1.The significance of the palliative care unit staffs' participation
Hidehito Takase ; Miho Kitagawa ; Akiko Horie ; Takayuki Sairenji ; Emiko Tachibana ; Tadanobu Tani ; Kiyomi Uemura ; Hitoshi Kuwana
Palliative Care Research 2015;10(3):915-919
Introduction:Although psychosocial support for cancer patients, their family, and those who are bereaved is essential, it is still considered inadequate. Anyone can become a member of the “Gan Cafe” support group, such as those suffering from cancer, those who have survived cancer, family members of cancer patients and those who have lost people to cancer, can get psychosocial support and palliative care support from palliative care unit staff. Case:A 53-year-old male was diagnosed with lung cancer in 2001 and underwent surgery. In 2006 he underwent chemotherapy, as he suffered a relapse. In 2012, while undergoing treatment, he joined the “Gan Cafe” along with his family members. He was able to interact with other members of the group and with the staff of the palliative care unit as a cancer patient, while his wife and children could interact with them as cancer patients family members. Six months later, when being admitted to the palliative care unit, the patient and his family members felt secure as they had become well acquainted with the staff at the “Gan Cafe.” After he had passed away, the wife continued to participate in the “Gan Cafe” as a bereaved family member and the same staff provided her with grief support. Conclusion:Through participation in the “Gan Cafe”, the staff of the palliative care unit was able to provide continuous palliative care with a focus on psychosocial support from the pre-hospital stage to grief support after the patients passed away.
2.Surgical outcomes in dogs with tracheal collapse treated with a novel crossand-hook braided endoluminal stent
Akiko UEMURA ; Yusuke OZAI ; Lina HAMABE ; Tomohiko YOSHIDA ; Ryou TANAKA
Journal of Veterinary Science 2022;23(3):e46-
Background:
Stenting is an effective treatment option for tracheal collapse in dogs. Crossbraided tracheal stents are currently the norm in veterinary medicine, but cross-and-hook braided stents have recently been adopted in human medicine. We examined whether stents manufactured using this novel braiding technique provided additional advantages for the treatment of tracheal collapse in dogs.
Objectives:
To evaluate the outcomes of cross-and-hook braided stent implantation in the treatment of tracheal collapse in dogs.
Methods:
The medical records of 22 client-owned dogs that underwent luminal placement of cross-and-hook braided Fauna Stents for the treatment of tracheal collapse between January 2018 and July 2021 were examined and data on canine signalment, clinical signs, diagnostic test results, surgical outcomes, and postoperative complications were retrieved and analyzed statistically.
Results:
Twenty-six stents were surgically implanted, with 20 dogs (90.9%) receiving one stent and the remaining two (9.1%) receiving two or more stents. All dogs survived the procedure. The median survival time at a median follow-up of 990 days was 879 days. At the final follow-up examination, loss or mild improvement of cough was observed in all dogs.
Conclusions
Compared with conventional lumen stents, the cross-and-hook braided Fauna Stent offered a higher survival rate and improved clinical symptoms in all patients. The results of this study suggest that the Fauna Stent may be a promising treatment option for dogs with tracheal collapse.
3.Hybrid balloon dilation treatment for cor triatriatum dexter in a small breed puppy
Akiko UEMURA ; Tomohiko YOSHIDA ; Katsuhiro MATSUURA ; Zeki YILMAZ ; Ryou TANAKA
Journal of Veterinary Science 2019;20(5):e49-
The authors encountered a 4-month-old, female Shiba dog weighing 4.0 kg, who had been exhibiting abdominal distension and increasing ascites for 2 months. She was brought for further examination and treatment with the chief complaints of ascites and dyspnoea during sleep. The dog was diagnosed with ascites caused by cor triatriatum dexter based on the physical and imaging findings. Under general anaesthesia, she was treated with hybrid balloon dilation under transoesophageal echocardiography guidance. Her postoperative recovery was quite rapid and uneventful. This method appears to be a useful, new, and less-invasive treatment option for cor triatriatum dexter.
Animals
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Ascites
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Cor Triatriatum
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Dogs
;
Echocardiography
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Echocardiography, Transesophageal
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Female
;
Heart Defects, Congenital
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Humans
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Infant
;
Methods
4.Unruptured right sinus of Valsalva aneurysm in a Maltese dog: a case report
Akiko UEMURA ; Ryou TANAKA ; Telma Mary NAKATA ; Ryousuke NAMIKI ; Takashi TANAKA ; Katsuhiro MATSUURA ; Tomohiko YOSHIDA
Journal of Veterinary Science 2019;20(3):e20-
A rare case of an unruptured sinus of Valsalva aneurysm (SVA) in a 2-month-old male Maltese terrier weighing 1.0 kg with a heart murmur is presented. A right SVA and a ventricular septal defect (VSD) were diagnosed by echocardiography and cardiac catheterization. The dog died due to a worsening of his condition. The necropsy revealed the sinus of Valsalva to have a diameter of 7 mm and a VSD hole was on the opposite surface. This report is the first to describe an unruptured SVA in the right coronary cusp of a small dog.
Aneurysm
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Animals
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Cardiac Catheterization
;
Cardiac Catheters
;
Dogs
;
Echocardiography
;
Heart Defects, Congenital
;
Heart Murmurs
;
Heart Septal Defects, Ventricular
;
Humans
;
Infant
;
Male
;
Sinus of Valsalva
5.Clip ligation for treatment of patent ductus arteriosus occlusion in three cats
Yusuke OZAI ; Akiko UEMURA ; Ryou TANAKA ; Aki TAKEUCHI ; Lina HAMABE ; Kazumi SHIMADA ; Aimi YOKOI ; Miki HIROSE ; Momoko WATANABE ; Katsumi UEHARA
Journal of Veterinary Science 2022;23(4):e39-
Patent ductus arteriosus (PDA) is a rare congenital cardiovascular anomaly in cats. Due to their small body, intercostal thoracotomy is the most common option to close the PDA.However, few reports detail the surgical technique for ligating PDA in kittens. In this case report, three cats weighing 1.4 kg, 1.2 kg, and 2.9 kg were diagnosed PDA. Clip ligation via left fourth intercostal thoracotomy was performed and the cats were successfully treated.Postoperative echocardiography showed no residual flow in any of the cases. This case report highlights clip occlusion for small cats with PDA could be safe and effective.