Yutaka Tadano
A5056510269- Coronary Interventions and Diagnostics
- Peripheral Artery Disease Management
- Cardiac Valve Diseases and Treatments
- Cardiac Imaging and Diagnostics
- Vascular Procedures and Complications
- Cerebrovascular and Carotid Artery Diseases
- Antiplatelet Therapy and Cardiovascular Diseases
- Acute Myocardial Infarction Research
- Cardiovascular Function and Risk Factors
- Infective Endocarditis Diagnosis and Management
- Aortic aneurysm repair treatments
- Peripheral Nerve Disorders
- Heme Oxygenase-1 and Carbon Monoxide
- Seismic Imaging and Inversion Techniques
- Neonatal Health and Biochemistry
- Spinal Fractures and Fixation Techniques
- Corporate Finance and Governance
- Cardiovascular Issues in Pregnancy
- Glycogen Storage Diseases and Myoclonus
- Cardiovascular and Diving-Related Complications
- Advanced X-ray and CT Imaging
- earthquake and tectonic studies
- Renal Diseases and Glomerulopathies
- Cardiac and Coronary Surgery Techniques
- Orthopaedic implants and arthroplasty
Sapporo Science Center
2016-2025
Koto Hospital
2018-2019
Kindai University Hospital
2017-2019
Naval Undersea Warfare Center
2019
Naval Hospital Yokosuka Japan
2019
National Defense Medical College
1993
The delivery of the rotational atherectomy burr can sometimes be hindered in distal calcified lesions complicated by proximal vessel tortuosity or other obstacles. This problem may result procedural failure fatal complications, including coronary perforation, entrapment, driveshaft fracture. To prevent these catastrophic outcomes and ensure successful delivery, we introduce DELIVER (Deep Engagement guide catheter 5-F chiLd-guIde for deliVEry subsequent Rotational atherectomy) technique....
ABSTRACT Background Burr fracture during rotational atherectomy (RA) is a rare but potentially devastating complication. Due to its infrequency, comprehensive data on incidence, mechanisms, and management are lacking. This study aimed investigate the contributing factors, strategies for burr fractures RA procedures. Methods retrospective analysis included all patients who underwent PCI with at single center between January 2013 October 2024. Data were collected from prospective registry....
ABSTRACT Percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) lesions with ambiguous proximal cap remains challenging. We present a successful CTO‐PCI case involving ambiguity, treated by combining balloon‐assisted subintimal entry (BASE) and tip‐detection antegrade dissection re‐entry (TD‐ADR) techniques. The BASE‐facilitated TD‐ADR technique is novel approach has the potential to enhance safety efficacy of procedures.
Abstract Prognostic impact of anemia complicating severe aortic stenosis (AS) remains unclear. We assessed the on cardiovascular and bleeding outcomes in 3403 patients enrolled CURRENT AS registry. 835 (25%) had mild (hemoglobin 11.0–12.9 g/dl for men/11.0–11.9 women) 1282 (38%) moderate/severe (Hb ≤ 10.9 g/dl) at diagnosis AS. Mild were associated with significantly increased risks relative to no ≥13.0 men/≥12.0 primary outcome measure (aortic valve-related death or heart failure...
Tip detection-antegrade dissection and re-entry (TD-ADR) technique allows operators to accurately observe both guidewire tip direction a true lumen in chronic total occlusion (CTO) lesions, while the torque of on IVUS images does not invariably correspond that fluoroscopic images.
This study aimed to evaluate the outcomes of patients with in-stent restenosis (ISR) who underwent rotablation (RA) followed by balloon angioplasty (BA), drug-eluting stent (DES) implantation, or drug-coated (DCB) angioplasty.Interventional treatment ISR is occasionally challenging. Despite availability various percutaneous treatments, optimal solution remains unclear.A total 200 RA were retrospectively identified from our institutional database. Clinical at 12 months and independent...
Background Data are scarce on the role of aortic valve area (AVA) to identify those patients with asymptomatic severe stenosis (AS) who at high risk adverse events. We sought explore prognostic impact AVA in AS a large observational database. Methods and Results Among 3815 consecutive enrolled CURRENT (Contemporary Outcomes After Surgery Medical Treatment Patients With Severe Aortic Stenosis) registry, present study included 1309 conservatively managed left ventricular ejection fraction...
Abstract Objectives The aim of this study was to evaluate the clinical outcomes rotational atherectomy (RA) followed by new‐generation drug‐eluting stent (DES) implantation in patients with an extensive amount calcified and fibrotic plaque. Background RA DES for complex lesions has not been thoroughly evaluated. Methods A total 744 consecutive (770 lesions) treated following de novo between January 2013 November 2015 were retrospectively identified using our institutional database. Clinical...
There are limited data regarding the risk stratification based on peak aortic jet velocity (Vmax) in patients with severe stenosis (AS).Among 3815 consecutive AS enrolled CURRENT (Contemporary Outcomes After Surgery and Medical Treatment Patients With Severe Aortic Stenosis) registry, study population consisted of 1075 conservatively managed Vmax ≥4.0 m/s left ventricular ejection fraction ≥50%. The were subdivided into 3 groups (group 1, 4.0 ≤ <4.5 m/s, N=550; group 2, 4.5 <5 N=279; 3, ≥5...
