Balloon Aortic Valvuloplasty in Children : A Multicenter Study in Japan
スポンサーリンク
概要
- 論文の詳細を見る
A questionnaire was used to survey the experience of 8 Japanese institutions with percutaneous transluminal aortic valvuloplasty (PTAV) in children. Among 99 procedures reported in 88 patients, sufficient data for analysis was obtained from 76 procedures in 72 patients. In those 76 procedures the pressure gradient decreased significantly from 68±25 (20-140) to 33±22(0-100) mmHg (p<0.01), whereas aortic regurgitation (AR) increased at least one grade in 26 cases (34%). None of the parameters analyzed in this study were predictors of an increase in AR. The reduction in pressure gradient was judged as good in 44 of the 76 procedures (58%). A larger ring diameter, larger balloon diameter and larger ratio balloon diameter/the normal predicted diameter of the aortic valve ring significantly contributed to an effective reduction of pressure gradient. Follow up data (mean interval, 4 years) was available for 26 of 39 clinically effective procedures. AR progressed at least 1 grade in 11(42%), and the pressure gradient re-developed to more than 50 mmHg in 2 cases (8%). In Japan, PTAV has been accepted as a useful procedure for valvular aortic stenosis in children, but progressive AR or re-development of the pressure gradient is not uncommon even after clinically effective PTAV.
- 社団法人日本循環器学会の論文
- 2001-06-20
著者
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富田 英
Cardiovascular Center Showa University Northern Yokohama Hospital
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TOMITA Hideshi
Department of Pediatrics, Sapporo Medical University School of Medicine
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TOMITA Hideshi
Japanese Society of Pediatric Interventional Cardiology
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NAKANISHI Toshio
Japanese Society of Pediatric Interventional Cardiology
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KOBAYASHI Toshiki
Japanese Society of Pediatric Interventional Cardiology
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Yagihara Toshikatsu
Department Of Cardiovascular Surgery Division Of Cardiology National Cardiovascular Center
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Kobayashi Toshiki
Department Of Pediatric Cardiology Saitama Medical University International Medical Center
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Echigo Shigeyuki
Department of Pediatrics, National Cardiovascular Center
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HARADA Yorikazu
Department of Pediatric Cardiology, Nagano Children's Hospital
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Kimura Kohji
Departments Of Radiology National Cardiovascular Center
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Nakanishi Toshio
Department Of Pediatric Cardiology Heart Institute Tokyo Women's Medical University
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Tomita Hideshi
昭和大学横浜市北部病院 循環器センター
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Tomita Hideshi
札幌医科大学 小児科
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Tomita Hideshi
Division Of Cardiology Showa University Northern Yokohama Hospital
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Yagihara Toshikatsu
Department Of Cardiovascular Surgery National Cardiovascular Center
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Akagi Teiji
Department of Pediatrics, Kurume University
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Yagihara Toshikatsu
Cardiovascular Surgery, National Cardiovascular Center
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Kimura Kohji
Radiology, National Cardiovascular Center
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Tomita Hideshi
Department Of Materials Chemistry Faculty Of Engineering Yokohama National University
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Yagihara Toshikacsu
Department Of Cardiovascular Surgery National Cardiovascular Center
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Akagi Teiji
Department Of Cardiovascular Surgery Okayama University Graduate School Of Medicine And Dentistry
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KADO Hideaki
Department of Cardiovascular Surgery, Fukuoka Children's Hospital
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Ishizawa Ryo
Division of Cardiology, National Children's Hospital
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Ino Toshihiro
Department of Pediatrics, Juntendo University School of Medicine
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Echigo Shigeyuki
The Japanese Society of Pediatric Cardiology and Cardiac Surgery Joint Working Groups
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Yagihara Toshikatsu
Department Of Surgery National Cardiovascular Center
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Yagihara Toshikatsu
Cardiovascular Surgery National Cardiovascular Center
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Kado Hideaki
Department Of Cardiovascular Surgery Fukuoka Children's Hospital
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Kado Hideaki
Department Of Cardiovascular Surgery Fukuoka Children's Hospital And Medical Center
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Echigo Shigeyuki
Department Of Pediatrics Nara Medical University
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Echigo Shigeyuki
Department Of Pediatric Cardiology National Cardiovascular Center
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Akagi Teiji
Department Of Pediatrics Kurume University
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Harada Yorikazu
Department Of Cardiovascular Surgery Nagano Children's Hospital
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Echigo Shigeyuki
Department Of Pediatrics Cardiac Surgery National Cardiovascular Center Osaka.
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Ishizawa Ryo
Division Of Cardiology National Children's Hospital
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Ino Toshihiro
Department Of Pediatrics Juntendo University School Of Medicine
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Nakanishi Toshio
Department Of Internal Medicine Kure City Medical Association Hospital
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Akagi Teiji
Committee On Guidelines For Management Of Pregnancy In Women With Cardiovascular Disease Japanese Ci
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Yagihara Toshikatsu
Department Of Cardiovascular Surgery National Cerebral And Cardiovascular Center
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Nakanishi Toshio
Department Of Gastroenterology Miyoshi Central Hospital
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HARADA Yorikazu
Department of Cardiovascular Surgery and cardiology, Nagano Children's Hospital
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INO Toshihiro
Department of Pediatrics and the Juntendo University School of Medicine
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KOBAYASHI Toshiki
Department of JMTR Project, Oarai Research Establishment, Japan Atomic Energy Research Institute
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