv) 1996 7 1996 12
スライド 1
末梢側の術式選択 弓部置換の要否 Open stent graft の役割 急性大動脈解離に対する弓部置換術 OSG の功罪 帝京大学心臓血管外科 下川智樹 上行弓部置換術の適応 @ TUH エントリーが弓部に存在する症例 弓部大動脈瘤 ( 45-50mm) を合併する症例 Marfan 症候群などの遺伝性結合組織疾患を合併する症例 エントリーが弓部から到達可能な近位下行大動脈 ( 約 3cm) にある症例
198 Table 1a Preoperative patients characteristics (EVH group) Age (y.o) Gender Comorbidity Lesion TASC II Fontaine 51 male HTN, HPL, DM, smoking Lt S
Online publication November 10, 2013 197 原 著 FP endoscopic vein harvest; EVH 要旨 : 2005 1 endoscopic vein harvest EVH 2007 8 femoro-popliteal bypass; FP EVH 2012 12 12 12 EVH J Jpn Coll Angiol 2013; 53:
.k....-._.C.W.F.X.g01-01
20042005 Guidelines for the Clinical Application of Bypass Grafts and the Surgical Techniques (JCS 2006) 2006 11 1 2 2.1 2.1.1 CCAB 2.1.2 2.1.3 2.1.4 2.1.5 2.1.6 2.1.7 2.2 2.2.1 MIDCAB 2.2.2 2.3 CCAB OPCAB
2012;21: long elephant trunk pull-through TEVAR long elephant trunk LET pull-through PT A 2 B 1 1 TEVAR LET 1 3 inclusion compos
2012;21:663 668 long elephant trunk pull-through TEVAR long elephant trunk LET pull-through PT 4 2 72 A 2 B 1 1 TEVAR LET 1 3 inclusion 2 2 1 3 composite graft PT LET PT TEVAR 2012;21:663 668 Pull-through
44 4 I (1) ( ) (10 15 ) ( 17 ) ( 3 1 ) (2)
(1) I 44 II 45 III 47 IV 52 44 4 I (1) ( ) 1945 8 9 (10 15 ) ( 17 ) ( 3 1 ) (2) 45 II 1 (3) 511 ( 451 1 ) ( ) 365 1 2 512 1 2 365 1 2 363 2 ( ) 3 ( ) ( 451 2 ( 314 1 ) ( 339 1 4 ) 337 2 3 ) 363 (4) 46
i ii i iii iv 1 3 3 10 14 17 17 18 22 23 28 29 31 36 37 39 40 43 48 59 70 75 75 77 90 95 102 107 109 110 118 125 128 130 132 134 48 43 43 51 52 61 61 64 62 124 70 58 3 10 17 29 78 82 85 102 95 109 iii
Figure 1 Distribution of pathogenesis of lower limb chronic ulcers in 148 cases treated in Tokeidai Memorial Hopital (from Apr to Mar. 2008). Fi
Online publication August 20, 2010 総 説 第 49 回総会パネルディスカッション 1 閉塞性動脈硬化症重症虚血肢に対する治療戦略 膝窩動脈以下閉塞性病変に対する血管内治療の適応 重症虚血肢に対する創傷外科と血管内治療によるチームアプローチ 1, 3 1 1 1 2 2 2 2 要旨 : 9 J Jpn Coll Angiol, 2010, 50: 295 301
SpO2 FIO2 Hypoxic Pulmonary Vasoconstriction HPV 30 FIO2 FIO2 PaCO mL/kg I/E CPAP P
11 a. 2012 1 15 26 http://www1.koalanet.ne.jp/anesth_memorandum/sub19.html SpO2 FIO2 Hypoxic Pulmonary Vasoconstriction HPV 30 FIO2 FIO2 PaCO2 20 30 8 10mL/kg I/E CPAP PEEP 27 b. CO2 ( ) SpO2 COPD PETCO2
卓球の試合への興味度に関する確率論的分析
17 i 1 1 1.1..................................... 1 1.2....................................... 1 1.3..................................... 2 2 5 2.1................................ 5 2.2 (1).........................
