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Caution: Patient-specific preoperative preparations combined with procedure-specific 5-aminolevulinic acid may lead to critical events
https://fmu.repo.nii.ac.jp/records/2002107
https://fmu.repo.nii.ac.jp/records/20021071c2d747a-c2f0-4498-8640-94df07ae77bf
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
FksmJMedSci_70_p169.pdf (465.1 KB)
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| Item type | デフォルトアイテムタイプ（フル）fmu(1) | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 公開日 | 2024-07-26 | |||||||||||||||
| タイトル | ||||||||||||||||
| タイトル | Caution: Patient-specific preoperative preparations combined with procedure-specific 5-aminolevulinic acid may lead to critical events | |||||||||||||||
| 言語 | en | |||||||||||||||
| 作成者 |
Yoshizawa, Shuto
× Yoshizawa, Shuto
× Yoshida, Junya
× Yoshihara, Akioh
× Nemoto, Chiaki
× Inoue, Satoki
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| 権利情報 | ||||||||||||||||
| 権利情報Resource | https://creativecommons.org/licenses/by-nc-sa/4.0/ | |||||||||||||||
| 権利情報 | © 2024 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license. | |||||||||||||||
| 内容記述 | ||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||
| 内容記述 | 5-Aminolevulinic acid (5-ALA) is orally administered 2-4 hours before surgery to identify tumor location. Hypotension is sometimes observed after 5-ALA administration. Case reoprtWe present a case of a patient with 5-ALA-induced hypotension that resulted in the development of cerebral infarction. An 83-year-old man with a bladder tumor was scheduled for photodynamic diagnosis-assisted transurethral resection of bladder tumor (PDD-TURBT) and right radical nephroureterectomy. 5-ALA was orally administered and his ordinary antihypertensive and antianginal agents were also administered an hour after 5-ALA administration. Following this, his blood pressure dropped, and he developed muscle weakness and paralysis in his left upper extremity. Magnetic resonance imaging showed evidence of cerebral infarction. ConclusionsWe cannot conclude definitively that our patient's cerebral infarction was solely caused by 5-ALA-induced hypotension because hypotension under these circumstances is not rare. We consider that additional factors, such as patient-specific doses of antihypertensive and antianginal agents may have played a role in the development of his cerebral infarction. | |||||||||||||||
| 出版者 | ||||||||||||||||
| 出版者 | The Fukushima Society of Medical Science | |||||||||||||||
| 言語 | ||||||||||||||||
| 言語 | eng | |||||||||||||||
| 書誌情報 |
en : Fukushima Journal of Medical Science 巻 70, 号 3, p. 169-173, 発行日 2024 |
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| 関連情報 | ||||||||||||||||
| 関連タイプ | isIdenticalTo | |||||||||||||||
| 識別子タイプ | DOI | |||||||||||||||
| 関連識別子 | https://doi.org/10.5387/fms.24-00001 | |||||||||||||||
| 関連情報 | ||||||||||||||||
| 識別子タイプ | PMID | |||||||||||||||
| 関連識別子 | 38925956 | |||||||||||||||
| 資源タイプ | ||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||
| 資源タイプ | journal article | |||||||||||||||
| 出版タイプ | ||||||||||||||||
| 出版タイプ | VoR | |||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||
| 収録物識別子 | ||||||||||||||||
| 収録物識別子タイプ | PISSN | |||||||||||||||
| 収録物識別子 | 0016-2590 | |||||||||||||||
| 収録物識別子 | ||||||||||||||||
| 収録物識別子タイプ | EISSN | |||||||||||||||
| 収録物識別子 | 2185-4610 | |||||||||||||||
| 収録物識別子 | ||||||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||||||
| 収録物識別子 | AA0065246X | |||||||||||||||
| 主題 | ||||||||||||||||
| 主題Scheme | Other | |||||||||||||||
| 主題 | 5-aminolevulinic acid | |||||||||||||||
| 主題 | ||||||||||||||||
| 主題Scheme | Other | |||||||||||||||
| 主題 | cerebral infarction | |||||||||||||||
| 主題 | ||||||||||||||||
| 主題Scheme | Other | |||||||||||||||
| 主題 | transurethral resection of bladder tumor | |||||||||||||||
| 主題 | ||||||||||||||||
| 主題Scheme | MeSH | |||||||||||||||
| 主題 | Humans | |||||||||||||||
| 主題 | ||||||||||||||||
| 主題Scheme | MeSH | |||||||||||||||
| 主題 | Male | |||||||||||||||
| 主題 | ||||||||||||||||
| 主題Scheme | MeSH | |||||||||||||||
| 主題 | Aminolevulinic Acid | |||||||||||||||
| 主題 | ||||||||||||||||
| 主題Scheme | MeSH | |||||||||||||||
| 主題 | Aged, 80 and over | |||||||||||||||
| 主題 | ||||||||||||||||
| 主題Scheme | MeSH | |||||||||||||||
| 主題 | Urinary Bladder Neoplasms | |||||||||||||||
| 主題 | ||||||||||||||||
| 主題Scheme | MeSH | |||||||||||||||
| 主題 | Hypotension | |||||||||||||||
| 主題 | ||||||||||||||||
| 主題Scheme | MeSH | |||||||||||||||
| 主題 | Cerebral Infarction | |||||||||||||||
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| 主題Scheme | MeSH | |||||||||||||||
| 主題 | Preoperative Care | |||||||||||||||
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| 主題Scheme | MeSH | |||||||||||||||
| 主題 | Photosensitizing Agents | |||||||||||||||
