| アイテムタイプ |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2025-08-27 |
| タイトル |
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タイトル |
Ophthalmic Artery Feeders in Meningioma Reduce the Effectiveness of Transarterial Embolization With n-Butyl Cyanoacrylate |
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言語 |
en |
| 言語 |
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|
言語 |
eng |
| キーワード |
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言語 |
en |
|
キーワード |
Embolization |
| キーワード |
|
|
言語 |
en |
|
キーワード |
Meningioma |
| キーワード |
|
|
言語 |
en |
|
キーワード |
n-Butyl-Cyanoacrylate |
| キーワード |
|
|
言語 |
en |
|
キーワード |
Ophthalmic artery |
| 資源タイプ |
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資源タイプ |
journal article |
| アクセス権 |
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アクセス権 |
open access |
| 著者 |
Takenaka, Tomofumi
Nishida, Takeo
Takagaki, Masatoshi
沖田, 典子
WEKO
35599
| ja |
沖田, 典子
宮崎大学
|
| ja-Kana |
オキタ, ヨシコ
|
| en |
Okita, Yoshiko
University of Miyazaki
|
Search repository
Kijima, Noriyuki
Hirayama, Ryuichi
Matsui, Yuichi
Yamada, Shuhei
Fukuda, Tatsumaru
Nakagawa, Ryota
Matsumura, Takaki
Nakamura, Hajime
Kagawa, Naoki
Kishima, Haruhiko
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| 抄録 |
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内容記述タイプ |
Abstract |
|
内容記述 |
Background
N-butyl cyanoacrylate (n-BCA) is often used for preoperative transarterial embolization (TAE) of meningiomas. However, factors affecting the embolization effect with n-BCA remain unclear. This study aimed to clarify the factors associated with the embolization rate after TAE using n-BCA in meningioma, from the aspect of feeder architecture.
Methods
We retrospectively analyzed 62 patients with meningioma who underwent preoperative TAE with n-BCA between 2016 and 2021. Patient variables, including characteristics, intraoperative findings, and outcomes, were collected. Feeder architecture was classified into 7 groups: 1) internal maxillary artery, 2) occipital artery, 3) ascending pharyngeal artery, 4) posterior meningeal artery, 5) infraclinoidal internal carotid artery, 6) ophthalmic artery (OphA), and 7) pial feeder group, based on preoperative angiography. We set primary outcome as the embolization rate, representing the reduction rate of the gadolinium-enhanced lesion volume observed on contrast-enhanced magnetic resonance imaging. Angiographic findings following n-BCA injection were classified as feeder occlusion or intratumoral embolization. We analyzed the factors associated with the embolization rate.
Results
The OphA feeder group showed a decrease in the embolization rate (P = 0.008). The number of feeder groups with intratumoral embolization showed a robust positive correlation (r = 0.557). The OphA feeder group showed an increase in the number of feeder groups (P < 0.001) and larger tumor volume (P = 0.005).
Conclusions
The OphA feeder group was associated with a lower embolization rate. Our study suggested that the vascular architecture in meningioma affected the efficacy of TAE with n-BCA. |
|
言語 |
en |
| 書誌情報 |
en : World Neurosurgery
巻 194,
p. 123463,
発行日 2025-02
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| 出版者 |
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出版者 |
Elsevier |
|
言語 |
en |
| ISSN |
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|
収録物識別子タイプ |
EISSN |
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収録物識別子 |
18788769 |
| ISSN |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
18788750 |
| DOI |
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関連タイプ |
isVersionOf |
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|
識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.1016/j.wneu.2024.11.046 |
| 著者版フラグ |
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出版タイプ |
VoR |
Fulltext (1.1 MB)
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