[Successful medical management of the thrombosed valve--a case report].
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Biomedical subjects
Publications and source records attributed to S Shirakata.
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Experimental brain edema due to extradural compression was studied in rats, and the beneficial effect of a steroid, betamethasone, on this was tested. Immediately following extradural compression, betamethasone therapy was begun by intraperitoneal injection. Three groups of animals received eight divided doses of betamethasone over 48 hours: total doses were 64 mg, 6.4 mg, and 0.64 mg/kg, respectively. Two other groups received doses at zero and 24 hours only, with total doses of 64 mg and 6.4 mg/kg. Water and sodium content of the brain were reduced depending upon dosage. Administration every 6 hours was superior to every 24 hours. Potassium content was not consistently altered. After injection of radioactive steroid, a significant increase in uptake of the drug was observed in the edematous brain.
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The authors previously showed that a vascular prosthesis made of ultrafine polyester fibers (UFPF) had high healing ability even when of low porosity. In this study, new highly porous vascular grafts fabricated from UFPF (water porosity: 3,600 ml/min/cm2, 8 mm in inner diameter and 5 cm in length), were developed and implanted in the thoracic descending aorta of dogs to evaluate their endothelialization capability. Two weeks after implantation, many colonies of endothelial cells with openings of capillary blood vessels were noted, even in the middle portion of the grafts. Numerous fibroblasts and capillary blood vessels were also observed in the synthetic walls. These results suggest that UFPF vascular grafts provide a suitable microenvironment for infiltration and proliferation of fibroblasts, which are accompanied by the capillary formation as nutrient supply; these capillaries provide multiple sources of endothelial coverage on the luminal surface. It is expected that the new, highly porous vascular grafts may have rich endothelialization capability and stable healing properties in humans.
The distribution of the evoked cortical potentials recorded during stereotactic pulvinectomy is analyzed. The evoked cortical potential shows maximal amplitude in the precentral area, with decreasing amplitude in the parietal and anterior temporal area, and minimal amplitude in the occipital area. The pulvinar has been histologically considered to have dense connections with the parietal lobe and no connection with the frontal lobe. However, our results suggest that the pulvinar has a dense functional connection with the frontal cortex, through which the pulvinar plays a role in motor function.
A small-caliber vascular graft with good healing properties was developed using an autologous connective tissue tube (ACTT) and in situ heparinization. ACTT is the best material for implantable grafts, but as a small-caliber vascular graft, both the high thrombogenicity and requirement for time to preparation in situ were serious problems. To overcome these difficulties, an ultrafine polyester fiber (UFPF) mesh was used for the framework of the graft. it has been shown that UFPF provides a good framework for fibroblast migration and proliferation both in vivo and in vitro. The granulomatous connective tissue tube could be constructed very rapidly and had numerous capillary blood vessels, which opened onto the luminal surface of the graft when it was implanted as a vascular substitute and provided colonies of endothelial cells. These colonies spread rapidly all over the luminal surface, and the graft developed permanent antithrombogenicity by endothelialization. The next problem was attainment of temporary antithrombogenicity of the graft before complete endothelialization. Since collagen fibrils are highly thrombogenic, the fact that ACTT collagen fibrils face the luminal surface requires greater antithrombogenicity. A new technique for binding heparin to collagen fibrils in situ was also developed. This was proved to be useful in maintaining the antithrombogenicity of the grafts (3 mm in inner diameter, 6 to 7 cm in length) in the animal studies. The graft showed rapid healing of the neonintima with endothelialization and long-term stability of the graft wall.