Publications by authors named "Shunichiro Fujioka"

Unlabelled: Essential thrombocythemia is a risk factor for thrombosis and hemorrhage. During the perioperative period of cardiac surgery, the risk of thrombosis and hemorrhage increases. Coronavirus disease 2019 (COVID-19) is also associated with thrombosis.

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Since 2018, we have routinely placed an Amplatzer vascular plug (AVP) in the proximal left subclavian artery (LSCA) to prevent embolic events during thoracic endovascular aortic repair with arch vessel debranching (d-TEVAR). Type II endoleaks of LSCA origin were observed in two patients (20%), and the coil-in-plug (CIP) method, i.e.

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Article Synopsis
  • This study explored using high-flow regional cerebral perfusion (HFRCP) in newborns undergoing aortic arch reconstruction, focusing on monitoring thigh oxygen levels to improve kidney protection.
  • A total of 28 infants were analyzed between 2009 and 2021, with a median age of 27 days, and perfusion flow rates were adjusted to maintain brain and kidney health during surgery.
  • Results indicated no major neurological issues post-surgery, but 39.3% experienced acute kidney injury, suggesting that thigh oxygen saturation levels (rSO2T) below 48% predicted worsening kidney function.
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Background: Regression of thrombus in response to treatment with direct oral anticoagulants (DOACs) in patients with extensive deep vein thrombosis (DVT) has not been fully evaluated. This study aimed to determine the therapeutic efficacy of rivaroxaban in the treatment of extensive DVT.

Methods: We retrospectively evaluated 76 patients treated with rivaroxaban among 728 new DVT patients, at our hospital from January 2018 to March 2021.

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Background: When an internal iliac artery (IIA) has to be embolized during endovascular aneurysm repair (EVAR), buttock claudication sometimes poses problems. However, there is no established method to evaluate intraoperative blood flow to the gluteal muscles.

Methods and results: Gluteal regional oxygen saturation (rSO) was monitored using near-infrared spectroscopy (NIRS) during surgery, and changes in rSOwere compared with treatment results.

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Article Synopsis
  • A study analyzed the treatment outcomes of 212 patients with distal deep vein thrombosis (DVT) to assess risk factors for its progression and the effectiveness of anticoagulation therapy.
  • Of these patients, 21% experienced thrombus disappearance and 20% had a reduction in thrombus size with conservative treatment, while 6.3% developed extension to the proximal vein and later began anticoagulation.
  • Key risk factors for thrombus extension included active cancer, prolonged bed rest, and elevated D-dimer levels, suggesting anticoagulation might be necessary for certain patients.
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Objectives: In this study, we investigated the early and midterm outcomes of initial watch-and-wait strategy for Stanford type A intramural haematoma and acute aortic dissection with thrombosed false lumen of the ascending aorta in patients with a maximum aortic diameter of ≤50 mm, pain score of ≤3/10 and no ulcer-like projection in the ascending aorta.

Methods: Inpatient and outpatient records were retrospectively reviewed.

Results: Of the 81 patients with type A intramural haematoma and acute aortic dissection with the thrombosed false lumen of the ascending aorta between April 2011 and April 2019, a watch-and-wait strategy was selected in 46 patients.

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: Endovascular repair of the thoracic aorta (TEVAR) represents a therapeutic option for type B aortic dissection. However, the optimal timing for TEVAR is controversial. We examined the outcomes of TEVAR for chronic type B dissection and reviewed aortic morphology using pre- and postoperative CT scan images.

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: Patients of aorto-iliac aneurysms who undergo endovascular aortic repair (EVAR) require internal iliac artery (IIA) occlusion with coil embolization and its coverage with the stent graft to prevent type II endoleak after extending the endograft into the external iliac artery. However, it has become well recognized that IIA occlusion cause buttock claudication and other various sequelae due to pelvic ischemia. We retrospectively analyzed IIA occlusion outcomes.

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We describe the successful surgical treatment of an impending rupture of a saccular descending thoracic aortic aneurysm and accompanying compression of the left main bronchus. A 69-year-old man presented with a history of tingling chest pain lasting for a few hours. His left lung cannot be auscultated, and he was rapid progression of dyspnea.

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Direct vasodilator effects of nitroglycerin, nifedipine, cilnidipine and diltiazem on human skeletonized internal mammary artery graft harvested with ultrasonic scalpel were assessed in the presence of 0.1 or 0.2 µM of noradrenaline.

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Purpose: A low ratio of serum eicosapentaenoic acid to arachidonic acid (EPA/AA) has been associated with coronary artery disease. We retrospectively examined serum concentrations of polyunsaturated fatty acids in patients with arteriosclerosis obliterans (ASO) and in non-atherosclerotic patients.

Methods: From April 2011 to March 2012, serum EPA/AA was retrospectively examined in 33 consecutive outpatients with ASO complicated by intermittent claudication and 21 outpatients with hypercholesterolemia without ASO as controls.

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