{"_buckets": {"deposit": "fe8b788d-4fb3-45ed-8d66-881d03cd9209"}, "_deposit": {"created_by": 3, "id": "613", "owners": [3], "pid": {"revision_id": 0, "type": "depid", "value": "613"}, "status": "published"}, "_oai": {"id": "oai:dmu.repo.nii.ac.jp:00000613", "sets": ["43"]}, "author_link": ["2539", "2538"], "item_2_biblio_info_12": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2007-10-01", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "3", "bibliographicPageEnd": "220", "bibliographicPageStart": "213", "bibliographicVolumeNumber": "34", "bibliographic_titles": [{"bibliographic_title": "Dokkyo journal of medical sciences"}]}]}, "item_2_description_10": {"attribute_name": "抄録(日)", "attribute_value_mlt": [{"subitem_description": "近年,橈骨動脈アプローチによる冠動脈造影検査が開発され,次第にその有用性,安全性は認知されるようになった.しかし,一方で橈骨動脈アプローチは特有の解剖的異常により冠動脈までのアクセス困難な症例を認める.今回我々は特殊形状のガイドワイヤー(φwire)を開発し,その有用性を検討した. 2006年10月より2007年3月までの冠動脈造影検査を橈骨動脈アプローチで施行した138例を対象として,ガイドワイヤーは従来のアングル型のHunting wireとφwireを穿刺の前に無作為割付し,血管迷入回数と右橈骨動脈からバルサルバ洞まで透視時間を計測した. Hunting wireを使用した70例で,バルサルバ洞までカテーテルを到達させられたのは67例(H群)であった. φwireは68例の全例(φ群)でバルサルバ洞まで到達した.全対象群での平均迷入回数はH群で2.5回, φ群は0.6回であった(p\u003c0.05).また平均透視時間は, H群で26.7秒,φ群は16.9秒であった(p\u003c0.05).φwireは従来のアングル型と比較し有用であると考えられた.", "subitem_description_type": "Other"}]}, "item_2_description_11": {"attribute_name": "抄録(英)", "attribute_value_mlt": [{"subitem_description": "In recent years, the trans-radial approach for coronary angiography has been developed and refined, the usefulness and safety of the procedure have gradually been acknowledged, and there has been an increasing trend in the number of procedures. However, cases of difficult access due to vessel tortuosity or anatomical abnormalities in the radial and ascending arteries have also been observed. With this in mind, we have developed a specially shaped hydrophilic guide wire, the φwire, which facilitates easier and safer access to the coronary arteries for problematic radial approaches. This trial is prospective, randomized trial in 138 cases from October 2006 to March 2007 in the right trans-radial approach. We measured the number of miss insertions and the fluoro time. The average number of miss insertion was 2.5 times in the Hunting wire (conventional angle type) group (n=67) and 0.6 times in the φwire group (n=68, p\u003c0.05). In addition, the average fluoro time was 26.7 seconds in the Hunting wire group and 16.9 seconds in the φwire group (p\u003c0.05). We considered that the φwire is more useful than the conventional angle type in the transradial approach.", "subitem_description_type": "Other"}]}, "item_2_description_15": {"attribute_name": "表示順", "attribute_value_mlt": [{"subitem_description": "6", "subitem_description_type": "Other"}]}, "item_2_description_16": {"attribute_name": "アクセション番号", "attribute_value_mlt": [{"subitem_description": "KJ00005058717", "subitem_description_type": "Other"}]}, "item_2_description_8": {"attribute_name": "記事種別(日)", "attribute_value_mlt": [{"subitem_description": "原著", "subitem_description_type": "Other"}]}, "item_2_description_9": {"attribute_name": "記事種別(英)", "attribute_value_mlt": [{"subitem_description": "Original", "subitem_description_type": "Other"}]}, "item_2_source_id_1": {"attribute_name": "雑誌書誌ID", "attribute_value_mlt": [{"subitem_source_identifier": "AA00629581", "subitem_source_identifier_type": "NCID"}]}, "item_2_source_id_19": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "03855023", "subitem_source_identifier_type": "ISSN"}]}, "item_2_text_6": {"attribute_name": "著者所属(日)", "attribute_value_mlt": [{"subitem_text_value": "獨協医科大学越谷病院循環器内科"}]}, "item_2_text_7": {"attribute_name": "著者所属(英)", "attribute_value_mlt": [{"subitem_text_language": "en", "subitem_text_value": "Dokkyo Medical University Koshigaya Hospital, Department of Cardiology"}]}, "item_2_title_3": {"attribute_name": "論文名よみ", "attribute_value_mlt": [{"subitem_title": "トウコツ ドウミャク アプローチ ニオケル φwire ノ ユウヨウセイ ノ ケントウ"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "唐原, 悟"}, {"creatorName": "トウハラ, サトル", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "2538", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Tohara, Satoru", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "2539", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2017-05-24"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "KJ00005058717.pdf", "filesize": [{"value": "998.2 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 998200.0, "url": {"label": "KJ00005058717.pdf", "url": "https://dmu.repo.nii.ac.jp/record/613/files/KJ00005058717.pdf"}, "version_id": "b05f4748-283a-46e9-a871-57174f8cedc4"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "φwire", "subitem_subject_scheme": "Other"}, {"subitem_subject": "橈骨動脈アプローチ", "subitem_subject_scheme": "Other"}, {"subitem_subject": "血管蛇行", "subitem_subject_scheme": "Other"}, {"subitem_subject": "解剖学的異常", "subitem_subject_scheme": "Other"}, {"subitem_subject": "φwire", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "trans radial approach", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "vessel tortuosity", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "anatomical abnormalities", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "jpn"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "橈骨動脈アプローチにおけるφwireの有用性の検討", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "橈骨動脈アプローチにおけるφwireの有用性の検討"}, {"subitem_title": "Usefulness of the φwire in the Trans-radial Approach", "subitem_title_language": "en"}]}, "item_type_id": "2", "owner": "3", "path": ["43"], "permalink_uri": "https://dmu.repo.nii.ac.jp/records/613", "pubdate": {"attribute_name": "公開日", "attribute_value": "2017-05-24"}, "publish_date": "2017-05-24", "publish_status": "0", "recid": "613", "relation": {}, "relation_version_is_last": true, "title": ["橈骨動脈アプローチにおけるφwireの有用性の検討"], "weko_shared_id": 3}