- Peripheral Artery Disease Management
- Coronary Interventions and Diagnostics
- Vascular Procedures and Complications
- Cardiac Valve Diseases and Treatments
- Cerebrovascular and Carotid Artery Diseases
- Aortic aneurysm repair treatments
- Diabetic Foot Ulcer Assessment and Management
- Venous Thromboembolism Diagnosis and Management
- Diagnosis and Treatment of Venous Diseases
- Cardiac Imaging and Diagnostics
- Cardiovascular Function and Risk Factors
- Infective Endocarditis Diagnosis and Management
- Antiplatelet Therapy and Cardiovascular Diseases
- Cardiac, Anesthesia and Surgical Outcomes
- Aortic Disease and Treatment Approaches
- Acute Ischemic Stroke Management
- Atrial Fibrillation Management and Outcomes
- Orthopaedic implants and arthroplasty
- Medical Imaging and Pathology Studies
- Cardiac Structural Anomalies and Repair
- Cardiac pacing and defibrillation studies
- Peripheral Nerve Disorders
- Aortic Thrombus and Embolism
- Acute Myocardial Infarction Research
- Nutrition and Health in Aging
Nagoya Heart Center
2019-2025
Early Intervention Foundation
2024
Saitama International Medical Center
2022
Ogaki Municipal Hospital
2022
Toyota Memorial Hospital
2022
Kyoto University Hospital
2022
Shizuoka General Hospital
2022
Saiseikai Yokohama Eastern Hospital
2013-2018
Kyoto Prefectural University of Medicine
2013-2017
Osaka City University
2014
Introduction: We aimed to investigate deep femoral artery (DFA) status during endovascular treatment (EVT) and the patency of femoropopliteal (FP) DFA using current stent devices for ostial FP lesions. Methods: A multicenter, retrospective study analyzed data from 457 patients who underwent EVT with deployment de novo lesions between April 2018 December 2021 at eight centers in Japan. Propensity score-matched analysis was performed compare clinical impacts coverage deployment. The prognostic...
Background The Clinical Frailty Scale (CFS) is a useful frailty marker for predicting clinical outcomes in patients undergoing invasive therapy. However, the impact of CFS after transcatheter edge‐to‐edge repair with mitral regurgitation (MR) remains unclear. This study aimed to elucidate association between baseline frail status defined by and or without postprocedural MR ≥2+ (post‐MR ≥2+) repair. Methods Results Based on Japanese multicenter registry (OCEAN [Optimized Catheter Valvular...
We present a case of 60-year-old man with claudication in his right foot; the patient had received stent-graft implantation for superficial femoral artery (SFA) 1 year ago. Computed tomography angiography suggested stent occlusion SFA, and thrombus was considered to cause occlusion. To avoid distal embolization, we performed lesion recanalization via trans-ankle intervention. First, aspiration lesion; however, persisted. Second, "Super Grab Clot Hold ON" technique removed several thrombi....
ABSTRACT Background Supera interwoven nitinol stents (IWNS) and Eluvia fluoropolymer‐based drug‐eluting (DES) were designed to improve the patency of femoropopliteal (FP) artery; however, which type stent yields superior outcomes in calcified FP lesions remains unclear. Aims To compare safety efficacy IWNS DES severely lesions. Methods This study retrospectively analyzed 257 consecutive patients who underwent endovascular therapy using either ( n = 123) or 134) for with peripheral arterial...
Previous studies have shown comparable outcomes between first-generation high-dose drug-coated balloon (HD-DCB) and second-generation low-dose (LD-DCB) for femoropopliteal artery disease. However, data about the clinical performances of these DCBs longer lesions in real-world settings are limited. In this multicenter, retrospective study, HD-DCB (IN.PACT, Medtronic, MN, USA) LD-DCB (Ranger, Boston, MA, were assessed cases disease with lesion length ≥ 150 mm. From database, 288 patients...
Background: Paclitaxel-coated balloons (PCBs) are widely used for femoropopliteal artery (FPA) diseases. However, data on recurrence and patterns after PCB angioplasty limited. This study investigated the association between patterns, baseline characteristics, clinical outcomes in cases following angioplasty. Methods: multicenter, retrospective included 1159 limbs 1031 patients treated de novo FPA lesions using PCBs. Patients were classified into three groups (patency, restenosis,...