P01-3 A 1 P01-4 Flap suffocation I A 61 CT entry SMA A Elephant trunk CT 11 CT SMA SMA 20 SMA entry CT SMA 63 A entry B I AAD flap suffocatio
535 P01-1 A P01-2 A SMA Central repair SMA IVR 4 2 A A hemi-arch A 2004 1 2013 12 A 61 Kaplan-Meier 62.7 18 85 33 28 AscAR 56 TAR 5 4 6.6 AscAR 2, TAR 2 1 5 10 97.5 83.3 83.3 AscAR 56 1 5 10 97.3 82.1
橡災害.PDF
1 2 3 4 5 6 7 8 9 10 11 12 2.1 2.2 2.2.1 13 2.2.2 2.2.3 14 2.3 2.3.1 2.3.2 all or nothing 2.4. 2.4.1 15 i) ii) iii) iv) 2.5 2.4.2 2.2 2.5 2.5.1 16 2.5.2 2.6 2.6.1 2.4 2.6.2 2.6.3 2.6.4 17 18 3.2.1 Hazard
CABG: coronary artery bypass grafting, ITA: internal thoracic artery, GEA: gastroepiploic artery, IEA: inferior epigastic artery, LV: left ventricle,
Coronary Artery Bypass Grafting in the Presence of Atherosclerotic Lesions in the Ascending Aorta Tadashi Isomura, Toru Satoh, Nobuhiko Hayashida, Hiroshi Maruyama, Kouichi Hisatomi*, Tatsuya Higashi,
cm H.11.3 P.13 2 3-106-
H11.3 H.11.3 P.4-105- cm H.11.3 P.13 2 3-106- 2 H.11.3 P.47 H.11.3 P.27 i vl1 vl2-107- 3 h vl l1 l2 1 2 0 ii H.11.3 P.49 2 iii i 2 vl1 vl2-108- H.11.3 P.50 ii 2 H.11.3 P.52 cm -109- H.11.3 P.44 S S H.11.3
TEVAR術後endoleakに対する 直接穿刺アプローチ
第 39 回那須 IVR 研究会 2015-05/16(Sat) TEVAR 術後 endoleak に対する 直接穿刺アプローチ direct sac puncture approach for the treatment of endoleaks after TEVAR 東京医科歯科大学医学部放射線診断科 いわき市立総合磐城共立病院心臓血管外科 片田芳明 endoleak に関しては EVAR
I
I II 1 2 3 4 5 6 7 8 9 10 11 Rp.1) 50mg 3 3 14 Rp.2) 2.5mg 2 14 Rp.1) 2.5mg 3 2 2:1 14 Rp.) 15g 1 3 28 Rp.2) 50 600mg 1 2 28 12 Rp.1) CR 20mg 1 1 1 14 Rp.2) R 200 1 2 14 Rp.3) 3 1 3 14 Rp.1) 2.5mg 0.4
AccessflÌfl—−ÇŠš1
ACCESS ACCESS i ii ACCESS iii iv ACCESS v vi ACCESS CONTENTS ACCESS CONTENTS ACCESS 1 ACCESS 1 2 ACCESS 3 1 4 ACCESS 5 1 6 ACCESS 7 1 8 9 ACCESS 10 1 ACCESS 11 1 12 ACCESS 13 1 14 ACCESS 15 1 v 16 ACCESS
“‡Œ{flÇ-…_…C…W…F…X…g-01
20042005 Guidelines for Diagnosis and Treatment of Aortic Aneurysm and Aortic Dissection (JCS 2006) CCU NTT 2006 11 1 2 3 1 1 2 1 2 3 4 2 1 1 2 3 1647 20042005 4 2 1 1 2 3 4 2 3 4 1 1 1 2 2 1 2 2 X X CT
Ł\”ƒ1-4
1 2 (1) 4 (2) 4 (3) 5 (4) 7 (5) 7 (1) 8 (2) 11 (3) 12 (4) 13 (5) 14 (6) 19 (1) 20 (2) 22 (3) 24 (4) 10 27 (5) 28 (1) 34 (2) 39 (3) 42 (4) 45 (1) 52 (2) 66 (3) 67 (4) 69 (1) 71 (2) 71 (3) 72 (4) 72 (5)
