研究者詳細 - 杉生　憲志

論文 - 杉生　憲志

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Challenges in the treatment of giant cavernous carotid aneurysm associated with hemophilia A: illustrative case

Yuichi Hirata, Masafumi Hiramatsu, Kenji Sugiu, Juntaro Fujita, Yuta Sotome, Masato Kawakami, Ryu Kimura, Yuki Ebisudani, Jun Haruma, Shota Tanaka

Journal of Neurosurgery: Case Lessons 9 ( 8 ) 2025年2月

掲載種別：研究論文（学術雑誌）出版者・発行元：Journal of Neurosurgery Publishing Group (JNSPG)

BACKGROUND

Hemophilia A is characterized by a deficiency of factor VIII, leading to severe bleeding disorders. Abnormal blood coagulation can complicate the treatment of cerebral aneurysms.

OBSERVATIONS

A 20-year-old man with congenital hemophilia A presented with abducens nerve palsy caused by a giant cavernous carotid aneurysm (CCA). Because of the coagulopathy, simple internal carotid artery ligation was chosen, and the aneurysm initially shrank following treatment. However, it recurred due to collateral arteries from the posterior communicating artery and branches of the external carotid artery. These arteries were occluded using endovascular techniques, resulting in complete obliteration of the aneurysm.

LESSONS

To the best of the authors’ knowledge, this is the first reported case of treating a giant CCA associated with hemophilia A. In patients with coagulopathy, surgical options are limited, and standard treatments may not achieve a complete cure. Careful consideration of treatment strategies is crucial when managing giant CCA in the context of a coagulation disorder.

https://thejns.org/doi/10.3171/CASE24693

DOI： 10.3171/case24693

その他リンク： https://thejns.org/downloadpdf/journals/j-neurosurg-case-lessons/9/8/article-CASE24693.xml

Challenges in the treatment of giant cavernous carotid aneurysm associated with hemophilia A: illustrative case

Yuichi Hirata, Masafumi Hiramatsu, Kenji Sugiu, Juntaro Fujita, Yuta Sotome, Masato Kawakami, Ryu Kimura, Yuki Ebisudani, Jun Haruma, Shota Tanaka

Journal of Neurosurgery: Case Lessons 9 ( 8 ) 2025年2月

掲載種別：研究論文（学術雑誌）出版者・発行元：Journal of Neurosurgery Publishing Group (JNSPG)

BACKGROUND

Hemophilia A is characterized by a deficiency of factor VIII, leading to severe bleeding disorders. Abnormal blood coagulation can complicate the treatment of cerebral aneurysms.

OBSERVATIONS

A 20-year-old man with congenital hemophilia A presented with abducens nerve palsy caused by a giant cavernous carotid aneurysm (CCA). Because of the coagulopathy, simple internal carotid artery ligation was chosen, and the aneurysm initially shrank following treatment. However, it recurred due to collateral arteries from the posterior communicating artery and branches of the external carotid artery. These arteries were occluded using endovascular techniques, resulting in complete obliteration of the aneurysm.

LESSONS

To the best of the authors’ knowledge, this is the first reported case of treating a giant CCA associated with hemophilia A. In patients with coagulopathy, surgical options are limited, and standard treatments may not achieve a complete cure. Careful consideration of treatment strategies is crucial when managing giant CCA in the context of a coagulation disorder.

https://thejns.org/doi/10.3171/CASE24693

DOI： 10.3171/case24693

その他リンク： https://thejns.org/downloadpdf/journals/j-neurosurg-case-lessons/9/8/article-CASE24693.xml

【髄膜腫の現在-最新の知識を活かした最善の治療のために】髄膜腫に対する集学的治療髄膜腫に対する血管内腫瘍塞栓術

五月女悠太, 杉生憲志, 平松匡文, 春間純, 胡谷侑貴, 木村颯, 枝木久典, 川上真人, 藤田淳太郎, 田中將太

Neurological Surgery 52 ( 4 ) 794 - 804 2024年7月

記述言語：日本語出版者・発行元：(株)医学書院

＜文献概要＞Point・大型や頭蓋底部髄膜腫に対する術前塞栓術は,開頭術の補助的手術として有用である.・開頭術者と十分な術前検討を行った上で,戦略的な塞栓術を行うことが肝要である.・目的に応じた塞栓物質を選択し,合併症を起こさない塞栓術を心掛ける.

