A radial velocity (RV) survey for intermediate-mass giants has been in operation for over a decade at Okayama Astrophysical Observatory (OAO). The OAO survey has revealed that some giants show long-term linear RV accelerations (RV trends), indicating the presence of outer companions. Direct-imaging observations can help clarify what objects generate these RV trends. We present the results of high-contrast imaging observations of six intermediate-mass giants with long-term RV trends using the Subaru Telescope and HiCIAO camera. We detected co-moving companions to γ Hya B (0.61-0.14+0.12M⊙), HD 5608 B (0.10 ± 0.01M⊙), and HD 109272 B (0.28 ± 0.06 M⊙). For the remaining targets (ι Dra, 18 Del, and HD 14067), we exclude companions more massive than 30-60 M Jup at projected separations of 1″-7″. We examine whether these directly imaged companions or unidentified long-period companions can account for the RV trends observed around the six giants. We find that the Kozai mechanism can explain the high eccentricity of the inner planets ι Dra b, HD 5608 b, and HD 14067 b.
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