Explanipedia

Impact of Limb Severity on Great Saphenous Vein Wall Structure and Its Involvement in Vein Graft Patency Open

Shinsuke Kikuchi, Yuri Yoshida, Tadahiro Sasajima, Tsutomu Doita, Keisuke Kamada , et al. · 2025

Clinical Features of Acute on Chronic Lower Limb Ischemia and the Importance of Underlying Arterial Disease for Revascularization Open

Tsutomu Doita, Shinsuke Kikuchi, Yuya Tamaru, Takayuki Uramoto, Kazuki Takahashi , et al. · 2025

AoCLI had more complex and multi-segment arterial lesions, making limb perfusion restoration difficult. The unfavorable factors for EVT could help stratify the optimal treatment of ALI in emergency settings.

Combined Arterial Reconstruction and Surgical Distal Venous Arterialization for Limb Salvage in Thromboangiitis Obliterans: A Case Report. Open

Yuri Yoshida, Shinsuke Kikuchi, Daichi Mizushima, H. Jinno, Hiroya Moriyama , et al. · 2025

Preoperatively planned surgical DVA, in conjunction with sympathetic modulation and timely postoperative intervention, may offer a durable limb salvage strategy in advanced TAO with limited distal targets.

Super-Elderly Case of Acute Lower Limb Ischemia Treated with Indigo Aspiration System in Japan Open

Shinsuke Kikuchi, Seima Ohira, Tsutomu Doita, Keisuke Kamada, Naoya Kuriyama , et al. · 2024

The Indigo Aspiration System (Penumbra Ltd., Alameda, CA, USA), a catheter-based device intended for the endovascular removal of clots from peripheral arteries and veins, was launched in Japan to treat acute limb ischemia after the cessati…

Venous Screening Activities at the Site of Hokkaido East Iburi Earthquake: Report from the Result of Venous Screening in Preventive Awareness Activities Open

Keisuke Kamada, Daiki Uchida, Hiroko Okuda, Atsuhiro Koya, Seima Ohira , et al. · 2023

After previous earthquakes, high prevalence of cardiovascular diseases including venous thromboembolism (VTE) has been reported. We performed venous screening at the site of Hokkaido East Iburi Earthquake which happened at 6th September 20…

Importance of Limb Severity on Primary Graft Patency of Ipsilateral Single Saphenous Vein Grafts for Lower Extremity Artery Bypass in Chromic Limb-threatening Ischemia Open

Shinsuke Kikuchi, Keisuke Kamada, H. Jinno, Kazuki Takahashi, Takayuki Uramoto , et al. · 2023

A case of lymphoma mimicking infected internal iliac artery aneurysm Open

Yohei Ichikawa, Shinsuke Kikuchi, Hiroya Moriyama, Takamitsu Tatsukawa, Seima Ohira , et al. · 2023

Background Malignant lymphoma rarely mimics an infected arterial aneurysm and a ruptured arterial aneurysm because of similar imaging findings, leading to misdiagnosis. The hematomas of ruptured aneurysms are radiologically difficult to di…

A Case of Prosthesis Penetrating the Bladder by Crossover Bypass in the Pelvic Cavity Open

Katsuaki Magishi, Seima Ohira, Noriyuki Shimizu, Yuichi Izumi · 2023

症例は73歳男性，60歳時に骨盤大腿型閉塞性動脈硬化症で右総腸骨-右大腿-左大腿動脈バイパス，左大腿-膝上膝窩動脈バイパス，69歳時に急拡大した腹部大動脈瘤に腹部ステントグラフト内挿術，その後に左大腿動脈吻合部仮性瘤切除術などの既往歴があった．人工血管周囲に体液貯留が持続し，72歳時にドレナージと右大腿動脈吻合部に縫工筋充填術を行った．73歳時に，左膝窩動脈バイパス閉塞にともない右腸骨動脈位人工血管から左閉鎖孔経路を通し左膝上膝窩動脈へcross overバイパス術を行った…

A Case of an Ischemic Regio Sacralis Ulcer Due to Internal Iliac Artery Stenosis Resembling Clinical Presentation of Deep Tissue Injury Open

Ranko Hinooka, Shinsuke Kikuchi, Ai Tochikubo, Seima Ohira, Takamitsu Tatsukawa , et al. · 2021

包括的高度慢性下肢虚血，II型糖尿病，狭心症，透析依存腎不全を有する50代男性。右膝下膝窩動脈–足背動脈バイパス術翌日に仙骨部に暗紫色の発赤出現，壊死組織を伴う潰瘍へ移行。Deep Tissue Injury（DTI）を疑ったが，潰瘍周囲の組織酸素飽和度（Tissue Oxygen Saturation: StO2）は潰瘍右側で14–12%と低値を示し，虚血性潰瘍を示唆した。血管造影所見では右内腸骨動脈起始部に石灰化を伴う75%狭窄を認めバルーン拡張，ステント留置施行，St…

Surgical Management of Aortoenteric Erosion Due to Pulsatile Stress After Aneurysm Repair: A Case Report Open

Shingo Kunioka, Hiroto Kitahara, Seima Ohira, Yuki Tada, Nobuyuki Akasaka , et al. · 2020

Secondary aortoenteric fistula or erosion (SAEFE), an abnormal connection between the aorta and gastrointestinal tract, is a rare but critical complication after abdominal aortic aneurysm repair. Most SAEFEs occur between the aorta or prox…

A Case of Chronic Limb-Threatening Ischemia with Heel Ulcers Cured by Revascularization and Partial Calcanectomy Open

Takamitsu Tatsukawa, Shinsuke Kikuchi, Ai Tochikubo, Seima Ohira, Ranko Hinooka , et al. · 2020

Ischemic limbs with infected heel ulcers are often difficult to salvage. We present a case of an 82-year-old woman who had bilateral heel ulcers owing to chronic limb-threatening ischemia. She underwent right femoral-terminal posterior tib…

Manual repositioning of lung hernia after minimally invasive cardiac surgery Open

Yuta Koichi, Hayato Ise, Seima Ohira, Daita Kobayashi, Sentaro Nakanishi , et al. · 2019

Minimally invasive cardiac surgery has recently become widespread because it has few disadvantages. However, lung hernia has been reported as a rare complication of minimally invasive cardiac surgery (MICS), and normally requiring addition…

A left ventricular assist device for a patient with peripartum cardiomyopathy Open

Seima Ohira, Hayato Ise, Sentaro Nakanishi, Daita Kobayashi, Ayumi Date , et al. · 2018

Since its introduction in Japan in 1980, the extracorporeal left ventricular assist device has been used as a bridge to the recovery of cardiac function or to heart transplantation by many institutions. In this case report, we describe a 2…

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