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A New Self-Expandable Metallic Stent with Low Axial Force and a High Axial Force Zero-Border Shows a Very Low Perforation Rate in Malignant Colorectal Obstruction: A Japanese Multicenter Prospective Study.
J Clin Med
August 2024
Department of Surgery, Toho University Ohashi Medical Center, Tokyo 153-8515, Japan.
Recently, there has been a significant increase in the utilization of self-expandable metallic stents (SEMSs) for treating malignant colorectal obstructions through colorectal stenting. The mechanical properties of SEMSs are usually considered to affect clinical outcomes of patients with malignant colorectal obstructions. : This single-arm, prospective, multicenter study of SEMS with a lower axial force and high axial force zero-border included 200 patients with malignant colorectal obstruction.
View Article and Find Full Text PDFComparison of clinical outcomes between proximal and non-proximal right coronary artery occlusion in patients with inferior ST-segment elevation myocardial infarction.
J Cardiol
August 2024
Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, Saitama City, Japan.
Article Synopsis
- * Among 356 patients, those in the proximal group showed a trend toward higher rates of complications at admission but similar in-hospital death rates and major cardiovascular events (MACE) compared to the non-proximal group.
- * The findings suggest that while severe acute conditions were more common in proximal occlusions, the overall long-term clinical outcomes, measured by MACE, were not significantly different between the two groups.
Osteosarcoma in a Teenage Athlete With a Swollen Knee Joint.
Cureus
March 2024
Acute Medicine, Mid and South Essex NHS Foundation Trust, Southend on Sea, GBR.
Osteosarcoma is a malignant mesenchymal tumour. This primarily manifests in the formation of immature osteoid cells by tumour cells. Osteosarcoma is the most common primary bone tumour in children and adolescents.
View Article and Find Full Text PDFBackground: In mechanical thrombectomy for tandem occlusions in vertebrobasilar stroke, distal emboli from the vertebral artery lesion should be prevented. However, no suitable embolic protection devices are currently available in the posterior circulation. Here, the authors describe the case of a vertebral artery lesion effectively treated with a closed-tip stent retriever as an embolic protection device in the posterior circulation.
View Article and Find Full Text PDFAppropriate sizing of the frozen elephant trunk: How to predict proximal descending aortic diameter prior to dissection?
J Thorac Cardiovasc Surg
January 2024
Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
Objective: The predissection aortic diameter is the best reference for determining the size of the frozen elephant trunk in aortic dissection. We aimed to develop a new prediction method to estimate the predissection diameter of proximal descending aorta. Furthermore, we evaluated the accuracy of the estimated predissection proximal descending aortic diameters calculated using 3 prediction methods.
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