Curriculum Vitaes

ishida michiko

  (石田 理子)

Profile Information

Affiliation
School of Medicine, Faculty of Medicine, Fujita Health University
Degree
博士(医学)

J-GLOBAL ID
201501006991852799
researchmap Member ID
7000013252

Misc.

 15
  • Masato Tochii, Yasushi Takagi, Kan Kaneko, Michiko Ishida, Kiyotoshi Akita, Yoshiro Higuchi, Motomi Ando
    ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY, 19(1) 76-78, Feb, 2013  
    A 59-year-old male who had undergone aortic and mitral valve replacement with Starr-Edwards ball valves 27 years ago was admitted to our hospital for hemolytic anemia and heart failure. Echocardiography revealed prosthetic valve failure with a high-pressure gradient and small effective orifice area. The Starr-Edwards ball valves were successfully replaced with bileaflet mechanical valves. The explanted valves revealed no structural abnormalities.
  • Yasushi Takagi, Motomi Ando, Kiyotoshi Akita, Michiko Ishida, Kan Kaneko, Masato Sato
    Asian Cardiovascular and Thoracic Annals, 21(1) 31-36, Feb, 2013  
    Background: Embolic stroke during arch replacement is a serious concern in patients with shaggy aorta. Objective: To evaluate shaggy aorta in patients who received total aortic arch replacement with antegrade selective cerebral perfusion utilizing axillary perfusion. Method: Between January 2005 and December 2010, 63 patients underwent preoperative contrast-enhanced computed tomography scanning of the aorta to evaluate atheromatous plaque. We analyzed operative data to investigate which factors were associated with outcomes and survival. Results: Shaggy aorta was found in 34 (54%) patients. There were 3 (5%) cases in the ascending aorta, 26 (41%) in the aortic arch, and 19 (30%) in the descending aorta. Operative mortality occurred in 1 (2%) patient. Although stroke occurred in 2 (3%) shaggy aorta patients, shaggy aorta was not associated with an increased likelihood of stroke (p = 0.4951). Survival was significantly lower in patients with shaggy descending aorta (p = 0.0411) and in patients &gt 75-years old (p = 0.0200) these traits were identified as independent risk factors for late death (p = 0.0368 and p = 0.0100, respectively). Conclusion:We concluded that our perfusion technique protects patients with shaggy aorta against embolism, and that the survival is lower in patients with shaggy descending aorta. © The Author(s) 2012.
  • Masato Tochii, Yasushi Takagi, Kan Kaneko, Michiko Ishida, Kiyotoshi Akita, Yoshiro Higuchi, Motomi Ando
    ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY, 19(1) 76-78, Feb, 2013  
    A 59-year-old male who had undergone aortic and mitral valve replacement with Starr-Edwards ball valves 27 years ago was admitted to our hospital for hemolytic anemia and heart failure. Echocardiography revealed prosthetic valve failure with a high-pressure gradient and small effective orifice area. The Starr-Edwards ball valves were successfully replaced with bileaflet mechanical valves. The explanted valves revealed no structural abnormalities.
  • Yasushi Takagi, Motomi Ando, Kiyotoshi Akita, Michiko Ishida, Kan Kaneko, Masato Sato
    Asian Cardiovascular and Thoracic Annals, 21(1) 31-36, Feb, 2013  
