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  2. takagi yasushi

takagi yasushi

  (高木 靖)

Profile Information

Affiliation
Fujita Health University
Degree
博士(医学）
J-GLOBAL ID
201501004425848897
researchmap Member ID
7000013248

Research Areas

 1

Papers

 85
  • Yoshiyuki Takami, Atsuo Maekawa, Koji Yamana, Kiyotoshi Akita, Kentaro Amano, Yusuke Sakurai, Kazuki Matsuhashi, Wakana Niwa, Yasushi Takagi
    Circulation Journal, 87(11) 1672-1679, Oct 25, 2023  
  • Atsuo Maekawa, Yoshiyuki Takami, Koji Yamana, Kiyotoshi Akita, Kentaro Amano, Yusuke Sakurai, Ryosuke Hayashi, Kazuki Matsuhashi, Wakana Niwa, Yasushi Takagi
    General Thoracic and Cardiovascular Surgery, 70(1) 83-86, Oct 4, 2021  
  • Michiko Ishida, Hiroshi Ishikawa, Yoshiyuki Takami, Kiyotoshi Akita, Kentaro Amano, Yusuke Sakurai, Mika Noda, Ryosuke Hayashi, Yasushi Takagi
    General Thoracic and Cardiovascular Surgery, Mar 8, 2021  
  • Yoshiyuki Takami, Shin-ichi Tanida, Naoki Hoshino, Yusuke Sakurai, Kentaro Amano, Kiyotoshi Akita, Ryosuke Hayashi, Atsuo Maekawa, Hideo Izawa, Yasushi Takagi
    The International Journal of Artificial Organs, 039139882199115-039139882199115, Feb 2, 2021  
    We report wound management using a vacuum-assisted closure (VAC) system for the cannula sites of extracorporeal biventricular assist devices (BiVADs) for 295 days in a 23-year old Chinese female patient with fulminant giant cell myocarditis, who finally underwent heart transplantation. When the cannula sites appeared necrotic 3 months after BiVADs placement, she received negative pressure wound therapy prophylactically for four cannula sites, using a VAC system for 3 months, followed by no infections. Such prophylactic VAC therapy, using the skin barrier paste usually used for the ostomy pouching system to create a flatter surface and airtightness, may be useful to avoid cannula site infections, which is still a fatal complication causing sepsis, especially in patients with extracorporeal BiVADs.
  • Mika Noda, Yoshiyuki Takami, Kentaro Amano, Yusuke Sakurai, Kiyotoshi Akita, Atsuo Maekawa, Yasushi Takagi
    The Annals of thoracic surgery, Jun 9, 2020  
    BACKGROUND: Transit-time flow measurement (TTFM) is frequently used for intraoperative graft flow analysis during coronary artery bypass grafting (CABG). Although the TTFM results may be influenced by fractional flow reserve (FFR) of the target coronary artery as a determinant of coronary lesion-specific ischemia, the data has been limited. METHODS: We retrospectively investigated the relationships between the intraoperative TTFM parameters and preoperative FFR values of the target coronary arteries in 40 in-situ left internal thoracic artery (LITA) grafts to the left anterior descending artery (LAD), which were revealed to be patent on postoperative computed tomography angiography. RESULTS: The Spearman correlation coefficients of the TTFM parameters with FFR were as follows; maximum flow: -0.12 (p = 0.301), minimum flow (Qmin): -0.43 (p = 0.004), mean flow (Qm): -0.30 (p = 0.036), pulsatility index (PI): 0.37 (p = 0.012), diastolic filling (DF): -0.36 (p = 0.012), percent insufficiency (%Insuf): 0.45 (p = 0.002), and fast Fourier transform (FFT) ratio: -0.07 (p = 0.329). While Min and Qm showed significant negative correlation, PI and %Insuf showed significant positive correlation with FFR. CONCLUSIONS: Most TTFM parameters, including Qm, of the LITA graft to the LAD during CABG are strongly affected by preoperative FFR values. Since the FFT ratio is not influenced by FFR, FFT analysis of the TTFM may be recommend in the case of the in-situ LITA graft to the LAD with moderate stenosis with a higher FFR＞0.75.
More

Misc.

