{"created":"2023-05-15T15:58:18.981248+00:00","id":27669,"links":{},"metadata":{"_buckets":{"deposit":"4dcbe8be-39ff-466d-8901-e1602e0caa1b"},"_deposit":{"created_by":3,"id":"27669","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"27669"},"status":"published"},"_oai":{"id":"oai:shinshu.repo.nii.ac.jp:00027669","sets":["2668"]},"author_link":["109229","109232","109227","109230","109228","109233","109231","109234"],"item_20002_alternative_title_1":{"attribute_name":"その他(別言語等)のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Successful Emergency Embolectomy in a Patient with Acute Middle Cerebral Artery Embolism :Case Report"}]},"item_20002_biblio_info_27":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2002-02","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"12","bibliographicPageStart":"9","bibliographicVolumeNumber":"50","bibliographic_titles":[{"bibliographic_title":"信州医学雑誌"}]}]},"item_20002_creator_3":{"attribute_name":"作成者(その他言語)","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"新田, 純平"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"伊泊, 広二"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"本郷, 一博"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"宮入, 洋祐"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"堀内, 哲吉"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"酒井, 圭一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小林, 茂昭"}],"nameIdentifiers":[{}]}]},"item_20002_date_19":{"attribute_name":"日付","attribute_value_mlt":[{"subitem_date_issued_datetime":"2015-09-24","subitem_date_issued_type":"Created"}]},"item_20002_description_14":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"We report a case of successful emergency embolectomy in a patient with acute middle cerebral artery (MCA)embolism. A 67-year- old man with pulmonary fibrosis presented with sudden onset of right hemiparesis and aphasia.The brain CT scan was normal except or a high-density spot at the left MCA.A diffusionweighted magnetic resonance image showed a high-intensity area in the territory of the left ascending frontal artery.Cerebral angiography demonstrated nearly complete occlusion of the left MCA.A left frontotemporal craniotomy was performed. At surgery, the MCA was found to be occluded by an embolus, which was surgically removed. Postoperatively, the patient’s symptoms improved. CT scan showed only a small low density area, and an angiogram revealed complete recanalization of the MCA. The patient was discharged without neurological deficits. Recently,intra-arterial local fibrinolysis is commonly performed to restore cerebral blood flow in patients with acute MCA occlusion. Recanalization, however, is not obtainable in all patients, while embolectomy is a sure way to obtain it in spite of the longer time needed to prepare.In cases with preserved peripheral MCA circulation,embolectomy is in fact considered to be preferable to intra-arterial local fibrinolysis.","subitem_description_type":"Other"}]},"item_20002_description_20":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Article","subitem_description_type":"Other"}]},"item_20002_description_21":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_20002_description_22":{"attribute_name":"その他の資源識別子","attribute_value_mlt":[{"subitem_description":"信州医学雑誌 50(1): 9-12(2002)","subitem_description_type":"Other"}]},"item_20002_full_name_16":{"attribute_name":"公開者(その他言語)","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"信州医学会"}]}]},"item_20002_identifier_23":{"attribute_name":"資源識別子URI","attribute_value_mlt":[{"subitem_identifier_type":"HDL","subitem_identifier_uri":"http://hdl.handle.net/10091/9311"}]},"item_20002_source_id_25":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0037-3826","subitem_source_identifier_type":"ISSN"}]},"item_20002_source_id_26":{"attribute_name":"処理レコードID(総合目録DB)","attribute_value_mlt":[{"subitem_source_identifier":"AN00120815","subitem_source_identifier_type":"NCID"}]},"item_20002_version_type_51":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"metadata only access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_14cb"}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"url":{"url":"https://soar-ir.repo.nii.ac.jp/?action=repository_action_common_download&item_id=4323&item_no=1&attribute_id=65&file_no=1"}}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"middle cerebral artery","subitem_subject_scheme":"Other"},{"subitem_subject":"embolism","subitem_subject_scheme":"Other"},{"subitem_subject":"embolectomy","subitem_subject_scheme":"Other"},{"subitem_subject":"中大脳動脈","subitem_subject_scheme":"Other"},{"subitem_subject":"塞栓症","subitem_subject_scheme":"Other"},{"subitem_subject":"塞栓除去術","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"緊急塞栓除去術が有効であった中大脳動脈塞栓症の１例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"緊急塞栓除去術が有効であった中大脳動脈塞栓症の１例"}]},"item_type_id":"20002","owner":"3","path":["2668"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-09-01"},"publish_date":"2020-09-01","publish_status":"0","recid":"27669","relation_version_is_last":true,"title":["緊急塞栓除去術が有効であった中大脳動脈塞栓症の１例"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-05-15T22:02:08.991545+00:00"}