IVR21-4本文.indb
2005 IVR 1 Carotid endarterectomy CEA Carotid stenting CAS CEA CEA Percusurge Guardwire distal protection CAS CAS CEA CEA CAS CAS CEA 50 70 60 80 1 2 70 CAS variation type B variation 1 0.1 debris dangerous
<4D F736F F D B BA908593B98AC782AB82E593E082CC88C091538AC7979D82C98AD682B782E992868AD495F18D908F912E646F63>
12 62 1800 14 3 11 14 4 14 4 30 ... 1... 1... 1... 2... 5... 6... 7... 10... 13... 18... 19 21 22 24 27 28 31 32 33... 34... 35... 37 2 1,650mm () H=2,500W=2,000 460m 750m 500m 42.1m 1.15m () 100% 80%
スライド 1
Wilhelm Conrad Röntgen Mr. and Mrs. Röntgen s hands (1895) X 1895 11 8 CT 0.6 500 CT NPO 0.8 /1 CT MDCT 4 1998 0.35 /1 8 16 64 2004 Takayasu CAD+PAD CT CT Angiography CTA SG Adamkiewicz PCI CABG CTA plaque
i
14 i ii iii iv v vi 14 13 86 13 12 28 14 16 14 15 31 (1) 13 12 28 20 (2) (3) 2 (4) (5) 14 14 50 48 3 11 11 22 14 15 10 14 20 21 20 (1) 14 (2) 14 4 (3) (4) (5) 12 12 (6) 14 15 5 6 7 8 9 10 7
A(6, 13) B(1, 1) 65 y C 2 A(2, 1) B( 3, 2) C 66 x + 2y 1 = 0 2 A(1, 1) B(3, 0) P 67 3 A(3, 3) B(1, 2) C(4, 0) (1) ABC G (2) 3 A B C P 6
1 1 1.1 64 A6, 1) B1, 1) 65 C A, 1) B, ) C 66 + 1 = 0 A1, 1) B, 0) P 67 A, ) B1, ) C4, 0) 1) ABC G ) A B C P 64 A 1, 1) B, ) AB AB = 1) + 1) A 1, 1) 1 B, ) 1 65 66 65 C0, k) 66 1 p, p) 1 1 A B AB A 67
MDCT Figure 1 Stent-grafts for abdominal aortic aneurysm. : Zenith Endovascular Graft (Cook). : Excluder (Gore). C: Powerlink (Endologix). C Figure 2
Online publication pril 1, 2011 総 説 第 50 回総会シンポジウム 10 日本 IVR 学会 : 画像診断の進歩と血管内治療への応用 腹部および胸部大動脈瘤に対するステントグラフト治療 MDCT による術前 術後評価 1 1 1 2 2 要旨 : MDCT MDCT J Jpn Coll ngiol, 2011, 51: 105 111 Key words: EVR,
審査報告書（案）
19 83 7 18 628 1 19 8 3 7 18 6 28 30 MI 31 360 21700BZY00247000 5mm CEA 59 mm 2 50% 80 1. 2. 3 19 8 3 [ ] 7 [ ] [ ] [ ] [ ] 18 6 28 [ ] CEA 49mm 50 80 2 4 carotid endarterectomy CEA 1,2 CEA ECST 3 NASCET
00 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.... 0........ 0 0 0 0 0 0 0 0 0 0..0..........0 0 0 0 0 0 0 0 0 0 0.... 0........ 0 0 0 0 0 0 0 0 0 0... 0...... 0... 0 0 0 0 0 0..0 0... 0 0 0 0 0.0.....0.
