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  1. Article ; Online: Comparison of the crossing methods in case of rota wire introduction failure.

    Watanabe, Tomomi / Kobara, Satoshi / Amisaki, Ryosuke / Yamamoto, Kazuhiro

    Coronary artery disease

    2023  Volume 34, Issue 7, Page(s) 522–524

    MeSH term(s) Humans ; Coronary Occlusion ; Coronary Angiography ; Treatment Outcome
    Language English
    Publishing date 2023-09-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 1047268-x
    ISSN 1473-5830 ; 0954-6928
    ISSN (online) 1473-5830
    ISSN 0954-6928
    DOI 10.1097/MCA.0000000000001281
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Primary percutaneous coronary intervention for cardio-cerebral infarction: a case report.

    Watanabe, Tomomi / Kobara, Satoshi / Amisaki, Ryosuke / Yamamoto, Kazuhiro

    Frontiers in cardiovascular medicine

    2023  Volume 10, Page(s) 1165735

    Abstract: Background: Acute myocardial infarction (AMI) and acute ischemic stroke (AIS) are the leading causes of death globally. Cardio-cerebral infarction (CCI) is the rare occurrence of AMI and AIS, either simultaneously or one after the other. Treatment ... ...

    Abstract Background: Acute myocardial infarction (AMI) and acute ischemic stroke (AIS) are the leading causes of death globally. Cardio-cerebral infarction (CCI) is the rare occurrence of AMI and AIS, either simultaneously or one after the other. Treatment recommendations are not clear in case of the occurrence of AMI and AIS simultaneously, especially the strategy of primary percutaneous coronary intervention (PCI).
    Case presentation: We report consecutive seven case series of patients with CCI who underwent primary PCI in our institute. Comorbidities, strategy of primary PCI, and outcomes were investigated. All patients presented with the chief complaints associated with stroke. Atrial fibrillation (AF) was complicated in five of CCI patients, and four of AF patients were not anticoagulated. The major causes of stroke were cardiogenic and/or hemodynamic in this case series. All patients showed total occlusion in the culprit lesion, and six patients had other diseased vessels. Thrombus aspiration was mainly chosen as the reperfusion strategy in PCI. However, only two patients were diagnosed as definitive coronary embolism, and stenting was needed in six patients due to severe atherosclerotic lesion in culprit coronary artery. Final thrombolysis in myocardial infarction (TIMI) 3 flow was achieved only in four patients. Hemorrhagic complications occurred in three patients. Two patients died during in-hospital stay, and most had to be transferred for rehabilitation.
    Conclusions: CCI was a rare but fatal condition in patients who underwent primary PCI. Although CCI was associated with concomitant atrial fibrillation, organic coronary stenosis requiring stenting for revascularization was present in almost all the cases. Given the complexity of coronary artery lesions and high in-hospital mortality, further investigations are needed to determine the optimal treatment strategy.
    Language English
    Publishing date 2023-07-31
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2781496-8
    ISSN 2297-055X
    ISSN 2297-055X
    DOI 10.3389/fcvm.2023.1165735
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Successful visible thrombus aspiration in ST-segment elevation myocardial infarction: associated factors and the clinical impact.

    Watanabe, Tomomi / Akasaka, Toshihiko / Kobara, Satoshi / Yamamoto, Kazuhiro

    Coronary artery disease

    2022  Volume 33, Issue 6, Page(s) 479–484

    Abstract: Background: Thrombus aspiration (TA) has been considered a procedure for controlling distal emboli and improving microvascular perfusion. However, current guidelines classify routine TA as class III recommendation, and it has been reported that the ... ...

