- 著者
- Shunsuke OMODAKA Yasushi MATSUMOTO Takeshi FUJIMORI Hiroyuki SAKATA Kenichi SATO Kuniyasu NIIZUMA Hidenori ENDO Teiji TOMINAGA
- 出版者
- The Japan Neurosurgical Society
- 雑誌
- Neurologia medico-chirurgica (ISSN:04708105)
- 巻号頁・発行日
- pp.2023-0082, (Released:2023-09-23)
- 参考文献数
- 18
- 被引用文献数
- 1
Endovascular treatment of wide-necked bifurcation aneurysms (WNBAs) remains challenging despite using a stent. PulseRider is a novel device specifically designed to treat WNBAs, protecting both daughter branches, but the outcomes have not been compared with conventional single stent-assisted embolization. This study aimed to compare the six-month outcomes of PulseRider and single stent-assisted embolization for intracranial unruptured WNBAs using propensity score adjustment. Between February 2012 and October 2021, 46 unruptured WNBAs (34 basilar and 12 middle cerebral arteries) smaller than 10 mm in diameter were treated with PulseRider-assisted embolization (n = 17) or single stent-assisted embolization (n = 29). The immediate and six-month outcomes were compared using inverse probability of treatment weighting analysis. The immediate adequate occlusion rates for the PulseRider- and single stent-assisted embolization were similar (47.1% vs. 62.1%). At six months, adequate occlusion rates for the two groups were also similar (94.1% vs. 86.2%). However, the complete obliteration rate was significantly high after PulseRider-assisted embolization (88.2% vs. 41.4%, adjusted OR 10.54, 95% CI 1.93-57.63). The angiographical improvement rate was also significantly high after PulseRider-assisted embolization (70.6% vs. 37.9%, adjusted OR 6.06, 95% CI 1.54-23.76). The neurologic thromboembolic complication rate was 0% after PulseRider-assisted embolization and 3.4% after single stent-assisted embolization. PulseRider-assisted embolization of WNBAs smaller than 10 mm in diameter was associated with complete obliteration and angiographical improvement at six months. The unique shape of the PulseRider might contribute to the improved midterm aneurysm occlusion.
- 著者
- Kenichi Sato Takuro Fujikawa
- 出版者
- The Japanese Geotechnical Society
- 雑誌
- Japanese Geotechnical Society Special Publication (ISSN:21888027)
- 巻号頁・発行日
- vol.3, no.2, pp.65-70, 2015-09-30 (Released:2016-05-28)
- 参考文献数
- 3
- 被引用文献数
- 1 5
The recent increase in the generation and use of coal fly ash by electric power stations and various industries has contributed to Japan developing technology to facilitate the utilization of fly ash as ground material, including the use of fly ash for fills and embankments, pavement and subbase courses, subgrade stabilizations, landfill cover, soil improvement, land reclamation, slurried flowable ash and water pollution control. This paper describes the state of the art related to coal fly ash utilization as geo-material in Japan. In particular, this paper describes the material properties and technology associated with each technique. As coal fly ash contains a very small amount of heavy metal which should be considered for geo-environmental safety, this paper also discusses quality and inspection techniques for coal fly ash materials.