その他リンク： https://search.jamas.or.jp/default/link?pub_year=2024&ichushi_jid=J01228&link_issn=&doc_id=20240725160016&doc_link_id=10.11477%2Fmf.1436204978&url=https%3A%2F%2Fdoi.org%2F10.11477%2Fmf.1436204978&type=%E5%8C%BB%E6%9B%B8.jp_%E3%82%AA%E3%83%BC%E3%83%AB%E3%82%A2%E3%82%AF%E3%82%BB%E3%82%B9&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00024_2.gif

[Preoperative Embolization of Intracranial Meningioma].

Yuta Soutome, Kenji Sugiu, Masafumi Hiramatsu, Jun Haruma, Yuki Ebisudani, Ryo Kimura, Hisanori Edaki, Masato Kawakami, Juntaro Fujita, Shota Tanaka

No shinkei geka. Neurological surgery 52 ( 4 ) 794 - 804 2024年7月

記述言語：日本語掲載種別：研究論文（学術雑誌）

Preoperative embolization(POE)of intracranial meningioma is performed worldwide. Although clear evidence of the effectiveness of POE has not been reported in the literature, the technique plays an important role in open surgery, especially for large or skull base meningiomas. The purposes of embolization include: 1)induction of tumor necrosis, resulting in a safer operation, 2)reduction in intraoperative bleeding, and 3)decrease in operative time. Knowledge of the functional vascular anatomy, embolic materials, and endovascular techniques is paramount to ensure safe embolization. Our standard procedure is as follows: 1)embolization is performed several days before open surgery; 2)in cases with strong peritumoral edema, steroid administration or embolization may be performed immediately prior to surgery; 3)patients undergo the procedure under local anesthesia; 4)the microcatheter is inserted as close as possible to the tumor; 5)particulate emboli are the first-line material; 6)embolization is occasionally performed with N-butyl cyanoacrylate(NBCA)glue; and 7)if possible, additional proximal feeder occlusion with coils is performed. The JR-NET study previous showed the situation regarding intracranial tumor embolization in Japan. Endovascular neurosurgeons should fully discuss the indications and strategies for POE with tumor neurosurgeons to ensure safe and effective procedures.

DOI： 10.11477/mf.1436204978

【脳血管内治療に必要な血管解剖学】静脈編上錐体静脈洞と錐体静脈の血管解剖と関連する硬膜動静脈瘻

平松匡文, 春間純, 杉生憲志, 田中將太

Neurological Surgery 52 ( 3 ) 596 - 604 2024年5月

記述言語：日本語出版者・発行元：(株)医学書院

＜文献概要＞Point ・上錐体静脈洞と錐体静脈は後頭蓋窩の静脈還流を担う重要な血管であり,さまざまな変異や側腹路が存在する.・この部位の硬膜動静脈瘻では,錐体静脈から後頭蓋窩に逆流するため,神経症候を呈しやすく治療リスクが高い.・周囲の硬膜動静脈瘻から錐体静脈に逆流する場合は,この逆流を確実に遮断する治療戦略が必要である.

