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Nagase T, Kikuchi T, Unno T, Arai R, Tatsukawa S, Yoshida Y, Yoshino C, Nishida T, Tanaka T, Ishino M, Kato R, Kuwada M. Impedance-guided modified CLOSE protocol ablation can reduce ablation index necessary for pulmonary vein isolation in patients with atrial fibrillation. J Cardiol 2024; 83:291-297. [PMID: 37684006 DOI: 10.1016/j.jjcc.2023.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 07/21/2023] [Accepted: 09/01/2023] [Indexed: 09/10/2023]
Abstract
BACKGROUND Real-time monitoring of generator impedance drop is not considered in CLOSE protocol pulmonary vein (PV) isolation (PVI) in patients with atrial fibrillation (AF). We verified whether additional information of impedance drop could minimize ablation index required for PVI using modified CLOSE protocol (target ablation index ≥ 500 on anterior wall and ≥400 on posterior wall along with inter-lesion distance of 3-6 mm and maximum power of 35 W) without any adverse effect of procedural data and efficacy. METHODS Sixty consecutive Japanese AF patients [paroxysmal AF: 43 (72 %) patients] underwent first-time PVI with modified CLOSE protocol with real-time monitoring of impedance drop (impedance-guided modified CLOSE protocol). Ablation tags were colored according to impedance drop and ablation was immediately terminated before reaching target ablation index if impedance drop of ≥10 Ω was confirmed. Ablation index needed for PVI, first-pass PVI rate, other procedural data, and atrial tachyarrhythmia recurrence were evaluated. RESULTS Mean ablation index and impedance drop on anterior and posterior walls were 437.6 ± 43.5 Ω and 10.2 ± 2.6 Ω and 393.3 ± 27.4 Ω and 9.3 ± 2.2 Ω, respectively. First-pass PVI per PV pair was accomplished in 90/120 (75 %). No complications occurred. PV gaps after first-pass ablation were locationally most often found on right posterior wall than on the other parts (p < 0.001). There were no differences in mean contact force, impedance drop, and ablation index between walls with and without PV gaps after first-pass PV ablation. During a mean follow-up of 24 ± 9 months, survival from atrial tachyarrhythmia recurrence was 51/60 (85 %) patients. CONCLUSIONS Using additional generator impedance drop information may be useful to minimize radiofrequency current application to accomplish PVI with modified CLOSE protocol while maintaining efficacy and safety in Japanese AF population.
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Affiliation(s)
- Takahiko Nagase
- Department of Cardiology, Higashiyamato Hospital, Tokyo, Japan.
| | | | - Takatoshi Unno
- Department of Cardiology, Higashiyamato Hospital, Tokyo, Japan
| | - Ryoichi Arai
- Department of Cardiology, Higashiyamato Hospital, Tokyo, Japan
| | | | | | - Chiyo Yoshino
- Department of Cardiology, Higashiyamato Hospital, Tokyo, Japan
| | | | - Takahisa Tanaka
- Department of Cardiology, Higashiyamato Hospital, Tokyo, Japan
| | | | - Ryuichi Kato
- Department of Cardiology, Higashiyamato Hospital, Tokyo, Japan
| | - Masao Kuwada
- Department of Cardiology, Higashiyamato Hospital, Tokyo, Japan
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Unno T, Kato R, Kuwada M, Ishino M, Nagase T, Tanaka T, Yoshino C, Nishida T, Yoshida Y, Oyama R, Kikuchi T, Tatebayashi T, Kuwao S. Coexistence Case of Papillary Fibroelastoma and Lambl's Excrescence of the Left Heart, Which Is Occasionally Associated with Significant Stroke. Int Heart J 2024; 65:367-370. [PMID: 38479845 DOI: 10.1536/ihj.23-570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/02/2024]
Abstract
Papillary fibroelastoma (PFE) is a benign tumor that arises mostly from left-sided valves. PFE can cause stroke, and surgical resection may be needed. Lambl's excrescence (LE) is a filiform valvular lesion and is considered a possible cause of stroke. A 79-year-old man with light-headedness and left-sided hemiparesis was diagnosed with stroke. Transesophageal echocardiography (TEE) revealed a round-shaped mobile mass in the left ventricular outflow tract (LVOT), which was considered the cause of the stroke. Surgical resection was performed transaortically, and during surgery, a mass was incidentally detected on the noncoronary cusp (NCC), which was also resected followed by aortic valve replacement. Pathology confirmed that the mass in the LVOT was a PFE and that the filiform mass on the NCC was LE. We herein report a rare case of PFE in the LVOT and coexisting LE on the NCC. A careful examination via TEE helps to identify other possible causes of stroke hidden behind the obvious cause.
