{"created":"2023-06-19T10:43:16.286488+00:00","id":3476,"links":{},"metadata":{"_buckets":{"deposit":"e7e17ca8-767d-49c2-8ee8-c0326cea013d"},"_deposit":{"created_by":11,"id":"3476","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"3476"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00003476","sets":["30:62:231"]},"author_link":["7661","2844","662","3321","3279","4505","7651","3061"],"item_4_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"30","bibliographicPageStart":"24","bibliographicVolumeNumber":"39","bibliographic_titles":[{"bibliographic_title":"脳卒中の外科"},{"bibliographic_title":"Surgery for Cerebral Stroke","bibliographic_titleLang":"en"}]}]},"item_4_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"YOKOI, Toshihiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TAKAGI, Kenji"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"NITTA, Naoki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"JITO, Junya"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"FUKAMI, Tadateru"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"NAKAZAWA, Takuya"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"NOZAKI, Kazuhiko"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"HASHIMOTO, Nobuo"}],"nameIdentifiers":[{}]}]},"item_4_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"The treatment goal for cerebral AVMs is mainly to prevent hemorrhage. Bleeding risks of cerebral AVMs depend on several factors such as size/location of the nidus, types of presentation, and angiographical cure does not necessarily mean no risk of hemorrhage. The treatment strategy based on Spetzler-Martin grading is proposed in several guidelines: Grade I, II, and III are a therapeutic target; Grade IV and V should be treated conservatively. According to AHA Scientific Statement, surgical extirpation should be conceded for Spetzler-Martin Grade I and II, and surgical extirpation with preoperative feeder embolization is often effective for Spetzler-Martin Grade III, but single surgical extirpation is not recommended for Spetzler-Martin Grade IV and V. Although low grade AVMs are reported to be amenable to extirpation with low morbidity, patient selection bias seems to reduce estimates of risk.\nIt is difficult to decide the treatment only by the Spetzler-Martin grading system because of degraded ability of AVM patients to communicate, and wide ranges of risk of hemorrhage and risk of extirpation in each patient. Treatments should be individualized using adequate pre-, and intra-operative assessment of risk.","subitem_description_type":"Abstract"}]},"item_4_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Journal Article","subitem_description_type":"Other"}]},"item_4_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本脳卒中の外科学会"}]},"item_4_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"10.2335/scs.39.24"}],"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.2335/scs.39.24","subitem_relation_type_select":"DOI"}}]},"item_4_relation_29":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2011128710","subitem_relation_type_select":"ICHUSHI"}}]},"item_4_rights_12":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"© 2011 一般社団法人　日本脳卒中の外科学会 "},{"subitem_rights":"日本脳卒中の外科学会の許可を得て掲載"}]},"item_4_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0914-5508","subitem_source_identifier_type":"ISSN"}]},"item_4_source_id_9":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN10061756","subitem_source_identifier_type":"NCID"}]},"item_4_version_type_15":{"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_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"横井, 俊浩"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"高木, 健治"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"新田, 直樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"地藤, 純哉"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"深見, 忠輝"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"中澤, 拓也"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"野﨑, 和彦"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"橋本, 信夫"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-12-11"}],"displaytype":"detail","filename":"scs.39.24.pdf","filesize":[{"value":"780.9 kB"}],"format":"application/pdf","license_note":"© 2011 一般社団法人　日本脳卒中の外科学会 ","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"scs.39.24","url":"https://shiga-med.repo.nii.ac.jp/record/3476/files/scs.39.24.pdf"},"version_id":"eb9782d2-2aa2-41d4-9003-9de410164117"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"cerebral arteriovenous malformation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"risk of hemorrhage","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"microsurgery","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"risk assessment","subitem_subject_language":"en","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":"【血管奇形】脳動静脈奇形の至適治療方針","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"【血管奇形】脳動静脈奇形の至適治療方針"},{"subitem_title":"Optimal Treatment Strategies for Cerebral AVMs.","subitem_title_language":"en"}]},"item_type_id":"4","owner":"11","path":["231"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-12-11"},"publish_date":"2019-12-11","publish_status":"0","recid":"3476","relation_version_is_last":true,"title":["【血管奇形】脳動静脈奇形の至適治療方針"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-06-19T12:23:58.408269+00:00"}