その他リンク： https://search.jamas.or.jp/default/link?pub_year=2024&ichushi_jid=J01228&link_issn=&doc_id=20240531170018&doc_link_id=10.11477%2Fmf.1436204953&url=https%3A%2F%2Fdoi.org%2F10.11477%2Fmf.1436204953&type=%E5%8C%BB%E6%9B%B8.jp_%E3%82%AA%E3%83%BC%E3%83%AB%E3%82%A2%E3%82%AF%E3%82%BB%E3%82%B9&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00024_2.gif

【頭蓋頸椎移行部病変】頭蓋頸椎移行部動静脈瘻の臨床的特徴,診断と治療

平松匡文, 杉生憲志, 安原隆雄

脊椎脊髄ジャーナル 37 ( 4 ) 275 - 279 2024年5月

[Angioarchitecture and Associated Dural Arteriovenous Fistulas of the Superior Petrosal Sinus and Petrosal Vein].

Masafumi Hiramatsu, Jun Haruma, Kenji Sugiu, Shota Tanaka

No shinkei geka. Neurological surgery 52 ( 3 ) 596 - 604 2024年5月

記述言語：日本語掲載種別：研究論文（学術雑誌）

The superior petrosal sinus and petrosal vein are important drainage routes for the posterior cranial fossa, with some variations and collateral vessels. An anterolateral-type tentorial dural arteriovenous fistula, which occurs around the petrosal vein, often develops aggressive symptoms due to venous reflux to the brainstem and cerebellum. Neuroendovascular treatment of this fistula is usually challenging because transarterial embolization has a high risk and indications for transvenous embolization are limited. In the cavernous sinus and transverse sinus/sigmoid sinus dural arteriovenous fistulas, venous reflux to the petrosal vein is dangerous, and a treatment strategy with the occlusion of the petrosal vein is indispensable. Furthermore, attention should be paid to venous approaches through the superior petrosal sinus.

DOI： 10.11477/mf.1436204953

Evaluation of the shrinkage process of a neck remnant after stent-coil treatment of a cerebral aneurysm using silent magnetic resonance angiography and computational fluid dynamics analysis: illustrative case. 国際誌

Toru Satoh, Kenji Sugiu, Masafumi Hiramatsu, Jun Haruma, Isao Date

Journal of neurosurgery. Case lessons 7 ( 16 ) 2024年4月

記述言語：英語掲載種別：研究論文（学術雑誌）

BACKGROUND: Silent magnetic resonance angiography (MRA) mitigates metal artifacts, facilitating clear visualization of neck remnants after stent and coil embolization of cerebral aneurysms. This study aims to scrutinize hemodynamics at the neck remnant by employing silent MRA and computational fluid dynamics. OBSERVATIONS: The authors longitudinally tracked images of a partially thrombosed anterior communicating artery aneurysm's neck remnant, which had been treated with stent-assisted coil embolization, using silent MRA over a decade. Computational fluid dynamics delineated the neck remnant's reduction process, evaluating hemodynamic parameters such as flow rate, wall shear stress magnitude and vector, and streamlines. The neck remnant exhibited diminishing surface area, volume, neck size, dome depth, and aspect ratio. Its reduction correlated with a decline in the flow rate ratio of the remnant dome to the inflow parent artery. Analysis delineated regions within the contracting neck remnant characterized by consistently low average wall shear stress magnitude and variation, accompanied by notable variations in wall shear stress vector directionality. LESSONS: Evaluation of neck remnants after stent-coil embolization is possible through silent MRA and computational fluid dynamics. Predicting the neck remnant reduction may be achievable through hemodynamic parameter analysis.

DOI： 10.3171/CASE24141

【ITを駆使した術前シミュレーション-トラブル回避と時短手術習得】これからの新しい術前シミュレーション 3Dプリンタ作成テーラーメード中空型脳動脈瘤モデルを使用した脳血管内治療術前シミュレーション

春間純, 木村颯, 平松匡文, 杉生憲志

Neurological Surgery 52 ( 2 ) 299 - 308 2024年3月

記述言語：日本語出版者・発行元：(株)医学書院

＜文献概要＞Point ・3Dプリンタでテーラーメード中空型脳動脈瘤モデルを作成することが可能である.・中空型脳動脈瘤モデルを使用してさまざまな脳血管内治療手技を行うことができ,脳血管内治療術前シミュレーションに非常に有用である.

