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  1. Article ; Online: Intravascular ultrasound system-guided bail-out stent implantation for iatrogenic aortocoronary dissection: a case report.

    Fukui, Tomoki / Ogasawara, Nobuyuki

    European heart journal. Case reports

    2023  Volume 7, Issue 8, Page(s) ytad332

    Abstract: Background: Iatrogenic aortocoronary dissection (ACD) is a rare but potentially devastating complication of cardiac catheterization. We describe a case of an iatrogenic ACD following catheter engagement and balloon inflation of the proximal right ... ...

    Abstract Background: Iatrogenic aortocoronary dissection (ACD) is a rare but potentially devastating complication of cardiac catheterization. We describe a case of an iatrogenic ACD following catheter engagement and balloon inflation of the proximal right coronary artery (RCA) during an elective percutaneous coronary intervention (PCI).
    Case summary: An 81-year-old woman presented with an acute inferior wall ST-elevation myocardial infarction. Emergent coronary angiography revealed the three-vessel diseases. Primary PCI for the culprit lesion of the occluded mid-circumflex artery was successfully performed. After 10 days, an elective PCI for the residual RCA lesions was performed. After the balloon inflation of the proximal RCA, iatrogenic ACD was detected. Intravascular ultrasound-guided stent implantation sealing an entry tear prevented further dissection. The post-operative course was uneventful, and the patient was discharged 1 week later. Follow-up cardiac computed tomography revealed a disappearance of the aortocoronary intramural haematoma.
    Discussion: This case emphasizes the importance of prompt detection and intervention for iatrogenic ACD. Heart team discussion is essential to determine whether cardiovascular surgery or percutaneous management should be performed. Bail-out stent implantation sealing an entry tear is frequently used and effective, and an intravascular ultrasound system would help to recognize the morphology of ACD, contributing to the safe procedure.
    Language English
    Publishing date 2023-07-21
    Publishing country England
    Document type Case Reports
    ISSN 2514-2119
    ISSN (online) 2514-2119
    DOI 10.1093/ehjcr/ytad332
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Bail-Out Stent Graft Implantation for Wire Perforation of an Axillary Artery Branch.

    Fukui, Tomoki / Ogasawara, Nobuyuki

    Texas Heart Institute journal

    2023  Volume 50, Issue 4

    MeSH term(s) Humans ; Axillary Artery/diagnostic imaging ; Axillary Artery/surgery ; Blood Vessel Prosthesis ; Stents ; Blood Vessel Prosthesis Implantation/adverse effects ; Treatment Outcome
    Language English
    Publishing date 2023-08-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604761-0
    ISSN 1526-6702 ; 0730-2347
    ISSN (online) 1526-6702
    ISSN 0730-2347
    DOI 10.14503/THIJ-22-8082
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Pilsicainide Toxicity-Induced Brugada-Like ST Segment Elevation and Increased Pacing Voltage Threshold.

    Hirose, Kosuke / Arita, Yoh / Ogasawara, Nobuyuki

    Cureus

    2024  Volume 16, Issue 1, Page(s) e51576

    Abstract: Pilsicainide is a class Ic antiarrhythmic agent that exhibits fully selective sodium channel blockade. In Japan, it is one of the most prescribed medicines for rhythm control in atrial fibrillation. Pilsicainide is mainly excreted by the kidney. ... ...

    Abstract Pilsicainide is a class Ic antiarrhythmic agent that exhibits fully selective sodium channel blockade. In Japan, it is one of the most prescribed medicines for rhythm control in atrial fibrillation. Pilsicainide is mainly excreted by the kidney. Therefore, the plasma concentration of pilsicainide is likely to be increased in patients with renal insufficiency. In this case report, a 90-year-old woman presented with generalized fatigue and loss of appetite. Her ECG showed marked bradycardia and coved-type ST-segment elevation similar to that of the Brugada type 1 pattern. Owing to dehydration, her renal function indices worsened compared with those measured four months prior. The plasma pilsicainide concentration was elevated to 2.67 µg/mL (therapeutic range: 0.20-0.90 µg/mL), indicating pilsicainide toxicity. A transvenous temporary pacemaker was placed; however, the pacing voltage threshold was increased at several sites within the right ventricle. Pilsicainide administration was immediately discontinued. On day 2 of admission, ventricular backup pacing was no longer required, and there was an improvement in renal function and heart failure symptoms, such as pulmonary edema and cardiomegaly. The ECG changes improved alongside the renal function and as the plasma concentration of pilsicainide decreased. In conclusion, elevated plasma concentrations of pilsicainide can induce life-threatening arrhythmias and pacing failure. Therefore, clinicians should prescribe pilsicainide cautiously, particularly in older patients.
    Language English
    Publishing date 2024-01-03
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.51576
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Oral anticoagulation therapy for pacemaker lead-induced superior vena cava syndrome.