Abstract Background The ideal method for recanalization of complex peripheral lesions has not been determined, despite the use latest endovascular devices. We describe a novel fully percutaneous anatomical bypass, named “needle bypass” technique, treatment vascular with failed previous surgical therapy. Main text A 68-year-old male patient chronic limb-threatening ischemia presented to our department. He previously had received 10 years prior that included removal right distal common femoral...
Abstract Background Although bioresorbable polymer sirolimus‐eluting Ultimaster stents (BP‐SESs) are likely useful for percutaneous coronary interventions (PCIs), the clinical data from real‐world cases insufficient. Furthermore, predictors of adverse outcomes after BP‐SES implantation have not been fully investigated. Objectives This study evaluated 1‐year in PCI and identified outcomes. Methods In this single‐center, all‐comers study, we consecutively implanted BP‐SESs all patients who...
Abstract Two cases with severe tremors were studied by means of electromyograms using surface electrodes and also magnetic resonance (MR) imaging. The first case was associated multiple sclerosis demonstrated a postural cerebellar tremor an alternate activation antagonist muscles in the right arm. second case, hemorrhage brainstem, at rest mixed synchronous alternating left forearm. MR imaging studies localized lesions possibly responsible for these tremors. In lesion located superior...
It is unknown how much different are the clinical outcomes between asymptomatic and symptomatic patients with severe aortic stenosis (AS). In CURRENT AS registry enrolling 3,815 consecutive AS, we compared long-term 1808 1215 (exertional dyspnea: N = 813, syncope: 136, angina: 266) without heart failure (HF) hospitalization. Symptomatic had greater severity, more depressed left ventricular function than difference in other baseline characteristics. During a median follow-up of 3.2 years,...
To introduce a modified rotational atherectomy (RA) procedure and investigate the early midterm outcomes of RA-facilitating diversified percutaneous coronary intervention (PCI) in large group aged patients with higher cardiovascular risk.Previous studies about RA were limited small sample size low-risk population.Between January 2013 November 2015, 1169 consecutive treated RA-facilitated PCI retrospectively enrolled, including de novo calcified lesions in-stent restenosis. Patients regularly...
The patency achieved by conventional peripheral interventions for atherosclerotic lesions in the common femoral artery (CFA), called "no stenting zone", is not superior to that surgical endarterectomy due calcified plaque occupying area. Plaque modification strategies obtain acute gain CFA provide better clinical outcomes than standard balloon angioplasty. Atherectomy devices, which focus on of superficial calcifications, contribute improvement outcomes. However, deep calcifications resist...
Drug-eluting stent (DES) is well known to be effective in severely calcified lesion after rotational atherectomy (ROTA). However, there are still some situations when stents should avoided and plain old balloon angioplasty (POBA) the preferred option. The present study aims explore whether POBA comparably DES large coronary pretreated by ROTA clinical outcomes.Consecutive patients treated for lesions (≥ 3 mm) using + or were retrospectively analyzed. major adverse cardiac events (MACE),...
Objective. Coil embolization (CE) for coronary artery perforation (CAP) has not been thoroughly evaluated. This study aimed to evaluate the extent of myocardial damage and impact on cardiac function after CE CAP. Methods. A total 110 consecutive patients treated with CAP were retrospectively identified. The degree Results. Forty-nine (44.5%) cases involved chronic occlusions. guidewire was cause in 97 (88.2%) patients. success rate 98.2%. Almost all prescribed either antiplatelet drugs or...
Abstract A coronary hematoma, which can sometimes obstruct flow, may be left behind after tip‐detection antegrade dissection and reentry. We present a novel bailout technique utilizing subintimal trans‐catheter withdrawal with the assistance of stent balloon. This used before performing long stenting or fenestration procedure cutting balloon, are standard treatments for to improve impaired flow caused by distally extended hematoma.
Abstract Background Techniques for treating difficult chronic total occlusions (CTOs) have evolved with the discovery of tip detection-antegrade dissection re-entry (TDADR) guided by intravascular ultrasound (IVUS). This case demonstrates TDADR as a viable bailout in failed subintimal tracking and (STAR) technique. Case summary A 78-year-old man stable angina on optimal medical therapy had exertional pectoris secondary to residual CTO lesion left circumflex coronary (LCX) artery....
Background: Drug-coated balloons (DCB) have emerged as an effective treatment for in-stent restenosis and small vessel disease. DCB angioplasty might improve outcomes in heavily calcified lesions, a challenge the current era of drug-eluting stents (DES). Calcified nodules (CN) also remain problematic due to high incidences target lesion revascularization (TLR). However, there is limited evidence comparing efficacy DES lesions requiring rotational atherectomy (RA), including those with CN....
Limited evidence exists regarding the long-term outcomes of true vs. non-true coronary bifurcation lesions (CBLs) treated with current-generation drug-eluting stents and intravascular imaging guidance. The SCVC (Sapporo Cardiovascular Clinic) registry was a prospective, single-center, all-comers enrolling 1,727 consecutive patients bioresorbable polymer sirolimus-eluting stent (BP-SES) under complete From this registry, 440 CBLs (25.5%) were analyzed. Patients categorized into CBL groups...