第１章 国民年金における無年金
1 2 3 4 ILO ILO 5 i ii 6 7 8 9 10 ( ) 3 2 ( ) 3 2 2 2 11 20 60 12 1 2 3 4 5 6 7 8 9 10 11 12 13 13 14 15 16 17 14 15 8 16 2003 1 17 18 iii 19 iv 20 21 22 23 24 25 ,,, 26 27 28 29 30 (1) (2) (3) 31 1 20
表1票4.qx4
iii iv v 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 22 23 10 11 24 25 26 27 10 56 28 11 29 30 12 13 14 15 16 17 18 19 2010 2111 22 23 2412 2513 14 31 17 32 18 33 19 34 20 35 21 36 24 37 25 38 2614
医薬品リスク管理計画書
2.5 mg 3.75 mg 5 mg 20mg RMP 2.5 mg 3.75 mg 5 mg 20mg 87339 28 6 1.1 4 8 10 5 8 10 5 TTP 9 梗 6 TIA 11 6 1.2 11 CABG 12 12 13 13 15 2.5mg 15 2. 16 3. 16 4. 19 19 19 18 RMP 28 6 3 5 1 27 8 25 26 3 24 87339
21 5 I C T J-Doit High risk Risk 20 7 21 34,324 30,858 38,735 26,800 27,490 20,472 18,533 20,096 14,913 14,931 488 470 491 435 446 10 t-pa intervention t-pa interventionclipping simulator subspecialty
pp doi: /jjsps.54.6_ The 34th Autumn Symposium of The Japanese Society of Pediatric Surgeons
54 6 2018 10 pp. 1173-1193 doi: 10.11164/jjsps.54.6_1173 1173 34 The 34th Autumn Symposium of The Japanese Society of Pediatric Surgeons 30 2018 10 27 10-1 3-6-2 HP URL https://psjm2018.com/ 34 PSJM2018
...J......1803.QX
5 7 9 11 13 15 17 19 21 23 45-1111 48-2314 1 I II 100,000 80,000 60,000 40,000 20,000 0 272,437 80,348 82,207 81,393 82,293 83,696 84,028 82,232 248,983 80,411 4,615 4,757 248,434 248,688 76,708 6,299
静 脈 学 Table 1 Patient characteristics Symptom Case Age Sex Site PE Cause Treatment 1 44 M RSCV swelling (+) unknown UK, anticoaglant patent Result 2 5
Paget-Schroetter 3 Paget-Schroetter 3 1 1 1 3 86 42 Paget-Schroetter 2013 24 1 71- Paget-Schroetter 3 Table 1 1 44 1 CT 1 2012 4 19 CT CT Fig. 1 2 54 CT Fig. 2 71 静 脈 学 Table 1 Patient characteristics
1 (1) (2)
1 2 (1) (2) (3) 3-78 - 1 (1) (2) - 79 - i) ii) iii) (3) (4) (5) (6) - 80 - (7) (8) (9) (10) 2 (1) (2) (3) (4) i) - 81 - ii) (a) (b) 3 (1) (2) - 82 - - 83 - - 84 - - 85 - - 86 - (1) (2) (3) (4) (5) (6)
- 2 -
- 2 - - 3 - (1) (2) (3) (1) - 4 - ~ - 5 - (2) - 6 - (1) (1) - 7 - - 8 - (i) (ii) (iii) (ii) (iii) (ii) 10 - 9 - (3) - 10 - (3) - 11 - - 12 - (1) - 13 - - 14 - (2) - 15 - - 16 - (3) - 17 - - 18 - (4) -
2 1980 8 4 4 4 4 4 3 4 2 4 4 2 4 6 0 0 6 4 2 4 1 2 2 1 4 4 4 2 3 3 3 4 3 4 4 4 4 2 5 5 2 4 4 4 0 3 3 0 9 10 10 9 1 1
1 1979 6 24 3 4 4 4 4 3 4 4 2 3 4 4 6 0 0 6 2 4 4 4 3 0 0 3 3 3 4 3 2 4 3? 4 3 4 3 4 4 4 4 3 3 4 4 4 4 2 1 1 2 15 4 4 15 0 1 2 1980 8 4 4 4 4 4 3 4 2 4 4 2 4 6 0 0 6 4 2 4 1 2 2 1 4 4 4 2 3 3 3 4 3 4 4
20 15 14.6 15.3 14.9 15.7 16.0 15.7 13.4 14.5 13.7 14.2 10 10 13 16 19 22 1 70,000 60,000 50,000 40,000 30,000 20,000 10,000 0 2,500 59,862 56,384 2,000 42,662 44,211 40,639 37,323 1,500 33,408 34,472
I? 3 1 3 1.1?................................. 3 1.2?............................... 3 1.3!................................... 3 2 4 2.1........................................ 4 2.2.......................................
