1.Forearm Problems after CABG Using Radial Artery Grafts.
Koki Nakamura ; Takato Hata ; Yoshimasa Tsushima ; Mitsuaki Matsumoto ; Sohei Hamanaka ; Hidenori Yoshitaka ; Makoto Mohri ; Genta Chikazawa ; Susumu Shinoura ; Kazushi Minami ; Satoru Otani
Japanese Journal of Cardiovascular Surgery 2000;29(6):368-372
There have been many reports radial artery grafts (RA) are useful in CABG, but there were very few reports about hand grasping power (GP), edema and sensory disturbance after surgery. From January to April, 1999, RA were used for 14 patients (R group) and were not in 16 patients (C group) among a total of 30 coronary artery bypass grafting procedures. The patients in the two groups were statistically similar. RA were anastomosed to #12 in 9 patients and #14 in 5. GP and the circumference of forearms were examined and sensory disturbance was also checked preoperatively and at 1, 2 and 4 weeks postoperatively. In both groups, left GP decreased slightly after surgery but gradually recovered. Four weeks after surgery, it was 26.2±9.6kg in the R group and 26.2±7.5kg in the C group (NS). The difference between left and right circumference of forearms, which indicates the degree of edema, was significantly larger in the R group than in the C group (3.5±3.6mm vs. -0.5±3.8mm, 1 week postoperatively, p<0.05). However, it gradually improved in the R group (2.1±2.6mm at 2 weeks and 1.9±2.6mm at 4 weeks postoperatively). No sensory disturbance was seen at any time. Therefore we conclude that using RA in CABG is not only useful but is also safe and does not increase postoperative risk.
2.The AFSUMB Consensus Statements and Recommendations for the Clinical Practice of Contrast-Enhanced Ultrasound using Sonazoid
Jae Young LEE ; Yasunori MINAMI ; Byung Ihn CHOI ; Won Jae LEE ; Yi-Hong CHOU ; Woo Kyoung JEONG ; Mi-Suk PARK ; Nobuki KUDO ; Min Woo LEE ; Ken KAMATA ; Hiroko IIJIMA ; So Yeon KIM ; Kazushi NUMATA ; Katsutoshi SUGIMOTO ; Hitoshi MARUYAMA ; Yasukiyo SUMINO ; Chikara OGAWA ; Masayuki KITANO ; Ijin JOO ; Junichi ARITA ; Ja-Der LIANG ; Hsi-Ming LIN ; Christian NOLSOE ; Odd Helge GILJA ; Masatoshi KUDO
Ultrasonography 2020;39(3):191-220
The first edition of the guidelines for the use of ultrasound contrast agents was published in 2004, dealing with liver applications. The second edition of the guidelines in 2008 reflected changes in the available contrast agents and updated the guidelines for the liver, as well as implementing some nonliver applications. The third edition of the contrast-enhanced ultrasound (CEUS) guidelines was the joint World Federation for Ultrasound in Medicine and Biology-European Federation of Societies for Ultrasound in Medicine and Biology (WFUMB-EFSUMB) venture in conjunction with other regional US societies such as Asian Federation of Societies for Ultrasound in Medicine and Biology, resulting in a simultaneous duplicate on liver CEUS in the official journals of both WFUMB and EFSUMB in 2013. However, no guidelines were described mainly for Sonazoid due to limited clinical experience only in Japan and Korea. The new proposed consensus statements and recommendations provide general advice on the use of Sonazoid and are intended to create standard protocols for the use and administration of Sonazoid in hepatic and pancreatobiliary applications in Asian patients and to improve patient management.