The Journal of Japanese College of Angiology
Online ISSN : 1880-8840
Print ISSN : 0387-1126
ISSN-L : 0387-1126
Volume 58 , Issue 4
Showing 1-6 articles out of 6 articles from the selected issue
Review Articles
  • Satoru Nagatomi, Hiroshi Yamamoto, Daigo Kanamori, Atsuhiko Sakamoto, ...
    2018 Volume 58 Issue 4 Pages 39-45
    Published: April 10, 2018
    Released: April 10, 2018
    JOURNALS FREE ACCESS

    Endovascular aortic repair (EVAR) is often selected as a first optional treatment of aortoiliac aneurysm. Some cases have chronic kidney disease (CKD) as comorbidity, which is the risk for contrast induced nephropathy (CIN). Carbon dioxide angiography (CO2 angiography) is helpful to reduce the dose of iodine contrast medium and prevent CIN in EVAR for such patients. This description focuses on the view of CIN, CO2 angiography and CO2-guided EVAR in our CKD cases.

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  • Masumi Matsuda, Kei Sato, Tadafumi Sugimoto, Hidetomo Onuma, Makoto Mo ...
    2018 Volume 58 Issue 4 Pages 47-53
    Published: April 10, 2018
    Released: April 10, 2018
    JOURNALS FREE ACCESS

    The ankle-brachial index (ABI) plays a key role in diagnosis of peripheral arterial disease (PAD) in clinical practice. Moreover, pulse wave velocity (PWV), upstroke time (UT), percent mean arterial pressure (%MAP), and toe-brachial index (TBI) are useful indices of predicting the presence of PAD even if ABI at rest is still within the normal range, thus improving patients risk stratification and helping in clinical decisions, especially in circumstances of discrepancy between symptoms and ABI at rest. The aim of this review is to investigate how to interpret the results of these indices for understanding of etiology, diagnosis, and severity in evaluation of PAD. Case 1: a discrepancy between PWV and pulse waveform in a patient with bilateral common femoral artery stenosis; Case 2: a discrepancy between ABI and TBI in a patient with bilateral diffuse stenosis of infra-popliteal artery; Case 3: a discrepancy within the normal range ABI between left and right in a patient with left superficial femoral artery occlusion; Case 4 and 5: a discrepancy between ABI and clinical symptoms in a patient with scleroderma and Buerger’s disease.

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Original Article
Case Reports
  • Satoshi Sumino, Keijiro Mitsube, Makoto Hashimoto, Ryuji Koshima, Hiro ...
    2018 Volume 58 Issue 4 Pages 61-64
    Published: April 10, 2018
    Released: April 10, 2018
    JOURNALS FREE ACCESS

    Solitary Iliac Aneurysms (SIAs) are rare and difficult to find because of the asymptomatic natural history. Therefore, they have a significant risk of rupture with high mortality and morbidity. We report a case of successful surgical repair for ruptured SIA coexisting hydronephrosis. A 78-year-old male was addressed in a state of shock to our hospital for lower abdominal pain. CT scan demonstrated right giant SIA rupture into peritoneal cavity complicated by hydronephrosis. Emergent surgery was done by laparotomy in which Y-graft replacement was performed remaining the ureter untouched. Postoperative course was uneventful and hydronephrosis disappeared 6 months after the surgery.

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  • Isao Nishijima, Kento Shinzato, Ryo Ikemura, Kazufumi Miyagi, Kiyoshi ...
    2018 Volume 58 Issue 4 Pages 65-68
    Published: April 10, 2018
    Released: April 10, 2018
    JOURNALS FREE ACCESS

    We report the use of an ultrasound-guided thrombin injection (UGTI) for the treatment of a traumatic occipital artery pseudoaneurysm. We treated a 96-year-old woman who presented with dementia and difficulty with communication. She crumbled and hit the back of her head and was admitted to our hospital. On the fourth day after hospitalization, she was diagnosed with a traumatic occipital pseudoaneurysm based on ultrasonographic examination and computed tomographic angiography. We performed an UGTI with the injection of 100 units of thrombin into the aneurysmal sac. No complications or adverse effects were reported, and she soon showed disappearance of the aneurysm.

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  • Sachiko Hayashi, Tsutomu Ito, Yuta Akamatsu, Kentaro Yamabe, Shintaro ...
    2018 Volume 58 Issue 4 Pages 69-73
    Published: April 10, 2018
    Released: April 10, 2018
    JOURNALS FREE ACCESS

    A 43-year-old man was admitted to our hospital because of continuous fever for several weeks. The computed tomography detected a huge thrombus semi-occluding the terminal aorta and infarctions of the kidneys, spleen and multiple cerebral micro bleedings. Echocardiography revealed vegetation on the mitral valve and severe mitral valve regurgitation. Mitral valve replacement was perfumed to prevent embolism recurrence. On the 3rd postoperative day, he underwent graft replacement of infrarenal abdominal aorta. He recovered successfully without embolism and infective recurrence.

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