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Clinicopathological study of the pathogesis of the advanced atherosclerotic occlusive lesions of carotid artery.

Research Project

Project/Area Number 04670853
Research Category

Grant-in-Aid for General Scientific Research (C)

Allocation TypeSingle-year Grants
Research Field Cerebral neurosurgery
Research InstitutionTOYAMA MEDICAL AND PHARMACEUTICAL UNIVERSITY

Principal Investigator

ENDO Shunro  Associated Professor, Neurosurgery, Toyama Medical and P.University, 医学部, 助教授 (70125269)

Co-Investigator(Kenkyū-buntansha) AKAI Takuya  Toyama M & P U.Neurosurgery assistant professor, 医学部, 助手 (50222500)
KUWAYAMA Naoya  Toyama M & P U.Neurosurgery assistant professor, 医学部・附属病院, 助手 (30178157)
Project Period (FY) 1992 – 1994
Project Status Completed (Fiscal Year 1994)
Budget Amount *help
¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 1994: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1993: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 1992: ¥700,000 (Direct Cost: ¥700,000)
Keywordscarotid artery / atherosclerosis / stenosis / occlusion / pathogenesis / plaque hemorrhage / thrombus / vasa vasorum / plaque hemorrhage / Thrombus / Carotid Artery / Aterosclerosis / Stenosis / Occlusion / Pathogenesis / Plaque Hemorrhage / Vasa Vasorum
Research Abstract

In this study, pathogenesis of an advanced atherosclerotic occlusive lesion of the carotid artery.Summary of the results are as follows and part of them has been presented in a couple of papers.
1) Clincopathological study, based on the specimens which were obtained from nearly or completely occluded lesions and by emergency endarterectomy, suggested that intraplaque hemorrhage is the most important pathogenetic factor of the advanced atheroscleotic lesions. It is also revealed that rupture of the developted vasavasorum should be cause of these intraplaque hemorrhage.
2) In experimental study, preparation of animal model with advanced atherosclerotic occlusive lesions has been continued. In conclusion, sufficient model could not be produced in the past three years, although transient pathological changes were obtained.
3) In addition to the cervical carotid arteries, development of intra-arterial wall hemorrhage and vasa vasorum were revieled in the intracranial arteries. Significance of these findings to the pathogenesis of intracranial dissecting aneurysm has benn also investigated.

Report

(4 results)
  • 1994 Annual Research Report   Final Research Report Summary
  • 1993 Annual Research Report
  • 1992 Annual Research Report
  • Research Products

    (11 results)

All Other

All Publications (11 results)

  • [Publications] 遠藤俊郎 他: "頸動脈血栓内膜切除術の手術手技と適応" Neurosurgcons. 13. 118-124 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Endo S,et al: "Clinical study of enlarged infundibular dilatation of the posterior communicating artery." J.Neurosurg. (to be published).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Endo S,Takaku A,et al.: "A pathological study of intracranial posterior circulation dissecting aneurysm with subarachnoid hemorrhage." Neurosurgery. 33. 732-738 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Endo S,Furuichi S,et al.: "Clinical study of enlarged infundibular dilatation of the communicating artery." J Neurosurg. (to be published).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Endo S,Nishijima M,et al.: "Clinicopathological study of critical carotid artery occlusive lesions." Proceedings of the 3rd international workshop on cerebrovascular surgery.Takakura K,Sasaki T (eds). 321-324 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Endo S,Nisijima M,etal: "Clinicopathological study of critical carotid artery occlusive lesions associated with ischemic symptoms." Proceedings of the international workshop. 321-324 (1993)

    • Related Report
      1994 Annual Research Report
  • [Publications] Endo S,Takaku A,et al: "A pathological study of intracranial posterior circulation dissecting aneurysm with subarachnoid hemorrhage." Neurosurgery. 33. 732-738 (1993)

    • Related Report
      1994 Annual Research Report
  • [Publications] 遠藤俊郎 他: "頸動脈血栓内壁切除術の手術手段と適応" Neurosurgeons. 13. 118-124 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] Endo S,Furuichi S,et al: "Clinical study of enlarged infundibular dilatation of the posterior communicating artery." J Neurosurg. to be published.

    • Related Report
      1994 Annual Research Report
  • [Publications] Endo S et al.: "Clinico pathelogical study of critical carotidartory occlusine lesions associated with is chemic symptoms" Proceedings of the 3rd international workshop on cerebio vascular sugery. 221-224 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Endo S.et al.: "A pathological study of intracranial posterior circulation dissocting aneurysms with sularachnoid hemorrhage." Neurosugery. 33. 732-738 (1993)

    • Related Report
      1993 Annual Research Report

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Published: 1992-04-01   Modified: 2016-04-21  

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