 14
  • 小林 昌義, 野田 美香, 櫻井 祐輔, 天野 健太郎, 樋口 義郎, 近藤 弘史, 秋田 淳年, 石川 寛, 石田 理子, 金子 完, 佐藤 俊充, 高木 靖, 渡辺 孝, 安藤 太三
    日本外科学会雑誌, 114(2) 253-253, Mar 5, 2013  
  • 安藤 太三, 高木 靖, 山下 満, 佐藤 雅人, 星野 竜, 金子 完, 石田 理子, 栃井 将人, 秋田 淳年
    日本外科学会雑誌, 111(2) 51-51, Mar 5, 2010  
  • Yasushi Takagi, MD, Motomi Ando, MD, Yoshiro Higuchi, MD, Kiyotoshi Akita, MD, Masato Tochii, MD, Michiko Ishida, MD, Kan Kaneko, MD, Ryo Hoshino, MD, Masato Sato, MD
    Ann Vasc Dis, 3(3) 215-221, 2010  Peer-reviewed
  • TAKAGI Yasushi, ANDO Motomi
    Journal of Japan Surgical Society, 110(5) 245-248, Sep 1, 2009  
  • Masato Tochii, Yasushi Takagi, Ryo Hoshino, Mitsuru Yamashita, Masato Sato, Kan Kaneko, Michiko Ishida, Toru Watanabe, Kiyotoshi Akita, Hiroshi Kondo, Yoshiro Higuchi, Takashi Watanabe, Motomi Ando
    SURGERY TODAY, 39(7) 603-605, Jul, 2009  Peer-reviewed
    This report presents an extremely rare case of paraplegia following emergency surgery for a nonruptured symptomatic abdominal aortic aneurysm. A 62-year-old man underwent an emergency surgical repair for a symptomatic nonruptured infrarenal abdominal aortic aneurysm. On postoperative day 2 paraplegia following spinal cord ischemia occurred at the T8 level. The site of the ischemia was situated too high for clamping to have caused this condition, unless the patient had a congenital anomaly in the blood supply to the spinal cord or it had been caused by the previously occluded great radicular artery, which was maintained by the collateral blood supply from the iliac circulation.
  • 佐藤雅人, 安藤太三, 山下 満, 樋口義朗, 近藤弘史, 秋田淳年, 栃井将人, 石田理子, 金子 完, 星野 竜, 高木 靖
    静脈学, 20(2) 37-42, 2009  
  • Masato Tochii, Motomi Ando, Yasushi Takagi, Mitsuru Yamashita, Ryo Hoshino, Kiyotoshi Akita
    General Thoracic and Cardiovascular Surgery, 56(12) 589-591, Dec, 2008  Peer-reviewed
    A 73-year-old man presented with DeBakey type IIIa chronic aortic dissection. The aneurysm of the descending aorta was replaced using an open proximal technique with hypothermic circulatory arrest. For cerebrospinal protection, the left axillary artery was cannulated, which perfuses the vertebral artery and affects the Willis arterial circle, the anterior spinal artery, and the collateral blood supply to the spinal cord. Cannulation of the left axillary artery was a safe and effective surgical option for antegrade cerebral perfusion and spinal protection. © 2008 The Japanese Association for Thoracic Surgery.
  • 祖父江 嘉洋, 渡邊 英一, 原 智紀, 椎野 憲二, 針谷 浩人, 山田 晶, 成瀬 寛之, 元山 貞子, 平光 伸也, 石井 潤一, 菱田 仁士, 尾崎 行男, 高木 靖, 安藤 太三
    Circulation journal : official journal of the Japanese Circulation Society, 72 1084-1084, Oct 20, 2008  
  • 高木 靖, 安藤 太三
    オペナーシング, 23 138-147, 2008  
  • Masato Tochii, Motomi Ando, Yasushi Takagi, Mitsuru Yamashita, Ryo Hoshino, Kiyotoshi Akita
    General Thoracic and Cardiovascular Surgery, 56(1) 22-24, Jan, 2008  Peer-reviewed
    Aberrant right subclavian artery is a rare condition with a prevalence of 0.5%-2.0% of the population. We report a case of distal aortic arch aneurysm with right subclavian artery. A 75-year-old man who was asymptomatic was referred to our hospital for a thoracic aortic aneurysm. Computed tomography showed a 55-mm fusiform aneurysm of the distal arch and an aberrant right subclavian artery. Total arch replacement was performed via median sternotomy with antegrade selective cerebral perfusion and hypothermic circulatory arrest. We reconstructed the aberrant right subclavian artery in the normal position to avoid compression of the esophagus and trachea caused by future aneurysmal dilatation of the orifice of the aberrant right subclavian artery and potential high risk for rupture. © 2008 The Japanese Association for Thoracic Surgery.
