Faculty Profiles - SUGIU Kenji

Papers - SUGIU Kenji

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頸動脈狭窄症に対するtailored CASの治療成績と臨床研究

徳永浩司, 杉生憲志, 高杉祐二, 春間純, 清水智久, 平松匡文, 菱川朋人, 伊達勲

JNET: Journal of Neuroendovascular Therapy 7 ( 6 ) 172 - 172 2013.11

Angio machineを使いこなせ血管撮影装置の多面的活用画質向上、血行動態評価、データ管理の視点から

平松匡文, 杉生憲志, 菱川朋人, 徳永浩司, 高杉祐二, 清水智久, 春間純, 伊達勲

JNET: Journal of Neuroendovascular Therapy 7 ( 6 ) 156 - 156 2013.11

症候性脳動脈瘤に対するコイル塞栓術の治療効果の検討

高杉祐二, 杉生憲志, 徳永浩司, 菱川朋人, 清水智久, 春間純, 平松匡文, 伊達勲

JNET: Journal of Neuroendovascular Therapy 7 ( 6 ) 165 - 165 2013.11

小児もやもや病における年齢別虚血病態の検討

菱川朋人, 徳永浩司, 杉生憲志, 伊達勲

脳循環代謝 25 ( 1 ) 144 - 144 2013.11

ラットくも膜下出血急性期におけるspreading depressionの新しい観察方法

清水智久, 菱川朋人, 高杉祐二, 春間純, 平松匡文, 徳永浩司, 杉生憲志, 武田吉正, 森松博史, 伊達勲

脳循環代謝 25 ( 1 ) 184 - 184 2013.11

外科治療と循環代謝ラット慢性脳虚血モデルに対する血行再建術におけるVEGFおよびapelin遺伝子の血管新生効果についての検討

平松匡文, 徳永浩司, 杉生憲志, 菱川朋人, 春間純, 清水智人, 高杉祐二, 伊達勲, 木戸屋浩康, 高倉伸幸

脳循環代謝 25 ( 1 ) 113 - 113 2013.11

middle temporal veinアプローチによる経静脈塞栓術を施行した硬膜動静脈瘻の2症例

西廣真吾, 杉生憲志, 徳永浩司, 菱川朋人, 平松匡文, 清水智久, 春間純, 高杉祐二, 伊達勲

JNET: Journal of Neuroendovascular Therapy 7 ( 6 ) 324 - 324 2013.11

対側頸動脈閉塞を伴う頸動脈狭窄症に対するCarotid artery stentingの有用性の検討

清水智久, 杉生憲志, 徳永浩司, 菱川朋人, 平松匡文, 春間純, 高杉祐二, 伊達勲

JNET: Journal of Neuroendovascular Therapy 7 ( 6 ) 326 - 326 2013.11

コイルのaccidental detachmentに対する対処法症例報告

豊嶋敦彦, 杉生憲志, 徳永浩司, 高杉祐二, 清水智久, 春間純, 平松匡文, 菱川朋人, 伊達勲

JNET: Journal of Neuroendovascular Therapy 7 ( 6 ) 292 - 292 2013.11

80歳以上の破裂脳動脈瘤に対するコイル塞栓術

新治有径, 菱川朋人, 高杉祐二, 清水智久, 春間純, 平松匡文, 徳永浩司, 杉生憲志, 伊達勲

JNET: Journal of Neuroendovascular Therapy 7 ( 6 ) 297 - 297 2013.11

複合テクニックを駆使した脳動脈瘤塞栓術の治療成績

菱川朋人, 杉生憲志, 徳永浩司, 平松匡文, 春間純, 高杉祐二, 清水智久, 伊達勲

JNET: Journal of Neuroendovascular Therapy 7 ( 6 ) 193 - 193 2013.11

未破裂脳動脈瘤に合併した脳底動脈閉塞の1例

守本純, 杉生憲志, 豊嶋敦彦, 清水智久, 春間純, 大熊佑, 平松匡文, 菱川朋人, 徳永浩司, 伊達勲

JNET: Journal of Neuroendovascular Therapy 7 ( 6 ) 279 - 279 2013.11

Endovascular treatment of basilar artery aneurysms associated with fenestration Reviewed