その他リンク： https://search.jamas.or.jp/default/link?pub_year=2024&ichushi_jid=J01228&link_issn=&doc_id=20240325230012&doc_link_id=10.11477%2Fmf.1436204914&url=https%3A%2F%2Fdoi.org%2F10.11477%2Fmf.1436204914&type=%E5%8C%BB%E6%9B%B8.jp_%E3%82%AA%E3%83%BC%E3%83%AB%E3%82%A2%E3%82%AF%E3%82%BB%E3%82%B9&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00024_2.gif

Power suppression in EEG after the onset of SAH is a significant marker of early brain injury in rat models. 国際誌

Yuji Takasugi, Tomohito Hishikawa, Tomohisa Shimizu, Satoshi Murai, Jun Haruma, Masafumi Hiramatsu, Koji Tokunaga, Yoshimasa Takeda, Kenji Sugiu, Hiroshi Morimatsu, Isao Date

Scientific reports 14 ( 1 ) 2277 - 2277 2024年1月

記述言語：英語掲載種別：研究論文（学術雑誌）

We analyzed the correlation between the duration of electroencephalogram (EEG) recovery and histological outcome in rats in the acute stage of subarachnoid hemorrhage (SAH) to find a new predictor of the subsequent outcome. SAH was induced in eight rats by cisternal blood injection, and the duration of cortical depolarization was measured. EEG power spectrums were given by time frequency analysis, and histology was evaluated. The appropriate frequency band and recovery percentage of EEG (defined as EEG recovery time) to predict the neuronal damage were determined from 25 patterns (5 bands × 5 recovery rates) of receiver operating characteristic (ROC) curves. Probit regression curves were depicted to evaluate the relationships between neuronal injury and duration of depolarization and EEG recovery. The optimal values of the EEG band and the EEG recovery time to predict neuronal damage were 10-15 Hz and 40%, respectively (area under the curve [AUC]: 0.97). There was a close relationship between the percentage of damaged neurons and the duration of depolarization or EEG recovery time. These results suggest that EEG recovery time, under the above frequency band and recovery rate, may be a novel marker to predict the outcome after SAH.

DOI： 10.1038/s41598-024-52527-0

【脳血管内治療のベーシックと最先端2024】疾患別解説頭蓋内腫瘍塞栓術

春間純, 杉生憲志, 五月女悠太, 川上真人, 枝木久典, 木村颯, 平松匡文

脳神経外科速報 34 ( 1 ) 68 - 73 2024年1月

Endovascular Treatment for Intracranial Artery Dissections in Posterior Circulation.

Jun Haruma, Kenji Sugiu, Yuki Ebisudani, Ryu Kimura, Hisanori Edaki, Yoko Yamaoka, Masato Kawakami, Yuta Soutome, Masafumi Hiramatsu

Journal of neuroendovascular therapy 18 ( 3 ) 92 - 102 2024年

記述言語：英語掲載種別：研究論文（学術雑誌）

Intracranial artery dissections (IADs), although uncommon, are an important cause of cerebral infarction and subarachnoid hemorrhage (SAH). Some IADs can heal spontaneously after reconstitution of the vessel lumen with excellent prognosis. Meanwhile, others can progress to stroke that requires treatment. The incidence of IAD in the posterior circulation is higher than that in the anterior circulation. Anterior circulation dissections are more likely to develop into ischemia and posterior circulation lesions into hemorrhage. The mortality rate after IAD among patients with SAH is 19%-83%. Further, the mortality rate of IAD without SAH is 0%-3%. Patients with SAH commonly undergo surgery or receive neuroendovascular treatment (EVT) to prevent rebleeding. However, the treatment of IADs is empirical in the absence of data from randomized controlled trials. Recently, EVT has emerged and is considered for IADs because of its less invasiveness and perceived low rates of procedure-related morbidity with good efficacy. EVT strategies can be classified into deconstructive (involving sacrifice of the parent artery) and reconstructive (preserving blood flow via the parent vessel) techniques. In particular, the number of reports on reconstructive techniques is increasing. However, a reconstructive technique for ruptured IADs has not yet been established. This review aimed to provide an overview of IADs in the posterior circulation managed with EVT by performing a literature search.