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Affiliation(s)
- Takatoshi Unno
- Department of Cardiology, Social Medical Corporation Yamatokai Foundation Higashiyamato Hospital
| | - Ryuichi Kato
- Department of Cardiology, Social Medical Corporation Yamatokai Foundation Higashiyamato Hospital
| | - Masao Kuwada
- Department of Cardiology, Social Medical Corporation Yamatokai Foundation Higashiyamato Hospital
| | - Mitsunori Ishino
- Department of Cardiology, Social Medical Corporation Yamatokai Foundation Higashiyamato Hospital
| | - Takahiko Nagase
- Department of Cardiology, Social Medical Corporation Yamatokai Foundation Higashiyamato Hospital
| | - Takahisa Tanaka
- Department of Cardiology, Social Medical Corporation Yamatokai Foundation Higashiyamato Hospital
| | - Chiyo Yoshino
- Department of Cardiology, Social Medical Corporation Yamatokai Foundation Higashiyamato Hospital
| | - Takafumi Nishida
- Department of Cardiology, Social Medical Corporation Yamatokai Foundation Higashiyamato Hospital
| | - Yoshinori Yoshida
- Department of Cardiology, Social Medical Corporation Yamatokai Foundation Higashiyamato Hospital
| | - Ryo Oyama
- Department of Cardiology, Social Medical Corporation Yamatokai Foundation Higashiyamato Hospital
| | - Takafumi Kikuchi
- Department of Cardiology, Social Medical Corporation Yamatokai Foundation Higashiyamato Hospital
| | - Takayuki Tatebayashi
- Department of Cardiovascular Surgery, Social Medical Corporation Yamatokai Foundation Higashiyamato Hospital
| | - Sadahito Kuwao
- Department of Pathology & Clinical Laboratory Medicine, Social Medical Corporation Yamatokai Foundation Higashiyamato Hospital
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Okazaki M, Sahashi Y, Nagase T, Inoue K, Sekiguchi Y, Nitta J, Shinoda S, Shimizu S, Kuroki M, Isobe M, Mihara T. Inappropriate shock incidence in patients with subcutaneous implantable cardioverter-defibrillators with concomitant cardiac implantable electronic devices: A single-center cohort study. Pacing Clin Electrophysiol 2024; 47:131-138. [PMID: 38010718 DOI: 10.1111/pace.14887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 10/08/2023] [Accepted: 11/15/2023] [Indexed: 11/29/2023]
Abstract
BACKGROUND Subcutaneous implantable cardioverter defibrillators (S-ICDs) are occasionally used in combination with other cardiac implantable electronic devices (CIEDs). However, whether the incidence of inappropriate shock increases in patients with S-ICDs and concomitant CIEDs remains unclear. This study aimed to investigate the association between the concomitant use of CIEDs and the incidence of inappropriate shock in patients with current-generation S-ICDs. METHODS A total of 127 consecutive patients received an S-ICD. Patients were assigned to two groups depending on concomitant use of CIEDs at the time of S-ICD implantation: patients without other CIEDs (non-combined group, 106 patients) and patients with other CIEDs (combined group, 21 patients). CIEDs included pacemakers, implantable cardioverter defibrillators, cardiac resynchronization therapy pacemakers, and cardiac resynchronization therapy defibrillators. The primary outcome was inappropriate shock, defined as a shock other than ventricular arrhythmia. Hazard ratios and 95% confidence intervals were calculated using a time-varying Cox proportional hazards model which was adjusted for age because age differed between the groups and could be a confounder. RESULTS During a median follow-up period of 2.2 years (interquartile range, 1.0-3.4 years), inappropriate shock events occurred in 17 (16%) and five (19%) patients of the non-combined and combined groups, respectively. While the age-adjusted hazard ratio for inappropriate shock was 24% higher in the combined than in the non-combined group (hazard ratio = 1.24, 95% confidence interval, 0.39-3.97), this difference was insignificant (p = .71). CONCLUSION The incidence of inappropriate shock did not differ between patients with and without concomitant use of CIEDs, suggesting that S-ICDs could potentially be combined with other CIEDs without increasing the number of inappropriate shocks. Further studies are warranted to confirm the safety and feasibility of concomitant use of S-ICDs and CIEDs.
