{"created":"2025-02-21T03:47:36.500966+00:00","id":2007294,"links":{},"metadata":{"_buckets":{"deposit":"61455a87-1527-43e1-b170-06979f888c0f"},"_deposit":{"created_by":41,"id":"2007294","owners":[41],"pid":{"revision_id":0,"type":"depid","value":"2007294"},"status":"published"},"_oai":{"id":"oai:hiroshima.repo.nii.ac.jp:02007294","sets":["1730444907710"]},"author_link":[],"item_1617186331708":{"attribute_name":"Title","attribute_value_mlt":[{"subitem_title":"Management of post-puncture bleeding after neurointerventional procedures performed with a large-bore sheath introducer","subitem_title_language":"en"}]},"item_1617186419668":{"attribute_name":"Creator","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Ozono, Iori","creatorNameLang":"en"}],"familyNames":[{"familyName":"Ozono","familyNameLang":"en"}],"givenNames":[{"givenName":"Iori","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Sakamoto, Shigeyuki","creatorNameLang":"en"}],"familyNames":[{"familyName":"Sakamoto","familyNameLang":"en"}],"givenNames":[{"givenName":"Shigeyuki","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Okazaki, Takahito","creatorNameLang":"en"}],"familyNames":[{"familyName":"Okazaki","familyNameLang":"en"}],"givenNames":[{"givenName":"Takahito","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Oshita, Jumpei","creatorNameLang":"en"}],"familyNames":[{"familyName":"Oshita","familyNameLang":"en"}],"givenNames":[{"givenName":"Jumpei","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Ishii, Daizo","creatorNameLang":"en"}],"familyNames":[{"familyName":"Ishii","familyNameLang":"en"}],"givenNames":[{"givenName":"Daizo","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Kurisu, Kaoru","creatorNameLang":"en"}],"familyNames":[{"familyName":"Kurisu","familyNameLang":"en"}],"givenNames":[{"givenName":"Kaoru","givenNameLang":"en"}]}]},"item_1617186476635":{"attribute_name":"Access Rights","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_1617186499011":{"attribute_name":"Rights","attribute_value_mlt":[{"subitem_rights":"© 2020. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/"},{"subitem_rights":"This is not the published version. Please cite only the published version. この論文は出版社版ではありません。引用の際には出版社版をご確認、ご利用ください。"}]},"item_1617186609386":{"attribute_name":"Subject","attribute_value_mlt":[{"subitem_subject":"Angio-Seal","subitem_subject_scheme":"Other"},{"subitem_subject":"Hemorrhagic complication","subitem_subject_scheme":"Other"},{"subitem_subject":"Neurointervention","subitem_subject_scheme":"Other"}]},"item_1617186626617":{"attribute_name":"Description","attribute_value_mlt":[{"subitem_description":"Various adjunctive techniques for neurointerventional procedures require a large-bore sheath introducer, but there is concern that this could result in more puncture site hemorrhagic complications despite using a vascular closure device. The purpose of this study was to assess the relationship between use of large-bore sheath introducer and post-procedural complications. Between January 2016 and April 2018, 126 neurointerventional procedures were performed in our hospital using 8 or 9 Fr sheath introducer in size and the Angio-Seal STS PLUS (St. Jude Medical, Minnetonka, USA). Hemorrhagic complications were defined as obvious swelling or bleeding at the puncture site or as extravascular bleeding detected by ultrasonography or contrast-enhanced computed tomography. The procedures were divided into a group with post-puncture bleeding (group B, n = 21) and a group without bleeding (group N, n = 105). Risk factors were compared between the groups according to the incidence of post-puncture bleeding. In addition, we assessed the outcome and approach to hemostasis in the procedures with bleeding. In result, hemorrhagic complications occurred in 21 procedures (17%), and pseudoaneurysm was detected in 4 procedures (3.2%). In 20 of group B (16%), manual compression was performed for an average of 36.4 min. One patient (0.79%) required surgical angioplasty. Risk factors for bleeding were not significantly different between the two groups. None of the patients with bleeding showed a decrease on the modified Rankin Scale. In conclusion, use of a large-bore sheath introducer may increase the incidence of post-puncture bleeding, but the outcome of this complication is acceptable.","subitem_description_language":"en"}]},"item_1617186643794":{"attribute_name":"Publisher","attribute_value_mlt":[{"subitem_publisher":"Elsevier"}]},"item_1617186702042":{"attribute_name":"Language","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_1617186920753":{"attribute_name":"Source Identifier","attribute_value_mlt":[{"subitem_source_identifier":"0967-5868","subitem_source_identifier_type":"ISSN"}]},"item_1617187024783":{"attribute_name":"Page Start","attribute_value_mlt":[{"subitem_start_page":"61"}]},"item_1617187056579":{"attribute_name":"Bibliographic Information","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-01-27","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"64","bibliographicPageStart":"61","bibliographicVolumeNumber":"74","bibliographic_titles":[{"bibliographic_title":"Journal of Clinical Neuroscience"},{"bibliographic_title":"Journal of Clinical Neuroscience"}]}]},"item_1617258105262":{"attribute_name":"Resource Type","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_1617265215918":{"attribute_name":"Version Type","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_b1a7d7d4d402bcce","subitem_version_type":"AO"}]},"item_1617353299429":{"attribute_name":"Relation","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"10.1016/j.jocn.2020.01.065","subitem_relation_type_select":"DOI"}},{"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.1016/j.jocn.2020.01.065","subitem_relation_type_select":"DOI"}}]},"item_1617605131499":{"attribute_name":"File","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2023-03-18"}],"displaytype":"simple","filename":"JourClinicNeurosci_74_61.pdf","filesize":[{"value":"485.1 KB"}],"mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://hiroshima.repo.nii.ac.jp/record/2007294/files/JourClinicNeurosci_74_61.pdf"},"version_id":"36c1c215-bd04-4ec5-9490-eb2b8168bc73"}]},"item_1732771732025":{"attribute_name":"旧ID","attribute_value":"51075"},"item_title":"Management of post-puncture bleeding after neurointerventional procedures performed with a large-bore sheath introducer","item_type_id":"40003","owner":"41","path":["1730444907710"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2023-03-18"},"publish_date":"2023-03-18","publish_status":"0","recid":"2007294","relation_version_is_last":true,"title":["Management of post-puncture bleeding after neurointerventional procedures performed with a large-bore sheath introducer"],"weko_creator_id":"41","weko_shared_id":-1},"updated":"2025-02-21T09:38:20.892503+00:00"}