    Fukui, Tomoki / Ogasawara, Nobuyuki

    European heart journal. Case reports

    2022  Volume 6, Issue 11, Page(s) ytac433

    Language English
    Publishing date 2022-10-28
    Publishing country England
    Document type Case Reports
    ISSN 2514-2119
    ISSN (online) 2514-2119
    DOI 10.1093/ehjcr/ytac433
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Repeated Syncope Following COVID-19 Infection.

    Arita, Yoh / Takaki, Kota / Suetani, Yuto / Shichijo, Kana / Ogasawara, Nobuyuki

    Internal medicine (Tokyo, Japan)

    2024  Volume 63, Issue 10, Page(s) 1395–1398

    Abstract: A 74-year-old woman presented to our hospital with syncope after a coronavirus disease 2019 (COVID-19) infection. Upon admission, she passed out, and an 8 second sinus arrest was detected during telemetry monitoring. During the next syncope episode, ... ...

    Abstract A 74-year-old woman presented to our hospital with syncope after a coronavirus disease 2019 (COVID-19) infection. Upon admission, she passed out, and an 8 second sinus arrest was detected during telemetry monitoring. During the next syncope episode, telemetry monitoring showed that her heart rate decreased from 80 to 36 bpm, accompanied by a 2.4 second pause. A permanent pacemaker was implanted; however, the patient still experienced syncope. The head-up tilt test revealed a vasodepressor reflex syncope. The need for permanent pacemakers in patients with syncope following COVID-19 therefore remains controversial.
    MeSH term(s) Humans ; COVID-19/complications ; Aged ; Female ; Syncope/etiology ; Syncope/diagnosis ; Pacemaker, Artificial ; SARS-CoV-2 ; Tilt-Table Test ; Telemetry ; Syncope, Vasovagal/etiology ; Syncope, Vasovagal/diagnosis
    Language English
    Publishing date 2024-03-04
    Publishing country Japan
    Document type Case Reports ; Journal Article
    ZDB-ID 32371-8
    ISSN 1349-7235 ; 0021-5120 ; 0918-2918
    ISSN (online) 1349-7235
    ISSN 0021-5120 ; 0918-2918
    DOI 10.2169/internalmedicine.3324-23
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Usefulness of the synthesized 18-lead ECG in premature ventricular contractions from near the HIS bundle.

    Matsumoto, Hirofumi / Kida, Hirota / Nakanishi, Rieko / Ogasawara, Nobuyuki

    Journal of arrhythmia

    2023  Volume 39, Issue 2, Page(s) 231–234

    Language English
    Publishing date 2023-02-20
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2696593-8
    ISSN 1883-2148 ; 1880-4276
    ISSN (online) 1883-2148
    ISSN 1880-4276
    DOI 10.1002/joa3.12834
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Slow-flow phenomenon after drug-coated balloon angioplasty for lower-extremity arteries is associated with lack of prescribing of calcium channel blockers.

    Arita, Yoh / Fukui, Tomoki / Ogasawara, Nobuyuki

    Indian heart journal

    2023  Volume 75, Issue 1, Page(s) 82–85

    Abstract: This study aimed to investigate the relationship between prescription drugs and the slow-flow phenomenon after drug-coated balloon angioplasty. Of 30 patients, five (17%) presented with the slow-flow phenomenon. Patients with the slow-flow phenomenon ... ...

    Abstract This study aimed to investigate the relationship between prescription drugs and the slow-flow phenomenon after drug-coated balloon angioplasty. Of 30 patients, five (17%) presented with the slow-flow phenomenon. Patients with the slow-flow phenomenon were significantly less commonly prescribed calcium channel blockers than those without the slow-flow phenomenon (P = 0.03). There was no intergroup difference in the prescription of angiotensin II receptor blockers and β-blockers. The clinical outcomes, including restenosis, thrombosis, target lesion revascularization, and death, did not differ between groups during the 10-month observation period.
    MeSH term(s) Humans ; Calcium Channel Blockers ; No-Reflow Phenomenon ; Angioplasty, Balloon ; Femoral Artery ; Extremities ; Treatment Outcome ; Coated Materials, Biocompatible ; Peripheral Arterial Disease/drug therapy
    Chemical Substances Calcium Channel Blockers ; Coated Materials, Biocompatible
    Language English
    Publishing date 2023-01-10
    Publishing country India
    Document type Journal Article
    ZDB-ID 604366-5
    ISSN 2213-3763 ; 0019-4832
    ISSN (online) 2213-3763
    ISSN 0019-4832
    DOI 10.1016/j.ihj.2023.01.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Radial Arteriovenous Fistula After Coronary Catheterizations.