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Affiliation(s)
- Makiko Okazaki
- Department of Clinical Engineering, Sakakibara Heart Institute, Fuchu-shi, Tokyo, Japan
- Department of Health Data Science, Yokohama City University Graduate School of Data Science, Yokohama-shi, Kanagawa, Japan
| | - Yuki Sahashi
- Department of Cardiology, Gifu University Graduate School of Medicine, Gifu-shi, Japan
| | - Takahiko Nagase
- Department of Cardiology, Sakakibara Heart Institute, Fuchu-shi, Tokyo, Japan
| | - Kanki Inoue
- Department of Cardiology, Sakakibara Heart Institute, Fuchu-shi, Tokyo, Japan
| | - Yukio Sekiguchi
- Department of Cardiology, Sakakibara Heart Institute, Fuchu-shi, Tokyo, Japan
| | - Junichi Nitta
- Department of Cardiology, Sakakibara Heart Institute, Fuchu-shi, Tokyo, Japan
| | - Satoru Shinoda
- Department of Biostatistics, School of Medicine, Yokohama City University, Yokohama-shi, Kanagawa, Japan
| | - Sayuri Shimizu
- Department of Health Data Science, Yokohama City University Graduate School of Data Science, Yokohama-shi, Kanagawa, Japan
| | - Makoto Kuroki
- Department of Health Data Science, Yokohama City University Graduate School of Data Science, Yokohama-shi, Kanagawa, Japan
| | | | - Takahiro Mihara
- Department of Health Data Science, Yokohama City University Graduate School of Data Science, Yokohama-shi, Kanagawa, Japan
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Nagase T, Kato R, Asano S, Fukunaga H, Yoshida Y, Hayashi Y, Sekiguchi Y, Nanasato M, Nitta J, Isobe M. Spatial relationship of localized sources of persistent atrial fibrillation identified by a unipolar-based automated algorithm to complex fractionated atrial electrocardiograms and atrial low voltage areas. J Cardiovasc Electrophysiol 2023; 34:337-344. [PMID: 36423234 DOI: 10.1111/jce.15755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Revised: 10/10/2022] [Accepted: 10/31/2022] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Spatial characteristics of localized sources of persistent atrial fibrillation (AF) identified by unipolar-based panoramic mapping software (CARTOFINDER) remain unclear. We evaluated spatial characteristics of bi-atrial AF localized sources in relation to complex fractionated atrial electrocardiograms (CFAEs) and atrial low voltage area (LVAs) (≤0.35 mV during AF). METHODS AND RESULTS Twenty consecutive patients with persistent AF underwent bi-atrial voltage, CFAE, and CARTOFINDER mapping before the beginning of ablation (18 [90%] patients, initial procedure; 2 [10%] patients, repeat procedure). CFAEs were recorded using the interval confidence level (ICL) mode and defined as sites with a confidence level of ≥80% of maximal ICL number. We elucidated the following: (1) differences in the rate of AF localized sources and CFAEs inside or outside the atrial LVAs; (2) distribution of AF localized sources and CFAEs; and (3) distance between the closest points of AF localized sources and CFAEs. A total of 270 AF localized sources and 486 CFAEs were identified in 20 patients. AF localized sources were confirmed more often outside atrial LVAs than CFAEs (71% vs. 46% outside LVA, p < .001). AF localized sources and CFAEs were diffusely distributed without any tendency in bi-atria. Mean distance between closest AF localized sources and CFAEs was 22 ± 8 mm. CONCLUSION AF localized sources identified by CARTOFINDER are different therapeutic targets as compared to CFAEs and could be confirmed both inside and outside atrial LVAs.
