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The Journal of Japanese College of Angiology最新文献

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Pathophysiology of Hereditary Thoracic Aneurysms 遗传性胸动脉瘤的病理生理学
Pub Date : 2020-03-10 DOI: 10.7133/jca.19-00030
Hiroki Yagi, N. Takeda, H. Akazawa
syndrome, and familial non-syndromic TAADs. Syndromic TAADs are typically caused by pathogenic variants in the transforming growth factor- β signal and extracellular matrix-related genes, such as FBN1, TGFBR1, TGFBR2, SMAD3, TGFB2, COL3A1, while approximately 20% of the non-syndromic hereditary TAADs result from altered components of the contractile apparatus of vascular smooth muscle cells, encoded by ACTA2, MYH11, MYLK, and PRKG1 genes. The genotype–phenotype relationship of hereditary TAADs has been extensively investigated to improve the methods for risk stratification and personalized treatment strategies. In this review, we present the current understanding of genotype–phenotype relationship and molecular mechanisms responsible for aortopathies of hereditary TAADs.
以及家族性非综合征性taad。综合征型taad通常是由转化生长因子- β信号和细胞外基质相关基因(如FBN1、TGFBR1、TGFBR2、SMAD3、TGFB2、COL3A1)的致病变异引起的,而大约20%的非综合征型遗传性taad是由血管平滑肌细胞收缩器官成分的改变引起的,这些成分由ACTA2、MYH11、MYLK和PRKG1基因编码。遗传性TAADs的基因型-表型关系已被广泛研究,以改进风险分层和个性化治疗策略的方法。在这篇综述中,我们介绍了目前对遗传性TAADs主动脉病变的基因型-表型关系和分子机制的理解。
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引用次数: 0
第24回 日本血管病理研究会 第24回 日本血管病理研究会
Pub Date : 2020-02-10 DOI: 10.7133/jca.600201
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引用次数: 0
Role and Tasks of Perioperative Nursing in the Prevention of Venous Thromboembolism 围手术期护理在预防静脉血栓栓塞中的作用和任务
Pub Date : 2020-01-10 DOI: 10.7133/jca.19-00012
Y. Nakayama, Naoko Minegami, Tomoko Nada, K. Ataka
肺血栓塞栓症(pulomnary thromboembolism: PTE)は, 静脈系で形成された塞栓子(血栓,脂肪,腫瘍,空気, 羊水中の胎児成分など)が血流に乗って肺動脈を閉塞 し,急性および慢性の肺循環障害を招く病態である。深 部静脈血栓(deep vein thrombosis: DVT)からの血栓遊離 によるものが多いため総称して静脈血栓塞栓症(venous thromboembolism: VTE)と呼ばれている。周術期におい ては,手術操作による静脈壁の損傷や手術侵襲による血 液凝固能の亢進,体位固定による静脈血うっ滞といっ た,いわゆるVirchowの3徴が相互に絡み合う状況に患 者は置かれることになり,DVT発生の危険性は高くな る。さらに近年の内視鏡手術やロボット支援下手術など による特殊体位や長時間手術,患者の高齢化などの因子 も付加的要因となる。 手術看護の役割として,手術看護業務基準には「手術 チームメンバーと協働して合併症を予防するとともに早 期発見にも努める。また,常に不測の事態を予測し,万 全の体制を整えることも重要な役割である。」1)と示され ている。つまり,手術チームメンバーと共にVTE予防 に取り組むことは手術看護の重要な役割である。 今回,自施設の静脈血栓塞栓症対策ワーキンググルー プに参加し,手術看護認定看護師としての活動を含め, VTE予防に関する手術看護の役割と課題を見出したの で報告する。
肺血栓栓塞症(pulomnary thromboembolism)PTE)是静脉系统形成的栓子(血栓、脂肪、肿瘤、空气、羊水中的胎儿成分等)随血流阻塞肺动脉,导致急性和慢性肺循环障碍的病态。由于多为来自深度静脉血栓(deep vein thrombosis, DVT)的血栓游离所致,所以统称为静脉血栓栓塞症(venous thromboembolism, VTE)。在围手术期,由于手术操作静脉壁的损伤和手术侵入引起的血液凝固功能亢进,体位固定引起的静脉血淤滞,即所谓的Virchow 3征相互缠绕的状况。人被放置,DVT发生的危险性提高。另外,近年来通过内窥镜手术和机器人辅助手术等进行特殊体位和长时间手术,以及患者老龄化等因素也成为附加因素。作为手术护理的职责,手术护理业务标准中规定“与手术团队成员协同工作,在预防合并症的同时努力做到早期发现。另外,随时预测不测事态,建立完备的体制也是重要的职责”。1)所示。也就是说,与手术团队成员一起致力于VTE预防是手术护理的重要职责。此次参加了本机构的静脉血栓栓塞对策工作小组,包括作为手术护理认证护士的活动在内,发现了与VTE预防相关的手术护理的作用和课题,并进行了报告。
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引用次数: 0
Relation between Success Placement of Central Venous Port and Left Brachiocephalic Vein Stenosis 中心静脉置入术成功与左头臂静脉狭窄的关系
Pub Date : 2020-01-10 DOI: 10.7133/jca.19-00023
S. Yachi, Tetsuya Saito, E. Yoshida, M. Takeyama, S. Ayabe
Objectives: We investigated the relation between success placement of central venous (CV) port and anatomical factors associated with left brachiocephalic vein (LBV) stenosis. Methods: One hundred forty-nine patients who underwent CV port placement were included from Jan. 2014 to Dec. 2017 in our institu-tion. All patients performed CT scan prior to CV port placement. We investigated the diameter of LBV, the distance between sternum and aorta, and the curving angle of LBV around aorta. We compared them with success rate of CV catheter insertion. Results: CV catheter insertion was failed in 9.5% of patients who received CV catheter insertion from left side. In the failure group of CV catheter insertion, the diameter of LBV, the distance between sternum and aorta, and the curving angle of LBV around aorta were signifi-cantly smaller than in the success group. Conclusions: Success rate of CV catheter insertion was associated with LBV stenosis, the distance between sternum and aorta, and the curving angle of LBV around aorta.
