{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390001204639560320.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.3995/jstroke.10421"}},{"identifier":{"@type":"URI","@value":"https://www.jstage.jst.go.jp/article/jstroke/39/2/39_10421/_pdf"}},{"identifier":{"@type":"NAID","@value":"130005475762"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2017188271"}}],"dc:title":[{"@language":"ja","@value":"経動脈ならびに経静脈の双方向同時塞栓が有効であった傍脊椎動静脈瘻の1 例"},{"@language":"en","@value":"A case of paravertebral arteriovenous fistula treated bidirectionally by simultaneous transarterial and transvenous embolization"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"A 25-year-old woman with a right neck swelling visited her local hospital, where paravertebral arteriovenous fistula (PAVF) was diagnosed. The PAVF was fed mainly by the ascending cervical artery and also by the subcutaneous cervical, external cervical, and vertebral arteries, and it drained via multiple fistulas and a varix into the paravertebral venous plexus. Ligation of the main feeding artery and transarterial embolization were performed, but the PAVF recurred, so the patient was referred to our hospital, where angiography revealed multiple high-flow feeding arteries, fistulas, and draining veins. We adopted a bidirectional treatment strategy, combining transarterial and transvenous catheterization and coil embolization. The fistulas were obliterated, and 1-year follow-up angiography showed no signs of recurrence. PAVF is a rare condition involving spinal vascular malformations and for which there is no established treatment strategy. Simultaneous transarterial and transvenous embolization should be considered for PAVF with a complex angioarchitecture."},{"@language":"ja","@value":"25 歳女性．右頸部腫瘤を主訴に他院を受診し皮下頸部動脈や椎骨動脈，外頸動脈からの多数の流入血管を有し，複数の瘻孔から皮下静脈瘤を経由して傍脊椎静脈叢へ流出する傍脊椎動静脈瘻（PAVF）を指摘された．主たる流入路の上行頸動脈を頸部切開で結紮したが側副血行のため根治せず，経動脈的塞栓術を行うも再発し当科紹介となった．多数の流入血管と瘻孔からなる複雑な血管構築のため，全ての血管を網羅するように動脈と静脈双方にカテーテルを誘導しコイルで塞栓した．瘻孔は消失し1 年後の血管撮影でも再発は認めない．PAVF はまれな脊髄シャント性疾患であり確立された治療法はない．血行動態が複雑なPAVF に対する経動脈的および経静脈的な同時塞栓は試みるべき有効な治療法の一つである．"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410001204639560321","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000347163448"}],"foaf:name":[{"@language":"ja","@value":"和久井 大輔"},{"@language":"en","@value":"Wakui Daisuke"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"},{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204639560322","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000347163449"}],"foaf:name":[{"@language":"ja","@value":"伊藤 英道"},{"@language":"en","@value":"Ito Hidemichi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"},{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204639560325","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000347163450"}],"foaf:name":[{"@language":"ja","@value":"佐瀬 泰玄"},{"@language":"en","@value":"Sase Taigen"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"},{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204639560324","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000347163451"}],"foaf:name":[{"@language":"ja","@value":"小野寺 英孝"},{"@language":"en","@value":"Onodera Hidetaka"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine, Yokohama City Seibu Hospital"},{"@language":"ja","@value":"同横浜市西部病院脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204639560323","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000347163452"}],"foaf:name":[{"@language":"ja","@value":"大塩 恒太郎"},{"@language":"en","@value":"Oshio Kotaro"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"},{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204639560320","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000347163453"}],"foaf:name":[{"@language":"ja","@value":"田中 雄一郎"},{"@language":"en","@value":"Tanaka Yuichiro"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"},{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"09120726"},{"@type":"LISSN","@value":"09120726"},{"@type":"EISSN","@value":"18831923"}],"prism:publicationName":[{"@language":"en","@value":"Japanese Journal of Stroke"},{"@language":"ja","@value":"脳卒中"},{"@language":"en","@value":"Nosotchu"},{"@language":"en","@value":"Jpn. J. Stroke"},{"@language":"ja","@value":"脳卒中"}],"dc:publisher":[{"@language":"en","@value":"The