…v…“…O…›…•32
SS2 4 SS2 5 SS1 1 SS1 2 SS1 3 SS1 4 SS1 5 CEA JET study SS2 1 SS2 2 SS2 3 MS1 MS2 Gyrus rectus 1 MS3 MS4 MS5 pitfall MS6 IC-PC MS7 MS8 pitfall MS9 mass effect 21 MS10 gooseneck snare MS11 1 2 reversibility
buddy wire technique 1 Stenting of the stenotic common carotid artery ostium by the buddy wire technique. A case report
buddy wire technique 1 Stenting of the stenotic common carotid artery ostium by the buddy wire technique. A case report. 180-8610 1-26-1 0422-32-3111 E mail satonsrg@musashino.jrc.or.jp Key words carotid
学習内容と日常生活との関連性の研究－第２部－第６章
378 379 10% 10%10% 10% 100% 380 381 2000 BSE CJD 5700 18 1996 2001 100 CJD 1 310-7 10-12 10-6 CJD 100 1 10 100 100 1 1 100 1 10-6 1 1 10-6 382 2002 14 5 1014 10 10.4 1014 100 110-6 1 383 384 385 2002 4
取扱説明書 ［F-02F］
F-02F 4. 2 3 4 5 6 7 8 9 0 2 3 4 5 6 7 8 a b c d a b c d a b cd 9 e a b c d e 20 2 22 ab a b 23 a b 24 c d e 25 26 o a b c p q r s t u v w d h i j k l e f g d m n a b c d e f g h i j k l m n x 27 o
1080 日本臨 床 外 科 医学 会 雑 誌 46巻 Cannulation 図3 図2 手 術 器 具. needle holder, aortic puncher, tip, buldogs h: a: Potts c: scissors, forceps, f: coronary clamp, b: d: springhandled No. dilator, 11 blade, g: e;
I PD-I-3 VA ICD 2006 NYHA ~ LVEF 35% a ICD SCD-HeFT ICD MADIT- ICD a CABG-Patch ICD EF b MADITø MADIT- MUSTT EPS EPS 19 EPS 5/19 VA PD-I-4 Holter LP f
J Arrhythmia Vol 23 (Suppl) 2007 PD-I-1 OACIS 95% 6.4 (1.5 27.8 4.3 (1.0 18.5), 0.2 (0.05 0.93), respectively MADIT LVEF 30% 192 2.0 12.4% 24 3.1% MADIT 12.1% p=.001), ICD direct PCI OACIS (Osaka Acute
08症例報告4山内.indd
症例報告 37 急性大動脈解離に対する上行大動脈置換術後の大動脈基部拡張 大動脈弁閉鎖不全に対する自己弁温存基部置換術 (remodeling 手術 ) 概要 : mm remodeling 索引用語 : remodeling Remodeling technique for aneurysm of aortic root and moderate aortic valve regurgitation
10 117 5 1 121841 4 15 12 7 27 12 6 31856 8 21 1983-2 - 321899 12 21656 2 45 9 2 131816 4 91812 11 20 1887 461971 11 3 2 161703 11 13 98 3 16201700-3 - 2 35 6 7 8 9 12 13 12 481973 12 2 571982 161703 11
0.45m1.00m 1.00m 1.00m 0.33m 0.33m 0.33m 0.45m 1.00m 2
24 11 10 24 12 10 30 1 0.45m1.00m 1.00m 1.00m 0.33m 0.33m 0.33m 0.45m 1.00m 2 23% 29% 71% 67% 6% 4% n=1525 n=1137 6% +6% -4% -2% 21% 30% 5% 35% 6% 6% 11% 40% 37% 36 172 166 371 213 226 177 54 382 704 216
provider_020524_2.PDF
1 1 1 2 2 3 (1) 3 (2) 4 (3) 6 7 7 (1) 8 (2) 21 26 27 27 27 28 31 32 32 36 1 1 2 2 (1) 3 3 4 45 (2) 6 7 5 (3) 6 7 8 (1) ii iii iv 8 * 9 10 11 9 12 10 13 14 15 11 16 17 12 13 18 19 20 (2) 14 21 22 23 24
「諸雑公文書」整理の中間報告