Hisakazu Itami, Kenji Sugiu, Masafumi Hiramatsu, Koji Tokunaga, Jun Haruma, Yu Okuma, Tomohito Hishikawa, Ayumi Nishida, Isao Date

Neurological Surgery 41 ( 7 ) 583 - 592 2013.7

Language：Japanese Publishing type：Research paper (scientific journal)

Aneurysms at the vertebrobasilar junction are often found with basilar artery (BA) fenestration We encountered 10 consecutive cases of aneurysms associated with BA fenestration The purpose of this study is to describe the frequency, clinical features, and outcome of these aneurysms treated by endovascular procedure The incidence of these aneurysms in our series was 1.9% All aneurysms were successfully treated by coil embolization. Half of them were treated by using simple technique, and the other half were treated by using adjunctive techniques such as balloon remodeling technique. 70% of these cases were ruptured, and all except one case showed good recovery at the time of discharge We found 63 reported cases of this aneurysm in the literature between 2000 and 2012 57 out of 63 aneurysms were treated by endovascular means with good clinical results The usefulness of endovascular procedure is reported to be superior to surgical clipping because of their anatomical complexity and the difficulty of surgical exposure for clipping We conclude that outcome of these aneurysms is favorable and endovascular procedure has become their standard treatment for these aneurysms.

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Endovascular treatment for cervical carotid artery aneurysm: A case report Reviewed

Yasuhiko Hattori, Kenji Sugiu, Tomohito Hishikawa, Koji Tokunaga, Kazuya Takahashi, Isao Date

Neurological Surgery 41 ( 6 ) 515 - 523 2013.6

Language：Japanese Publishing type：Research paper (scientific journal)

We report here a case of cervical carotid artery aneurysm. This 37-year-old male suffered from acute neck swelling when he was taking lunch after physical work. Ultrasonography demonstrated a cervical pseudoaneurysm and a jet flow, which was blowing into the dome from the carotid artery. Angiogram revealed an aneurysm with a diameter of 3 cm at the bifurcation of the common carotid artery. Coil embolization using double-catheter technique was performed and complete occlusion of the aneurysm was obtained without any complications. The patient returned to his normal life. Cervical carotid artery aneurysms are rare and they induce pain by swelling in the neck, hoarseness, swallowing disturbance, hemorrhage, and cerebral ischemia due to embolism. In case of a cervical carotid artery aneurysm, safe and effective treatments are required and endovascular treatment should be considered. Although stent-assisted coil embolization or covered-stent placement were reported as an effective treatment for cervical aneurysms, coil embolization without using a stent was performed in this particular patient who is a young, blue-collar worker because the avoidance of long-term anti-platelet therapy was desirable Preoperative evaluation is important to select adequate treatment.

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A case of a paraspinal arteriovenous fistula presenting with retroperitoneal hemorrhage treated by staged transarterial and transvenous embolization Reviewed

Atsuhiko Toyoshima, Koji Tokunaga, Hiroaki Manabe, Kenji Sugiu, Masafumi Hiramatsu, Hisakazu Itami, Tomohito Hishikawa, Isao Date

Neurological Surgery 41 ( 5 ) 429 - 435 2013.5

Language：Japanese Publishing type：Research paper (scientific journal)

We report a rare case of a paraspinal arteriovenous fistula (AVF) treated by combined transarterial and transvenous embolization (TAE/TVE) A 72-year-old woman was admitted after a traffic accident. Abdominal enhanced CT disclosed pre-existing large varices at the L3-L4 level in the right retropentoneum with multiple feeding arteries and veins draining into the extradural venous plexus in the spinal canal. The lesion was diagnosed as a paraspinal AVF. Four days later, the patient went into a state of shock. Emergency abdominal CT showed retroperitoneal hemorrhage due to rupture of the varix. TAE of the feeders from the right L1-L4 arteries was performed, and rebleeding from the varix was prevented. Three months later, follow-up CTA showed regrowth of the AVF, and TVE was performed. Two microcatheters were navigated transveriously into the varix, and detachable coils were delivered into the small compartment just downstream to the shunts, leading to complete obliteration. We conclude that transarterial flow reduction followed by occlusion of the venous side of the shunts is effective to achieve cure of a complex and high-flow paraspinal AVF.

