I am a vascular surgeon and working hard every day in a certain area of ​​Japan. In addition to general surgery, I perform vascular surgery (peripheral vascular disease, wound management, abdominal aortic aneurysm, AV access treatment, visceral aneurysm, trauma surgery etc.) on a daily basis. In recent years, I have mainly focused on the peripheral vascular field, and I am particularly good at treating LEAD/CLTI, DM foot, and venous ulcer. In Japan, arterial revascularization is performed by cardiologists rather than vascular surgeons. Cardiologists are experts in catheter therapy (EVT), and have created various techniques and produced a lot of data. There is a lot to learn from them, and I respect them very much. However, vascular surgeons also have one specialty, and that is being able to perform surgery. There are many treatments that cannot be completed with EVT alone, but sometimes cardiologists stick to catheter therapy, causing iatrogenic complications or worsening treatment outcomes. EVT is of course a wonderful technology, and it is true that it has brought many blessings to patients. But when surgery is necessary, I think it is important to perform the surgery (Specifically, distal bypass, TEA, thrombectomy and hybrid treatment) properly without trying to complete it with EVT. We believe that a well-balanced use of surgery and EVT is essential in this field of treatment. I would like to share my experience as a vascular surgeon in Japan with everyone in the world and also communicate with them.

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