30 10 3 from to 10 from to ( ) ( ) 20 20 20 20 20 35 8 39 11 41 10 41 9 41 7 43 13 41 11 42 7 42 11 41 7 42 10 4 4 8 4 30 10 ( ) ( ) 17 23 5 11 5 8 8 11 11 13 14 15 16 17 121 767 1,225 2.9 18.7 29.8 3.9
前頭蓋底の再建術式の標準化と外傷への応用
52 4 226 234 2009 watertight watertight 53 5 temporal musculo pericranial flap frontal musculo pericranial flap 1984 5 5 60 1 2 3 2 8 38 226 52 4 1 2/3 1 2 3 50 905 912 2007 7 3 1 A B C 2 loose areolar
NIHSS score p NIHSS score p149 4 p g ml 0.8 g ml D 1 D NIH NIHSS 14 D 0.8 g ml
NIHSS score14 1 400 1 p149 1 25 20 NIHSS score14 15 10 5 2 p149 4 p151 0 0.8 g ml 0.8 g ml D 1 D NIH NIHSS 14 D 0.8 g ml 1 2 148 149 3 2 3 A B C 4 D 2 A B C A C 1 Ogata T et al J Neurol Sci 272 83 86 2008
「産業上利用することができる発明」の審査の運用指針（案）
1 1.... 2 1.1... 2 2.... 4 2.1... 4 3.... 6 4.... 6 1 1 29 1 29 1 1 1. 2 1 1.1 (1) (2) (3) 1 (4) 2 4 1 2 2 3 4 31 12 5 7 2.2 (5) ( a ) ( b ) 1 3 2 ( c ) (6) 2. 2.1 2.1 (1) 4 ( i ) ( ii ) ( iii ) ( iv)
8 The Bulletin of Meiji University of Integrative Medicine API II 61 ASO X 11 7 X-4 6 X m 5 X-2 4 X 3 9 X 11 7 API 0.84 ASO X 1 1 MR-angio
7-14 2010 1 1 1 2 1 1 1 2 Fontaine II ASO61 3 API ASO ASO ASO API API KKKKKKKKKK ASO Fontaine II API Received April 14, 2009; Accepted July 16, 2009 I arteriosclerosis obliterans: ASO ASO 50 70 1,2 Fontaine
‹Àfi¡‚¾”O/…_…C…W…F…X…g/01-01
2002 2003 Guidelines for the Diagnosis,Treatment and Prevention of Pulmonary Thromboembolism and Deep Vein Thrombosis (JCS 2004) h 1 2 3 1 1 2 2-1 2-2 2-3 2-4 2-5 2-6 2 1 2 2-1 2-2 3 1 2 4 Circulation
i
TRPG project TRPG ver 1.20 PhasmoPhilia http://sengensyou.hp.infoseek.co.jp/ i 1 1 2 5 2.1................................................ 8 2.2............................................... 10 2.3...............................................
熊本県数学問題正解
00 y O x Typed by L A TEX ε ( ) (00 ) 5 4 4 ( ) http://www.ocn.ne.jp/ oboetene/plan/. ( ) (009 ) ( ).. http://www.ocn.ne.jp/ oboetene/plan/eng.html 8 i i..................................... ( )0... (
i ii iii iv v vi vii ( ー ー ) ( ) ( ) ( ) ( ) ー ( ) ( ) ー ー ( ) ( ) ( ) ( ) ( ) 13 202 24122783 3622316 (1) (2) (3) (4) 2483 (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) 11 11 2483 13
例題で学ぶオペレーションズ リサーチ入門 サンプルページ この本の定価 判型などは, 以下の URL からご覧いただけます. このサンプルページの内容は, 初版 1 刷発行時のものです.
例題で学ぶオペレーションズ リサーチ入門 サンプルページ この本の定価 判型などは, 以下の URL からご覧いただけます. http://www.morikita.co.jp/books/mid/009641 このサンプルページの内容は, 初版 1 刷発行時のものです. i OR OR OR OR OR OR OR OR OR 2015 5 ii 1 OR 1 1.1 OR... 1 1.2 OR...
