A5074039652- Vascular Procedures and Complications
- Aortic aneurysm repair treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Peripheral Artery Disease Management
- Metastasis and carcinoma case studies
- Esophageal and GI Pathology
- Amoebic Infections and Treatments
- Central Venous Catheters and Hemodialysis
- Pleural and Pulmonary Diseases
- Gastrointestinal Tumor Research and Treatment
- Case Reports on Hematomas
- Gallbladder and Bile Duct Disorders
- Abdominal vascular conditions and treatments
- Diverticular Disease and Complications
- Lymphatic Disorders and Treatments
- Cardiac Arrhythmias and Treatments
- Gastric Cancer Management and Outcomes
- Appendicitis Diagnosis and Management
- Congenital Diaphragmatic Hernia Studies
- Infectious Aortic and Vascular Conditions
- Cancer Diagnosis and Treatment
- Intestinal and Peritoneal Adhesions
- Aortic Disease and Treatment Approaches
- Hernia repair and management
- Tracheal and airway disorders
Shonan Kamakura General Hospital
2014-2024
Tokyo Metropolitan Children's Medical Center
2023
Weatherford College
2021
Murata (Japan)
2021
PurposeTo present the 12-month outcomes of IN.PACT AV Access Study, a prospective, single-blind trial enrolling participants with obstructive de novo or restenotic native upper extremity arteriovenous dialysis fistula lesions treated drug-coated balloon (DCB) percutaneous transluminal angioplasty (PTA).Materials and MethodsAfter successful high-pressure PTA, at 29 international sites were randomized 1:1 to treatment an DCB (n = 170) standard uncoated PTA 160). Outcomes 12 months include...
Patients with left-sided malignant colorectal obstruction require emergency treatment. Emergency stoma surgery has traditionally been recommended, however many stomas became permanent, decreasing patient quality of life. Recently, self-expandable metallic stents (SEMS) and transanal decompression tubes (TDT) have become widely used methods to avoid surgery. In this study, we evaluated: 1) the efficacy SEMS compared TDT (ES) permanent stomas; 2) safety success rate each We retrospectively...
To present the 36-month outcomes of prospective randomized IN.PACT AV Access study participants with obstructive de novo or restenotic native upper extremity arteriovenous dialysis fistula lesions treated drug-coated balloon (DCBs) standard percutaneous transluminal angioplasty (PTA) following successful high-pressure PTA. Participants at 29 international sites were 1:1 to receive an DCB (n = 170) undergo PTA 160). The through 36 months included target lesion primary patency (TLPP) and...
Abstract Background Pre-operative kidney function is known to be associated with surgical outcomes. However, in emergency surgery, the pre-operative may reflect chronic disease (CKD) or acute injury (AKI). We examined association of CKD and/or AKI in-hospital outcomes colorectal surgery. Methods conducted a retrospective cohort study including adult patients undergoing surgery 38 Japanese hospitals between 2010 and 2017. classified into five groups according status (defined as baseline...
Background: Despite the widespread use of PROPATEN®, a bioactive heparin-bonded expanded polytetrafluoroethylene graft, in bypass surgery, there are only few reports long-term results. We evaluated results PROPATEN®use for above-knee femoropopliteal (AKFPB).
Background:This study prospectively analyzed the midterm results of above-the-knee femoropopliteal bypass (AKb) using bioactive heparin-bonded expanded polytetrafluoroethylene (HB-ePTFE) graft in patients with occlusive disease.
There is a lack of adjudicated and prospectively randomized published outcomes on the use drug-coated balloons (DCB) to treat dysfunctional arteriovenous fistula in Asian patients. This post hoc subgroup analysis 112 Japanese participants from global IN.PACT AV Access trial reports through 12 months.Participants were treated with DCB (n = 58) or standard non-coated percutaneous transluminal angioplasty (PTA) 54). Outcomes included target lesion primary patency (TLPP), access circuit patency,...
Compared with conventional open surgery (COS), endovascular aneurysm repair (EVAR) has been reported to decrease the 30-day mortality rate in patients ruptured abdominal aortic aneurysms (rAAAs). We developed an EVAR-first strategy for rAAAs that incorporates Shonan protocol (SRAP). describe short-term results this at our institution and compare them outcomes who underwent COS.The records of all 57 whom a rAAA was repaired during 7-year period were reviewed retrospectively. Patients COS...
Bleeding in the small bowel rarely occurs, and its treatment is challenging. Surgery sometimes required unstable patients; however, intraoperative identification of bleeding site extremely difficult. Many methods have been reported, but no standard strategy has established yet. Here, we aimed to assess safety feasibility angiography with indocyanine green staining accurately identify sites.This retrospective study analyzed contrast-enhanced computed tomography images patients (n = 8)...
Liver gas gangrene is a rare condition with highly mortality rate. It mostly associated host factors, such as malignancy and immunosuppression.A 57-year-old female was admitted to our hospital abnormalities of her serum hepato-biliary enzymes. She had history hypertension, diabetes mellitus, cerebral infarction, chronic renal failure. diagnosed bile duct cancer the liver hilum left hepatectomy carried out, extrahepatic resection. Initially post-operative state uneventful. However, she...
Small intestinal metastasis from oesophageal carcinoma is rare. We report a case of small metastases presenting as perforation and discuss the aetiology with other cases reported in previous literature. An 86-year-old man presented fever coughing. He had choked while eating history weight loss. was diagnosed aspiration pneumonia. Two days after admission, he complained abdominal pain. Physical examination revealed guarding rebound tenderness upper abdomen. A contrast computed tomography...
