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Biomedical subjects

H Ijima

Publications and source records attributed to H Ijima.

At least 73 records · Page 4Linked to original sources
PubMed1985

Ultrasonic aspiration in coronary artery surgery.

With the aid of an ultrasonically powered aspiration device, the coronary artery to undergo distal anastomosis during aortocoronary bypass grafting can be exposed in the beating heart prior to institution of cardiopulmonary bypass and systemic administration of heparin. The thick adipose tissue and bridging muscles of the superficial layer are removed with almost no bleeding, leaving the vascular elements intact. The optimal site for anastomosis of the coronary artery is readily exposed and confirmed, and aortic cross-clamp time is minimized.

Coronary Vessels↗
PubMed1984

Evaluation of left ventricular posterior wall movement after open mitral commissurotomy by echocardiogram: with reference to the effect of papilloplasty.

Left ventricular posterior wall movement in 20 patients with mitral stenosis (MS) was measured using M-mode echocardiogram in order to evaluate the improvement of myocardial function after open mitral commissurotomy (OMC) and compared between the cases with (10 patients) and without (10 patients) papilloplasty. The maximum left ventricular end-diastolic posterior wall velocity (LVPEVdmax) was increased from 71 +/- 12 to 90 +/- 16 mm/s in OMC patients (p less than 0.01) and from 59 +/- 19 to 101 +/- 28 mm/s in OMC + P patients (p less than 0.001). The maximum left ventricular systolic posterior wall velocity (LVPWVsmax) showed an increase from 51 +/- 9 to 62 +/- 10 mm/s in OMC patients (p less than 0.02) and from 48 +/- 10 to 69 +/- 8 mm/s in the OMC + P group (p less than 0.001). The mean LVPWVs increased from 35 +/- 8 to 48 +/- 8 mm/s in the OMC + P group (p less than 0.01). These parameters correlate fairly well with stroke volume index (SVI), ejection fraction (EF), and fractional shortening (FS) derived from internal LV dimensions. Thus, the posterior wall movement may prove to be useful as an index for evaluating the improvement of LV function after OMC.

Adult↗
PubMed1984

Peripheral arterial disease diagnosed with high-count-rate radionuclide arteriography.

Thirty-seven patients with peripheral vascular disease involving the legs were studied with first-pass peripheral radionuclide arteriography (RNA) and contrast arteriography to determine whether RNA could be used to evaluate perfusion of the toes. Data were acquired for 100 seconds using a multicrystal gamma camera following bolus injection of 30-35 mCi (1,110-1,295 MBq) of Tc-99m-labeled albumin during reactive hyperemia. Peripheral time-activity curves were examined and the time required for activity to decline to 75% of peak activity ( T75 ) was recorded. When an abnormal RNA was defined as T75 greater than or equal to 50 seconds, sensitivity was 92%, positive predictive accuracy 100%, and negative predictive accuracy 75%. These data suggest that peripheral RNA of the toes is a reliable, noninvasive procedure for evaluation of peripheral arterial disease; it can be valuable as a screening test prior to contrast arteriography as well as for follow-up.

Adult↗
PubMed1983

Coronary artery aneurysm associated with aortitis syndrome diagnosed pre- and intraoperatively.

Aneurysm of the coronary artery associated with aortitis syndrome is extremely rare. This is a case report of a left coronary artery aneurysm associated with aortitis syndrome. The patient was a 47-year-old woman who complained of palpitation and dizziness on exertion. Aortogram revealed occlusion of the arch vessels, infrarenal aortic stenosis, and a fusiform aneurysm of the left coronary artery. There was neither an intraluminal thrombus nor occlusive changes in the coronary arteries. Severe systolic hypertension nearing 300 mmHg was present in the ascending aorta. Severe hypertension and direct extension of inflammation to the coronary artery seemed to be important factors for the formation of the aneurysm. To resolve the severe hypertension, a bypass operation between the ascending aorta and the abdominal aorta distal to the stenosis was performed. The postoperative course was uneventful and blood pressure was reduced.

Aneurysm↗
PubMed1983

The effect of hydrocortisone on human granulopoiesis in vitro with cytochemical analysis of colonies.

In order to clarify the regulation of granulopoiesis by hydrocortisone in humans, we investigated the effect of glucocorticoids on the formation of granulocyte and/ or macrophage colonies. By means of the dual esterase staining techniques applied to whole mount preparations of agar culture dishes, we examined the granulocyte-macrophage colony type. It was revealed that hydrocortisone stimulated the formation of neutrophil-containing colonies and inhibited macrophage colony formation. There was a significant increase in neutrophil colonies when the cells were preincubated with hydrocortisone for only 24 h. Delayed addition of hydrocortisone to the cultures was less effective in increasing the proportion of neutrophil colonies than addition at the beginning of culture. Moreover, addition of hydrocortisone to T-lymphocyte- and phagocyte-depleted bone marrow cells also increased the number of neutrophil colonies and decreased macrophage colonies in the presence of CSF. These results suggest that hydrocortisone may affect granulocyte-macrophage precursors (CFUGM) in an early period of their differentiation.

Bone Marrow Cells↗
PubMed1982

Characterization of hemopoietic precursor cells in juvenile-type chronic myelocytic leukemia.

In order to study the pathogenesis of juvenile-type chronic myelocytic leukemia (CML), we examined the colony-forming capacity and colony composition in the bone marrow (BM) and peripheral blood (PB) of three children with juvenile-type CML. Large numbers of granulocytes and macrophage colonies were formed by BM and PB cells. Whole agar culture staining revealed that especially macrophage colonies increased in comparison with normal controls. After removal of carbonyl iron-laden cells with a magnet or deprivation of cells adherent to glass from BM cells, the number of macrophage colonies markedly reduced in comparison with the number of colonies formed by untreated BM cells, suggesting that some of the macrophage colony-forming cells (M-CFC) may have phagocytic and/or adherent activity. Radiation sensitivity and thymidine suicide rate of these M-CFC were not different from those of granulocyte colony-forming cells (G-CFC). The predominance of M-CFC in juvenile-type CML may be one of the reflections of fetal-type myelopoiesis since M-CFC are predominant in cord blood and PB in the neonatal period. Moreover, considerable numbers of erythroid-colony-forming units (CFU-E) were present in PB of all patients. It may be concluded that juvenile-type CML is a panmyelopathy with the predominance of M-CFC.

Cell Separation↗
PubMed1982

Predominance of macrophage-colony formation in human cord blood.

To clarify understanding of the characteristics of granulopoiesis during early infancy, we investigated the colony-forming unit in culture (CFUC), in cord blood (CB), in peripheral blood (PB), and in bone marrow (BM) of infants. The macrophage-colonies (M-colonies) were always predominant in the study of colony formation by CB and PB cells from infants, regardless of the source of the CSF used. This result contradicts previous reports which concluded that the colonies were mainly granulocytic type. In the colony formation by BM cells from one-month-old infants, the ratio of M-colonies was significantly higher than that of adult BM cells. The CSF produced by CB and PB mononuclear cells (MNC) from infants stimulated neutrophil-colony formation in the adult BM cells.

Bone Marrow Cells↗