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Mechanical Thrombectomy for Large Vessel Occlusion via the Transbrachial Approach: Case Series
Tsuji Yuichiro,Miki Takanori,Kakita Hiroto,Sato Kimitoshi,Yoshida Takashi,Shimizu Fuminori 대한신경중재치료의학회 2020 Neurointervention Vol.15 No.2
Mechanical thrombectomy has become a standard treatment for acute ischemic stroke with large vessel occlusion. In aged patients, it is difficult to guide the catheter via the transfemoral approach due to vessel tortuosity and aortic elongation. We report our preliminary clinical experience using the transbrachial approach. Among the 119 patients who underwent thrombectomy from April 2018 to December 2019, a total of 5 patients were treated via the transbrachial approach. Clinical outcomes were retrospectively analyzed. Successful reperfusion was achieved in 4 out of 5 cases. There was 1 death due to symptomatic intracranial hemorrhage. One patient had a good outcome at discharge. There were no access-site complications associated with any of these cases. Transbrachial access for mechanical thrombectomy is feasible and can provide an alternative to the transfemoral approach.
Tsuji, Yasushi,Fujihara, Tetsuaki Korean Chemical Society 2007 Bulletin of the Korean Chemical Society Vol.28 No.11
This account reports an overview of our findings in homogeneous Pd-catalyzed reactions. Herein we describe the new design in reactions of Group 14 element compounds and in homogeneous nanosize Pd catalysts. In the early stages of our study, we developed Pd-catalyzed transformations of allylic esters with disilanes, silylcyanides and acylsilanes to the corresponding silylation, cyanation and acylation products, respectively. We also developed a Pd-catalyzed three component coupling reaction of Group 14 element compounds involving 1,3-diene and acid chlorides to form β,γ-unsaturated ketone as a single product. Recently, we focus our attention on modifying the catalytic environment by nanosize Pd in order to improve the performance of Pd catalysts. These nanosystems realize efficient catalytic environment with remarkable enhancement in catalytic activity and unprecedented selectivity.
Tsuji Osahiko,Nagoshi Narihito,Ishii Ryota,Nori Satoshi,Suzuki Satoshi,Okada Eijiro,Fujita Nobuyuki,Yagi Mitsuru,Matsumoto Morio,Nakamura Masaya,Watanabe Kota 대한척추외과학회 2020 Asian Spine Journal Vol.14 No.6
Study Design: Single-center retrospective study.Purpose: We aimed to explore the postoperative prognostic factors for spinal intramedullary ependymoma.Overview of Literature: Ependymoma (World Health Organization grade II) is the most frequent intramedullary spinal tumor and is treated by total resection. However, postoperative deterioration of motor function occasionally occurs.Methods: Eighty patients who underwent surgical resection at Keio University and Fujita Health University in Tokyo, Japan between 2003 and 2015 with more than 2 years of follow-up were enrolled. A good surgical result was defined as an improvement in the modified McCormick Scale score by one grade or more or having the same clinical grade as was observed preoperatively. Meanwhile, a poor result was defined as a reduction in the McCormick Scale score of one grade or more or remaining in grade IV or V at final follow-up. Univariate and multivariate logistic regression analyses of the following factors were performed in the two groups: sex, age, preoperative Visual Analog Scale (VAS), tumor location, the extent of tumor resection, hemosiderin caps, cavity length, and tumor length on magnetic resonance imaging.Results: At final follow-up, 15 patients were included in the poor results group and 65 in the good results group. In the univariate analysis, the factors related to poor results were as follows: higher age, preoperative McCormick Scale score severity, higher preoperative VAS, thoracic location, hemosiderin capped, and non-gross total resection (GTR). A multiple logistic regression analysis was conducted and showed that age, worse preoperative McCormick Scale score, and non-GTR were significant factors for poor prognosis.Conclusions: The independent risk factors for motor deterioration after ependymoma resection were age, worse preoperative McCormick Scale score, and non-GTR. Early surgery for patients with even mild neurological disorders could facilitate functional outcomes. These results may contribute to determining the optimal timing of surgery for spinal intramedullary ependymoma.
Tsuji, Hisako The Korean Society for Railway 2013 International Journal of Railway Vol.6 No.4
TSR (Trans-Siberian Railway) route is losing price competitiveness versus Deep Sea route in the transportation from East Asia to Europe, including Moscow. To further attracting the containers to the TSR route, it will be necessary (1) to keep competitive through rate, linked to fluctuating Deep Sea rate; (2) to strengthen speed advantage; (3) to enforce seamless transportation system, including simplified customs clearance procedures. In transportation to Central Asia from East Asia (Korea and Japan), TSR is competitive versus TCR (Trans-China Railway), depending on destinations. Korea has been the leader in revitalizing the TSR route since 2000. Key contributors were affluent export containers to Russia and Central Asia, port of Busan, efficient maritime transport network to Far East Russia, and Korean forwarders' persistent efforts for activating the market. Korea and Japan have a possibility of cooperation in using the TSR route efficiently, such as organizing a joint block train to a same destination.
Commodity Characteristics Preferred by Young People in Japan
Tsuji, Yukie 한국의류산업학회 2001 한국의류산업학회지 Vol.3 No.5
This paper turns its attention to the commodities that enjoy a large sale among the university students in Japan. The aim of the study is to clarify by what criteria the university students purchase them. In order to investigate by what criteria they select goods and what constitutes the factors of selection, the method of factor analysis was applied. The method produced three factors as the criteria for selection: The 1. factor as "daily-non-daily", the 2. factor as "popular-regular" and 3. factor as "searching-dependent". This leads to the conclustion that the commodities have a good sale because of their characteristics of being suitable to daily life, being popular and being objects of searching activities among the young people in Japan.
Tsuji Mineo,Chen Shuo,Motoo Tatsunori,Kawabe Yuki,Hamasaki Shin-ichi The Korean Institute of Electrical Engineers 2005 KIEE International Transactions on Electrical Mach Vol.b5 No.4
This paper presents a mechanical sensorless vector-controlled system with parameter identification by the aid of image processor. Based on the flux observer and the model reference adaptive system method, the proposed sensorless system includes rotor speed estimation and stator resistance identification using flux errors. Since the mathematical model of this system is constructed in a synchronously rotating reference frame, a linear model is easily derived for analyzing the system stability, including motor operating state and parameter variations. Because it is difficult to identify rotor resistance simultaneously while estimating rotor speed, a low-accuracy image processor is used to measure the mechanical axis position for calculating the rotor speed at a steady-state operation. The rotor resistance is identified by the error between the estimated speed using the estimated flux and the calculated speed using the image processor. Finally, the validity of this proposed system has been proven through experimentation.