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Development of embolic material made from polyurethane for the treatment of cerebral aneurysms.

Research Project

Project/Area Number 22591579
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Cerebral neurosurgery
Research InstitutionTokyo Medical and Dental University

Principal Investigator

YOSHINO Yoshikazu  東京医科歯科大学, 大学院・医歯学総合研究科, 講師 (70323681)

Co-Investigator(Kenkyū-buntansha) NARIAI Tadashi  東京医科歯科大学, 医歯学総合研究科, 講師 (00228090)
AOYAGI Masaru  東京医科歯科大学, 医歯学総合研究科, 准教授 (40134704)
KAWANO Yoshihisa  東京医科歯科大学, 医歯学総合研究科, 助教(H22, H23) (90516296)
Project Period (FY) 2010 – 2012
Project Status Completed (Fiscal Year 2012)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2012: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2011: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2010: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords脳血管内外科学 / 生体材料 / 脳血管内手術 / 脳血管障害
Research Abstract

We coordinated the foaming density of the pore structure of polyurethane to enable to insert them into the microcatheter. We also customized this in filamentous form and put the nylon thread in the center of the foam as a core wire. These modifications were enabled us to manipulate them in the microcatheter, such as insertion and attraction, and these capabilities are inherent in standard metallic coils that have been used clinically. Furthermore, we attached some small metal markers to this material and improved its visibility under X-ray fluoroscope. In the animal experiment, there was agood neointimal covering in the surface of the aneurysm inlet (neck). In histopathological examination, fibrous tissue growth into its pore structure was obvious, and it was suggested that this material adapted well to vital reaction in aneurysmal healing in vivo. On the other hand, since this material has high radiolucency, the evaluation of the packing density in the aneurysm sac could not be accurate. For the introduction of this material to the clinical neuro-interventional field, the further improvement of the delivery system was necessary.

Report

(4 results)
  • 2012 Annual Research Report   Final Research Report ( PDF )
  • 2011 Annual Research Report
  • 2010 Annual Research Report
  • Research Products

    (33 results)

All 2013 2012 2011 2010

All Journal Article (9 results) (of which Peer Reviewed: 5 results) Presentation (23 results) Book (1 results)

  • [Journal Article] 血管内治療の長期成績2013

    • Author(s)
      吉野義一
    • Journal Title

      Current Insights in Neurological Science

      Volume: 19-20

    • Related Report
      2012 Annual Research Report
  • [Journal Article] Clinical characteristics andsurgical outcomes of patients with aneurysmal subarachnoid hemorrhage and acute subdural hematoma undergoing decompressive craniectomy2011

    • Author(s)
      Otani N,Takasato Y, Masaoka H, Hayakawa T, Yoshino Y, Yatsushige H, Miyawaki H, Sumiyoshi K, Sugawara T, Chikashi A,Takeuchi S, Suzuki G
    • Journal Title

      World Neurosurg

      Volume: 75(1) Issue: 1 Pages: 73-7

    • DOI

      10.1016/j.wneu.2010.10.021

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Clinical characteristics and surgical outcomes of patients with aneurysmal subarachnoid hemorrhage and acute subdural hematoma undergoing decompressive craniectomy2011

    • Author(s)
      吉野義一
    • Journal Title

      World Neurosurgery

      Volume: 75(1) Pages: 73-77

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Hemorrhagic encephalitis associated with Epstein-Barr virus infection2010

    • Author(s)
      Takeuchi S, Takasato Y, Masaoka H, Hayakawa T, Otani N, Yoshino Y, Yatsushige H, Sugawara T
    • Journal Title

      J Clin Neurosci

      Volume: 17(1) Issue: 1 Pages: 153-4

    • DOI

      10.1016/j.jocn.2009.03.043

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Prognosis for severe traumaticbrain injury patients treated with bilateral decompressive craniectomy2010

    • Author(s)
      Yatsushige H, Takasato Y, Masaoka H, Hayakawa T,Otani N, Yoshino Y, Sumiyoshi K,Sugawara T, Miyawaki H, Aoyagi C, Takeuchi S, Suzuki G
    • Journal Title

      Acta NeurochirSuppl.

