A5030313395- Aortic aneurysm repair treatments
- Aortic Disease and Treatment Approaches
- Infectious Aortic and Vascular Conditions
- Vascular Procedures and Complications
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Valve Diseases and Treatments
- Abdominal vascular conditions and treatments
- Renal and Vascular Pathologies
- Muscle and Compartmental Disorders
- Cardiovascular Issues in Pregnancy
- Cardiac Structural Anomalies and Repair
- Vascular anomalies and interventions
- Connective tissue disorders research
- Cardiovascular Health and Disease Prevention
- Cardiac Imaging and Diagnostics
- Congenital Heart Disease Studies
- Pneumothorax, Barotrauma, Emphysema
- Cardiovascular Syncope and Autonomic Disorders
- Esophageal and GI Pathology
- Intracranial Aneurysms: Treatment and Complications
- Peripheral Artery Disease Management
- Protease and Inhibitor Mechanisms
- Coronary Artery Anomalies
- Cerebrovascular and Carotid Artery Diseases
- Public Administration and Political Analysis
Kurume University
2015-2025
Ministry of Health Labour and Welfare
2020
Kurume University Medical Center
2014
Persistent sciatic artery (PSA) is a rare anomaly that may cause various symptoms, such as aneurysm, rupture, thromboembolism, and sciatica. Direct surgery can be performed to treat PSA aneurysm (PSAA), but associated with complications; e.g., anatomical problems nerve injury. Herein we report case of 74-year-old woman acute limb ischemia developed from distal embolism caused by thrombus in the left PSAA; favorable results were obtained for her treatment stent-graft after rapid...
Aortic complications after esophageal cancer surgery are rare and usually fatal. Here, we report three patients who underwent thoracic endovascular aortic repair (TEVAR) for esophagectomy cancer. In the first case, rupture was caused by pyothorax due to residual tumor esophagectomy. second anastomotic leakage. third a pseudoaneurysm surgical injury during TEVAR safe effective severe when graft infection avoided. The case died of sepsis on 84th postoperative day, other two cases have survived...
An aneurysm sac enlargement caused by type II endoleak (T2EL) following endovascular repair (EVAR) for abdominal aortic aneurysms may cause serious complications such as rupture. Consequently, methods that preoperatively prevent or postoperatively treat T2EL have been employed. When significant occurs due to persistent T2EL, embolization is first performed through several access points. However, although these reinterventions a high technical success rate and are safe, their effectiveness...
Background The purpose of this study was to determine the initial and midterm results for repair thoracic abdominal aortic diseases using handmade stent-grafts (SGs). Methods Results Between 1999 2004, 41 consecutive patients (31 with 10 disease) underwent endovascular stent-graft SGs. follow-up averaged 24.8±17.6 months. technical clinical success rates were 82.9% (34/41) 80.5% (33/41), respectively. Primary type I or III endoleaks occurred in 12.2% (5/41) patients. hospital mortality rate...
A 25-year-old woman with Marfan syndrome in the 37th week of pregnancy was referred for acute chest pain and dyspnea. An emergency Cesarean section performed because fetal distress. Intraoperative echocardiography at end showed dilatation aortic root dissection ascending aorta. The patient underwent replacement aorta on following day uterine bleeding. postoperative course uneventful mother her baby.
We investigated the changes of matrix metalloproteinase (MMP) -9 in peripheral blood samples patients undergoing endovascular aneurysm repair (EVAR) for abdominal aortic aneurysms (AAAs), and effect azelnidipine on plasma MMP-9 levels those patients. Levels were measured 22 who underwent EVAR AAAs, results compared between a group receiving 16 mg daily (n=12) control without (n=10). Measurements taken preoperatively, at 1 month 3 months, postoperatively. Patients endoleaks after showed...
This report describes the successful endovascular treatment of a rare case aortogastric tube fistula with massive gastrointestinal haemorrhage. The patient's history included oesophageal reconstruction for carcinoma using gastric tube. Emergent angiography revealed extravasation from thoracic aorta into thinner fistula. A microcatheter was inserted aortic approach embolisation mixture n -butyl cyanoacrylate and iodised oil to enable fluoroscopic visualisation. Aortography confirmed complete...