The effect of guideline-directed medical therapy (GDMT) on mid-term mortality in Asian patients, including Japanese who have undergone endovascular (EVT) for lower extremity artery disease remains still unclear. This study evaluated the effects GDMT, defined as combined prescription antiplatelet agents, statins, and angiotensin-converting enzyme inhibitors or angiotensin receptor blockers, 2-year patients undergoing EVT femoropopliteal (FP) lesions. In this multicenter retrospective study,...
This study compared procedural complications, patency, and adverse events between a stent strategy drug-coated balloon (DCB) treatment after using the JETSTREAM atherectomy device for severely calcified femoropopliteal (FP) lesions. We retrospectively analyzed multicenter data from 588 patients who underwent endovascular therapy de novo FP lesions April 2018 December 2023 at 8 centers in Japan. Patients were categorized into 2 groups based on revascularization method: DCB atherectomy....
Abstract Objectives Estimating 1‐year life expectancy is an essential factor when evaluating appropriate indicators for transcatheter aortic valve replacement (TAVR). Background It clinically useful in developing a reliable risk model predicting mortality after TAVR. Methods We evaluated 2,588 patients who underwent TAVR using data from the Optimized CathEter vAlvular iNtervention (OCEAN) Japanese multicenter registry October 2013 to May 2017. The clinical follow‐up was achieved by 99.5% of...
Objectives This study investigated the safety and prognosis of ultra‐long second DES (UL‐2nd DES) implantation in real‐world practice. Background Long stenting is a widely known predictor stent thrombosis (ST) or target lesion revascularization (TLR) first‐generation drug‐eluting stents (DES). Methods Participants were 1,669 patients (2,763 lesions) who had undergone successful implantation; they assigned to one three groups: 2nd (UL‐DES; >50 mm, 166 patients, 259 lesions), long (L‐DES;...
Abstract Objectives We clarified characteristics and clinical outcomes of critical limb ischemia (CLI) patients who underwent repeat endovascular therapy (EVT) for infrapopliteal lesions. Background High restenosis rate after EVT remains a major concern. Methods Patients with CLI between April 2007 February 2014, were divided into the following three groups according to how often was repeated: Group A, no EVT; B, repeated once/twice; C, ≥3 times. Results Wound healing rates at 1 year 93.9%...
Objectives The aim of this study was to assess clinical benefit the Echo‐guided ProGlide technique in patients undergoing percutaneous transfemoral transcatheter aortic valve implantation (TF‐TAVI). Background efficacy during TF‐TAVI not previously clarified. Methods A total 121 consecutive who underwent at our institution between February 2014 and July 2017 were enrolled study. According introduction novel March 2016, divided into two groups (echo‐guided group TAVI from 2016 2017, n = 63;...
We assessed wound healing in patients on hemodialysis (HD) with critical limb ischemia (CLI). This study enrolled 267 (including 120 HD and 147 not HD) who underwent endovascular therapy (EVT) for CLI. The primary endpoint was wound-healing rate at two years. Secondary endpoints were time to healing, recurrence rate, salvage percentage of male young higher the ( p < 0.01). A lower patency pedal arch after EVT observed frequently significantly (79.5% vs. 92.4%, 0.001). Time longer (median...
To compare the safety and success of a retrograde approach using microcatheter vs. sheath in treatment superficial femoral artery (SFA) chronic total occlusions (CTOs).From April 2007 to December 2012, 188 consecutive patients underwent EVT for 229 de novo SFA CTOs 68 (35 men; mean age 72 years). This cohort was divided into cases performed with 4-F or 6-F (n=28, 36 limbs) those 2.1-F (n=35, 49 limbs). The primary outcomes were time hemostasis number intra- postoperative puncture site...
An 87-year-old man was referred to our hospital for non-healing ulcers on the right third, fourth, and fifth toes. The patient diagnosed with chronic limb-threatening ischemia. Pre-treatment angiography of lower extremity revealed inframalleolar lesions. We failed perform endovascular treatment because severe calcification. Therefore, we treated a novel low-density lipoprotein apheresis device (Rheocarna
Aim: To investigate the relationship between intravascular ultrasound (IVUS) findings and restenosis after stent implantation for long occlusive femoropopliteal (FP) lesions using intraluminal approach.