    Fukui, Tomoki / Marumoto, Akira / Ogasawara, Nobuyuki

    Texas Heart Institute journal

    2023  Volume 50, Issue 2

    MeSH term(s) Humans ; Veins ; Radial Artery/diagnostic imaging ; Radial Artery/surgery ; Arteriovenous Fistula/diagnostic imaging ; Arteriovenous Fistula/etiology ; Catheterization ; Arteriovenous Shunt, Surgical
    Language English
    Publishing date 2023-03-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604761-0
    ISSN 1526-6702 ; 0730-2347
    ISSN (online) 1526-6702
    ISSN 0730-2347
    DOI 10.14503/THIJ-22-7995
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Septic Shock Due to Urinary Tract Infection in an Immunosuppressed Patient Prescribed Dapagliflozin.

    Suetani, Yuto / Arita, Yoh / Iida, Yoshinori / Ogasawara, Nobuyuki

    Cureus

    2022  Volume 14, Issue 10, Page(s) e30552

    Abstract: Urinary tract infection (UTI) is one of the adverse effects of sodium-glucose cotransporter 2 (SGLT2) inhibitors. We describe a rare case of septic shock due to UTI in an immunosuppressed patient prescribed dapagliflozin. A 69-year-old woman was admitted ...

    Abstract Urinary tract infection (UTI) is one of the adverse effects of sodium-glucose cotransporter 2 (SGLT2) inhibitors. We describe a rare case of septic shock due to UTI in an immunosuppressed patient prescribed dapagliflozin. A 69-year-old woman was admitted to our hospital for the treatment of pyelonephritis. She was prescribed immunosuppressive drugs for systemic lupus erythematosus and was newly prescribed dapagliflozin for heart failure two weeks prior. One hour after admission, the patient developed hypotension and was diagnosed with septic shock due to UTI. She was administered norepinephrine, hydrocortisone and meropenem. Afterward, she underwent emergent transurethral lithotomy for her right urinary tract stones. The following clinical course was uneventful, and she was discharged on day 17. She had no recurrence of UTI or exacerbation of heart failure without dapagliflozin administration. This case report emphasizes the importance of considering the possibility of UTIs and cases in which SGLT2 inhibitors should be used. If a patient is female and immunocompromised, dapagliflozin should be prescribed more carefully after considering the increased risk of UTIs.
    Language English
    Publishing date 2022-10-21
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.30552
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Myocarditis Following the Second Dose of COVID-19 Vaccination in a Japanese Adolescent.

    Yamamoto, Shohei / Arita, Yoh / Ogasawara, Nobuyuki

    Cureus

    2022  Volume 14, Issue 3, Page(s) e23474

    Abstract: As COVID-19 vaccines continue to be deployed worldwide, countries are now planning to vaccinate their pediatric populations as well. However, several vaccine-related adverse events, including myocarditis, have been reported. Although the incidence of ... ...

    Abstract As COVID-19 vaccines continue to be deployed worldwide, countries are now planning to vaccinate their pediatric populations as well. However, several vaccine-related adverse events, including myocarditis, have been reported. Although the incidence of myocarditis after BNT162b2 vaccination is low, it is higher, particularly after receiving the second dose, among young male recipients. A 13-year-old male adolescent presented with chest pain after the second dose of the BNT162b2 vaccination. Electrocardiography, echocardiography, cardiac magnetic resonance imaging, and blood examinations were consistent with myocarditis. He was treated conservatively because his symptoms were relatively mild. In Japan, it is expected that the chances of diagnosing vaccine-related myocarditis will increase as more children are getting vaccinated. Our case report raises concerns to physicians that the COVID-19 vaccination may cause rare cases of myocarditis, which must always be considered as a differential diagnosis.
    Language English
    Publishing date 2022-03-25
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.23474
    Database MEDical Literature Analysis and Retrieval System OnLINE

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