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Biomedical subjects

A Nogami

Publications and source records attributed to A Nogami.

At least 109 records · Page 6Linked to original sources
PubMed1984

[Surgical treatment of abdominal aortic aneurysm in the elderly].

Because of the increasing longevity of man, more elderly patients of abdominal aortic aneurysm are being considered for surgical treatment. It is the purpose of this report to provide the data based on analysis of 23 patients, 70 years of age or older, compared with 26 patients, under 70 years of age, seen at our institution during the last 8-year period so that a rational decision can be made regarding abdominal aortic aneurysm operation in the elderly. Operation in the elderly group (n = 17) and in the younger group (n = 25) was associated with 5.9% and 4.0% operative mortality, respectively. Calculated actuarial survival at 5 years was 69.2% for operated elderly, 0% for non-operated elderly and 57.8% for operated younger groups. Rupture of abdominal aortic aneurysm was a high cause of death (40%) in the non-operated elderly group. Considering operative mortality, long-term survival and natural history of unoperated abdominal aortic aneurysms, our conclusion is that regardless of age of patients and size of aneurysms, operation should be recommended as a general rule for the elderly as for the younger patients.

Adult↗
PubMed1984

[Several factors influencing the male sexual function in patients with atherosclerotic disease].

Patients with arteriosclerosis obliterans (ASO, n = 58), abdominal aortic aneurysm (AAA, n = 27) and the combined disease (n = 4) were the subjects of this study. All patients were evaluated by retrograde aortography and questioned personally as to their present male sexual function. The penile and ankle systolic pressure index (PSPI and ASPI) of patients with ASO were measured using a Doppler device, but in the patients with AAA, only the PSPI was taken. Several factors relating to male sexual function, such as, age, PSPI, ASPI, sites of the arterial occlusion or dilatation, classification of the ischemic symptoms according to Fontaine's category, numbers of pulsations of the femoral artery, were statistically analysed. All of the patients with both diseases, 66 percent of those with ASO and 52 percent of those with AAA were impotent. In the patients with AAA, the PSPI of the potent group was not significantly higher than that of the impotent group; however, in patients with ASO, the PSPI of the former group was significantly higher than that of the latter group. In the patients with ASO, a significant correlation between the PSPI and the ASPI (r = 0.49, p less than 0.01) was found. When a PSPI value (PSPI = 0,70) was chosen as a demarcation between the impotent group and the potent group, 84 percent of the patients with ASO were correctly classified. However, when the ASPI (ASPI = 0.45) was used, only 69 percent were properly classified.(ABSTRACT TRUNCATED AT 250 WORDS)

Age Factors↗