    Abstract Background: Thrombus aspiration (TA) has been considered a procedure for controlling distal emboli and improving microvascular perfusion. However, current guidelines classify routine TA as class III recommendation, and it has been reported that the efficacy of TA is limited because of the relatively high incidence of failure in retrieval of thrombotic material. The aim of this study was to explore patient characteristics and procedural factors associated with successful TA in ST-elevation myocardial infarction (STEMI) and to assess the clinical impact of successful TA.
    Methods: This single-center retrospective study enrolled 158 STEMI patients who underwent TA as initial recanalization. Factors associated with successful TA, which was defined as retrieving any visible material by aspiration catheter, were explored, and angiographical and short-term outcomes were assessed.
    Results: In 146 cases (92.4%), the aspiration catheter reached the culprit lesion. Successful TA was achieved in 72 cases (45.6%). The single angiographical characteristic of successful TA was a higher Thrombolysis in Myocardial Infarction grade before TA. Among the procedural characteristics, the rate of successful TA was higher with a 7-French aspiration catheter compared with the rate with a 6-French catheter (57.1% vs. 29.9%, P  = 0.01). Thrombolysis in Myocardial Infarction grade 3 flow was more frequent in patients with successful TA immediately after TA (36.1% vs. 16.3%, P  = 0.006) and at final angiography (91.7% vs 79.1%, P  = 0.04) compared with the grade in patients without successful TA, respectively.
    Conclusions: The use of a larger aspiration catheter may be effective in retrieving visible thrombus material, and successful TA led to better angiographical results.
    MeSH term(s) Coronary Angiography ; Coronary Thrombosis/diagnostic imaging ; Coronary Thrombosis/etiology ; Coronary Thrombosis/therapy ; Humans ; Myocardial Infarction/etiology ; Myocardial Infarction/therapy ; Percutaneous Coronary Intervention/adverse effects ; Retrospective Studies ; ST Elevation Myocardial Infarction/diagnostic imaging ; ST Elevation Myocardial Infarction/etiology ; ST Elevation Myocardial Infarction/therapy ; Thrombectomy/adverse effects ; Thrombectomy/methods ; Time Factors ; Treatment Outcome
    Language English
    Publishing date 2022-07-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 1047268-x
    ISSN 1473-5830 ; 0954-6928
    ISSN (online) 1473-5830
    ISSN 0954-6928
    DOI 10.1097/MCA.0000000000001160
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Rapid progression of mitral stenosis during watchful waiting for the asymptomatic degenerative severe aortic stenosis: a case of caseous calcification of mitral annulus.

    Tsujimoto, Daiki / Sumi, Naoki / Kobara, Satoshi / Inoue, Yoshiaki / Nakamura, Yoshinobu / Shirota, Kinya

    Journal of echocardiography

    2022  Volume 21, Issue 4, Page(s) 175–176

    MeSH term(s) Humans ; Mitral Valve Stenosis/diagnostic imaging ; Mitral Valve Stenosis/surgery ; Watchful Waiting ; Mitral Valve/diagnostic imaging ; Mitral Valve/surgery ; Calcinosis/diagnosis ; Calcinosis/diagnostic imaging ; Aortic Valve Stenosis/complications ; Aortic Valve Stenosis/diagnostic imaging ; Aortic Valve Stenosis/surgery
    Language English
    Publishing date 2022-08-09
    Publishing country Japan
    Document type Case Reports ; Journal Article
    ZDB-ID 2209473-8
    ISSN 1880-344X ; 1349-0222
    ISSN (online) 1880-344X
    ISSN 1349-0222
    DOI 10.1007/s12574-022-00585-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Severe Tricuspid Regurgitation With Chordae Tendinae Rupture After Leadless Pacemaker Implantation.

    Kobara, Satoshi / Okamura, Akihiro / Kato, Masaru / Ogura, Kazuyoshi / Nishimura, Motonobu / Yamamoto, Kazuhiro

    Circulation journal : official journal of the Japanese Circulation Society

    2021  Volume 86, Issue 5, Page(s) 880

    MeSH term(s) Chordae Tendineae/diagnostic imaging ; Heart Valve Diseases ; Humans ; Pacemaker, Artificial/adverse effects ; Tricuspid Valve/diagnostic imaging ; Tricuspid Valve/surgery ; Tricuspid Valve Insufficiency/diagnostic imaging ; Tricuspid Valve Insufficiency/etiology ; Tricuspid Valve Insufficiency/surgery
    Language English
    Publishing date 2021-12-25
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2068090-9
    ISSN 1347-4820 ; 1346-9843
    ISSN (online) 1347-4820
    ISSN 1346-9843
    DOI 10.1253/circj.CJ-21-0860
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Spontaneous mitral valve perforation associated with mitral annular calcification-related calcified amorphous tumor assessed by three-dimensional transesophageal echocardiography.