Liver gas gangrene is rare and has a low prognosis. This case, reports successful treatment of hepatic using an open drainage technique, followed by antibiotics hyperbaric oxygen therapy (HBO). An 82-year-old male with history left hepatectomy bile duct resection for hilar cholangiocarcinoma presented chilling, lethargy dyspnea. He had diabetes mellitus, hypertension, atrial fibrillation, angina pectoris. Physical examination revealed scleric icterus, right hypochondrium tenderness...
Background: Several large-scale studies have assessed endovascular and surgical treatment methods for nonocclusive mesenteric ischemia (NOMI); however, the prognostic factors NOMI remain unclear. Therefore, this study aimed to evaluate risk in-hospital mortality among patients with who underwent laparotomy examine therapeutic strategies that may improve prognosis. Materials Methods: In multicenter retrospective study, we reviewed electronic medical records retrieved from inpatient database...
INTRODUCTION: Adventitial cystic disease is relatively rare vascular disease, frequently occurred in the popliteal artery.No definitive treatment has been established yet. PRENTATION OF CASE:A 53-year-old woman presenting intermittent claudication of right leg was diagnosed as adventitial artery.Percutaneous balloon dilation yielded an immediate recurrence.The successfully treated by bypass grafting utilizing short saphenous vein to replace part artery containing cyst.No postoperative...
Blunt abdominal aortic injury (BAAI) resulting from blunt trauma is rare; therefore, there are no standard guidelines for its treatment. Herein, we report the successful treatment of BAAI via endovascular repair (EVAR) performed immediately after emergency laparotomy to a bowel injury. A 78-year-old man was injured being caught between shovel car and bumper his own approximately 15 s. Upon arrival at hospital, patient conscious had stable vital signs, low back pain, numbness in right lower...
Several large-scale studies have assessed the endovascular and surgical treatments for nonocclusive mesenteric ischemia (NOMI); nonetheless, prognostic factors NOMI remain unclear.In this single-center study, we retrospectively reviewed electronic medical records of 197, 149 patients were retrieved from inpatient database our hospital January 2011 to 2020; 79 with observed. A total 44 who underwent laparotomy statistically analyzed divided into survivor non-survivor groups. Prognostic...
To verify the validity of an endovascular aneurysm repair (EVAR)-first strategy for treating patients with ruptured abdominal aortic (rAAA) in Japan.
An 80-year-old man presented to our hospital with anorexia. esophagogastroduodenoscopy revealed a type 1 tumor occupying the esophagus and diagnosis of esophageal carcinosarcoma was made. A palliative irradiation planned, but as invasion into thoracic aorta suspected on enhanced computed tomography, endovascular aortic repair (TEVAR) performed prevent aorto-esophageal fistula (AEF). AEF has been reported occur in 14.6% patients during after chemoradiotherapy for cancer invading is fatal....
切除不能局所進行食道癌に対する化学放射線療法は,長期生存が見込める治療であるが,穿孔や穿通などの致死的合併症発症の可能性がある.今回,大動脈浸潤食道癌に対する化学放射線療法中に発症した大動脈食道瘻に対して,大動脈ステントグラフトで止血した症例を経験した.症例は67歳の男性で,2011年8月に嚥下困難で発症し,大動脈浸潤食道癌と診断された.2011年9月から化学放射線療法を施行し,部分奏効した.2012年1月に吐血によるショック状態となり,大動脈食道瘻と診断し,大動脈ステントグラフトで止血した.食道狭窄症状を認めたため,2012年4月食道カバードステントを挿入した.経口摂取が可能になり,自宅退院した.2012年5月,原疾患が進行し死亡した.大動脈食道瘻は致死的であるが,大動脈ステントグラフトによって急性期救命され,経口摂取が可能になったため,低侵襲で効果的な姑息的治療であると思われた.
症例は47歳，女性，検診の腹部エコーで下腹部腫瘍を指摘された．MRIで約11cmの骨盤内腫瘤を認め，漿膜下子宮筋腫の診断で本人希望で経過観察となったが頻尿が出現し，初診から1年7カ月後に手術となった．開腹所見は回腸間膜基部の腫瘍であった．腫瘍を核出して間膜を閉鎖し，手術を終了とした．術後の病理組織診断はaggresseive angiomyxomaであった．本疾患は若い女性の外陰部から骨盤に好発するが，それ以外の部位に発生すことは稀である．再発の多い腫瘍でもあり，今後も慎重な経過観察が必要と思われた．
症例は33歳男性．近医でS状結腸憩室炎の診断で入院加療した．退院後４日で腹痛が再燃し当院受診．外来で内服抗生剤を処方され経過観察となったが腹痛は持続し排尿時痛，気尿も認めたため外科紹介，緊急入院となった．尿検査で膿尿を認め，腹部CTで膀胱内に空気貯留を認めた．骨盤単純MRIで瘻孔が描出されS状結腸膀胱瘻と診断された．膀胱鏡で膀胱三角部付近に強い炎症性変化を認め瘻孔や尿管口ははっきりしなかったため一期的手術とせず，横行結腸人工肛門を造設し，６カ月後に膀胱鏡を併用して腹腔鏡下S状結腸切除，膀胱瘻孔部閉鎖術を行った．更に１カ月後人工肛門を閉鎖し，術後４カ月で再燃などを認めない．