      Volume: 106 Issue: 8 Pages: 265-70

    • DOI

      10.1007/s00701-002-0948-z

    • Related Report
      2012 Final Research Report
  • [Journal Article] Surgical outcome following a decompressive craniectomy for acute epidural hematoma patients presenting with associated massive brain swelling2010

    • Author(s)
      Otani N, Takasato Y, Masaoka H, Hayakawa T, Yoshino Y, Yatsushige H, Miyawaki H, Sumiyoshi K, Sugawara T, Chikashi A, Takeuchi S, Suzuki G
    • Journal Title

      Acta Neurochir Suppl

      Volume: 106 Pages: 261-4

    • DOI

      10.1007/978-3-211-98811-4_49

    • ISBN
      9783211987582, 9783211988114
    • Related Report
      2012 Final Research Report
  • [Journal Article] Significance of monitoring theinitial intracranial pressure on hematoma irrigation with trephination therapy foracute subdural hematomas in critical conditions2010

    • Author(s)
      Otani N, Takasato Y, Masaoka H, Hayakawa T, Yoshino Y, Yatsushige H, Miyawaki H, Sumiyoshi K, Sugawara T, Chikashi A, Takeuchi S, Suzuki G
    • Journal Title

      Acta Neurochir Suppl

      Volume: 106 Pages: 257-60

    • DOI

      10.1007/978-3-211-98811-4_48

    • ISBN
      9783211987582, 9783211988114
    • Related Report
      2012 Final Research Report
  • [Journal Article] Progressive subdural hematomasafter epidural blood patch for spontaneous intracranial hypotension2010

    • Author(s)
      Takeuchi S, Takasato Y, Masaoka H, Hayakawa T, Otani N, Yoshino Y, Yatsushige H,Sugawara T
    • Journal Title

      J Anesth.

      Volume: 24(2) Pages: 315-6

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Middle cerebral artery occlusion resulting from hypereosinophilic syndrome2010

    • Author(s)
      Takeuchi S, Takasato Y, Masaoka H,Hayakawa T, Otani N, Yoshino Y, Yatsushige H, Sugawara T
    • Journal Title

      J Clin Neurosci

      Volume: 17(3) Issue: 3 Pages: 377-8

    • DOI

      10.1016/j.jocn.2009.05.033

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Presentation] もやもや病患者における3D回転DSA統合画像の有用性2012

    • Author(s)
      吉野義一,成相直,東森俊樹,三木一徳,井上雅人、有村公一,青柳傑,前原健寿,田中洋次,稲次基希、上田泰弘,原祥子,根本繁
    • Organizer
      第28回日本脳神経血管内治療学会学術総会
    • Place of Presentation
      仙台
    • Year and Date
      2012-11-16
    • Related Report
      2012 Final Research Report
  • [Presentation] 若年性鼻咽頭血管線維腫に対する塞栓術2012

    • Author(s)
      吉野義一,根本繁,東森俊樹,三木一徳,井上雅人,青柳傑,大野喜久郎,岸本誠司,角田篤信,喜多村健
    • Organizer
      第28回日本脳神経血管内治療学会学 術 総 会
    • Place of Presentation
      仙台
    • Year and Date
      2012-11-15
    • Related Report
      2012 Final Research Report
  • [Presentation] 若年性鼻咽頭血管線維腫に対する内視鏡を用いた直接穿刺塞栓術2012

    • Author(s)
      吉野義一根本繁東森俊樹三木一徳井上雅人青柳傑大野喜久郎岸本誠司角田篤信喜多村健
    • Organizer
      第19回日本神経内視鏡学会
    • Place of Presentation
      東京
    • Year and Date
      2012-11-02
    • Related Report
      2012 Final Research Report
  • [Presentation] もやもや病患者における3D回転DSA統合画像の臨床応用 日本脳神経外科学会2012

    • Author(s)
      吉野義一,成相直,東森俊樹, 三木一徳,井上雅人、有村公一,青柳傑,前原健寿,田中洋次,稲次基希、上田泰弘,原祥子,根本繁
    • Organizer
      第71回学術総会
    • Place of Presentation
      大阪
    • Year and Date
      2012-10-19
    • Related Report
      2012 Final Research Report
  • [Presentation] Endovascular stent therapy for symptomatic spontaneous cervical carotid artery dissection: a report of two cases2012

