- 著者
- Michinao Tan Mitsuyoshi Takahara Takuya Haraguchi Daiki Uchida Yutaka Dannoura Tsuyoshi Shibata Shuko Iwata Nobuyoshi Azuma
- 出版者
- The Japanese Circulation Society
- 雑誌
- Circulation Journal (ISSN:13469843)
- 巻号頁・発行日
- pp.CJ-23-0348, (Released:2023-08-04)
- 参考文献数
- 21
- 被引用文献数
- 2
Background: Acute limb ischemia (ALI) is a limb- and life-threatening condition and urgent treatment including revascularization should be offered to patients unless the limb is irreversibly ischemic. The aim of this study was to investigate 1-year clinical outcomes and prognostic factors following revascularization in patients with ALI.Methods and Results: A retrospective, multicenter, nonrandomized study examined 185 consecutive patients with ALI treated by surgical revascularization (SR), endovascular revascularization (ER), or hybrid revascularization (HR) in 6 Japanese medical centers from January 2015 to August 2021. The 1-year amputation-free survival (AFS) rate was estimated to be 69.2% (95% confidence interval [CI], 62.8–76.2%). There were no significant differences among SR, ER, and HR regarding both technical success and perioperative complications. Multivariate analysis revealed that Rutherford category IIb and III ischemia (hazard ratio [HR]: 1.86; 95% CI: 1.06–3.25), supra- to infrapopliteal lesion (HR: 2.06; 95% CI: 1.08–3.95), and technical failure (HR: 2.58; 95% CI: 1.49–4.46) were independent risk factors for 1-year AFS.Conclusions: Rutherford category IIb and III ischemia, supra- to infrapopliteal lesions, and technical failures were identified as independent risk factors for 1-year AFS. Furthermore, patients with multiple risk factors had a lower AFS rate.
- 著者
- Naoko NAMIZAKI Hiroya YAMANO Rintaro SUZUKI Kenji OOHORI Hitoshi ONAGA Tamiko KISHIMOTO Teppei SAGAWA Yoshiko MACHIDA Shigeki YASUMURA Takanori SATOH Takashi SHIGIYA Tsuyoshi SHIBATA Megumu TSUCHIKAWA Yasuaki MIYAMOTO Kyoko HARUKAWA Koichi HIRATE Koji FURUSE Kenichi HOKOYAMA Yasushi YAMANAKA Toru WAGATSUMA
- 出版者
- 日本サンゴ礁学会
- 雑誌
- Galaxea, Journal of Coral Reef Studies (ISSN:18830838)
- 巻号頁・発行日
- vol.15, no.Supplement, pp.391-395, 2013 (Released:2014-06-25)
- 参考文献数
- 10
- 被引用文献数
- 11
The Sango (Coral) Map Project began in 2008, an International Year of the Reef, and continued for two years. It is a monitoring program that allowed for easy participation via a web-based system that collected information on coral occurrence from various groups of people (e.g. divers, snorkelers, tourists, environmental educators, and researchers) with the aim of clarifying the current status of coral reefs in Japan. Participants simply submitted occurrences and location information with photographs of coral formations they encountered. The results are presented on the web using the Google Map API. Over the two-year period, 148 participants provided information on coral occurrence, and 367 data points were collected. Collaboration was developed with other activities including nature tours and diving programs. Data from the project have been used to validate national coral-reef distribution maps and have been published as a scientific paper. The project owes its success to the engagement with a wide range of networks and stakeholders and to the simplicity of the method. We hope that this project will be a first step towards encouraging people to participate in other monitoring programs such as ReefCheck. Citizen monitoring programs are a useful and important method for establishing collaboration between diverse stakeholders.