鎖骨下動脈瘤は，末梢動脈瘤のなかでも稀な疾患であり，その存在部位によって，術式や到達方法が大きく異なる．今回，右鎖骨下動脈瘤（胸腔内型）に対してハイブリッド治療を施行し，良好な治療経過を得たので報告する．症例は75歳男性．腹部大動脈瘤での経過観察中に施行した造影CT検査にて右鎖骨下動脈近位部に瘤径38 mmの鎖骨下動脈瘤を認めた．術前精査で脳血管疾患を認めたことから，手術は腋窩動脈交叉バイパス術で右上肢と右椎骨動脈の血流を確保しつつ，右総頸動脈-腕頭動脈ステントグラフト内挿術と右鎖骨下動脈末梢コイル塞栓術を施行し瘤を空置する方法とした．術後造影でエンドリークはなく，右総頸動脈および右椎骨動脈の血流は良好であった．胸腔内型の鎖骨下動脈瘤に対し，非解剖学的バイパス術と血管内治療を併用したハイブリッド治療にて良好な結果を得た．右鎖骨下動脈瘤に対する治療法として，開胸せず低侵襲かつ術中の脳灌流低下を予防できる有用な治療法と考える．
Purpose: To evaluate the clinical utility of Gore Excluder iliac branch endoprosthesis (IBE) for Japanese patients with aortoiliac aneurysms. Materials and Methods: This was a multicenter retrospective cohort study (J-Preserve Registry). Patients undergoing endovascular aortic repair using IBE aneurysms between August 2017 June 2020 were enrolled. Data pertaining to baseline anatomical characteristics, technical details, outcomes collected from each institution. The primary endpoints...
Limited data is available on the use of a polyester graft limb with helical stent configuration deployed in external iliac artery (EIA) during endovascular aneurysm repair (EVAR), so we prospectively analyzed efficacy Zenith Spiral-Z EIA.
Endovascular stent graft repair was developed to minimize the invasiveness of open surgery for thoracic and abdominal aortic diseases. This approach involves covering diseased segment with a stented artificial graft. However, in endovascular (TEVAR) arch diseases, special consideration is needed preserve vessels. Traditional grafts often require additional procedures, such as bypass surgery, reconstruct The semi-custom-made Najuta fenestrated address this issue. It three-dimensional...
This study retrospectively evaluated the 12-month outcomes of Zenith Alpha Abdominal Endovascular graft (Zenith AAA, Cook, Inc, Bloomington, Indiana), which was launched partially in Japan March 2019, starting with 9 selected sites.A retrospective analysis performed all endovascular aneurysm repairs (EVAR) for abdominal aortic aneurysms using AAA. Late complications were defined as any aneurysm-related events occurring >30 days after EVAR, including an sac enlargement >5 mm and...
下部食道癌術後の縫合不全，膿胸に起因する大動脈穿孔に対し大動脈ステントグラフト内挿術（endovascular aneurysm repair;以下，EVARと略記）を施行し救命しえた1例を経験した．症例は77歳，男性．胸部下部食道癌にて左開胸開腹下部食道噴門切除・胸腔内食道胃管間有茎空腸間置術を施行した．術後，食道空腸吻合部の縫合不全をきたし，膿胸となった．術後18病日に胸腔ドレーンより大量の出血を認め，大動脈穿孔と判断し緊急EVARを施行した．EVAR後，胸腔ドレーンよりの出血は完全に止血した．その後，縫合不全・膿胸ともに治癒し退院した．近年，大動脈瘤に対するEVARの良好な治療成績が報告され，治療選択枝の一つとして確立されつつある．本症例のごとく食道癌術後の膿胸が原因となる大動脈穿孔に対し，緊急止血処置としてEVARは有用であると考えられる．
Fibromuscular dysplasia (FMD) mainly develops in medium-sized arteries, including renal, extracranial, and extremity but it rarely causes abdominal aortic aneurysm (AAA). A 69-year-old woman with AAA diagnosed on ultrasonography by a home doctor visited our hospital. Contrast-enhanced computed tomography revealed saccular of terminal aorta. We performed replacement resected the section aneurysm. Pathological examination wall tissue findings that are consistent FMD. report this case caused...
解離性大動脈瘤の原因として Marfan 症候群以外は遺伝的素因についてとくに明らかにされていないが, 家族内に発症した報告が散見されるようになっている. われわれは2家系, 4症例に発症した家族性大動脈解離を経験し, 手術を行い良好な結果を得た. 2例は親子症例であり, 他の2例は姉妹症例であった. 全症例とも術前より高血圧を認め, 発症時の解離の形態は Stanford A型であった. 4例とも骨格系の異常や眼病変を認めず結合織疾患を示唆する所見は認めなかったが, 家系内に高率に高血圧を認め, 病理組織像で全例に嚢胞性中膜壊死の所見を認めた. 家族性大動脈解離の原因として遺伝的な組織の脆弱性や高血圧の関与が示唆された.
Abstract Background Endovascular aneurysm repair (EVAR) has widely spread for treatment of abdominal aortic (AAA). However, the effects EVAR on vascular function remain to be clarified. According several reports, changes in stiffness after reflect badly future cardiovascular events. Recently, brachial-ankle pulse wave velocity (baPWV) is accepted as most simple and reproducible method determine stiffness. Purpose We aimed evaluate change baPWV following investigate relationship between...