    • Author(s)
      Yoshikazu Yoshino, Shigeru Nemoto,Toshiki Tomori, Kazunori Miki, MasatoInoue
    • Organizer
      The 10th meeting of Asian Austrarian Federation of Endovascular and Therapeutic Neuroradiology
    • Place of Presentation
      Nagoya
    • Year and Date
      2012-06-16
    • Related Report
      2012 Final Research Report
  • [Presentation] 内科治療抵抗性の頚部内頚動脈解離に対する頚動脈ステント留置術.二症例の報告2012

    • Author(s)
      吉野義一,東森俊樹,三木一徳,有村公一,井上雅人,根本繁
    • Organizer
      第11回日本頸部脳血管治療学会
    • Place of Presentation
      名古屋
    • Year and Date
      2012-06-01
    • Related Report
      2012 Final Research Report
  • [Presentation] もやもや病患者における3D回転DSA統合画像の有用性2012

    • Author(s)
      吉野義一,成相直,東森俊樹,三木一徳,井上雅人、有村公一,青柳傑,前原健寿,田中洋次,稲次基希、上田泰弘, 原祥子,根本繁
    • Organizer
      第37回日本脳卒中学会総会
    • Place of Presentation
      福岡
    • Year and Date
      2012-04-28
    • Related Report
      2012 Annual Research Report 2012 Final Research Report
  • [Presentation] 若年性鼻咽頭血管線維腫の塞術栓2012

    • Author(s)
      吉野義一、根本繁、東森俊樹、三木一徳、井上雅人、青柳傑、大野喜久郎、岸本誠司、角田篤信、喜多村健
    • Organizer
      第20回Intravascular Neurosurgery Winter Seminar
    • Place of Presentation
      赤倉観光ホテル
    • Year and Date
      2012-03-01
    • Related Report
      2012 Final Research Report
  • [Presentation] Endovascular stent therapy for symptomatic spontaneous cervical carotid artery dissection: a report of two cases.2012

    • Author(s)
      Yoshikazu Yoshino
    • Organizer
      The 10th meeting of Asian Austrarian Federation of Endovascular and Therapeutic Neuroradiology
    • Place of Presentation
      名古屋
    • Related Report
      2012 Annual Research Report
  • [Presentation] 若年性鼻咽頭血管線維腫に対する塞栓術2012

    • Author(s)
      吉野義一
    • Organizer
      第28回日本脳神経血管内治療学会学術総会
    • Place of Presentation
      仙台
    • Related Report
      2012 Annual Research Report
  • [Presentation] 治療困難な脳動脈瘤に対するエンタープライズVRDを用いた血管内手術2011

    • Author(s)
      吉野義一、根本繁、三木、一徳、稲次基希、菅原貴志、河野能久、大野喜久郎
    • Organizer
      第27回日本脳神経血管内治療学会学術総会
    • Place of Presentation
      幕張
    • Year and Date
      2011-11-25
    • Related Report
      2012 Final Research Report
  • [Presentation] 頭頸部腫瘍に対する血管内治療の役割2011

    • Author(s)
      吉野義一、根本繁、三木一徳、岸野充浩、岸本誠司、青柳傑、大野喜久郎、角田篤信、喜多村健
    • Organizer
      第27回日本脳神経血管内治療学会学術総会
    • Place of Presentation
      幕張
    • Year and Date
      2011-11-25
    • Related Report
      2012 Final Research Report
  • [Presentation] 治療困難な脳動脈瘤に対するエンタープライズVRDを用いた血管内手術2011

    • Author(s)
      吉野義一
    • Organizer
      第27回日本脳神経血管内治療学会学術総会
    • Place of Presentation
      幕張メッセ
    • Year and Date
      2011-11-24
    • Related Report
      2011 Annual Research Report
  • [Presentation] Endovascular revascularization of chronic near or complete occlusion ofthe internal carotid artery2011

