Publications by authors named "Yukihide Kagawa"
Article Synopsis
- - Recent studies show that breathing pure oxygen (100% O) after cardiac arrest can harm organ function, highlighting the need for careful monitoring of oxygen levels to avoid injury.
- - In a study on rats, those given 100% O showed higher lung injury (measured by wet-to-dry weight ratio) and significant differences in blood gas parameters compared to those given 30% O and healthy controls.
- - The alveolar-arterial oxygen difference (AaDO) strongly correlated with lung injury, suggesting AaDO could serve as a valuable, non-invasive tool for assessing hyperoxic damage in post-cardiac arrest situations.
Article Synopsis
- Prevention of delayed cerebral infarction (DCI) after subarachnoid hemorrhage (SAH) can involve various treatments, including the endothelin receptor antagonist (ERA), clazosentan, which became available in 2022 and is recommended despite the risk of fluid retention issues.
- A study examined 10 SAH patients treated with ERA, focusing on their background, blood results, and fluid retention, revealing that age significantly influenced outcomes, particularly with complications like hydrocephalus and fluid accumulation.
- Findings suggest that in patients over 80, avoiding ERA, limiting infusion volumes, and managing heart failure early can help reduce fluid-related complications post-surgery.
Article Synopsis
- Neuroendovascular therapy via distal/trans-radial artery access (d/TRA) offers a less invasive option for procedures like carotid artery stenting (CAS) and mechanical thrombectomy (MT) for acute ischemic strokes (AIS).* -
- A comparison of patient outcomes over two periods demonstrated that while the second group included more severe cases, the rates of postoperative complications or effectiveness were similar between d/TRA and traditional trans-femoral access (TFA) methods.* -
- The use of d/TRA was particularly effective in avoiding puncture site complications (PSCs) and managing patients with cognitive decline, ensuring safety and outcomes were consistent with established techniques.*
Surgical treatment should be considered for patients with severe vertebrobasilar artery (VBA) stenosis or progressive symptoms, but there is currently no clear treatment algorithm. We report a case of symptomatic intracranial vertebral artery stenosis with repeated cerebral infarction treated by percutaneous transluminal angioplasty (PTA) and stenting and monitoring of oxygen saturation by a brain oximeter. The patient was a 76-year-old man referred to our hospital due to infarction in the right cerebellum.
View Article and Find Full Text PDFTraumatic carotid artery dissection(TCAD)is often associated with severe traumatic brain injuries and has high rates of morbidity and mortality. Here, we report a case of TCAD that was treated with mechanical thrombectomy followed by carotid artery stenting(CAS). A 50-year-old man suffered from minor facial trauma due to a motorcycle accident and had disturbance of consciousness with left hemiplegia 2 hours after sustaining the injury.
View Article and Find Full Text PDFCerebral infarction (CI) caused by middle cerebral artery occlusion exhibits a very high mortality rate. To reduce this rate, a decompressive hemicraniectomy (DHC) is performed clinically based on several randomized trials. In ischemic stroke, a state of malnutrition leads to poor outcomes.
View Article and Find Full Text PDF[Effectiveness of Kampo medicine Gorei-San for chronic subdural hematoma].
No Shinkei Geka
August 2009
Chronic subdural hematomas (CSDHs) are basically treated by surgery. In some cases with no or minimum symptoms, however, they may be treated conservatively. In the present study, we evaluated the therapeutic effect of a Kampo medicine (Japanese traditional herbal medicine), Gorei-san, in the treatment of those CSDHs.
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