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Fatal outcomes of pediatric patients with moyamoya disease associated with pulmonary arterial hypertension. Report of two cases Reviewed International journal

Koji Tokunaga, Tomohito Hishikawa, Kenji Sugiu, Isao Date

CLINICAL NEUROLOGY AND NEUROSURGERY 115 ( 3 ) 335 - 338 2013.3

Required knowledge for neuroendovascular surgeon (6) embolization of cranial dural arteriovenous fistulae and high flow arteriovenous fistulae Reviewed

Koji Tokunaga, Kenji Sugiu, Isao Date

Neurological Surgery 41 ( 2 ) 153 - 162 2013.2

Surgical and endovascular treatment for superior cerebellar artery aneurysms: Report of two cases Reviewed

Jun Haruma, Kenji Sugiu, Yosuke Shimazu, Hiroyuki Michiue, Koji Tokunaga, Isao Date

Neurological Surgery 41 ( 1 ) 45 - 51 2013.1

Language：Japanese Publishing type：Research paper (scientific journal)

Aneurysms located on the supenor cerebellar artery (SCA) are uncommon and their presentation, natural history, and clinical management are poorly understood. Reports related to the endovascular or surgical management of SCA aneurysms are rare Herein, we report two cases of SCA aneurysm The first is that of a 70-year-old woman who presented with subarachnoid hemorrhage (SAH). Surgical treatment (neck clipping) of the ruptured SCA aneurysm was performed, and the flow of the parent artery disappeared. The second is that of a 69-year-old woman with an unruptured SCA aneurysm who underwent endovascular surgery to occlude the parent artery. Neither patients exhibited any additional neurological deficits SCA aneurysms often have either relatively wide or undefinable necks, so it is difficult to preserve the parent artery. According to several surgical reports, occlusion of the SCA appears well tolerated for a vanety of reasons.

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Endovascular coiling of thrombosed basilar tip aneurysm using double stents in a Y-configuration Reviewed

Yoshihiro Otani, Kenji Sugiu, Koji Tokunaga, Tomohito Hishikawa, Hisakazu Itami, Masafumi Hiramatsu, Yu Okuma, Isao Date

Neurological Surgery 40 ( 11 ) 1005 - 1012 2012.11

Language：Japanese Publishing type：Research paper (scientific journal)

Recent advances in endovascular techniques greatly improved the ability to treat complex cerebral aneurysms. However, patients with wide-necked cerebral aneurysms have posed a special challenge to conventional endovascular therapy. We report a novel method of embolizing wide-necked basilar apex aneurysms by employing a Y-configuration, double stent technique. A 40-year-old woman with a partially thrombosed basilar apex aneurysm transferred to our hospital after diagnosis of subarachnoid hemorrhage. Cerebral angiography revealed a wide-necked aneurysm which neck was incorporating the origins of both the posterior cerebral arteries. In treatment procedure, a microcatheter was inserted into the aneurysm followed by coiling of the upper half of the dome. Next, the first stent was deployed in the right P2 segment extending down to the mid basilar artery and the second stent was then deployed with half of the stent in the left P2 and the other half within the lumen of the previously placed stent. Finally, the microcatheter was withdrawn near the neck, and the rest of the aneurysmal dome was packed by additional coils. The result was favorable. Successful coil embolization of a widenecked bifurcation aneurysm can be achieved by using the double stenting Y-configuration in this case. This result continues to provide highly encouraging support of this novel technique to treat a subset of complex, wide-necked aneurysms that until recently were considered poor candidates for endovascular therapies.

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脊髄硬膜動静脈瘻における外科治療介入のタイミングと予後との相関

大熊佑, 杉生憲志, 徳永浩司, 三好康之, 眞鍋博明, 菱川朋人, 平松匡文, 豊嶋敦彦, 春間純, 清水智久, 伊達勲

JNET: Journal of Neuroendovascular Therapy 6 ( 5 ) 423 - 423 2012.11

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