研究者詳細 - 杉生　憲志

論文 - 杉生　憲志

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破裂解離性動脈瘤の母血管温存治療の中長期成績

杉生憲志, 菱川朋人, 平松匡文, 春間純, 高橋悠, 村井智, 山岡陽子, 西和彦, 胡谷侑貴, 佐藤悠, 伊達勲

脳血管内治療 5 ( Suppl. ) 16 - 16 2020年11月

ラット中大脳動脈閉塞モデルにおけるcrossed cerebellar diaschisis

西和彦, 木谷尚哉, 杉生憲志, 菱川朋人, 安原隆雄, 平松匡文, 西廣真吾, 高橋悠, 村井智, 山岡陽子, 佐藤悠, 胡谷侑貴, 伊達勲

脳循環代謝 32 ( 1 ) 125 - 125 2020年11月

Posterior Condylar Canal硬膜動静脈瘻に対して経静脈的塞栓術を行った1例

河内哲, 平松匡文, 杉生憲志, 山岡陽子, 西和彦, 村井智, 高橋悠, 春間純, 菱川朋人, 伊達勲

脳血管内治療 5 ( 4 ) 155 - 160 2020年11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】経静脈的塞栓術にて治療したposterior condylar canal(PCC)近傍の硬膜動静脈瘻を経験したので報告する.【症例】60代男性.持続的な拍動性耳鳴を主訴に受診.脳血管撮影にて上行咽頭動脈,後頭動脈からのfeederがPCC前方の骨内shunted pouchに流入し,左posterior condylar vein(PCV)に流出していた.局所麻酔下にshunted pouchからPCV内を経静脈的に塞栓し,術後に合併症は認めなかった.【結語】PCC近傍の硬膜動静脈瘻は稀であるが,その診断および治療には解剖学的理解および3次元回転撮影の再構成が非常に有用であった.(著者抄録)

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その他リンク： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2020&ichushi_jid=J06751&link_issn=&doc_id=20201127220001&doc_link_id=%2Fcf5nokec%2F2020%2F000504%2F001%2F0155-0160%26dl%3D0&url=https%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Fcf5nokec%2F2020%2F000504%2F001%2F0155-0160%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

右上腕動脈アプローチでの左内頸動脈選択可否の検討

佐藤悠, 春間純, 杉生憲志, 菱川朋人, 平松匡文, 高橋悠, 村井智, 西和彦, 山岡陽子, 胡谷侑貴, 伊達勲

脳血管内治療 5 ( Suppl. ) 123 - 123 2020年11月

硬膜動静脈瘻の経静脈的塞栓術に対する内頸静脈直接穿刺の有用性

木村颯, 春間純, 菱川朋人, 胡谷侑貴, 佐藤悠, 西和彦, 村井智, 高橋悠, 平松匡文, 杉生憲志, 伊達勲

脳血管内治療 5 ( Suppl. ) 87 - 87 2020年11月

頸部内頸動脈のfenestrationと頸部内頸動脈解離を併発した一例

枝木久典, 春間純, 西和彦, 山岡陽子, 高橋悠, 平松匡文, 菱川朋人, 杉生憲志, 伊達勲

脳血管内治療 5 ( Suppl. ) 120 - 120 2020年11月

当院でのFlow diverterを用いた血管内治療成績の検討

春間純, 杉生憲志, 胡谷侑貴, 佐藤悠, 西和彦, 山岡陽子, 村井智, 高橋悠, 平松匡文, 菱川朋人, 伊達勲

脳血管内治療 5 ( Suppl. ) 47 - 47 2020年11月

Cone-beam CT fusion画像を用いたflow diverter留置後の経時的変化の検討

胡谷侑貴, 春間純, 杉生憲志, 菱川朋人, 平松匡文, 高橋悠, 村井智, 西和彦, 山岡陽子, 佐藤悠

脳血管内治療 5 ( Suppl. ) 51 - 51 2020年11月

Terminal type動脈瘤に対するsingle neck-bridging techniqueの適応と限界

村井智, 杉生憲志, 菱川朋人, 平松匡文, 春間純, 高橋悠, 西和彦, 山岡陽子, 佐藤悠, 胡谷侑貴, 伊達勲

脳血管内治療 5 ( Suppl. ) 42 - 42 2020年11月

未破裂前大脳動脈-副中大脳動脈分岐部動脈瘤に対しコイル塞栓術を施行した1例

西和彦, 杉生憲志, 菱川朋人, 平松匡文, 春間純, 高橋悠, 村井智, 山岡陽子, 佐藤悠, 胡谷侑貴, 伊達勲

脳血管内治療 5 ( Suppl. ) 46 - 46 2020年11月

複雑な中大脳動脈瘤に対する血管内治療の有用性

菱川朋人, 春間純, 平松匡文, 杉生憲志, 伊達勲

脳血管内治療 5 ( Suppl. ) 25 - 25 2020年11月

Detailed Arterial Anatomy and Its Anastomoses of the Sphenoid Ridge and Olfactory Groove Meningiomas with Special Reference to the Recurrent Branches from the Ophthalmic Artery. 国際誌