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Affiliation(s)
- Takahiko Nagase
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
| | - Ryuichi Kato
- Department of Cardiology, Higashiyamato Hospital, Tokyo, Japan
| | - So Asano
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
| | - Hiroshi Fukunaga
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
| | | | - Yosuke Hayashi
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
| | - Yukio Sekiguchi
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
| | - Mamoru Nanasato
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
| | - Junichi Nitta
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
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Murasawa H, Soumiya H, Kobayashi H, Imai J, Nagase T, Fukumitsu H. Neonatal bilateral whisker trimming in male mice age-dependently alters brain neurotransmitter levels and causes adolescent onsets of social behavior abnormalities. Biomed Res 2023; 44:147-160. [PMID: 37544736 DOI: 10.2220/biomedres.44.147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/08/2023]
Abstract
Tactile perception via whiskers is important in rodent behavior. Whisker trimming during the neonatal period affects mouse behaviors related to both whisker-based tactile cognition and social performance. However, the molecular basis of these phenomena is not completely understood. To solve this issue, we investigated developmental changes in transmitters and metabolites in various brain regions of male mice subjected to bilateral whisker trimming during the neonatal period (10 days after birth [BWT10 mice]). We discovered significantly lower levels of 3-methoxy-4-hydroxyphenyl glycol (MHPG), the major noradrenaline metabolite, in various brain regions of male BWT10 mice at both early/late adolescent stages (at P4W and P8W). However, reduced levels of dopamine (DA) and their metabolites were more significantly identified at P8W in the nuclear origins of monoamine (midbrain and medulla oblongata) and the limbic system (frontal cortex, amygdala, and hippocampus) than at P4W. Furthermore, the onset of social behavior deficits (P6W) was observed later to the impairment of whisker-based tactile cognitive behaviors (P4W). Taken together, these findings suggest that whisker-mediated tactile cognition may contribute toprogressive abnormalities in social behaviors in BWT10 mice accompanied by impaired development of dopaminergic systems.
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Affiliation(s)
- Hiroyasu Murasawa
- Laboratory of Molecular Biology, Department of Biofunctional Analysis, Gifu Pharmaceutical University
- Hashima Laboratory, Nihon Bioresearch Inc
| | - Hitomi Soumiya
- Laboratory of Molecular Biology, Department of Biofunctional Analysis, Gifu Pharmaceutical University
| | - Hiroyuki Kobayashi
- Laboratory of Molecular Biology, Department of Biofunctional Analysis, Gifu Pharmaceutical University
- Hashima Laboratory, Nihon Bioresearch Inc
| | - Jun Imai
- Hashima Laboratory, Nihon Bioresearch Inc
| | | | - Hidefumi Fukumitsu
- Laboratory of Molecular Biology, Department of Biofunctional Analysis, Gifu Pharmaceutical University
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Kasai Y, Kasai J, Asano S, Nagase T, Sekiguchi Y, Nitta J. Removing pericardial drainage tube for acute cardiac tamponade associated with catheter ablation of atrial fibrillation can trigger hemoperitoneum from severe liver bleeding. HeartRhythm Case Rep 2022; 8:618-621. [PMID: 36147725 PMCID: PMC9485657 DOI: 10.1016/j.hrcr.2022.06.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- Yuhei Kasai
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
- Address reprint requests and correspondence: Dr Yuhei Kasai, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan.
