Research Topics
| Takenori YamaguchiSummaryAffiliation: National Cardiovascular Center Country: Japan Publications
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Detail Information
Publications
Optimal intensity of warfarin therapy for secondary prevention of stroke in patients with nonvalvular atrial fibrillation : a multicenter, prospective, randomized trial. Japanese Nonvalvular Atrial Fibrillation-Embolism Secondary Prevention Cooperative StT Yamaguchi
National Cardiovascular Center, Osaka, Japan
Stroke 31:817-21. 2000..We studied the efficacy and safety of conventional- and low-intensity warfarin therapy in a prospective, randomized, multicenter trial...
Alteplase at 0.6 mg/kg for acute ischemic stroke within 3 hours of onset: Japan Alteplase Clinical Trial (J-ACT)Takenori Yamaguchi
National Cardiovascular Center, Suita, Osaka, Japan
Stroke 37:1810-5. 2006..6 mg/kg, which is lower than the internationally approved dosage of 0.9 mg/kg, aiming to assess the efficacy and safety of alteplase in acute ischemic stroke for the Japanese...
Low levels of plasma soluble receptor for advanced glycation end products are associated with severe leukoaraiosis in acute stroke patientsChiaki Yokota
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center Suita, Osaka, Japan
J Neurol Sci 287:41-4. 2009..RAGE signaling can contribute to the deterioration of neuronal damage under severe leukoaraiosis, result in a high NIHSS score on admission in acute stroke patients, especially those with smoking habits...
Mortality and cause of death after hospital discharge in 10,981 patients with ischemic stroke and transient ischemic attackKazumi Kimura
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center, Osaka City, Japan
Cerebrovasc Dis 19:171-8. 2005....
Albuminuria, but not metabolic syndrome, is a significant predictor of stroke recurrence in ischemic strokeChiaki Yokota
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center Suita, Osaka, Japan
J Neurol Sci 277:50-3. 2009..005-3.350) in ischemic stroke. There were no significant predictors of stroke recurrence in patients with brain hemorrhage. In conclusion, albuminuria, but not MetS, was a significant predictor of stroke recurrence in ischemic stroke...
Characteristics of in-hospital onset ischemic strokeKazumi Kimura
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center, Osaka, Japan
Eur Neurol 55:155-9. 2006..The aim of the present study was to clarify the clinical characteristics of in-hospital onset stroke...
Extracorporeal double filtration plasmapheresis in acute atherothrombotic brain infarction caused by major artery occlusive lesionYasuhiro Hasegawa
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center, Suita, Osaka, Japan
J Clin Apher 18:167-74. 2003..In conclusion, EDFP can increase CBF in ischemic brain tissue in acute atherothrombotic brain infarction. Further clinical studies should focus on the efficacy of EDFP on outcome of patients with this stroke subtype...
A case-control analysis of intra-arterial urokinase thrombolysis in acute cardioembolic strokeTakeshi Inoue
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center, Suita-city, Osaka, Japan
Cerebrovasc Dis 19:225-8. 2005..CONCLUSIONS: IA-UK thrombolytic therapy may improve the outcome in hyperacute cardioembolic stroke patients...
Predictors of clinical outcome in patients receiving local intra-arterial thrombolysis without subsequent symptomatic intracranial hemorrhage against acute middle cerebral artery occlusionTatsuro Takada
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan
AJNR Am J Neuroradiol 25:1796-801. 2004..CONCLUSION: Improvement of the NIHSS score by >or=2 immediately after LIT is a useful predictor of patient outcome at discharge...
Effects of perindopril-based blood pressure lowering and of patient characteristics on the progression of silent brain infarct: the Perindopril Protection against Recurrent Stroke Study (PROGRESS) CT Substudy in JapanYasuhiro Hasegawa
Cerebrovascular Division, National Cardiovascular Center, 5 7 1, Fujishirodai, Suita 565 8565, Japan
Hypertens Res 27:147-56. 2004..The baseline diastolic blood pressure was an independent predictor of new SBI, but the index stroke subtype did not influence the risk of SBI...
Variation in ischemic stroke frequency in Japan by season and by other variablesToshiyasu Ogata
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center, Japan
J Neurol Sci 225:85-9. 2004..CONCLUSIONS: Acute ischemic stroke displays seasonal characteristics according to gender, stroke subtype, and time of stroke onset. These results may have important clinical implications in ischemic stroke prevention...
Topographic distribution of misery perfusion in relation to internal and superficial borderzonesShuji Arakawa
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center, Osaka, Japan
AJNR Am J Neuroradiol 24:427-35. 2003..These results are inconsistent with clinical observations that 80% of BZ infarctions develop superficially. Thus, hemodynamic mechanisms may not cause most superficial BZ infarctions...