M Hiramatsu, K Sugiu, T Hishikawa, J Haruma, Y Takahashi, S Murai, K Nishi, Y Yamaoka, Y Shimazu, K Fujii, M Kameda, K Kurozumi, I Date

AJNR. American journal of neuroradiology 2020年10月

記述言語：英語掲載種別：研究論文（学術雑誌）

BACKGROUND AND PURPOSE: Detailed arterial anatomy of the sphenoid ridge and olfactory groove meningiomas is complicated due to the fine angioarchitecture and anastomoses between each feeder. Herein, we present details of the arterial anatomy and the relationships of feeders in these lesions. MATERIALS AND METHODS: This study included 20 patients admitted to our department between April 2015 and March 2020. Conditions of subjects consisted of 16 sphenoid ridge meningiomas and 4 olfactory groove meningiomas. We mainly analyzed arterial anatomy using 3D rotational angiography and slab MIP images of these lesions. We also analyzed the anastomoses of each feeder. RESULTS: We found that 19 (95%), 15 (75%), and 15 (75%) lesions had feeders from the ophthalmic, internal carotid, and external carotid arteries, respectively. As feeders from the ophthalmic artery, recurrent meningeal arteries were involved in 18 lesions (90%). Fifteen lesions (75%) had anastomoses between each feeder. CONCLUSIONS: Most of the meningiomas in the sphenoid ridge and olfactory groove had feeders from the ophthalmic and internal carotid arteries. There were various anastomoses between each feeder. This is the first report to demonstrate the detailed arterial anatomy and frequency of recurrent branches from the ophthalmic artery and their anastomoses using detailed imaging techniques.

DOI： 10.3174/ajnr.A6790

PubMed

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脳血管疾患の画像読み解きトレーニング─AVM─ 招待

西和彦、杉生憲志

BRAIN NURSING 36 ( 10 ) 982 - 982 2020年10月

脳血管疾患の画像読み解きトレーニング─頚動脈狭窄─ 招待

胡谷侑貴、杉生憲志

BRAIN NURSING 36 ( 10 ) 978 - 978 2020年10月

頭部外傷の画像読み解きトレーニング─びまん性軸索損傷─

佐藤悠、杉生憲志

BRAIN NURSING 36 ( 10 ) 1014 - 1014 2020年10月

Detection of the common origin of the radiculomedullary artery with the feeder of spinal dural arteriovenous fistula using slab maximum intensity projection image 国際誌

Masafumi Hiramatsu, Kenji Sugiu, Takao Yasuhara, Tomohito Hishikawa, Jun Haruma, Yu Takahashi, Satoshi Murai, Kazuhiko Nishi, Yoko Yamaoka, Isao Date

NEURORADIOLOGY 62 ( 10 ) 1285 - 1292 2020年10月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：SPRINGER

Purpose Endovascular therapy to the spinal dural arteriovenous fistula (SDAVF) with a common origin of the radiculomedullary artery and the feeder of the shunt has the risk of spinal cord infarction. This study aimed to retrospectively assess the detection rate of normal spinal arteries from the feeder of SDAVF. Methods We retrospectively collected the angiographic and clinical data of SDAVFs. This study included 19 patients with 20 SDAVF lesions admitted to our department between January 2007 and December 2018. We assessed the detection rate of normal radiculomedullary artery branched from the feeder of SDAVF between the period using the image intensifier (II) and flat panel detector (FPD) and evaluated the treatment results. Results The detection rates of the radiculomedullary artery branched from the feeder of SDAVF were 10% (1/10 lesions) during the II period and 30% (3/10 lesions) during the FPD period. During the FPD period, all normal radiculomedullary arteries branched from the feeder were only detected on slab maximum intensity projection (MIP) images of rotational angiography, and we could not detect them in 2D or 3D digital subtraction angiography. All lesions that had a common origin of a normal radiculomedullary artery and the feeder were completely obliterated without complications. There was no recurrence during the follow-up period. Conclusions The flat panel detector and slab MIP images seem to show the common origin of the normal radiculomedullary arteries from the feeder more accurately. With detailed analyses, SDAVF can be safety treated.