| | - Jungo Kasai
- Paul G. Allen School of Computer Science & Engineering, University of Washington, Seattle, Washington
| | - So Asano
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
| | - Takahiko Nagase
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
| | - Yukio Sekiguchi
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
| | - Junichi Nitta
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
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Hiruma T, Nagase T, Inoue K, Nitta J, Isobe M. Cephalic vein cut-down technique for severe venous spasm following axillary vein puncture at pacemaker implantation. J Cardiol Cases 2022; 26:245-247. [DOI: 10.1016/j.jccase.2022.05.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 05/01/2022] [Accepted: 05/10/2022] [Indexed: 11/15/2022] Open
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Okazaki M, Nagase T, Inoue K, Yamada H, Mabuchi K. AP-518-04 INCIDENCE OF INAPPROPRIATE SHOCK IN PATIENTS WITH SUBCUTANEOUS IMPLANTABLE CARDIOVERTER-DEFIBRILLATORS WITH CONCOMITANT CARDIAC IMPLANTABLE ELECTRONIC DEVICES: A SINGLE-CENTER COHORT STUDY. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Kasai Y, Kasai J, Sekiguchi Y, Nagase T, Nitta J. Idiopathic premature ventricular contractions originating from the distal Purkinje fiber network of the right bundle branch. J Arrhythm 2022; 38:458-461. [PMID: 35785387 PMCID: PMC9237311 DOI: 10.1002/joa3.12719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 03/28/2022] [Accepted: 03/31/2022] [Indexed: 11/10/2022] Open
Affiliation(s)
- Yuhei Kasai
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
| | - Jungo Kasai
- Paul G. Allen School of Computer Science & Engineering University of Washington Seattle Washington USA
| | - Yukio Sekiguchi
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
| | - Takahiko Nagase
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
| | - Junichi Nitta
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
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10
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Hiruma T, Sekiguchi Y, Nagase T, Nitta J, Isobe M. Short‐time ventricular tachycardia ablation for cardiac sarcoidosis using coherent map. J Arrhythm 2022; 38:454-457. [PMID: 35785377 PMCID: PMC9237297 DOI: 10.1002/joa3.12706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2021] [Revised: 03/06/2022] [Accepted: 03/19/2022] [Indexed: 11/25/2022] Open
Abstract
A 69‐year‐old woman with isolated cardiac sarcoidosis was hospitalized for frequent appropriate implantable converter defibrillator therapies for ventricular tachycardia (VT) despite of favorably controlled condition with oral prednisolone. The patient underwent urgent catheter ablation with CARTO 3D mapping system. Although the voltage map, activation map, and propagation map during VT could not visualize the tachycardia circuit, the coherent map clarified entrance and exit sites of the tachycardia circuit with slow or nonconducting (SNO) zones, which seemed like a figure‐of‐eight circuit. Considering the risk of VT termination or acceleration to rapid unstable VT, neither entrainment nor pacing studies were performed. The VT was terminated near the exit site of the isthmus where tiny pre‐systolic potential was detected. Any diastolic potentials could not be detected. This meant that the critical isthmus might be located at the epicardium or deep incite of the left‐ventricular myocardium where the coherent map showed as SNO zones. We should recognize coherent map as artificial that may represent VT circuit as if complete endocardial reentry even if not. The procedural time from mapping to termination of VT was only 22 minutes. The patient has been free from any cardiovascular events after the procedure. Coherent map might be feasible for revealing the critical isthmus of hemodynamically stable VTs without using electrophysiological techniques, including entrainment, pacing study, and voltage map during own beats, and would enable us to achieve successful VT ablation in a short time.
