Ryugaku Jinja · Professor Archive
Public Professor Archive
Daisuke Kanda神田 大輔
Kagoshima University · Graduate School of Medical and Dental Sciences · 助教
- Publications
- 4
- Projects
- 4
- Keywords
- 7
留学
神社Kagoshima University · Graduate School of Medical and Dental Sciences · 助教
Research keywordsinterventional cardiology・coronary calcified nodules・guide catheter techniques・transcatheter mitral repair・infective endocarditis complications・malnutrition-inflammation-atherosclerosis・stable coronary disease
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- 神田 大輔 . 特集 24 -TWENTY FOUR- 戦う循環器当直医のための虎の巻 Ⅰ 急性冠症候群 4 PCI Hacks! 高度石灰化病変 . Heart View29 ( 12 ) 28 - 35 2025年12025 · 出版者・発行元： メディカルレビュー社 DOI： 10.18885/hv.0000002095 CiNii Research
- 神田 大輔 . 【24 -TWENTY FOUR- 戦う循環器当直医のための虎の巻】急性冠症候群 PCI Hacks! 高度石灰化病変 . Heart View29 ( 12 ) 28 - 35 2025年11月 詳細を2025 · 記述言語： 日本語 出版者・発行元： (株)メジカルビュー社 ＜文献概要＞・責任病変の石灰化の程度と局在は,血管造影に加え,可能であれば血管内イメージング[血管内超音波(IVUS)/光干渉断層法(OCT)]やCTの情報も参考に全体像を把握し,関連する血栓の評価と同時に行う。・血行動態の安定化と最低限の再灌流の確保を優先し,必要に応じて機械的循環補助(MCS)デバイスを導入する。・一期的な完全血行再建が高リスクと判断される場合には,まずは最小限のリスクで再灌流を確保し,その後の待機的再建も含めた柔軟な治療戦略を検討する。
- 伊東 伸洋, 神田 大輔, 横峯 辰生, 野元 裕太朗, 田端 宏之, 下野 洋和, 大牟禮 健太, 窪薗 琢郎, 大石 充2025 · 記述言語： 日本語 出版者・発行元： (一社)日本心臓病学会
- Kanda D., Horizoe Y., Tajima A., Tabata H., Uchiyama Y., Ohishi M. . Successful Transcatheter Mitral Valve Repair for Iatrogenic Chordal Rupture in Cardiac Amyloidosis . Jacc Case Repo2025 · 記述言語： 日本語 出版者・発行元： Jacc Case Reports Background: Cardiac amyloidosis is associated with poor prognosis. Biopsy-induced severe mitral regurgitation (MR) secondary to chordal rupture is a rare but critical complication, and its optimal management remains uncertain. Case Summary: A 78-year-old man with transthyretin cardiac amyloidosis developed acute severe MR after left ventricular myocardial biopsy, which caused rupture of the chordae tendineae. He presented with NYHA functional class IV heart failure. Given his condition, transcatheter edge-to-edge mitral valve repair (M-TEER) was prioritized. A MitraClip was successfully deployed, reducing the severe MR to mild without complications, and his symptoms markedly improved. Discussion: This is to our knowledge the first reported case of biopsy-induced MR in cardiac amyloidosis successfully managed using M-TEER. This case demonstrates the safety and efficacy of M-TEER in frail patients with iatrogenic mechanical complications. Take-Home Message: M-TEER may be a life-saving therapy for severe iatrogenic MR in patients with advanced cardiac amyloidosis. DOI： 10.1016/j.jaccas.2025.106137 Scopus PubMed
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