() CT X X Ver.5 64 ( 3.0 % / 24,, 25 H23 1 Dr 24 24 2 1 25 RI RI ICU 24 25 B 4500 13000 AHA-PALS 5 PALS 24 25 24 25 24 ICU 24 25 24 1 VA VA 25 25 VA HD VA 20 150 () () 25 2 24 25 24 24 414 102 25
01-表紙から目次.PDF
56 100 1,205 45 11 30 48 56 56 10 56 1. 2 2. 2 3. 3 5 5 7 14 1 11 1. 11 (1) 11 (2) 11 (3) 11 (4) 12 (5) 12 2. 12 (1) 12 (2) 13 (3) 13 (4) 14 (5) 14 (6) 14 (7) 15 (8) 15 2 16 1. 16 (1) 16 (2) 17 (3) 17
3 Figure 1 Contrast-enhanced computed tomogram of case 1. Right internal iliac arterial aneurysm (A) and cystic mass (C) compress the rectum (R). Figu
Online publication December 10, 2009 症例報告 第 49 回総会座長推薦論文 動脈腸管瘻の 3 例 1 1, 2 3 要旨 : 3 1 86 CT Y Hartmann 2 77 CT I 3 63 CT J Jpn Coll Angiol, 2009, 49: 423 429 Key words: arterio-enteric fistula, melena,
検査 ABI ABI 5-10 Nhz 0.9 PAD ABI PAD ABI ABI ABI TBI 0.7 PAD TcPO 2 30 mmhg SPP 30 mmhg ABI ABI PAD 20 mmhg ABI PAD MDCT MRA MDCT MRA in
Online publication December 21, 2010 総 説 特集 : 糖尿病の血管病変を再考する 糖尿病に合併する末梢動脈病変の治療 要旨 : J Jpn Coll Angiol, 2010, 50: 595 602 Key words: peripheral artery disease, endovascular therapy, diabetes 下肢閉塞性動脈硬化症 (PAD)
からだにeヘルシーレシピ 高血圧
We b e 3,5 00 7day 1. 2. & 3. 1 C O N T E N T S 2.6 0 1 0 5 0 7 1 0 9 17 2 2 2 3 CHECK&POINT! 2 5 24 1 2 7 e 2 9 e 3 1 webe 3 3 6 12 18 24 6 16 16g 111 1 6 1 2010 2010 18 20 3,970 18 1 400 2.6 01 02 140mmHg
178 5 I 1 ( ) ( ) 10 3 13 3 1 8891 8 3023 6317 ( 10 1914 7152 ) 16 5 1 ( ) 6 13 3 13 3 8575 3896 8 1715 779 6 (1) 2 7 4 ( 2 ) 13 11 26 12 21 14 11 21
I 178 II 180 III ( ) 181 IV 183 V 185 VI 186 178 5 I 1 ( ) ( ) 10 3 13 3 1 8891 8 3023 6317 ( 10 1914 7152 ) 16 5 1 ( ) 6 13 3 13 3 8575 3896 8 1715 779 6 (1) 2 7 4 ( 2 ) 13 11 26 12 21 14 11 21 4 10 (
橡Taro11-報告書０.PDF
Research Center RC 2001 5-1- RC RC NHK -2- -3- 00/12/16 RC 01/01/07 RC 01/01/21 1 13 01/02/11 2 9 01/02/10 01/02/14 01/02/19 01/02/25 3 7 01/03/10 4 8 01/03/23 5 8 01/04/29 2001/01/07-4- -5- RC 1990 RC
入試の軌跡
4 y O x 4 Typed by L A TEX ε ) ) ) 6 4 ) 4 75 ) http://kumamoto.s.xrea.com/plan/.. PDF) Ctrl +L) Ctrl +) Ctrl + Ctrl + ) ) Alt + ) Alt + ) ESC. http://kumamoto.s.xrea.com/nyusi/kumadai kiseki ri i.pdf
MISS Voice 4 MISt QOL (PPS) MISt MISt MISS Voice Theme #.1 Minimally Invasive Spine Stabilization: MISt 2005 MISt ADL QOL MISt MIS
Vol.4 MISt (Minimally Invasive Spine Stabilization: MISt ) MISt MISS Voice 4 MISt QOL (PPS) MISt MISt http://mist.umin.jp MISS Voice Theme #.1 Minimally Invasive Spine Stabilization: MISt 2005 MISt ADL