    • Author(s)
      Nemoto S, Namba K, Yoshino Y, Shojima M
    • Organizer
      (Oral) The11th congress of WFITN(国際脳神経血管内治療学会)
    • Place of Presentation
      Cape Town,South Africa
    • Year and Date
      2011-11-09
    • Related Report
      2012 Final Research Report
  • [Presentation] エンタープライズVRDを用いた脳動脈瘤の治療2011

    • Author(s)
      吉野義一、根本繁、三木一徳、前原健寿,成相直,青柳傑,大野喜久郎
    • Organizer
      第70回日本脳神経外科学会
    • Place of Presentation
      横浜
    • Year and Date
      2011-10-13
    • Related Report
      2012 Final Research Report
  • [Presentation] エンタープライズVRDを用いて治療した脳動脈瘤三症例の報告2011

    • Author(s)
      吉野義一、根本繁、三木一徳、前原健寿,小幡佳輝,神田仁,大野喜久郎
    • Organizer
      第36回日本脳卒中学会総会
    • Place of Presentation
      国立京都国際会館
    • Year and Date
      2011-07-30
    • Related Report
      2012 Final Research Report
  • [Presentation] エンタープライズVRDが有用であった適応外の二症例2011

    • Author(s)
      吉野義一、根本繁、三木一徳、前原健寿,小幡佳輝,神田仁,大野喜久郎
    • Organizer
      第8回脳神経血管内治療学会関東地方会
    • Place of Presentation
      日本赤十字本社ビル
    • Year and Date
      2011-06-04
    • Related Report
      2012 Final Research Report
  • [Presentation] 血管内治療科の紹介2011

    • Author(s)
      吉野義一根本繁三木一徳
    • Organizer
      新御茶ノ水セミナー
    • Place of Presentation
      東京医科歯科大学
    • Year and Date
      2011-05-28
    • Related Report
      2012 Final Research Report
  • [Presentation] 治療に難渋した高齢者重症破裂large内頸動脈瘤の一例2011

    • Author(s)
      吉野義一、根本 繁、三木一徳
    • Organizer
      第19回 Intravascular Neurosurgery Winter Seminar
    • Place of Presentation
      赤倉観光ホテル
    • Year and Date
      2011-02-11
    • Related Report
      2012 Final Research Report
  • [Presentation] 進行性脳梗塞で発症した脳底動脈高度狭窄症の1例2010

    • Author(s)
      吉野義一、根本繁
    • Organizer
      第5回Tokyo Neuro-Intervention Conference
    • Place of Presentation
      東京
    • Year and Date
      2010-12-03
    • Related Report
      2012 Final Research Report
  • [Presentation] 出血発症椎骨動脈解離性動脈瘤の臨床的特徴2010

    • Author(s)
      吉野義一、青柳傑、成相直,前原健寿,田中洋次,住吉京子,河野能久,武川麻紀,小幡佳輝,佐々木正史,大野喜久郎,根本繁
    • Organizer
      第26回日本脳神経血管内治療学会学術総会
    • Place of Presentation
      小倉
    • Year and Date
      2010-11-19
    • Related Report
      2012 Final Research Report
  • [Presentation] 出血発症椎骨動脈解離性動脈瘤の臨床的特徴2010

    • Author(s)
      吉野義一,青柳傑,成相直,前原健寿,田中洋次,住吉京子,河野能久,武川麻紀,小幡佳輝,佐々木正史,大野喜久郎
    • Organizer
      第69回日本脳神経外科学会学術総会
    • Place of Presentation
      福岡
    • Year and Date
      2010-10-29
    • Related Report
      2012 Final Research Report
  • [Presentation] 血発症椎骨動脈解離性動脈瘤の臨床的特徴2010

    • Author(s)
      吉野義
    • Organizer
      第69回日本脳神経外科学会学術総会
    • Place of Presentation
      福岡
    • Year and Date
      2010-10-29
    • Related Report
      2010 Annual Research Report
  • [Book] Current Insights inNeurological Science2013

    • Author(s)
      吉野義一、根本繁
    • Publisher
      株式会社マッキャンヘルスケアワールドワイドジャバン、血管内手術の長期成績
    • Related Report
      2012 Final Research Report

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Published: 2010-08-23   Modified: 2019-07-29  

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