DOI： 10.5797/jnet.ra.2023-0068

Characteristics and outcomes of subarachnoid hemorrhage from vertebral artery dissection: A comparative study with other non-traumatic etiologies. 国際誌

Shu Oshita, Tetsuya Yumoto, Shunta Jinno, Ippei Matsuo, Takashi Hongo, Hiromichi Naito, Masafumi Hiramatsu, Jun Haruma, Kenji Sugiu, Shota Tanaka, Atsunori Nakao

Acute medicine & surgery 11 ( 1 ) e70031 2024年

記述言語：英語掲載種別：研究論文（学術雑誌）

AIM: Vertebral artery dissection (VAD) is a rare cause of non-traumatic subarachnoid hemorrhage (SAH) with significant clinical implications. This study compared the clinical characteristics and outcomes of SAH from intracranial VAD rupture to those from other etiologies, primarily aneurysmal rupture. METHODS: This single-center retrospective cohort study at Okayama University Hospital included patients with non-traumatic SAH diagnosed between 2019 and 2023. Patients were categorized into "VAD rupture" and "other etiologies" groups. The main outcome was clinical presentation and symptoms. Additional outcomes included ICU mortality, in-hospital mortality, and unfavorable outcomes at discharge and 6 months, defined as a modified Rankin Scale score of 3-6. RESULTS: A total of 66 patients were included, with 14 in the VAD rupture group and 52 in the other etiologies group. The VAD rupture group was younger (median age 49 vs. 64 years, p = 0.003) and had a higher incidence of out-of-hospital cardiac arrest (42.9% vs. 9.6%, p = 0.011). Preceding headache was more common in the VAD rupture group (78.6% vs. 11.5%, p < 0.001), with a median duration of 36 h before presentation. ICU and in-hospital mortality was higher in the VAD rupture group (both 50.0% vs. 19.3%, p = 0.019). No significant differences were found in unfavorable neurological outcomes at hospital discharge and 6 months. CONCLUSIONS: VAD-related SAH often presents with prodromal headaches, severe symptoms like out-of-hospital cardiac arrest, and higher ICU and in-hospital mortality than other SAH causes, though long-term outcomes are similar. Larger, prospective studies are needed to refine interventions.

DOI： 10.1002/ams2.70031

【脊椎脊髄疾患のインターベンショナルラジオロジー(IVR)】胸腰椎の脊髄硬膜・硬膜外動静脈瘻に対する血管内治療

平松匡文, 杉生憲志, 安原隆雄

脊椎脊髄ジャーナル 36 ( 11 ) 787 - 792 2023年12月

記述言語：日本語出版者・発行元：(株)三輪書店

＜文献概要＞脊髄の動静脈シャント疾患は10万人・年あたりの罹患率が0.234人とまれな疾患であり,脊髄髄内に発生するarteriovenous malformation(AVM),脊髄表面に生じるperimedullary arteriovenous fistula(PAVF),硬膜動静脈瘻(dural arteriovenous fistula:DAVF),硬膜外動静脈瘻(epidural arteriovenous fistula:EDAVF)などが含まれる.その中で胸腰椎のDAVFとEDAVFを合わせた罹患率は10万人・年あたり0.125人と,脊髄動静脈シャント疾患の過半数を占める重要な疾患である.DAVF・EDAVFいずれも血管内治療・直達術ともに適応となるが,いずれにしても可及的速やかに硬膜内逆流静脈を遮断して,脊髄のうっ血状態を解除する必要がある.本稿では,病態と診断についてまとめた後に,実際の血管内治療についてポイントを絞って論じる.