    Haruki, Nobuhiko / Sumi, Naoki / Kobara, Satoshi / Tsujimoto, Daiki / Inoue, Yoshiaki / Saito, Yuhei / Shirota, Kinya

    Journal of medical ultrasonics (2001)

    2020  Volume 47, Issue 3, Page(s) 481–482

    Language English
    Publishing date 2020-05-01
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 1396630-3
    ISSN 1613-2254 ; 0287-0592 ; 1346-4523
    ISSN (online) 1613-2254
    ISSN 0287-0592 ; 1346-4523
    DOI 10.1007/s10396-020-01023-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Volcano-like ruptured posterior mitral valve aneurysm due to infective endocarditis caused by Streptococcus agalactiae.

    Kobara, Satoshi / Haruki, Nobuhiko / Nii, Rikuto / Watanabe, Yuko / Tsujimoto, Daiki / Saito, Yuhei / Shirota, Kinya

    Journal of echocardiography

    2020  Volume 19, Issue 3, Page(s) 183–184

    MeSH term(s) Aneurysm, Ruptured/complications ; Aneurysm, Ruptured/diagnostic imaging ; Endocarditis/complications ; Endocarditis/diagnostic imaging ; Endocarditis, Bacterial/complications ; Endocarditis, Bacterial/diagnostic imaging ; Humans ; Mitral Valve/diagnostic imaging ; Streptococcus agalactiae
    Language English
    Publishing date 2020-05-04
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2209473-8
    ISSN 1880-344X ; 1349-0222
    ISSN (online) 1880-344X
    ISSN 1349-0222
    DOI 10.1007/s12574-020-00471-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Early detachment of prosthetic aortic valve one year after replacement for severe aortic regurgitation due to perforated aortic valve aneurysm; a case of suspected HLA-B52 positive Behçet's disease.

    Haruki, Nobuhiko / Sumi, Naoki / Kobara, Satoshi / Tsujimoto, Daiki / Iwasaki, Yoichiro / Shimizu, Takashi / Ishii, Hiroshige / Inoue, Yoshiaki / Soeda, Takeshi / Saito, Yuhei / Shirota, Kinya

    Journal of cardiology cases

    2020  Volume 22, Issue 3, Page(s) 132–135

    Abstract: Herein, we report a case of 61-year-old male with congestive heart failure (HF) due to severe aortic regurgitation (AR) caused by ruptured aortic valve aneurysm (VA). Aortic valve replacement (AVR) was performed after improvement of HF symptoms. ... ...

    Abstract Herein, we report a case of 61-year-old male with congestive heart failure (HF) due to severe aortic regurgitation (AR) caused by ruptured aortic valve aneurysm (VA). Aortic valve replacement (AVR) was performed after improvement of HF symptoms. Pathological examination of resected aortic VA showed neutrophil infiltration. Although he did not have typical clinical features associated with infective endocarditis (IE) such as fever, leukocytosis, or positive blood culture, we misdiagnosed this case as "concealed IE". However, we reconsidered the etiology because prosthetic aortic valve detachment occurred only one year after AVR. When considering causes except IE for perforated aortic VA and early prosthetic valve detachment, Behçet's disease (BD) was more likely based on the clinical course, echocardiography, and pathological findings in this case. The inflammatory process of BD is associated with aortic valvulitis/aortitis, leading to a possible cause of aortic regurgitation due to aortic VA or early prosthetic valve detachment. The diagnosis of BD was challenging in this case because he did not have predominant clinical findings, including recurrent oral ulcer which is a mandatory criterion for the diagnosis by the International Study Group, however, cardiac involvement may have been the initial presentation of BD. <
    Language English
    Publishing date 2020-06-23
    Publishing country Japan
    Document type Case Reports
    ISSN 1878-5409
    ISSN (online) 1878-5409
    DOI 10.1016/j.jccase.2020.06.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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