  • Masanori Okumura, Yukio Ozaki, Junichi Ishii, Shino Kan, Hiroyuki Naruse, Shigeru Matsui, Makoto Ishikawa, Kousuke Hattori, Tomoko Gochi, Tadashi Nakano, Akira Yamada, Shigeru Kato, Sadako Motoyama, Masayoshi Sarai, Yasushi Takagi, Tevfik F. Ismail, Masanori Nomura, Hitoshi Hishida
    CIRCULATION JOURNAL, 71(11) 1669-1677, Nov, 2007  Peer-reviewed
    Background Restenosis still occurs, even with the sirolimus-eluting stent (SES), and the precise mechanisms and the impact of stent fracture on restensosis have not yet been elucidated. Methods and Results Intravascular ultrasound (IVUS)-guided SES implantation was performed in 184 lesions in 151 patients with stable and unstable angina. Serial (pre-, post- and follow-up) quantitative coronary angiography analysis was obtained in 169 lesions in 138 patients (angiographic follow-up rate: 91%) and 12-month clinical follow-up was done in all patients. Restenosis occurred in 13 (7.7%) of 169 lesions. Stent fracture occurred in 4 (2.4%) of 169 lesions at follow-up. Of the 13 restenotic lesions, 8 had intimal hyperplasia, 4 had stent fracture, and 1 had late stent thrombosis at 7 months. Although multivariate logistic regression analysis revealed that minimal lumen area (min-LA) post (p=0.027), total stent length (p=0.003) and diabetes (p=0.032) were significant independent predictors of restenosis, univariate analysis showed that stent fracture was more common in the restenosis than in the non-restenosis groups (p=0.001). Conclusions Although min-LA post by IVUS, total stent length by QCA and diabetes are independent predictors for angiographic restenosis, stent fracture occurred in 4 lesions (2.4%) and all of them resulted in restenosis (31% of the restenosis). The impact of stent fracture and its potential role in the development of restenosis deserves further study.
  • TOCHII MASATO, ANDO MOTOMI, TAKAGI YASUSHI, YAMASHITA MITSURU, HATTORI KOJI, HOSHINO RYO, AKITA KIYOTOSHI
    37(10) 893-896, Oct 1, 2007  
  • 山下 満, 安藤 太三, 高木 靖, 服部 浩治, 星野 竜, 栃井 将人, 秋田 淳年, 西部 俊哉, 近藤 ゆか
    日本血管外科学会雑誌, 16(2) 262-262, Apr, 2007  
  • Kondo Yuka, Nishibe Masayasu, Nishibe Toshiya, Watanabe Toru, Hoshino Ryo, Hattori Koji, Yamashita Mitsuru, Takagi Yasushi, Ando Motomi, Shimizu Kazuyoshi
    Japanese Journal of Vascular Surgery, 16(2) 49-54, 2007  
    Background: Infrainguinal angioplasty provides a minimally invasive alternative to bypass surgery in patients with severe limb ischemia in whom surgery involves a high risk. This study aimed to evaluate early patency, limb salvage effect, and initial technical success rates in patients who underwent infrainguinal angioplasty.Patients and Methods: A total of 29 patients (37 limbs) who presented with severe claudication, rest pain, ulcer, gangrene, or a combination of these conditions were treated with infrainguinal angioplasty between February 2005 and September 2006. Angioplasty was performed using appropriately sized balloons or stents, or both. Intraluminal self expanding stents were used in cases of the superficial femoral artery and were not used in the infrapopliteal, tibial, and peroneal arteries.Results: The primary success rates were 100% for superficial femoral artery stenting and infrapopliteal artery balloon angioplasty. The 3-month primary patency rate, primary assisted patency rate, limb salvage rate, and survival rate were 94%, 100%, 96% and 100% for superficial femoral artery stenting, and 89%, 89%, 100% and 86% for infrapopliteal artery balloon angioplasty as estimated by Kaplan-Meier analysis.Conclusions: Infrainguinal angioplasty is a feasible primary treatment of critical limb ischemia in high-risk patients, providing excellent technical success and acceptable patency and limb salvage rates, comparable with surgical bypass surgery.