Predisposing factors for enlargement of intracerebral hemorrhage in patients treated with warfarinMasahiro Yasaka
Department of Medicine, National Cardiovascular Center, Osaka, Japan
Thromb Haemost 89:278-83. 2003..0 at admission or for 24 h after immediate INR correction with PCC prevented ICH enlargement (OR 0.069, 95%CI 0.006-0.789, p = 0.031). An INR value of >2.0 within 24 h of ICH seems an important predisposing factor for ICH enlargement...
Analysis of 16,922 patients with acute ischemic stroke and transient ischemic attack in Japan. A hospital-based prospective registration studyKazumi Kimura
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center, Suita, Osaka, Japan
Cerebrovasc Dis 18:47-56. 2004..The purpose of the present study was to clarify the present status of stroke medicine in Japan using a hospital-based, prospective registration study of 156 hospitals from all over Japan...
3D-rotational angiographic demonstration of dissection of the anterior cerebral arteryShoji Matsumoto
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center, Osaka, Japan
Cerebrovasc Dis 20:55-8. 2005
Heart and vessel pathology underlying brain infarction in 142 stroke patientsJun Ogata
Department of Pathology, National Cardiovascular Center, Osaka, Japan
Ann Neurol 63:770-81. 2008..This study was designed to determine the histopathological characteristics of cardiac and vascular lesions responsible for various subtypes of ischemic stroke...
Low-dose aspirin for prevention of stroke in low-risk patients with atrial fibrillation: Japan Atrial Fibrillation Stroke TrialHiroshi Sato
Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Japan
Stroke 37:447-51. 2006..We examined the efficacy and safety of aspirin therapy in Japanese patients with NVAF in a prospective randomized multicenter trial...
Long-term prognosis, by stroke subtypes, after a first-ever stroke: a hospital-based study over a 20-year periodChiaki Yokota
Cerebrovascular Laboratory, National Cardiovascular Center Research Institute, Osaka 565 8565, Japan
Cerebrovasc Dis 18:111-6. 2004..We aimed to clarify the long-term prognosis by stroke subtypes and to identify determinants for recurrence and death after a first-ever stroke...
Unique profile of spreading depression in a primate modelChiaki Yokota
Department of Pathogenesis, Research Institute, Osaka, Japan
J Cereb Blood Flow Metab 22:835-42. 2002..Neither spreading hypoperfusion nor persistent hypoperfusion was found. These unique features of SD in primates raise a doubt as to whether the role of SD in nonprimate animals is the same as that in stroke and migraine in humans...
Small centrum ovale infarcts on diffusion-weighted magnetic resonance imagingKiminobu Yonemura
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center, Osaka, Japan
Stroke 33:1541-4. 2002..We sought to clarify the clinical characteristics of a SCOI visualized by diffusion-weighted MRI (DWI) compared with those of a small basal ganglia infarct (SBGI)...
Combined carotid and transcranial color-coded sonography in acute ischemic strokeKuniyasu Wada
Department of Medicine, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, 565-8565, Osaka, Japan
Eur J Ultrasound 15:101-8. 2002..Nineteen of them were confirmed by angiography. The combination of CD and TCCS can make an accurate diagnosis for significant occlusive lesions in brain arteries in acute stroke patients...
Effects of anticoagulation on infarct size and clinical outcome in acute cardioembolic strokeMasayuki Wakita
Department of Medicine, National Cardiovascular Center, Suita, Osaka, Japan
Angiology 53:551-6. 2002..6. In conclusion, anticoagulant therapy with INR > or = 1.6 appears to effectively prevent a large infarct and poor outcome, even when ischemic stroke dose occurs in patients with an emboligenic heart disease...
Acetazolamide challenge test using semiquantitative 123 I-IMP SPECT for detection of cerebral misery perfusionShigeru Fujimoto
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan
J Neurol Sci 205:21-7. 2002..An improvement in reduced vasodilatory capacity as determined by SPECT coincides with a reduction in OEF values...
Ultrasonographic prediction of patients' outcome in hyperacute ischemic strokeMasatoshi Koga
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka, 565-8565, Japan
Eur J Ultrasound 15:1-8. 2002..036, odds ratio, 7.9) and early CT findings (P = 0.18). CONCLUSION: US findings of hyperacute stroke may provide a better predictor of patients' outcome...
Relationship between findings of conventional and contrast-enhanced transcranial color-coded real-time sonography and angiography in patients with basilar artery occlusionMasatoshi Koga
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center, Osaka, Japan
AJNR Am J Neuroradiol 23:568-71. 2002..When examined with contrast-enhanced TCCS, a combination of absent basilar artery flow and the reversed basilar artery flow sign may be a diagnostic indicator of basilar artery occlusion...
Hyperintense MCA branch sign on FLAIR-MRIMasatoshi Koga
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center, 5 7 1 Fujishirodai, Suita, Osaka 565 8565, Japan
J Clin Neurosci 9:187-9. 2002..Ultra-early evaluation with FLAIR- and diffusion-MRI may help establish the diagnosis of acute ischaemic stroke particularly due to embolic MCA branch occlusion...