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Affiliation(s)
- Takashi Hiruma
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
| | - Yukio Sekiguchi
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
| | - Takahiko Nagase
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
| | - Junichi Nitta
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
| | - Mitsuaki Isobe
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
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11
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Fukunaga H, Sekiguchi Y, Asano S, Nagase T, Tanizaki K, Umemura J, Nitta J, Isobe M. Impact of monitoring surface temperature during pulmonary vein isolation in a second-generation hot balloon system. IJC Heart & Vasculature 2022; 39:100967. [PMID: 35146121 PMCID: PMC8819386 DOI: 10.1016/j.ijcha.2022.100967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Revised: 01/17/2022] [Accepted: 01/25/2022] [Indexed: 11/03/2022]
Abstract
Background Methods Results Conclusions
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12
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Nagase T, Asano S, Fukunaga H, Kasai Y, Inoue K, Sekiguchi Y, Tanizaki K, Murai T, Nanasato M, Umemura J, Nitta J, Isobe M. Evaluation of linear lesion formation and thermodynamics by dragging ablation with the third-generation laser balloon. Heart Rhythm O2 2022; 3:311-318. [PMID: 35734297 PMCID: PMC9207738 DOI: 10.1016/j.hroo.2022.04.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Background The lesion formation properties of a motorized rotational delivery (RAPID) mode, third-generation laser balloon (LB3) ablation compared to point-by-point laser ablation in patients with atrial fibrillation remain unclear. Objective The purpose of this study was to assess lesion characteristics and thermodynamics in LB3 ablation with a RAPID mode in vitro model. Methods Chicken muscles were cauterized using LB3 in RAPID mode with 13 W and 15 W and 50% overlapped point-by-point fashion with 7 W/30 seconds, 8.5 W/20 seconds, 10 W/20 seconds, and 12 W/20 seconds. Lesion depth, width, and continuity were compared. Lesion continuity was classified by the visible gap degree categorized from 1 (perfect) to 3 (poor). Thermodynamics and maximum tissue temperatures were assessed under infrared thermographic monitoring. Fifteen and 5 lesions were evaluated per ablation protocol for measurement of lesion size and continuity and for thermographic assessment, respectively. Results Lesion depth and width were smaller in RAPID mode laser ablation than point-by-point laser ablation (P <.001). However, RAPID mode laser ablation revealed sufficient mean lesion depth of 5 mm or more. Lesion continuity was 1 (perfect) in all samples in RAPID mode laser ablation and point-by-point laser ablation (P = 1). Infrared thermographic observation demonstrated fast and gapless linear lesion formation with thermal stacking in RAPID mode laser ablation. Maximum tissue temperature was lower in RAPID mode laser ablation than point-by-point laser ablation (P <.001). Conclusion RAPID mode LB3 ablation could provide fast, gapless, and acceptable lesion formation with thermal stacking and moderate tissue temperature rise.
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Affiliation(s)
- Takahiko Nagase
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
- Address reprint requests and correspondence: Dr Takahiko Nagase, Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu-shi, Tokyo 183-0003, Japan.
| | - So Asano
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
| | - Hiroshi Fukunaga
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
| | - Yuhei Kasai
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
| | - Kanki Inoue
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
| | - Yukio Sekiguchi
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
| | - Kohei Tanizaki
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
| | - Tatsuya Murai
- Department of Pathology, Sakakibara Heart Institute, Tokyo, Japan
| | - Mamoru Nanasato
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
| | - Jun Umemura
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
| | - Junichi Nitta
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
| | - Mitsuaki Isobe
- Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
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Murasawa H, Kobayashi H, Imai J, Nagase T, Soumiya H, Fukumitsu H. Substantial acetylcholine reduction in multiple brain regions of Mecp2-deficient female rats and associated behavioral abnormalities. PLoS One 2021; 16:e0258830. [PMID: 34673817 PMCID: PMC8530288 DOI: 10.1371/journal.pone.0258830] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Accepted: 10/06/2021] [Indexed: 11/24/2022] Open
Abstract
Rett syndrome (RTT) is a neurodevelopmental disorder with X-linked dominant inheritance caused mainly by mutations in the methyl-CpG-binding protein 2 (MECP2) gene. The effects of various Mecp2 mutations have been extensively assessed in mouse models, but none adequately mimic the symptoms and pathological changes of RTT. In this study, we assessed the effects of Mecp2 gene deletion on female rats (Mecp2+/−) and found severe impairments in social behavior [at 8 weeks (w), 12 w, and 23 w of age], motor function [at 16 w and 26 w], and spatial cognition [at 29 w] as well as lower plasma insulin-like growth factor (but not brain-derived neurotrophic factor) and markedly reduced acetylcholine (30%–50%) in multiple brain regions compared to female Mecp2+/+ rats [at 29 w]. Alternatively, changes in brain monoamine levels were relatively small, in contrast to reports on mouse Mecp2 mutants. Female Mecp2-deficient rats express phenotypes resembling RTT and so may provide a robust model for future research on RTT pathobiology and treatment.
