Publications by authors named "Takatoshi Koroki"
Article Synopsis
- The study aimed to evaluate whether mechanical left ventricular unloading could lower mortality rates in patients with cardiogenic shock who were receiving venoarterial extracorporeal membrane oxygenation (VA-ECMO).
- A meta-analysis included data from two randomized controlled trials and eleven propensity score-matched studies, involving a total of 9,858 patients, and found that mechanical unloading significantly decreased mortality rates (RR, 0.89; P = 0.0001).
- While mechanical unloading showed benefits in reducing mortality and improving outcomes, it also resulted in increased risks of major bleeding and hemolysis, indicating a need for careful consideration in clinical practice.
Article Synopsis
- Tracheal intubation is commonly performed on critically ill patients, and this meta-analysis explored whether ketamine, due to its favorable cardiovascular effects, reduces mortality during this procedure compared to other agents.
- The research evaluated data from various studies, focusing on mortality rates and other health metrics, finding that ketamine had an 83.2% probability of reducing mortality compared to etomidate, though the difference wasn’t statistically significant.
- Overall, while ketamine is likely safe with comparable outcomes to etomidate based on the data, the absence of significant improvements in secondary outcomes suggests no clear advantage in clinical use beyond standard practice.
BACKGROUND Sepsis-induced cardiomyopathy is cardiac dysfunction in sepsis that sometimes results in reduced cardiac output. Inotropic agents are recommended in patients with sepsis and cardiac dysfunction. Here, we present a case of sepsis-induced cardiomyopathy that was resistant to inotropes and was successfully treated with intra-aortic balloon pumping (IABP).
View Article and Find Full Text PDFBACKGROUND von Willebrand disease (VWD) is characterized by a bleeding tendency due to abnormalities in von Willebrand factor (VWF). Severe traumatic brain injury (TBI) can induce secondary coagulopathy and hemostatic disorders. We herein present a rare case of multiple trauma, including severe TBI, in a patient with VWD who was successfully treated with repeated factor VIII/VWF transfusion in addition to standard critical care.
View Article and Find Full Text PDFBACKGROUND The rupture of an intercostal artery is rare and is usually associated with trauma, neurofibromatosis type 1, or coarctation of the aorta. Transcatheter arterial embolization is a minimally invasive vascular surgical procedure used to control hemorrhage of an intercostal artery. This report describes a case of a 48-year-old man who presented with severe back pain.
View Article and Find Full Text PDFNitroglycerin is a first-line treatment for hypertensive acute heart failure syndrome (AHFS). However, nicardipine is frequently used to treat hypertensive emergencies, including AHFS. In this study, we compared the effectiveness of nicardipine and nitroglycerin in patients with hypertensive AHFS.
View Article and Find Full Text PDFBackground: Endovascular treatment is used for traumatic arterial injuries in the torso. However, the effectiveness of endovascular covered stent-graft treatment for peripheral artery injury is unclear. We present a case of superficial femoral artery (SFA) injury successfully treated with a covered stent-graft.
View Article and Find Full Text PDFIntroduction: In human sepsis, little is known about the relationships between complement activation and the clinical characteristics of sepsis, including disseminated intravascular coagulation (DIC), interventions, and prognosis.
Patients And Methods: Adult patients with sepsis admitted from November 2016 to December 2018 were included. We used the plasma levels of soluble C5b-9 (SC5b-9) as a marker of complement activation.