Japan Stroke Society"},{"@language":"ja","@value":"一般社団法人 日本脳卒中学会"}],"prism:publicationDate":"2017","prism:volume":"39","prism:number":"2","prism:startingPage":"145","prism:endingPage":"149"},"reviewed":"false","dcterms:accessRights":"http://purl.org/coar/access_right/c_abf2","url":[{"@id":"https://www.jstage.jst.go.jp/article/jstroke/39/2/39_10421/_pdf"},{"@id":"https://search.jamas.or.jp/link/ui/2017188271"}],"availableAt":"2017","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=transarterial%20embolization","dc:title":"transarterial embolization"},{"@id":"https://cir.nii.ac.jp/all?q=transvenous%20embolization","dc:title":"transvenous embolization"},{"@id":"https://cir.nii.ac.jp/all?q=paravertebral%20AVF","dc:title":"paravertebral AVF"},{"@id":"https://cir.nii.ac.jp/all?q=transarterial%20embolization","dc:title":"transarterial embolization"},{"@id":"https://cir.nii.ac.jp/all?q=transvenous%20embolization","dc:title":"transvenous embolization"},{"@id":"https://cir.nii.ac.jp/all?q=paravertebral%20AVF","dc:title":"paravertebral AVF"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360574094234879232","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Endovascular Management of Pediatric High-Flow Vertebro-Vertebral Fistula with Reversed Basilar Artery Flow"}]},{"@id":"https://cir.nii.ac.jp/crid/1361137045302773504","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Anatomically Based Approach for Endovascular Treatment of Vertebro-Vertebral Arteriovenous Fistula"}]},{"@id":"https://cir.nii.ac.jp/crid/1361699996284657408","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Delayed presentation of a vertebral arterio-venous fistula secondary to penetrating cervical trauma: endovascular management using coil embolisation - a case report"}]},{"@id":"https://cir.nii.ac.jp/crid/1361981468778356480","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Endovascular Treatment of Vertebro-Vertebral Arteriovenous Fistula"}]},{"@id":"https://cir.nii.ac.jp/crid/1362262945898685952","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Direct cervical vertebro-venous fistula with radiculopathy and MRI changes resolving after successful endovascular embolisation: a report of two cases"}]},{"@id":"https://cir.nii.ac.jp/crid/1362544419599711616","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Spontaneous Vertebrovertebral Arteriovenous Fistulae Clinical Features, Angioarchitecture and Management of Twelve Patients"}]},{"@id":"https://cir.nii.ac.jp/crid/1363388845273961600","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Endovascular treatment of high-flow cervical direct vertebro-vertebral arteriovenous fistula with detachable coils and Onyx liquid embolic agent"}]},{"@id":"https://cir.nii.ac.jp/crid/1363670319622489216","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"A New Strategy for Treatment of a Congenital Arteriovenous Fistula of the Neck. Case Report"}]},{"@id":"https://cir.nii.ac.jp/crid/1363951794114105856","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Vertebral arteriovenous fistula: endovascular treatment with electrodetachable coils"}]},{"@id":"https://cir.nii.ac.jp/crid/1363951795935970560","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Endovascular stent-graft treatment of an iatrogenic vertebral arteriovenous fistula"}]},{"@id":"https://cir.nii.ac.jp/crid/1364233269746581888","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Coil embolization of vertebro-vertebral arteriovenous fistula: a case report"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001205058540800","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Paravertebral Arteriovenous Fistula Treated by Endovascular Coil Embolization"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282680031382784","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Traumatic Vertebro-vertebral Arteriovenous Fistula Manifesting as Radiculopathy  -Case Report-"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2001934997"},{"@type":"CROSSREF","@value":"10.3995/jstroke.10421"},{"@type":"CIA","@value":"130005475762"},{"@type":"OPENAIRE","@value":"doi_dedup___::27a1774f2fcdeb30a69274c508e9b9f7"}]}