To Activate the University Leaving Venture

At present, as the initiator to replay Japanese economy, expectations are moved by the venture activity. The university leaving venture which utilizes the research results in the university for the venture activity is remarkable. In this paper, the 1st, I examine the meanings of the university leaving venture. The 2nd, I consider the measure to promote the university leaving venture, and moreover I consider about its relating of the industry-university cooperation. As a result, I made following measures to the university leaving venture clear. The 1st is to add the evaluation index as it contributes to the utilization in the industrial world to the achievement evaluation by the researcher in the university. The 2nd is to introduce the viewpoint in the market to evaluate the research results in the university properly. The 3rd is the aggressive utilization of the outside network about the university leaving venture. The 4th is to bring the success case of the university leaving venture

Coexistence and management of abdominal aortic aneurysm and coronary artery disease

Background: Abdominal aortic aneurysm (AAA) and coronary atherosclerosis share common risk factors. In this study, a single-center management experience of patients with a coexistence of AAA and coronary artery disease (CAD) is presented.Methods: 271 consecutive patients who underwent elective AAA repair were reviewed. Coronary imaging in 118 patients was considered suitable for exploration of AAA coexistence with CAD.Results: Significant coronary stenosis (> 70%) were found in 65.3% of patients. History of cardiac revascularization was present in 26.3% of patients, myocardial infarction (MI) in 31.4%, and 39.8% had both. In a subgroup analysis, prior history of percutaneous coronary intervention (PCI) (OR = 6.9, 95% CI 2.6–18.2, p < 0.001) and patients’ age (OR = 1.1, 95% CI 1.0–1.2, p = 0.007) were independent predictors of significant coronary stenosis. Only 52.0% (40/77) of patients with significant coronary stenosis underwent immediate coronary revascularization prior to aneurysm repair: PCI in 32 cases (4 drug-eluting stents and 27 bare metal stents), coronary artery bypass graft in 8 cases. Patients undergoing revascularization prior to surgery had longer mean time from coronary imaging to AAA repair (123.6 vs. 58.1 days, p < 0.001). Patients undergoing coronary artery evaluation prior to AAA repair had shorter median hospitalization (7 [2–70] vs. 7 [3–181] days, p = 0.007) and intensive care unit stay (1 [0–9] vs. 1 [0–70] days, p = 0.014) and also had a lower rate of major adverse cardiovascular events or multiple organ failure (0% vs. 3.9%, p = 0.035). A total of 11.0% of patients had coronary artery aneurysms.Conclusions: Patients with AAA might benefit from an early coronary artery evaluation strategy

Temporal changes in the pattern of invasive angiography use and its outcome in suspected coronary artery disease : implications for patient management and healthcare resource utilization

Introduction: Invasive coronary angiography (CAG), the ‘gold standard’ in coronary artery disease (CAD) diagnosis, requires hospitalization, is not risk-free, and engages considerable healthcare resources. Aim: To assess recent (throught out 10 years) evolution of ‘significant’ (≥ 50% stenosis(es)) CAD prevalence in subjects undergoing CAG for CAD diagnosis in a high-volume tertiary referral center. Material and methods: Anonymized medical records were compared from the last vs. the first 2-years of the decade (June 2007 to May 2018). Referrals for suspected CAD were 2067 of 4522 hospitalizations (45.7%) and 1755 of 5196 (33.8%) respectively (p < 0.001). Results: The median patient age (64 vs. 68 years) and the prevalence of heart failure (24.1% vs. 42.2%) increased significantly (p < 0.001). The CAG atherosclerotic lesions, for all stenosis categories (< 50%; ≥ 50%; ≥ 70%; occlusion(s)), were significantly more prevalent in men. The proportion of subjects with any atherosclerosis on CAG increased (80.7% vs. 77.6%, p = 0.015). However, in the absence of any gross change in, for instance, the fraction of women (40.4% vs. 41.8%), the proportion of CAGs with significant CAD (lesion(s) ≥ 50%) decreased from 55.2% in 2007/2008 to below 1 in every 2 angiograms (48.9%) in 2017/2018 (p < 0.001). This unexpected finding occurred consistently across nearly all CAG referral categories. Conclusions: Despite more advanced age and a higher proportion of subjects with ‘any’ coronary atherosclerosis on CAG, the likelihood of a ‘negative’ angiogram (lesion(s) < 50%; no further evaluation/intervention) has increased significantly over the last decade. The exact nature of this phenomenon requires further investigation, particularly as a reverse trend would be expected with the growing role (and current high penetration) of contemporary non-invasive diagnostic tools to rule out significant CAD

