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術前撮影の多重検出器列CT画像の解析を用いた下大動脈三尖弁峡部に対するカテーテルアブレーションにおける解剖学的特徴に即した可変的治療戦略
https://hiroshima.repo.nii.ac.jp/records/2005051
https://hiroshima.repo.nii.ac.jp/records/2005051bd0eeffa-1760-49fa-bf7b-42776626efc2
| 名前 / ファイル | ライセンス | アクション |
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k6267_3.pdf (600.8 KB)
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k6267_1.pdf (216.4 KB)
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k6267_2.pdf (172.2 KB)
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| Item type | デフォルトアイテムタイプ_（フル）(1) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 公開日 | 2014-11-21 | |||||||||
| タイトル | ||||||||||
| タイトル | Variable procedural strategies adapted to anatomical characteristics in catheter ablation of the cavotricuspid isthmus using a preoperative multidetector computed tomography analysis | |||||||||
| 言語 | en | |||||||||
| タイトル | ||||||||||
| タイトル | 術前撮影の多重検出器列CT画像の解析を用いた下大動脈三尖弁峡部に対するカテーテルアブレーションにおける解剖学的特徴に即した可変的治療戦略 | |||||||||
| 言語 | ja | |||||||||
| 作成者 |
梶原, 賢太
× 梶原, 賢太
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| アクセス権 | ||||||||||
| アクセス権 | open access | |||||||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||
| 権利情報 | ||||||||||
| 権利情報 | Copyright(c) by Author | |||||||||
| 主題 | ||||||||||
| 主題Scheme | Other | |||||||||
| 主題 | atrial flutter | |||||||||
| 主題 | ||||||||||
| 主題Scheme | Other | |||||||||
| 主題 | catheter ablation | |||||||||
| 主題 | ||||||||||
| 主題Scheme | Other | |||||||||
| 主題 | cavotricuspid isthmus | |||||||||
| 主題 | ||||||||||
| 主題Scheme | Other | |||||||||
| 主題 | eustachian ridge | |||||||||
| 主題 | ||||||||||
| 主題Scheme | Other | |||||||||
| 主題 | multidetector row-computed tomography | |||||||||
| 主題 | ||||||||||
| 主題Scheme | NDC | |||||||||
| 主題 | 490 | |||||||||
| 内容記述 | ||||||||||
| 内容記述 | Objectives: This study aimed to investigate the anatomical characteristics complicating cavotricuspid isthmus (CTI) ablation and the effectiveness of various procedural strategies. Methods and Results: This study included 446 consecutive patients (362 males; mean age 60.5±10.4 years) in whom CTI ablation was performed. A total of 80 consecutive patients were evaluated in a preliminary study. The anatomy of the CTI was evaluated by multidetector row-computed tomography (MDCT) prior to the procedure. Amultivariate logistic regression analysis revealed that the angle and mean wall thickness of the CTI, a concave CTImorphology, and a prominent Eustachian ridge, were associated with a difficult CTI ablation (P < 0.01). In the main study, 366 consecutive patients were divided into 2 groups: a modulation group (catheter inversion technique for a concave aspect, prominent Eustachian ridge, and steep angle of the CTI or increased output for a thicker CTI) and nonmodulation group (conventional strategy). The duration and total amount of radiofrequency energy delivered were significantly shorter and smaller in the modulation group than those in the nonmodulation group (162.2 ± 153.5 vs 222.7 ± 191.9 seconds, P < 0.01, and 16,962.4 ± 11,545.6 vs 24,908.5 ± 22,804.2 J, P < 0.01, respectively). The recurrence rate of type 1 atrial flutter after the CTI ablation in the nonmodulation group was significantly higher than that in the modulation group (6.3 vs 1.7%, P = 0.02). Conclusion: Changing the procedural strategies by adaptating them to the anatomical characteristics improved the outcomes of the CTI ablation. | |||||||||
| 言語 | en | |||||||||
| 日付 | ||||||||||
| 日付 | 2014-11-21 | |||||||||
| 日付タイプ | Created | |||||||||
| 言語 | ||||||||||
| 言語 | eng | |||||||||
| 資源タイプ | ||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||||||
| 資源タイプ | doctoral thesis | |||||||||
| 出版タイプ | ||||||||||
| 出版タイプ | NA | |||||||||
| 出版タイプResource | http://purl.org/coar/version/c_be7fb7dd8ff6fe43 | |||||||||
| 関連情報 | ||||||||||
| 関連タイプ | references | |||||||||
| 関連名称 | KENTA KAJIHARA, YUKIKO NAKANO, YUKOH HIRAI, HIROSHI OGI, NOBORU ODA, KAZUYOSHI SUENARI, YUKO MAKITA, AKINORI SAIRAKU, TAKEHITO TOKUYAMA, CHIKAAKI MOTODA, MAI FUJIWARA, YOSHIKAZU WATANABE, MASAO KIGUCHI and YASUKI KIHARA; Variable Procedural Strategies Adapted to Anatomical Characteristics in Catheter Ablation of the Cavotricuspid Isthmus Using a Preoperative Multidetector Computed Tomography Analysis; Journal of Cardiovascular Electrophysiology, Volume 24, Issue 12, pages 1344-1351, December 2013 (doi: 10.1111/jce.12231) | |||||||||
| 関連情報 | ||||||||||
| 関連タイプ | references | |||||||||
| 識別子タイプ | DOI | |||||||||
| 関連識別子 | http://dx.doi.org/10.1111/jce.12231 | |||||||||
| 学位授与番号 | ||||||||||
| 学位授与番号 | 甲第6267号 | |||||||||
| 学位名 | ||||||||||
| 言語 | ja | |||||||||
| 学位名 | 博士(医学) | |||||||||
| 学位名 | ||||||||||
| 言語 | en | |||||||||
| 学位名 | Philosophy in Medical Science | |||||||||
| 学位授与年月日 | ||||||||||
| 学位授与年月日 | 2013-11-28 | |||||||||
| 学位授与機関 | ||||||||||
| 学位授与機関識別子Scheme | kakenhi | |||||||||
| 学位授与機関識別子 | 15401 | |||||||||
| 言語 | ja | |||||||||
| 学位授与機関名 | 広島大学 | |||||||||
| 学位授与機関 | ||||||||||
| 言語 | en | |||||||||
| 学位授与機関名 | Hiroshima University | |||||||||
| 旧ID | 36277 | |||||||||