その他リンク： https://search.jamas.or.jp/default/link?pub_year=2023&ichushi_jid=J02317&link_issn=&doc_id=20240111060007&doc_link_id=10.11477%2Fmf.5002202195&url=https%3A%2F%2Fdoi.org%2F10.11477%2Fmf.5002202195&type=%E5%8C%BB%E6%9B%B8.jp_%E3%82%AA%E3%83%BC%E3%83%AB%E3%82%A2%E3%82%AF%E3%82%BB%E3%82%B9&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00024_2.gif

硬膜動静脈瘻画像診断の新展開

西和彦, 杉生憲志, 平松匡文, 菱川朋人, 春間純, 高橋悠, 村井智, 山岡陽子, 胡谷侑貴, 枝木久典, 木村颯, 川上真人, 伊達勲

脳卒中の外科 51 ( 6 ) 503 - 507 2023年11月

記述言語：日本語出版者・発行元：(一社)日本脳卒中の外科学会

近年,画像診断の進歩により硬膜動静脈瘻(dural arteriovenous fistula:dAVF)の血管解剖について詳細な理解が可能となってきた.われわれの施設ではdigital subtraction angiography(DSA)のslab maximum intensity projection(MIP)画像を駆使して,dAVFの質的診断に努めてきた.このような,画像診断の進歩は,血管内治療を主体とする外科的治療の戦略決定にも大きく寄与しており,治療成績の向上につながっている.今回はテーマごとにわれわれの知見や最近の文献を交えながら,dAVFに関する画像診断の新展開を紹介する.(著者抄録)

その他リンク： https://search.jamas.or.jp/default/link?pub_year=2023&ichushi_jid=J02079&link_issn=&doc_id=20231212130006&doc_link_id=%2Fcp4strok%2F2023%2F005106%2F006%2F0503-0507%26dl%3D0&url=https%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Fcp4strok%2F2023%2F005106%2F006%2F0503-0507%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

Non-Sinus-Type Dural Arteriovenous Fistula at the Foramen Magnum: A Review of the Literature 招待査読

Masafumi Hiramatsu, Tomohiko Ozaki, Rie Aoki, Shinri Oda, Jun Haruma, Tomohito Hishikawa, Kenji Sugiu, Isao Date

Journal of Neuroendovascular Therapy 2023年7月

Relation between duration of dual antiplatelet therapy and risk of ischemic stroke after stent-assisted treatment of cerebral aneurysm (DAPTS ACE-registry). 査読国際誌

Tomohiko Ozaki, Hiroshi Yamagami, Masafumi Morimoto, Hirotoshi Imamura, Taketo Hatano, Hidenori Oishi, Koichi Haraguchi, Shinichi Yoshimura, Tetsu Satow, Kenji Sugiu, Koji Iihara, Yuji Matsumaru, Mikito Hayakawa, Yasushi Matsumoto, Chiaki Sakai, Susumu Miyamoto, Kazuo Kitagawa, Tatsuo Kagimura, Nobuyuki Sakai