Topographical anatomy of the left ventricular summit: implications for invasive procedures

Background: Recent clinical reports have emphasized the clinical significance of the left ventricular summit (LVS), a specific triangular epicardial area, as the source of ventricular arrhythmias where radiofrequency ablation is of great difficulty. Materials and methods: The macroscopic morphology of the LVS has been assessed in 80 autopsied and 48 angio-CT human hearts. According to Yamada’s equation, the size was calculated based on the distance to the first, most prominent septal perforator. Results: The size of the LVS varies from 33.69 to 792.2 mm2, is highly variable, and does not correlate with BMI, sex, or age in general. The mean size of the LVS was 287.38 ± 144.95mm2 in autopsied and angio-CT (p=0.44). LVS is mostly disproportionately bisected by cardiac coronary veins to superior – inaccessible and inferior–accessible areas. The superior aspect dominates over the inferior in both groups (p=0.04). The relation between superior and inferior groups determines three possible arrangements: the most common type is superior domination (50.2%), then inferior domination (26.6%), and finally, equal distribution (17.2%). In 10.9 %, the inferior aspect is absent. Only 16.4% of the LVS were empty, without additional trespassing coronary arteries. Conclusions: The difference in size and content of the LVS is significant, with no correlation to any variable. The size depends on the anatomy of the most prominent septal perforator artery. The superior, inaccessible aspect dominates, and the LVS is seldom free from additional coronary vessels, thus making this region hazardous for electrophysiological procedures

Morphological variations of the interatrial septum in ovine heart.

Smooth septum interatrial septum, patent foramen ovale (PFO) channel and atrial septal pouches (SPs) are commonly described variants in humans. Recent discoveries on the clinical significance of left-sided SP may encourage the creation of new strategies and devices for the management of SPs. However, these strategies may first be tested in the ovine model before implementation in humans. Unfortunately, little is known about the presence of SPs in ovine. In this study a total of 60 ovine (Ovis aries) hearts were examined. The interatrial septum morphology was assessed and the PFO channel and SPs were measured. The most commonly occurring variant were PFO channels (25.0%) with channel lengths of 5.4±2.3 mm. Smooth septums were observed in 18.3% of hearts. In the remaining cases, septums had a left septal ridge (15.0%), left SP (11.7%), left septal bridge (10.0%), right SP (10.0%), or had both a right SP and left septal ridge (10.0%). No double SPs were observed. The mean right SP depth was 3.4 ± 1.2 mm, and its mean ostium width and height were 7.9±1.8 mm and 2.8±1.0, respectively. For the left SP, the mean depth was 6.0±1.7mm, the ostium width was 7.9±2.4mm, and the ostium height was 4.1±1.6mm (range: 2.3-6.4mm). In conclusion the interatrial septum of ovine hearts exhibit morphologies that are more similar to humans than they are to swine, which should be taken into account during experimental studies. The presence of a left SP in sheep hearts make ovine models a promising alternative to the human heart for developing left-sided SP management devices and techniques

Comparison between results of the present study and those conducted previously (mean ± standard deviation).

<p>Comparison between results of the present study and those conducted previously (mean ± standard deviation).</p

Data distribution by sex–no statistically significant differences were observed except for the heart weight.

<p>Data distribution by sex–no statistically significant differences were observed except for the heart weight.</p

Three different types of muscular arrangement in the middle sector of the cavotricuspid isthmus.

<p>The anatomical position of samples has not been maintained during the taking photos to get a better picture of cavotricuspid isthmus sectors. (A) trabeculae (N = 87; 62.1%); (B) intertrabecular recesses (N = 35; 25.0%); (C) trabecular bridges (N = 18; 12.9%); *–electrocardiological catheter.</p

Schemes of the final ramifications of the distal terminal crest muscle fibers (orange) into the lower part of the right atrium (types A–I; see Table 3).

<p>Smaller bands branching from the major crest were not presented with the exception of types B and C in which the main muscle band is absent. CSO–coronary sinus ostium; CTI–cavotricuspid isthmus; EuchV–Eustachian valve; FO–fossa ovalis; IVC–inferior vena cava; SL–septal leaflet; SVC–superior vena cava.</p