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Affiliation(s)
- Hiroyasu Murasawa
- Laboratory of Molecular Biology, Department of Biofunctional Analysis, Gifu Pharmaceutical University, Gifu, Japan
- Hashima Laboratory, Nihon Bioresearch Inc, Gifu, Japan
| | - Hiroyuki Kobayashi
- Laboratory of Molecular Biology, Department of Biofunctional Analysis, Gifu Pharmaceutical University, Gifu, Japan
- Hashima Laboratory, Nihon Bioresearch Inc, Gifu, Japan
| | - Jun Imai
- Hashima Laboratory, Nihon Bioresearch Inc, Gifu, Japan
| | | | - Hitomi Soumiya
- Laboratory of Molecular Biology, Department of Biofunctional Analysis, Gifu Pharmaceutical University, Gifu, Japan
| | - Hidefumi Fukumitsu
- Laboratory of Molecular Biology, Department of Biofunctional Analysis, Gifu Pharmaceutical University, Gifu, Japan
- * E-mail:
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Nagase T, Ishiguro M, Mabuchi K, Seki R, Asano S, Fukunaga H, Inoue K, Sekiguchi Y, Tanizaki K, Nanasato M, Iguchi N, Nitta J, Isobe M. Prognostic predictors and echocardiographic time course after device replacement in patients treated chronically with cardiac resynchronization therapy devices. Heart Vessels 2021; 37:451-459. [PMID: 34499232 DOI: 10.1007/s00380-021-01940-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Accepted: 09/03/2021] [Indexed: 12/11/2022]
Abstract
The prognostic predictors of death or heart failure hospitalization and the echocardiographic response after initial cardiac resynchronization therapy (CRT) device replacement (CRT-r) remain unclear. We evaluated the predictors and the echocardiographic time course in patients after CRT-r. Consecutive 60 patients underwent CRT-r because of battery depletion. Patients were divided into two groups depending on the chronic echocardiographic response to CRT (left ventricular end-systolic volume [LVESV] reduction of ≥ 15%) at the time of CRT-r: CRT responders (group A; 35 patients) and CRT nonresponders (group B; 25 patients). The primary endpoint was a composite of death from any cause or heart failure hospitalization. Changes in LVESV and left ventricular ejection fraction (LVEF) after CRT-r were also analyzed. During the mean follow-up of 46 ± 33 months after CRT-r, the primary endpoint occurred more frequently in group B (group A versus group B; 8/35 [23%] patients versus 19/25 [76%] patients, p < 0.001). No significant changes in LVESV and LVEF were observed at the mean of 46 ± 29 months after CRT-r in both groups. A multivariate analysis identified echocardiographic nonresponse to CRT, chronic kidney disease, atrial fibrillation, and New York Heart Association functional class III or IV at the time of CRT-r as independent predictors of the primary endpoint in all patients. Residual echocardiographic nonresponse, comorbidities, and heart failure symptoms at the time of CRT-r predict the subsequent very long-term prognosis after CRT-r. No further echocardiographic response to CRT was found after CRT-r.