Journal of neurointerventional surgery 2023年7月

記述言語：英語掲載種別：研究論文（学術雑誌）

BACKGROUND: The optimal duration of dual antiplatelet therapy (DAPT) in patients with cerebral aneurysm who undergo stent-assisted coil embolization (SACE) has not been established. We aimed to clarify the association between duration of DAPT and incidence of ischemic stroke in patients with cerebral aneurysm. METHODS: We registered patients with cerebral aneurysm who underwent SACE in 27 hospitals in Japan. Those treated with DAPT (aspirin and clopidogrel) were eligible for inclusion in a previously reported randomized control trial (RCT). Patients who were ineligible or refused to participate to the RCT were followed-up for 15 months after SACE as the non-RCT cohort. Our study examined both the RCT and non-RCT cohorts. The primary and secondary outcomes were ischemic stroke and hemorrhagic events. RESULTS: Among the 313 patients registered, 296 were included for analysis (of these, 136 were RCT patients and 160 were non-RCT patients). Patients who were treated with DAPT for more than 6 months (n=191) were classified as the long-term DAPT group. Those treated less than 6 months (n=105) were classified as the short-term group. The incidence of ischemic stroke did not significantly differ between the long-term group (2.5 per 100 person-years) and the short-term group (3.2 per 100 person-years); nor did incidence of hemorrhagic events (0.8 and 3.2 per 100 person-years, respectively). The period of DAPT was not significantly associated with incidence rates of ischemic stroke or hemorrhagic events. CONCLUSIONS: Duration of DAPT was not associated with the incidence of ischemic stroke in the first 15 months after SACE.

DOI： 10.1136/jnis-2023-020495

医学生の脳神経外科カテーテル及び顕微鏡下縫合実習に対するブルームのタキソノミーは履修時期で変化する

胡谷侑貴, 春間純, 三好智子, 平松匡文, 佐々田晋, 山岡陽子, 菅原千明, 木村颯, 枝木久典, 永瀬喬之, 川上真人, 五月女悠太, 杉生憲志

医学教育 54 ( Suppl. ) 203 - 203 2023年7月

SAH/Spasmの基礎研究高脂血症ラットにおけるくも膜下出血後脳血管攣縮および早期脳損傷の検討

西和彦, 菱川朋人, 高橋悠, 劉克約, 枝木久典, 木村颯, 胡谷侑貴, 佐藤悠, 山岡陽子, 村井智, 春間純, 平松匡文, 杉生憲志, 西堀正洋, 伊達勲

くも膜下出血と脳血管攣縮 38 65 - 65 2023年7月

日本脳神経血管内治療学会アンケート調査結果脳血管内治療の「ダイバーシティ」と「ワンチーム」

坂井千秋, 榎本由貴子, 杉生憲志, 岡原美香, 坂本誠, 寿美田一貴, 檜垣鮎帆, 松丸祐司, 矢澤由加子

脳血管内治療 8 ( 1 ) 1 - 8 2023年6月

記述言語：日本語出版者・発行元：(NPO)日本脳神経血管内治療学会

【目的】1999年6月に男女共同参画社会基本法が公布・施行され,現在は第5次男女共同参画基本計画に沿った取り組みが各所で進められている.2021年には日本脳神経血管内治療学会(以下,JSNET(The Japanese Society for Neuroendovascular Therapy))においても男女共同参画委員会が設置され,「ダイバーシティ推進委員会」として活動を開始した.今回,学会員の現状と多様性社会に対するニーズを調査するため,全医師会員に向け職場環境等に関する調査を実施した.【方法】JSNET医師会員4,374名に対し,アンケート調査を行った.調査期間は2021年8月2日から同年9月12日までとした.【結果】848名,19.4%から回答を得た.男性95%,女性5%,脳神経外科医91%,神経内科医6%,放射線科医1%で,専門医は77%であった.育児等のライフイベントによる周囲への負担,また自身のキャリア形成への影響等の問題はあるが,両性が在籍する環境が望ましいという意見が多数を占めた.【結論】男女ともに,キャリア継続は労働環境の改善に寄与する.相互理解の下,性差なくキャリア継続を目指せる仕組み作りが重要である.(著者抄録)

その他リンク： https://search.jamas.or.jp/default/link?pub_year=2023&ichushi_jid=J06751&link_issn=&doc_id=20230629220001&doc_link_id=10.20626%2Fnkc.oa.2022-0013&url=https%3A%2F%2Fdoi.org%2F10.20626%2Fnkc.oa.2022-0013&type=J-STAGE&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00007_3.gif

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