DOI： 10.1007/s00234-020-02466-0

Web of Science

PubMed

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Detection of the common origin of the radiculomedullary artery with the feeder of spinal dural arteriovenous fistula using slab maximum intensity projection image 国際誌

Masafumi Hiramatsu, Kenji Sugiu, Takao Yasuhara, Tomohito Hishikawa, Jun Haruma, Yu Takahashi, Satoshi Murai, Kazuhiko Nishi, Yoko Yamaoka, Isao Date

Neuroradiology 62 ( 10 ) 1285 - 1292 2020年10月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Springer Science and Business Media LLC

PURPOSE: Endovascular therapy to the spinal dural arteriovenous fistula (SDAVF) with a common origin of the radiculomedullary artery and the feeder of the shunt has the risk of spinal cord infarction. This study aimed to retrospectively assess the detection rate of normal spinal arteries from the feeder of SDAVF. METHODS: We retrospectively collected the angiographic and clinical data of SDAVFs. This study included 19 patients with 20 SDAVF lesions admitted to our department between January 2007 and December 2018. We assessed the detection rate of normal radiculomedullary artery branched from the feeder of SDAVF between the period using the image intensifier (II) and flat panel detector (FPD) and evaluated the treatment results. RESULTS: The detection rates of the radiculomedullary artery branched from the feeder of SDAVF were 10% (1/10 lesions) during the II period and 30% (3/10 lesions) during the FPD period. During the FPD period, all normal radiculomedullary arteries branched from the feeder were only detected on slab maximum intensity projection (MIP) images of rotational angiography, and we could not detect them in 2D or 3D digital subtraction angiography. All lesions that had a common origin of a normal radiculomedullary artery and the feeder were completely obliterated without complications. There was no recurrence during the follow-up period. CONCLUSIONS: The flat panel detector and slab MIP images seem to show the common origin of the normal radiculomedullary arteries from the feeder more accurately. With detailed analyses, SDAVF can be safety treated.

DOI： 10.1007/s00234-020-02466-0

PubMed

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その他リンク： http://link.springer.com/article/10.1007/s00234-020-02466-0/fulltext.html

脳神経血管内治療領域のインパクトのあった最新論文

胡谷侑貴、村井智、杉生憲志

Rad Fan 18 ( 11 ) 52 - 55 2020年9月

脳神経領域の意義とやりがい─神経科学に必要な知識・技術・夢─特別座談会招待

阿部康二、伊達勲、山下徹、杉生憲志、小笠原邦昭

脳神経外科速報 30 ( 8 ) 808 - 818 2020年8月

Osseous arteriovenous fistulas in the dorsum sellae, clivus, and condyle 国際誌

Masafumi Hiramatsu, Kenji Sugiu, Jun Haruma, Tomohito Hishikawa, Yu Takahashi, Satoshi Murai, Kazuhiko Nishi, Yoko Yamaoka, Isao Date

NEURORADIOLOGY 63 ( 1 ) 133 - 140 2020年8月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：SPRINGER

Purpose Arteriovenous fistulas (AVFs) located in the cavernous sinus (CS), clivus, and condyle can be osseous shunts in nature. Here, we reviewed the angioarchitecture, clinical characteristics, and treatment results of AVFs in these lesions. Methods Twenty-five patients with 27 lesions who underwent rotational angiography in our department between May 2013 and December 2019 were reviewed. We examined 20 CS AVFs, 2 clival AVFs, and 5 condylar AVFs. We divided the anatomical shunted pouches into five locations: the dorsum sellae (posteromedial of the CS), posterolateral wall of the CS, lateral wall of the CS, clivus, and condyle. We divided the AVFs into three categories: intraosseous, transitional, and nonosseous shunts. We analyzed the characteristics and treatment results. Results A total of 33 shunted pouches or points were identified in 27 lesions. The dorsum sellae (n = 16) was the most frequent location. Fourteen AVFs (88%) in the dorsum sellae were osseous (intraosseous or transitional) shunts. All AVFs in the clivus or condyle were also osseous shunts. Eleven lesions (92%) of intraosseous and all lesions of transitional shunts exhibited bilateral external carotid artery involvement as feeders. Ten lesions (83%) of intraosseous shunts were treated with selective transvenous embolization of the shunted pouch with or without additional partial embolization of the sinus. Eleven (92%) intraosseous shunts were completely occluded, and symptom resolution was achieved in all intraosseous shunts. Conclusion Most of the CS AVFs with shunted pouches in the dorsum sellae and all of the AVFs in the clivus and condyle share similar characteristics.

DOI： 10.1007/s00234-020-02506-9

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