    Background: Embolic stroke during arch replacement is a serious concern in patients with shaggy aorta. Objective: To evaluate shaggy aorta in patients who received total aortic arch replacement with antegrade selective cerebral perfusion utilizing axillary perfusion. Method: Between January 2005 and December 2010, 63 patients underwent preoperative contrast-enhanced computed tomography scanning of the aorta to evaluate atheromatous plaque. We analyzed operative data to investigate which factors were associated with outcomes and survival. Results: Shaggy aorta was found in 34 (54%) patients. There were 3 (5%) cases in the ascending aorta, 26 (41%) in the aortic arch, and 19 (30%) in the descending aorta. Operative mortality occurred in 1 (2%) patient. Although stroke occurred in 2 (3%) shaggy aorta patients, shaggy aorta was not associated with an increased likelihood of stroke (p = 0.4951). Survival was significantly lower in patients with shaggy descending aorta (p = 0.0411) and in patients &gt 75-years old (p = 0.0200) these traits were identified as independent risk factors for late death (p = 0.0368 and p = 0.0100, respectively). Conclusion:We concluded that our perfusion technique protects patients with shaggy aorta against embolism, and that the survival is lower in patients with shaggy descending aorta. © The Author(s) 2012.
  • Sato M, Ando M, Kaneko K, Higuchi Y, Kondo H, Akita K, Ishida M, Takagi Y
    Ann Vasc Dis, 6(3) 578-582, 2013  
  • Yasushi Takagi, Kiyotoshi Akita, Hiroshi Kondo, Michiko Ishida, Kan Kaneko, Masato Sato, Motomi Ando
    ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY, 18(1) 24-30, Feb, 2012  
    Purpose: We evaluated the relationship between internal thoracic artery (ITA) stenosis anastomosed to the left anterior descending artery (LAD) and the degree of LAD stenosis using 320-detector row computed tomography (320-ADCT) and adenosine thallium-201 myocardial perfusion scintigraphy (TI-201-MPS). Methods: We included 101 patients who underwent coronary artery bypass grafting (CABG) using ITA grafts; 320-ADC and adenosine TI-201-MPS were performed 2-3 months after CABG. Clinical parameters, degree of LAD stenosis, and regional myocardial ischemia of the LAD territory were compared between patients without ITA stenosis (Group A) and with ITA stenosis (Group B). Results: Thirty patients (30%) had <= 75% LAD stenosis, and 9 patients (30%) showed significant ITA stenosis. Regional ischemia was noted in 23 patients (23%). There were no differences in clinical parameters between the 2 groups. Twenty-two patients (24%) in Group A and 8 patients (89%) in Group B had <= 75% LAD stenosis (P < 0.002). No Group B patients had regional myocardial ischemia of the LAD territory. Conclusion: We concluded that <= 75% LAD stenosis significantly influences ITA stenosis, without associated regional myocardial ischemia of the LAD territory. Non-invasive 320-ADCT and adenosine TI-201-MPS for ITA evaluation may be useful for long-term follow-up of patients after CABG.
  • 佐藤雅人, 安藤太三, 金子 完, 樋口義朗, 近藤弘史, 秋田淳年, 石田理子, 高木 靖
    J Jpn Coll Angiol, 52 53-58, 2012  
  • Yasushi Takagi, Yoshiro Higuchi, Hiroshi Kondo, Kiyotoshi Akita, Michiko Ishida, Kan Kaneko, Ryo Hoshino, Masato Sato, Motomi Ando
    General Thoracic and Cardiovascular Surgery, 59(7) 467-471, Jul, 2011  
    Purpose: Valve surgery for active infective endocarditis (IE) can cause fatal brain hemorrhage. Our current study aimed to evaluate the incidence of septic cerebral lesions in active IE patients by performing preoperative magnetic resonance imaging (MRI) including T2- weighted sequences and magnetic resonance angiography (MRA) before urgent valve surgery, and to investigate whether such preoperative evaluation affects postoperative outcomes. Methods: Eighteen patients were referred to our department for native valve IE during 2006-2010. Urgent surgery was indicated in cases of hemodynamic failure resulting from valve destruction, refractory sepsis, and mobile vegetations measuring &gt 10 mm. For these patients, we performed