脳血管障害疾患の外科的治療の現状と今後の課題:―第40回日本脳卒中の外科学会特別企画報告―
スポンサーリンク
概要
- 論文の詳細を見る
The treatment for cerebrovascular disease has recently drastically changed. Novel endovascular interventions have been introduced and rapidly advanced. Consequently, many cases are being treated by newly developed endovascular interventions. We conducted a nationwide questionnaire survey covering all 3,021 members of the Japanese Society on Surgery for Cerebral Stroke and analyzed the 1,043 (34.5%) replies. The Japan Neurosurgical Society furnished us with the official data: the numbers of neurosurgeons in Japan, neurosurgical wards and institutes, surgeries (cerebrovascular disease, others), and kinds of operable conditions. These data are from 2001 to 2010. The numbers of new neurosurgeons have decreased during the last decade. However, the number of brain surgeries has increased, increasing the burden on neurosurgeons. Coil embolization accounted for 32% of treated unruptured cerebral aneurysms and 24% of treated ruptured cerebral aneurysms in Japan in 2010. The rate of coil embolization in the U.S. is twice that in Japan. If coil embolization increases in Japan as it has in the U.S., Japan will have to double the number of its neurointerventional specialists in the near future. However, the results of questionnaire indicated it will be difficult to obtain the required number of neurointerventional specialists in this country due to a decline in the number of training institutes. Further discussion between the fields of cerebrovascular surgery and neuro-endovascular intervention is indispensable to developing the proper educational system in Japan for the near and long term.
- 一般社団法人 日本脳卒中の外科学会の論文
一般社団法人 日本脳卒中の外科学会 | 論文
- 頸部内頸動脈のｎｅａｒ ｏｃｃｌｕｓｉｏｎに対するＳＴＡ‐ＭＣＡ吻合術
- 未破裂脳動脈瘤の外科手術の合併症とその対策―慢性硬膜下血腫および後頭蓋窩出血の発生予防―:―慢性硬膜下血腫および後頭蓋窩出血の発生予防―
- 周術期管理指針に基づいたもやもや病に対する血行再建術:―急性期脳血流評価と予防的降圧の効果と限界―
- 未破裂脳動脈瘤クリッピング術の治療成績‐脳動脈瘤手術初心者の経験‐:―脳動脈瘤手術初心者の経験―
- 脳底動脈上小脳動脈分岐部動脈りゅう５８手術例の検討