Izumi Shunsuke

写真a

Title

Assistant Professor

Researcher Number(JSPS Kakenhi)

90649401

Current Affiliation Organization 【 display / non-display 】

  • Duty   University of the Ryukyus   Graduate School of Medicine   Assistant Professor  

External Career 【 display / non-display 】

  • 2015.04
     
     

    University of the Ryukyus, University Hospital, Instructor  

Published Papers 【 display / non-display 】

  • Cerebrospinal fluid drainage to prevent postoperative spinal cord injury in thoracic aortic repair.

    Yoshitani K, Kawaguchi M, Kawamata M, Kakinohana M, Kato S, Hasuwa K, Yamakage M, Yoshikawa Y, Nishiwaki K, Hasegawa K, Inagaki Y, Funaki K, Matsumoto M, Ishida K, Yamashita A, Seo K, Kakumoto S, Tsubaki K, Tanaka S, Ishida T, Uchino H, Kakinuma T, Yamada Y, Mori Y, Izumi S, Shimizu J, Furuichi Y, Kin N, Uezono S, Kida K, Nishimura K, Nakai M, Ohnishi Y

    Journal of anesthesia     2020.09 [ Peer Review Accepted ]

    Type of publication: Research paper (scientific journal)

  • 声門下狭窄患者に対して一期的に気管切開術と冠動脈バイパス術を行った麻酔経験

    宜野座 到, 渡邉 洋平, 和泉 俊輔, 野口 信弘, 照屋 孝二, 垣花 学

    Cardiovascular Anesthesia ( 一般社団法人 日本心臓血管麻酔学会 )  24 ( 1 ) 79 - 83   2020 [ Peer Review Accepted ]

    Type of publication: Research paper (scientific journal)

     View Summary

    <p> 38歳の女性,冠動脈3枝病変の不安定狭心症に対して人工心肺下冠動脈バイパス術(On-pump coronary artery bypass, ONCAB)が予定された。麻酔導入後,声門下狭窄に伴う挿管困難が判明した。適切な気道確保を行わなければ,周術期の呼吸器合併症のリスクが高いと判断し,一旦手術を延期しアプローチ法を検討した。後日,上気管切開術と下部胸骨部分正中切開による一期的ONCABを施行し良好な術後経過を得た。</p>

  • Association Between Motor-Evoked Potentials and Spinal Cord Damage Diagnosed With Magnetic Resonance Imaging After Thoracoabdominal and Descending Aortic Aneurysm Repair.

    Hattori K, Yoshitani K, Kato S, Kawaguchi M, Kawamata M, Kakinohana M, Yamada Y, Yamakage M, Nishiwaki K, Izumi S, Yoshikawa Y, Mori Y, Hasegawa K, Onishi Y

    Journal of cardiothoracic and vascular anesthesia ( Journal of Cardiothoracic and Vascular Anesthesia )  33 ( 7 ) 1835 - 1842   2019.07 [ Peer Review Accepted ]

    Type of publication: Research paper (scientific journal)

  • Clinical Utility of Intraoperative Motor-Evoked Potential Monitoring to Prevent Postoperative Spinal Cord Injury in Thoracic and Thoracoabdominal Aneurysm Repair: An Audit of the Japanese Association of Spinal Cord Protection in Aortic Surgery Database.

    Yoshitani K, Masui K, Kawaguchi M, Kawamata M, Kakinohana M, Kato S, Hasuwa K, Yamakage M, Yoshikawa Y, Nishiwaki K, Aoyama T, Inagaki Y, Yamasaki K, Matsumoto M, Ishida K, Yamashita A, Seo K, Kakumoto S, Hayashi H, Tanaka Y, Tanaka S, Ishida T, Uchino H, Kakinuma T, Yamada Y, Mori Y, Izumi S, Nishimura K, Nakai M, Ohnishi Y

    Anesthesia and analgesia   126 ( 3 ) 763 - 768   2018.03 [ Peer Review Accepted ]

    Type of publication: Research paper (scientific journal)

     View Summary

    BACKGROUND: Spinal cord ischemic injury is the most devastating sequela of descending and thoracoabdominal aortic surgery. Motor-evoked potentials (MEPs) have been used to intraoperatively assess motor tract function, but it remains unclear whether MEP monitoring can decrease the incidence of postoperative motor deficits. Therefore, we reviewed multicenter medical records of patients who had undergone descending and thoracoabdominal aortic repair (both open surgery and endovascular repair) to assess the association of MEP monitoring with postoperative motor deficits. METHODS: Patients included in the study underwent descending or thoracoabdominal aortic repair at 12 hospitals belonging to the Japanese Association of Spinal Cord Protection in Aortic Surgery between 2000 and 2013. Using multivariable mixed-effects logistic regression analysis, we investigated whether intraoperative MEP monitoring was associated with postoperative motor deficits at discharge after open and endovascular aortic repair. RESULTS: We reviewed data from 1214 patients (open surgery, 601 [49.5%]; endovascular repair, 613 [50.5%]). MEP monitoring was performed in 631 patients and not performed in the remaining 583 patients. Postoperative motor deficits were observed in 75 (6.2%) patients at discharge. Multivariable logistic regression analysis revealed that postoperative motor deficits at discharge did not have a significant association with MEP monitoring (adjusted odds ratio [OR], 1.13; 95% confidence interval [CI], 0.69-1.88; P = .624), but with other factors: history of neural deficits (adjusted OR, 6.08; 95% CI, 3.10-11.91; P < .001), spinal drainage (adjusted OR, 2.14; 95% CI, 1.32-3.47; P = .002), and endovascular procedure (adjusted OR, 0.45; 95% CI, 0.27-0.76; P = .003). The sensitivity and specificity of MEP <25% of control value for motor deficits at discharge were 37.8% (95% CI, 26.5%-49.5%) and 95.5% (95% CI, 94.7%-96.4%), respectively. CONCLUSIONS: MEP monitoring was not significantly associated with motor deficits at discharge.

  • Complete Atrioventricular Block in a Patient Undergoing Transcatheter Aortic Valve Implantation

    西啓亨, 和泉俊輔, 垣花学

    麻酔   67 ( 2 ) 162‐164   2018.02 [ Peer Review Accepted ]

    Type of publication: Research paper (scientific journal)

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Other Papers 【 display / non-display 】