preoperative MRI and MRA. Results: Males comprised 67% of the subjects, with average age 53 ± 15 years. No clinical evidence of acute stroke was noted. Of the 18 patients, urgent surgery was indicated in 15 of these, 10 (67%) showed a brain lesion related to IE: 6 patients had acute or subacute brain infarctions, 2 patients had brain infarction with brain abscess, and 2 patients had hemorrhagic brain infarction and so did not undergo urgent surgery. Thus, 13 patients underwent urgent valve surgery. Among the 5 patients who did not undergo urgent surgery, 4 patients later underwent valve surgery for healed IE. No hospital deaths or neurological complications occurred. Conclusion: MRI of patients with active IE revealed a high incidence of cerebral lesions caused by IE. The use of MRI to detect septic embolism and intracerebral hemorrhage may provide important information for better surgical outcomes. © 2011 The Japanese Association for Thoracic Surgery.
  • 佐藤雅人, 安藤太三, 金子 完, 天野健太郎, 櫻井祐補, 樋口義郎, 近藤弘史, 秋田淳年, 栃井将人, 石田理子, 高木 靖, 渡邊 孝
    Ther Res, 32(10) 1282-1284, 2011  
  • Masato Tochii, Yasushi Takagi, Ryo Hoshino, Kan Kaneko, Michiko Ishida, Yoshiro Higuchi, Motomi Ando
    ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY, 17(3) 323-325, 2011  
    Pseudoaneurysm of the ascending aorta after cardiac surgery is a rare but life threatening complication, which can result in rupture. Pseudoaneurysms are usually related to the aortic cannulation, the proximal site of graft anastomosis, or the suture line of aortotomy, and often occur after mediastinal infection. We report a case of pseudoaneurysm of the ascending aorta associated with aortic cannulation and the proximal anastomosis of a saphenous vein graft without an obvious history of mediastinal infection.
  • Masato Tochii, Motomi Ando, Yasushi Takagi, Kan Kaneko, Michiko Ishida, Kiyotoshi Akita, Yoshiro Higuchi
    ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY, 16(6) 451-453, Dec, 2010  
    Cardiac surgical procedure and catheter intervention of the aorta or its major branches have a potential risk for iatrogenic aortic dissection. This case demonstrates an iatrogenic type A aortic dissection after the elective balloon angioplasty for severe stenosis of the left subclavian artery orifice. The dissection retrospectively extended to the ascending aorta, and intramural hematoma was observed in the false lumen of the aorta. The ascending aorta was successfully replaced 14 days after the occurrence of dissection, using hypothermic circulatory arrest and antegrade selective cerebral perfusion. There were no outstanding complications. (Ann Thorac Cardiovasc Surg 2010; 16: 451-453)
  • 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
    Annals of Vascular Surgery, 3(3) 215-221, 2010  
  • 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  
    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  
  • Yamashita M, Ando M, Higuchi Y, Akita K, Tochii M, Ishida M, Kaneko K, Sato M, Takagi Y
    Ann Vasc Dis, 2(3) 144-147, 2009  

Presentations

 73

教育方法・教育実践に関する発表、講演等

 1
  • 件名(英語)
    開始年月日(英語)
    2012
    概要(英語)
    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(仮称)の役割 第17回日本冠動脈外科学会学術大会 東京 2012

その他教育活動上特記すべき事項

 6
  • 件名(英語)
    指導医講習会
    開始年月日(英語)
    2013/09
  • 件名(英語)
    OSCE評価
    開始年月日(英語)
    2013/01
  • 件名(英語)
    PBLテュータ参加
    開始年月日(英語)
    2013/12
  • 件名(英語)
    BLS講習会参加
    開始年月日(英語)
    2014/01
  • 件名(英語)
    第39回医学教育ワークショップ
    開始年月日(英語)
    2011/05
    概要(英語)
    PBLテュータトレーニングに参加
  • 件名(英語)
    第30回医学教育ワークショップ
    開始年月日(英語)
    2009/08
    概要(英語)
    「計算問題、多肢選択問題、そして臨床長文問題のブラッシュアップ・ワークショップ」