[Secondary prevention of stroke]Takenori Yamaguchi
Nippon Ronen Igakkai Zasshi 40:223-7. 2003
Antiplatelet cilostazol is beneficial in diabetic and/or hypertensive ischemic stroke patients. Subgroup analysis of the cilostazol stroke prevention studyYukito Shinohara
Federation of National Personnel Mutual Aid Associations, Tachikawa Hospital, Tachikawa, Japan
Cerebrovasc Dis 26:63-70. 2008..This study was conducted to examine the effect of such complications on recurrence of cerebral infarction, and to assess the effect of cilostazol, an antiplatelet agent, in these high-risk subjects...
Impact of blood pressure control on cardiovascular events in 26,512 Japanese hypertensive patients: the Japan Hypertension Evaluation with Angiotensin II Antagonist Losartan Therapy (J-HEALTH) study, a prospective nationwide observational studyKazuaki Shimamoto
Sapporo Medical University School of Medicine, Sapporo, Japan
Hypertens Res 31:469-78. 2008..BP was controlled below 140/90 mmHg in a half of the very elderly hypertensive patients in this study, and these patients also had a lower incidence of CV events...
[Multicenter survey on clinical features and regional variations in acute brain infarction]Seiji Kazui
Rinsho Shinkeigaku 42:736-44. 2002..Drug treatments, care and hospital facilities varied among districts considerably. Nation-wide consensus for ideal treatments by each stroke category is therefore needed...
Sarpogrelate-Aspirin Comparative Clinical Study for Efficacy and Safety in Secondary Prevention of Cerebral Infarction (S-ACCESS): A randomized, double-blind, aspirin-controlled trialYukito Shinohara
Department of Neurology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, 4 2 22 Nishikicho, Tachikawa, Tokyo 190 8531, Japan
Stroke 39:1827-33. 2008..The antiplatelet agent sarpogrelate is a selective inhibitor of 5-hydroxytryptamine receptors. The purpose of this study was to compare the efficacy and safety of sarpogrelate with those of aspirin in Japanese ischemic stroke patients...
A randomized, double-blind study comparing the safety and efficacy of clopidogrel versus ticlopidine in Japanese patients with noncardioembolic cerebral infarctionYasuo Fukuuchi
Ashikaga Red Cross Hospital, Ashikaga, Japan
Cerebrovasc Dis 25:40-9. 2008..A comparison of both agents was therefore conducted in Japanese stroke patients...
Effect of the Ca antagonist nilvadipine on stroke occurrence or recurrence and extension of asymptomatic cerebral infarction in hypertensive patients with or without history of stroke (PICA Study). 1. Design and results at enrollmentYukito Shinohara
Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, Japan
Cerebrovasc Dis 24:202-9. 2007....
Treatment of warfarin-associated intracerebral hemorrhage: literature review and expert opinionMaria I Aguilar
Department of Neurology, Mayo Clinic College of Medicine, 13400 E Shea Blvd, Scottsdale, AZ 85259, USA
Mayo Clin Proc 82:82-92. 2007..Reasonable management based on expert opinion includes a wide range of additional measures to reverse anticoagulation in the absence of solid evidence...
Deterioration of hemiparesis after recurrent stroke in the unaffected hemisphere: Three further cases with possible interpretationShiro Yamamoto
Department of Neurology, Kansai Rosai Hospital, Hyogo, Japan
Cerebrovasc Dis 23:35-9. 2007..Several primate and human studies have suggested the formation of newly reorganized tracts in the ipsilesional or contralesional hemisphere, but the mechanism for the formation of these tracts is still largely unknown...
Lacunar syndrome associated with paradoxical brain embolismYoshiomi Shimizu
Department of Internal Medicine, Hoshigaoka Kouseinenkin Hospital, Hirakata
Intern Med 46:1609-12. 2007..We concluded that the presence of lacunar syndrome suggests that this mechanism was responsible for the paradoxical brain embolism...
[Brain infarction]Ryoichi Otsubo
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center
Nippon Rinsho 64:270-3. 2006
Outline of the Japanese Guidelines for the Management of Stroke 2004 and subsequent revisionYukito Shinohara
Federation of National Public Service Personnel Mutual Aid Associations Tachikawa Hospital, Tokyo, Japan
Int J Stroke 3:55-62. 2008..Here, we present an outline the Japanese Guidelines for the Management of Stroke 2004 in response to requests, although some updating is already needed. The first revision of the guidelines is expected to be completed in 2008...
[Current and future strategies of medical therapy for acute stroke]Kazunori Toyoda
Cerebrovascular Division, Department of Medicine, National Cardiovascular Center
Nippon Rinsho 64:473-7. 2006