目的:探讨中心静脉(CV)置入术成功与否与左头臂静脉(LBV)狭窄相关解剖因素的关系。方法:纳入2014年1月至2017年12月在我院接受心血管植入的149例患者。所有患者在植入心血管端口前都进行了CT扫描。观察下腔静脉直径、胸骨与主动脉的距离、下腔静脉绕主动脉的弯曲角度。我们将其与CV置管成功率进行比较。结果:左侧CV导管置入失败率为9.5%。导管置管失败组LBV直径、胸骨与主动脉距离、LBV绕主动脉弯曲角度均明显小于成功组。结论:CV导管置入成功率与LBV狭窄程度、胸骨与主动脉距离、LBV绕主动脉弯曲角度有关。
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引用次数: 0
Stent-graft Treatment for Subclavian Artery Aneurysm: Report of a Case 支架移植治疗锁骨下动脉瘤1例
Pub Date : 2019-11-10 DOI: 10.7133/jca.19-00016
M. Hirano, H. Kitou
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引用次数: 0
Role of NLRP3 Inflammasome in Atherosclerosis and Aortic Aneurysm NLRP3炎性体在动脉粥样硬化和主动脉瘤中的作用
Pub Date : 2019-10-10 DOI: 10.7133/jca.19-00022
Ryouta Kamata, Masafumi Takahashi
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引用次数: 0
A Case Report of Simultaneous Carotid and Aortic Valve Surgery under Cardiopulmonary Bypass 体外循环下颈动脉主动脉瓣同步手术1例报告
Pub Date : 2019-10-10 DOI: 10.7133/jca.19-00008
M. Yoda, T. Miyazaki, Minoru Yoshida
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引用次数: 0
Surgical Treatment Using Tailoring Technique for Renal Artery Aneurysm 应用裁剪技术治疗肾动脉瘤
Pub Date : 2019-10-10 DOI: 10.7133/jca.19-00018
S. Imai, R. Kyuragi, M. Yoshikawa, N. Sakamoto, T. Onohara
The tailoring technique, which involves partial resection of an aneurysm followed by direct suture of the remaining arterial wall, is one of the surgical options for renal artery aneurysm (RAA). We evaluated the short- and long-term outcomes of eight patients who underwent surgery for saccular RAAs using the tailoring technique. Acute kidney injury was postoperatively reported in only one patient, and no patient required hemodialysis. During the long-term follow-up period (mean, 5.3 ± 3.6 years), renal artery stenosis, renal artery occlusion, and RAA recurrence did not occur among the patients. Aneurysmorrhaphy using the tailoring technique is an effective surgical option because of its favorable long-term outcomes. (J
剪裁技术,包括部分切除动脉瘤,然后直接缝合剩余的动脉壁,是肾动脉动脉瘤(RAA)的手术选择之一。我们评估了8例使用剪裁技术接受囊性raa手术的患者的短期和长期预后。术后急性肾损伤仅报告1例,无患者需要血液透析。在长期随访期间(平均5.3±3.6年),无肾动脉狭窄、肾动脉闭塞、RAA复发。采用剪裁技术进行动脉瘤缝合是一种有效的手术选择,因为它具有良好的长期预后。(J
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引用次数: 0
Endovascular Therapy for Nutcracker Syndrome: A Case Report 血管内治疗胡桃夹子综合征1例报告
Pub Date : 2019-09-10 DOI: 10.7133/jca.18-00041
Shingo Nakai, Tetsuo Watanabe, Y. Nakano, M. Tsuda, H. Sakakibara, S. Toyama, Keiichiro Kawamura, M. Sadahiro
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引用次数: 0
Development of Early Diagnosis and Therapeutic Agent for CTEPH Focused on a Novel Pathogenic Protein TAFI CTEPH早期诊断和治疗药物的研究进展——以一种新的致病蛋白TAFI为重点
Pub Date : 2019-08-10 DOI: 10.7133/JCA.19-00011
K. Satoh, T. Satoh, N. Yaoita, H. Shimokawa
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引用次数: 0
期刊
The Journal of Japanese College of Angiology
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