Prompt Response to Aortic Diseases
Safe Stent Treatment

At our hospital, we provide stent graft treatment for aortic aneurysms and aortic dissections, leveraging extensive clinical experience. We offer minimally invasive and safe treatment, with 24/7 availability for emergency surgeries.

Providing Medical Institution

Kishiwada Tokushukai Hospital

〒596-0042
4-27-1 Kamoricho, Kishiwada City

https://kishiwada.tokushukai.or.jp/en/

Specialty

**Cardiovascular Surgery:**
1. Coronary Artery Disease
2. Heart Valve Disease
3. Aortic Aneurysm
4. Aortic Dissection
5. Arteriosclerosis Obliterans
6. Arterial Thrombosis
7. Complications of Myocardial Infarction
- Ischemic Cardiomyopathy
- Left Ventricular Rupture
- Left Ventricular Aneurysm
- Ventricular Septal Rupture
- Papillary Muscle Dysfunction (Mitral Regurgitation)
8. Infective Endocarditis
9. Intracardiac Tumors

**Cardiology:**
1. Ischemic Heart Disease (e.g., Angina, Myocardial Infarction)
2. Lower Limb Arteriosclerosis Obliterans
3. Arrhythmia
4. Heart Valve Disease
5. Aortic Stenosis
6. Mitral Regurgitation

**Lower Gastrointestinal Surgery**
*Da Vinci Si - Robot-Assisted Surgery*
1. Malignant Diseases
2. Surgical Treatment of Small and Large Intestine Diseases
3. Primarily Surgical and Medical Treatments for Colon and Rectal Cancer
4. Robot-Assisted Surgery
5. Laparoscopic Surgery
6. Multimodal Therapy Combining Surgery, Chemotherapy, and Radiation Therapy
7. Systemic Chemotherapy for Unresectable Colorectal Cancer

**Breast Surgery:**
1. Breast-Conserving Surgery
2. Mastectomy
3. Sentinel Lymph Node Biopsy
4. Lymph Node Dissection
5. Breast Reconstruction Using Autologous Tissue

**Neurosurgery:**
1. Stroke
2. Cerebral Hemorrhage
3. Subarachnoid Hemorrhage
4. Cerebral Infarction
5. Head Trauma
6. Traumatic Intracranial Hematoma
7. Skull Fracture
8. Chronic Subdural Hematoma
9. Brain and Spinal Cord Tumors
10. Acoustic Neuroma
11. Pituitary Tumor
12. Meningioma
13. Metastatic Brain Tumors
14. Functional Neurological Disorders
15. Facial Spasm
16. Trigeminal Neuralgia
17. Epilepsy
18. Normal Pressure Hydrocephalus

**Urology**
*Da Vinci Si - Robot-Assisted Surgery*
1. Robot-Assisted Laparoscopic Radical Prostatectomy
2. Prostate Cancer
3. Renal Cancer
4. Upper Urinary Tract Cancer
5. Urolithiasis (Urinary Stones)

**Radiology:**
1. Comprehensive Imaging Diagnosis (X-ray, Ultrasound, CT, MRI, Angiography, PET)
2. Liver Tumors
3. Gastrointestinal Hemorrhage
4. Arterial Embolization for Hemoptysis and Traumatic Hemorrhage
5. Transcatheter Venous Embolization for Gastric Varices
6. Intra-Arterial Chemotherapy for Cancer
7. Reservoir Placement
8. CT-Guided Biopsy (Interventional Radiology - IVR)
9. TomoTherapy - Radixact

**Dialysis**
*Travel Hemodialysis* (Available for Individual Travelers Only, Not for Groups)

**Other**
*Second Opinion* (In-person Only, Online Not Available)

Eligibility Criteria/Exclusions for Treatment

1. Medical Information: - Diagnosis (e.g., aortic aneurysm, aortic dissection) - Detailed symptoms (e.g., presence of chest pain, back pain, abdominal pain) - Test results from other hospitals (e.g., CT, MRI, echocardiography, catheter examinations) - Size of the aneurysm, location, and progression of the dissection 2. Treatment History: - History of previous aortic surgeries (e.g., stent grafting, artificial vessel replacement) - Current medications (e.g., anticoagulants, antihypertensive drugs) - Effectiveness and side effects of prior treatments 3. Age and Physical Condition: - Patient’s age and overall health status to assess surgical tolerance - Underlying conditions and comorbidities (e.g., hypertension, diabetes, kidney disease) 4. Treatment Duration, Hospital Stay, and Time Requirements: - Estimated hospitalization and postoperative rehabilitation periods - Surgical duration and urgency - Outpatient follow-up schedules and frequency of monitoring 5. Other Considerations: - Need for emergency surgery (e.g., acute aortic dissection) - Treatment plans tailored to the patient’s lifestyle and preferences - Special medical considerations (e.g., patients requiring dialysis or with severe obesity) Based on the above information, we will assess the feasibility of acceptance and develop an appropriate treatment plan.

Precautions / Contraindications

1. Cases Excluded from Surgery:
- Severe comorbidities (e.g., advanced renal failure, liver failure, untreated severe infections) that significantly increase surgical risks
- Anatomical structures or aneurysm shapes unsuitable for stent graft treatment
- Preoperative tests revealing vascular occlusion or fragility

2. Use of Contraindicated Medications:
- Continued use of anticoagulants or antiplatelet agents may increase bleeding risks during surgery, requiring discontinuation prior to the procedure
- Medications or treatments affecting stent grafts or surgery (e.g., immunosuppressants, chemotherapy) necessitate careful evaluation

3. Specific Risks in Certain Cases:
- Elderly patients or those with severe comorbidities face increased risks of complications from surgery or anesthesia
- Patients with a history of coronary artery disease or cerebrovascular disease have a higher risk of myocardial infarction or stroke during or after surgery



Preoperative Instructions to Communicate:

1. Preoperative Preparation:
- Importance of undergoing necessary preoperative tests (e.g., blood tests, electrocardiograms, CT scans)
- Verification of current medications (particularly anticoagulants and antiplatelet agents) and adherence to the required discontinuation period
- Following dietary restrictions and fasting instructions before surgery

2. Risks of Postoperative Complications:
- Explaining potential risks such as bleeding, infections, blood clots, or displacement/blockage of the stent graft or artificial vessel
- Advising immediate contact with a medical institution in case of chest pain, shortness of breath, or fever after surgery

3. Hospitalization and Rehabilitation:
- Overview of the postoperative hospitalization period and required rehabilitation
- Lifestyle restrictions after discharge (e.g., refraining from heavy lifting, driving) and their duration
- Need for regular outpatient follow-ups and their schedules

4. Cost Considerations:
- Providing an estimate of the costs associated with surgery and treatment

5. Emergency Procedures:
- Ensuring patients have contact information for the medical facility or attending physician in case of health issues after surgery or discharge.