Books and Other Publications

 6
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Research Projects

 3

教育内容・方法の工夫（授業評価等を含む）

 4
  • 件名（英語）
    -
    概要（英語）
    循環器系の講義は、動画やＥＢＭを主体とした内容の講義。
  • 件名（英語）
    -
    概要（英語）
    ポリクリの教育には、手術だけでなく術前・術後管理に関しての知識を伝え、循環器系および外科系の知識や魅力を伝える。
  • 件名（英語）
    -
    概要（英語）
    特定看護師養成コースの教育は、今後の臨床の質や効率の向上を目指す。
  • 件名（英語）
    -
    概要（英語）
    大学院生に対する研究指導は、臨床研究だけでなく医療科学部との連携や循環器内科と共同することにより、より高度な内容の臨床研究と、研究範囲の拡大を目指す。

教育方法・教育実践に関する発表、講演等

 2
  • 件名（英語）
    -
    終了年月日（英語）
    2013/11/30
    概要（英語）
    (教育講演) 心臓血管外科Up-To-Date（特定看護師はどうかわるか）. 第2回日本NP協議会研究会. 東京
  • 件名（英語）
    -
    終了年月日（英語）
    2012/03/03
    概要（英語）
    (特別講演）高木　靖、櫻井祐輔、天野健太郎、樋口義郎、近藤弘史、秋田淳年、石田理子、金子　完、石川　寛、渡邊　孝、安藤太三. 特別企画1 冠動脈外科におけるチームワークの重要性 冠動脈外科における特定看護師の役割. 第17回日本冠動脈外科学会学術大会; 東京.

その他教育活動上特記すべき事項

 4
  • 件名（英語）
    -
    終了年月日（英語）
    2014/03/07
    概要（英語）
    第2回藤田保健衛生大学心臓血管外科セミナー　大動脈弁形成術　
  • 件名（英語）
    -
    終了年月日（英語）
    2013/10/01
    概要（英語）
    第1回藤田保健衛生大学心臓血管外科セミナー　大動脈弁形成術
  • 件名（英語）
    -
    終了年月日（英語）
    2013/08/18
    概要（英語）
    医学部教育ワークショップ：卒業時、および臨床実習終了時アウトカム（学習成果）の設定
  • 件名（英語）
    -
    終了年月日（英語）
    2011/08/27
    概要（英語）
    医学教育ワークショップ：多肢選択問題、臨床長文問題、計算問題ブラッシュアップ
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