1 5 6 2 3 7 8 4 5 9 10 6 7 11 12 8 1 2 3 4 5 6 7 1989 25.0% 19901999 6 2000 15.0% 9 13 1 2 3 4 5 50 2 5180 45.0% 81 35.0%, 5.0% + +, 5.0% +, 1, 5 +, 3 14 10 0% 20% 40% 60% 80% 100% n=20 3 5 2 n=20 55.0%
Z9900-N-C1-A book
N8180-45A/46A NEC Corporation 2006 i NEMA5-15P 12A/1200VA 15A/1500VA 20A VCCI A AVR ii v OFF iii 2.5 5.3 iv OFF OFF 3 100 v 15A AC100V 50/60Hz OFF OFF OFF 3 25ºC 40ºC: 1.4 vi : N8180-45A: 19Kg N8180-46A:
AD 2004/8/22 1. 30 90 mmhg 2. 3 100 refilling COPD etc. etc. PCPS IVR Helical CT DSA IVR DVT US/CT Scintigaraphy Ventilation / Perfusion VP scans High probability R DSA Gold standard MSCT
CRA3689A
AVIC-DRZ90 AVIC-DRZ80 2 3 4 5 66 7 88 9 10 10 10 11 12 13 14 15 1 1 0 OPEN ANGLE REMOTE WIDE SET UP AVIC-DRZ90 SOURCE OFF AV CONTROL MIC 2 16 17 1 2 0 0 1 AVIC-DRZ90 2 3 4 OPEN ANGLE REMOTE SOURCE OFF
PCI(percutaneous Coronary Intervention)
HP No.5 3 PCI HP No.5 3 PCI PCI Catheter Guide Wire Balloon Stent Guiding Catheter t-pa UK PCI PCI Filtering Collimating I.I. size X Framing I.I. Guiding Catheter Guide Wire size Balloon PCI PCI ACC American
ビデオシンポジウム 1 1:10 14:40 私 の こだわりの 手 術 手 技 : 左 室 形 成 手 術 座 長 : 松 居 喜 郎 ( 北 海 道 大 学 ) 夜 久 均 ( 京 都 府 立 医 科 大 学 ) VS1-1 VS1-2 虚 血 性 心 筋 症 に 対 する Dor 手 術 を
第 :2 月 27 ( 水 ) A 会 場 ( 地 下 1 階 パレロワイヤル A) シンポジウム 6 8:50 10:50 座 長 : 橋 本 和 弘 ( 東 京 慈 恵 会 医 科 大 学 ) 横 山 斉 ( 福 島 県 立 医 科 大 学 ) 修 練 施 設 集 約 化 の 展 望 : 心 臓 血 管 外 科 専 門 医 制 度 のありかたを 探 る S6-1 S6-2 S6- S6-4 心
1 12 ( )150 ( ( ) ) x M x 0 1 M 2 5x 2 + 4x + 3 x 2 1 M x M 2 1 M x (x + 1) 2 (1) x 2 + x + 1 M (2) 1 3 M (3) x 4 +
( )5 ( ( ) ) 4 6 7 9 M M 5 + 4 + M + M M + ( + ) () + + M () M () 4 + + M a b y = a + b a > () a b () y V a () V a b V n f() = n k= k k () < f() = log( ) t dt log () n+ (i) dt t (n + ) (ii) < t dt n+ n
.K.C.h...C...ren
4 quality of life QOL QOL QOL 3 QOL 19 mmhg 16 mmhg 14 mmhg 1 2 7 20 30 QOL QOL QOL QOL QOL QOL QOL 4 1 1 1 2 1 2 3 1 2 4 2 2 1 2 2 2 2 1 2 3 QOL 3 2 1 1 5 1 1 2 1 Abraham Wise 1 Nd YAG 2 1 200 500 200
Honda 28
28 30 33 35 37 40 42 46 48 50 52 54 55 56 60 Honda 28 Honda 29 30 31 32 33 34 35 36 37 50 38 39 II ON AUTO OFF 40 41 OFF II 42 cm C OFF 43 44 45 46 47 II 48 49 50 SRS SRS 51 52 53 54 II 55 56 57 ELR ELR
2011 31th近畿学術集会 抄録
2 1 2 3 9:25-9:30 9:30-10:30 1,2) 1,2,3) 1)2)3) 1,2) 1,2,3) 1)2)3) 1,2,3) 1,2) 1)2)3) 10:30-10:40 10:40-11:50 1) 1) 1) 2) 1) 1) 1) 2) 1) 2) 1) 2) 1) 2) 4 1) 2) 2) 1) 2) 1) 1) 1) 1) 2) 1) 2) 11:50-13:10