Updated on 2026/05/20

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写真a

 
Norihisa Karube
 
Organization
YCU Medical Center Associate Professor
Title
Associate Professor
Homepage
http://www.ycu-cardiac.jp/
External link

Degree

  • 博士（医学） ( 横浜市立大学 )

Research Interests

  • 組織工学

  • 大動脈瘤

  • 人工血管

Research Areas

  • Life Science / Cardiovascular surgery

Research History

  • Yokohama City University Medical Center, Cardiovascular Center, YCU Medical Center   Associate Professor

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Papers

  • Coil embolization of intercostal arteries accessed by surgical exposure for type II endoleak after thoracic endovascular aortic repair. Reviewed

    Karube N, Uchida K, Cho T, Minami T, Masuda M

    J Vasc Surg. 2019 Mar 6. pii: S0741-5214(19)30076-X. doi: 10.1016/j.jvs.2018.11.040.   2019.3

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  • Impact of Isolated Cerebral Perfusion Technique for Aortic Arch Aneurysm Repair in Elderly Patients. Reviewed

    Kasama K, Uchida K, Karube N, Takebayashi S, Imoto K, Masuda M

    The Annals of thoracic surgery   107 ( 2 )   533 - 538   2019.2

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  • Treatment of coronary malperfusion in type A acute aortic dissection. Reviewed

    Uchida K, Karube N, Minami T, Cho T, Matsuki Y, Nemoto H, Yabu N, Yasuda S, Suzuki S, Masuda M

    General thoracic and cardiovascular surgery   66 ( 11 )   621 - 625   2018.11

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    Language：English   Publishing type：Research paper (scientific journal)  

    Coronary malperfusion is one of the most dreadful complications of acute aortic dissection because it causes catastrophic acute myocardial infarction in patients who are already severely ill. Our strategy was as follows. After the administration of heparin, emergency percutaneous coronary intervention (PCI) was urgently performed at the same time as starting to prepare the operating room. A stent was then placed to cover the full length of dissected coronary artery. Patients whose cardiac function improved after successful coronary artery reperfusion were transferred to the operating room to undergo central repair surgery. If the cardiac function did not recover even after coronary reperfusion, and the patient required extracorporeal membrane oxygenation, we considered the best supportive care without performing central repair surgery. In patients with left coronary malperfusion, we believe that preoperative PCI must be performed immediately. Preoperative PCI might delay central repair surgery and potentially increase the risk of catastrophic cardiac tamponade. However, the benefit of PCI in preserving cardiac function exceeds the risk of cardiac tamponade. The indications of PCI before central repair in patients with right coronary malperfusion should be considered after assessing each patient's condition, including the presence or absence of cardiac tamponade and right ventricular infarction, left ventricular function, the immediate availability of cardiologists or cardiac surgeons, and the speed of preparing the operating room.

    DOI： 10.1007/s11748-018-1014-y

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  • Early reperfusion strategy improves the outcomes of surgery for type A acute aortic dissection with malperfusion Reviewed

    Keiji Uchida, Norihisa Karube, Keiichiro Kasama, Tomokazu Minami, Shota Yasuda, Motohiko Goda, Shinichi Suzuki, Kiyotaka Imoto, Munetaka Masuda

    Journal of Thoracic and Cardiovascular Surgery   156 ( 2 )   483 - 489   2018

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    Language：English   Publishing type：Research paper (scientific journal)   Publisher：Mosby Inc.  

    DOI： 10.1016/j.jtcvs.2018.02.007

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  • [Treatment Strategy for Complicated Acute Type B Aortic Dissection in the Thoracic Endovascular Aortic Repair Era]. Reviewed

    Karube N, Uchida K, Suzuki S, Masuda M

    Kyobu geka. The Japanese journal of thoracic surgery   70 ( 4 )   293 - 298   2017.4

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  • Evaluation and Influence of Brachiocephalic Branch Re-entry in Patients With Type A Acute Aortic Dissection Reviewed

    Shota Yasuda, Kiyotaka Imoto, Keiji Uchida, Norihisa Karube, Tomoyuki Minami, Motohiko Goda, Shinichi Suzuki, Munetaka Masuda

    CIRCULATION JOURNAL   81 ( 1 )   30 - 35   2017.1

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    Language：English   Publishing type：Research paper (scientific journal)  

    DOI： 10.1253/circj.CJ-16-0462

    Web of Science

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  • 【動脈・静脈の疾患(上)-最新の診断・治療動向-】 動脈・静脈疾患(四肢体幹) 大動脈瘤 胸部大動脈瘤 胸部大動脈瘤の治療. Reviewed

    輕部義久, 益田宗孝

    日本臨床   75 ( 4 )   318 - 322   2017

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  • Stanford A型急性大動脈解離 Reviewed

    輕部義久, 井元清隆

    胸部外科   68 ( 8 )   565 - 569   2015

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Books

  • ステントグラフトの大技・小技, , 290-291,

    輕部 義久（ Role： Contributor出血傾向（local DIC））

    メジカルレビュー社  2017 

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  • 大動脈解離―診断と治療のStandard,

    輕部 義久（ Role： Contributor臓器虚血への対応,四肢虚血）

    中外医学社  2016.1 

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MISC

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