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Hamon M.,University of Caen Lower Normandy | Pristipino C.,San Filippo Neri Hospital | Di Mario C.,Royal Brompton Hospital | Nolan J.,Staffordshire University | And 19 more authors.
EuroIntervention | Year: 2013

Radial access use has been growing steadily but, despite encouraging results, still varies greatly among operators, hospitals, countries and continents. Twenty years from its introduction, it was felt that the time had come to develop a common evidence-based view on the technical, clinical and organisational implications of using the radial approach for coronary angiography and interventions. The European Association of Percutaneous Cardiovascular Interventions (EAPCI) has, therefore, appointed a core group of European and non-European experts, including pioneers of radial angioplasty and operators with different practices in vascular access supported by experts nominated by the Working Groups on Acute Cardiac Care and Thrombosis of the European Society of Cardiology (ESC). Their goal was to define the role of the radial approach in modern interventional practice and give advice on technique, training needs, and optimal clinical indications.

Mukai Y.,Yokohama City University | Hata M.,Yokohama City University | Mitsudo K.,Yokohama City University | Koike I.,Yokohama City University | And 6 more authors.
Strahlentherapie und Onkologie | Year: 2014

Purpose: The aim of this study was to review the efficacy and toxicity of radiation therapy with concurrent retrograde superselective intra-arterial chemotherapy in the treatment of gingival carcinoma. Methods and materials: In all, 34 patients (21 men and 13 women) with squamous cell carcinoma of the gingiva underwent radiation therapy with concurrent retrograde superselective intra-arterial chemotherapy. Treatment consisted of daily external irradiation and concurrent retrograde superselective intra-arterial infusion with cisplatin and docetaxel. A median total dose of 60 Gy in 30 fractions was delivered to tumors. Results: Of the 34 patients, 29 (85 %) achieved a complete response (CR) and 5 had residual tumors. Of the 29 patients with a CR, 2 had local recurrences and 1 had distant metastasis 1-15 months after treatment. Twenty-six of the 36 patients had survived at a median follow-up time of 36 months (range 12-79 months); 4 died of cancer and 4 died of non-cancer-related causes. At both 3 and 5 years after treatment, the overall survival rates were 79 % and the cause-specific survival rates were 85 %. Osteoradionecrosis of the mandibular bone only developed in 1 patient after treatment. Conclusion: Radiation therapy with concurrent retrograde superselective intra-arterial chemotherapy was effective and safe in the treatment of gingival carcinoma. This treatment may be a promising curative and organ-preserving treatment option for gingival carcinoma. © 2013 Springer Heidelberg Berlin.

Uojima H.,Shonankamakura General Hospital | Tokoro S.,Shonankamakura General Hospital | Masuda S.,Shonankamakura General Hospital | Tomishima K.,Fujisawatokushukal Medical Center | And 3 more authors.
Journal of Japanese Society of Gastroenterology | Year: 2013

We report two cases of ruptured pyogenic liver abscesses where one patient survived and the other died. We suspected that infection with gas-producing bacteria was the cause of the latter outcome, and we reviewed 47 case reports of ruptured pyogenic liver abscesses. Of the 47 cases, we determined that 77.6% included gas-producing pathogens. Moreover, the presence of gas-producing pathogens was associated with a mortality of 22.2%, whereas there were no deaths in cases with no gas-producing pathogens.

Shimoyama R.,Shonankamakura General Hospital | Ban T.,Shonan Fujisawa Tokush Ukai Hospital | Miyake K.,Shonankamakura General Hospital | Isogai N.,Shonankamakura General Hospital | And 4 more authors.
Japanese Journal of Cancer and Chemotherapy | Year: 2014

A 63-year-old woman with colon cancer who was treated with capecitabine as adjuvant chemotherapy presented with vertigo on day 5, and dysarthria and dysphagia on day 7 of the treatment. Diffusion-weighted magnetic resonance imaging of the brain revealed high signal intensity in the corpus callosum and corona radiata. The patient was diagnosed with acute leukoencephalopathy, and the capecitabine treatment was discontinued. Her symptoms recovered immediately On the basis of these findings, it can be concluded that diffusion-weighted imaging is useful for the early detection and diagnosis of acute leukoencephalopathy.

Uojima H.,Shonankamakura General Hospital | Koizumi K.,Shonankamakura General Hospital | Yamamoto S.,Shonankamakura General Hospital | Ichida C.,Shonankamakura General Hospital | And 6 more authors.
Gastroenterological Endoscopy | Year: 2014

A 60-year-old man suffered from fever and epigastric pain. Computed tomography (CT) showed a 10 cm multiseptated cystic mass with a bubble in the left lobe of the liver and a hepatogastric fistula. Upper gastrointestinal endoscopy showed an oval-shaped ulcer with pus at the antrum of the lesser curvature of the stomach. Endoscopic liver abscess drainage was performed. Subsequently, a nasal catheter and gastric catheter were inserted into the liver abscess for continued drainage. The procedure was completed without any complications. After 22 days, the patient was discharged with only the gastric catheter still in place. After 45 days, CT showed disappearance of the liver abscess, and the gastric catheter was removed.

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