Updated on 2023/03/29

写真a

 
NAGASAKA Ken
 
Organization
Nagoya University Hospital Radiology Assistant Professor
Graduate School
Graduate School of Medicine
Title
Assistant Professor

Degree 1

  1. 博士(医学) ( 2019.5   名古屋大学 ) 

 

Papers 1

  1. Conservative endovascular management for intractable delayed hemorrhage after laparoscopic-assisted vaginal hysterectomy: Two case reports

    Takeda A., Nakamura H., Koike W., Nagasaka K.

    Case Reports in Women's Health   Vol. 37   page: e00477   2023.3

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    Language:English   Publisher:Case Reports in Women's Health  

    Delayed hemorrhage from the vaginal stump is a rare complication following hysterectomy. Most cases can be managed by vaginal packing with or without vaginal vault suturing. However, where such initial management fails, the condition is potentially life-threatening and requires immediate intervention. We report two cases successfully managed with transcatheter arterial embolization (TAE). First, a 38-year-old woman presented with lower abdominal pain 12 days after laparoscopic-assisted vaginal hysterectomy (LAVH) for a uterine myoma. Oral antibiotics were administered for pelvic infection. Two days later, she experienced increased bleeding. After failing to achieve hemostasis with vaginal vault suturing, computed tomographic angiography showed extravasation from a pseudoaneurysm in the peripheral branch of the left uterine artery. Hemostasis was achieved with TAE. Second, a 40-year-old woman presented with fever and increased abdominal pain 6 days after LAVH for severe dysplasia of the uterine cervix. Intravenous antibiotics were administered for pelvic infection. Twenty-one days after LAVH, she experienced increased bleeding. Computed tomographic angiography showed extravasation from a peripheral thin branch of the right uterine artery. Temporary hemostasis was achieved with vaginal vault suturing; however, bleeding recommenced 12 h later. Hemostasis was achieved with TAE. We conclude that endovascular management is a feasible option for intractable delayed hemorrhage after hysterectomy, when vaginal vault suturing fails to achieve hemostasis.

    DOI: 10.1016/j.crwh.2023.e00477

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    PubMed

Presentations 5

  1. 小児に対し部分脾動脈塞栓術を施行した一例

    小木曾由梨, 長坂 憲, 兵藤良太, 松島正哉, 駒田智大, 岩野信吾, 長縄慎二

    第71回中部・第72回関西IVR研究会  2023.2.4 

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    Event date: 2023.2

    Language:Japanese   Presentation type:Oral presentation (general)  

    Country:Japan  

  2. CVリザーバー抜去困難に対しガイディングシースでカテーテルの固着を剥離し、抜去できた一例

    松島正哉, 佐藤雄基, 小木曾由梨, 長坂 憲, 兵藤良太, 駒田智大, 岩野信吾, 長縄慎二,下方智也

    第70回中部IVR研究会  2022.7.9 

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    Event date: 2022.7

    Language:Japanese   Presentation type:Oral presentation (general)  

    Country:Japan  

  3. COVID-19肺炎加療中に生じた胆嚢出血に対して塞栓術を施行した1例

    小木曾由梨、長坂憲、佐藤雄基、兵藤良太、松島正哉、駒田智大、岩野信吾、長縄慎二

    第69回中部IVR研究会  2022.2.19 

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    Event date: 2022.2

    Presentation type:Oral presentation (general)  

  4. 頸髄硬膜内髄外に発生したsolitary fibrous tumorの1例

    加藤恵太、長坂憲、岩野信吾、長縄慎二

    第89回東海総合画像医学研究会 

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    Event date: 2022.1

    Presentation type:Oral presentation (general)  

  5. 左後腹悪性リンパ腫に合併した後腹膜血腫、仮性動脈瘤に対して塞栓術を施行した1例

    佐藤雄基, 松島正哉, 長坂 憲, 小木曾由梨, 岩野信吾, 駒田智大, 兵藤良太, 長縄慎二, 葉名尻良, 武内 大, 堀口瞭太

    第68回中部IVR研究会  2021.7.3 

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    Event date: 2021.7

    Language:Japanese   Presentation type:Oral presentation (general)  

    Venue:Web開催   Country:Japan  

KAKENHI (Grants-in-Aid for Scientific Research) 1

  1. A new strategy of IVR for extended hepatic resection incorporating evaluation of intrahepatic portal collateral tracts and hepatic vein embolization

    Grant number:21K07562  2021.4 - 2024.3

    Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (C)

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    Authorship:Coinvestigator(s)