Publications by authors named "Takaaki Tsuchiyama"

Background: Excimer laser coronary atherectomy (ELCA) is used for thrombotic culprit lesions in ST-segment elevation myocardial infarction (STEMI), but its effectiveness is still unclear.

Methods: Consecutive patients undergoing primary percutaneous coronary intervention within 24 h of onset were retrospectively investigated. Patients were divided into ELCA and non-ELCA groups.

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Background: Bow Hunter's syndrome is vertebral basilar artery insufficiency caused by mechanical occlusion of the vertebral artery during head rotation. This is often due to the formation of osteophytes, herniated discs, cervical spondylosis, or tumours. However, whether the contralateral vessel is organically stenotic is not well known.

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Excimer laser coronary angioplasty (ELCA) vaporizes plaques and thrombi, provides better microcirculation, and reduces peripheral embolism when treating acute coronary syndrome. Studies on the efficacy of ELCA for long onset-to-balloon time ST-segment elevation myocardial infarction (STEMI) are limited. Thus, we aimed to examine the efficacy of ELCA for STEMI using the onset-to-balloon time (OBT).

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In primary percutaneous coronary intervention (PCI) for acute coronary syndrome (ACS), the presence of a thrombus or unstable plaque can cause microvascular obstructions, which may increase infarct size and reduce survival. Excimer laser coronary angioplasty (ELCA) is a unique revascularization technique that can vaporize plaques and thrombi. However, to date, only few reports indicate the efficacy of ELCA for ACS.

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Article Synopsis
  • Excimer laser coronary atherectomy (ELCA) is a treatment for removing blood clots in patients with acute myocardial infarction (AMI) and may reduce in-hospital mortality compared to conventional treatments.
  • In a study involving 104 patients treated with ELCA and 89 with conventional methods, the in-hospital mortality rate was significantly lower in the ELCA group (2.9% vs. 13.5%).
  • Key predictors of in-hospital mortality included the use of ELCA, presence of dyslipidemia, shock, and patients’ left ventricular ejection fraction, suggesting ELCA’s effectiveness in improving outcomes during the drug-eluting stent era.
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  • Ultrasound-guided percutaneous catheter drainage (PCD) is a common treatment for liver abscesses, but can lead to severe complications, including internal bleeding.
  • An 84-year-old man with kidney issues developed an abdominal hematoma after undergoing PCD for a liver cyst infection, revealing injury to the internal mammary artery.
  • The case highlights the need to consider internal mammary artery injury as a possible cause of hematoma after PCD treatment.*
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This study aimed to evaluate the efficacy and safety of excimer laser coronary atherectomy (ELCA) prior to paclitaxel-coated balloon angioplasty for de novo coronary artery lesions. This retrospective observational study analyzed 118 eligible patients with de novo coronary artery disease whose only percutaneous coronary intervention was a drug-coated balloon angioplasty (i.e.

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BACKGROUND Previous case reports have shown that regardless of the etiology, multiple channel structures can be treated successfully by routine percutaneous coronary intervention. However, there are no general recommendations for intervention because multiple channel structures are complex and rarely diagnosed. CASE REPORT A 71-year-old male was admitted to our hospital due to bronchial pneumonia.

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Article Synopsis
  • ELCA (Excimer laser coronary angioplasty) is a technique that effectively removes plaque and thrombus in heart patients, showing better results than traditional thrombus aspiration.
  • A study compared 0.9 mm and 1.4 mm excimer laser catheters on 90 acute myocardial infarction patients, revealing no significant differences in myocardial perfusion, procedural success, and complication rates between the two sizes.
  • The findings suggest that the smaller 0.9 mm catheter is just as effective as the larger 1.4 mm one for treating acute myocardial infarction, making it a suitable option for this procedure.
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  • * 429 CKD patients were divided into two groups: one received saline alone, while the other received saline along with sodium bicarbonate and ascorbic acid before and after a coronary catheterization procedure.
  • * Results showed that CIN occurred in 8.7% of the saline group compared to only 2.8% in the group that received the combined treatment, indicating that the combination may significantly reduce the risk of CIN.
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A 62-year-old woman was admitted to our hospital because of muscle weakness and sensory disturbance in extremities. She showed weakness, muscle atrophy and sensory abnormality in four limbs with patchy distribution, suggesting involvement of multiple peripheral nerve trunks. Serum titers of anti-SS-A, SS-B, and antinuclear antibody were elevated.

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