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Affiliation(s)
- Takahiko Nagase
- Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu-shi, Tokyo, 183-0003, Japan.
| | - Maya Ishiguro
- Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu-shi, Tokyo, 183-0003, Japan
| | - Kei Mabuchi
- Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu-shi, Tokyo, 183-0003, Japan
| | - Ruiko Seki
- Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu-shi, Tokyo, 183-0003, Japan
| | - So Asano
- Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu-shi, Tokyo, 183-0003, Japan
| | - Hiroshi Fukunaga
- Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu-shi, Tokyo, 183-0003, Japan
| | - Kanki Inoue
- Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu-shi, Tokyo, 183-0003, Japan
| | - Yukio Sekiguchi
- Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu-shi, Tokyo, 183-0003, Japan
| | - Kohei Tanizaki
- Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu-shi, Tokyo, 183-0003, Japan
| | - Mamoru Nanasato
- Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu-shi, Tokyo, 183-0003, Japan
| | - Nobuo Iguchi
- Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu-shi, Tokyo, 183-0003, Japan
| | - Junichi Nitta
- Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu-shi, Tokyo, 183-0003, Japan
| | - Mitsuaki Isobe
- Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu-shi, Tokyo, 183-0003, Japan
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15
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Kasai Y, Kasai J, Sekiguchi Y, Asano S, Fukunaga H, Nagase T, Nitta J. Apple Watch® facilitates single-session catheter ablation of coexisting atrioventricular nodal reentrant tachycardia and atrioventricular reentrant tachycardia. Clin Case Rep 2021; 9:e04702. [PMID: 34457301 PMCID: PMC8380080 DOI: 10.1002/ccr3.4702] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2021] [Revised: 07/22/2021] [Accepted: 07/30/2021] [Indexed: 11/18/2022] Open
Abstract
Heart rate information from a smartwatch can facilitate the diagnosis and treatment of SVT. Benefitting from long-term HR trends, we performed successful RF catheter ablation of coexisting AVNRT and AVRT.
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Affiliation(s)
- Yuhei Kasai
- Department of CardiologySakakibara Heart InstituteTokyoJapan
| | - Jungo Kasai
- Paul G. Allen School of Computer Science & EngineeringUniversity of WashingtonSeattleUSA
| | - Yukio Sekiguchi
- Department of CardiologySakakibara Heart InstituteTokyoJapan
| | - So Asano
- Department of CardiologySakakibara Heart InstituteTokyoJapan
| | | | - Takahiko Nagase
- Department of CardiologySakakibara Heart InstituteTokyoJapan
| | - Junichi Nitta
- Department of CardiologySakakibara Heart InstituteTokyoJapan
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Hiruma T, Nagase T, Mabuchi K, Ishiguro M, Seki R, Asano S, Fukunaga H, Inoue K, Sekiguchi Y, Nitta J, Isobe M. Pacemaker implantation using the SelectSecure system for a patient with persistent left superior vena cava and absent right superior vena cava: Insights into techniques for stable lead fixation. J Arrhythm 2021; 37:1105-1107. [PMID: 34386139 PMCID: PMC8339083 DOI: 10.1002/joa3.12581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2021] [Revised: 06/01/2021] [Accepted: 06/02/2021] [Indexed: 11/30/2022] Open
Affiliation(s)
- Takashi Hiruma
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
| | - Takahiko Nagase
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
| | - Kei Mabuchi
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
| | - Maya Ishiguro
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
| | - Ruiko Seki
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
| | - So Asano
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
| | | | - Kanki Inoue
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
| | - Yukio Sekiguchi
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
| | - Junichi Nitta
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
| | - Mitsuaki Isobe
- Department of Cardiology Sakakibara Heart Institute Tokyo Japan
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Chun JKR, Bordignon S, Last J, Mayer L, Tohoku S, Zanchi S, Bianchini L, Bologna F, Nagase T, Urbanek L, Chen S, Schmidt B. Cryoballoon Versus Laserballoon: Insights From the First Prospective Randomized Balloon Trial in Catheter Ablation of Atrial Fibrillation. Circ Arrhythm Electrophysiol 2021; 14:e009294. [PMID: 33417476 DOI: 10.1161/circep.120.009294] [Citation(s) in RCA: 43] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Pulmonary vein isolation (PVI) represents the cornerstone in atrial fibrillation ablation. Cryoballoon and laserballoon catheters have emerged as promising devices but lack randomized comparisons. Therefore, we sought to compare efficacy and safety comparing both balloons in patients with persistent and paroxysmal atrial fibrillation (AF). METHODS Symptomatic AF patients (n=200) were prospectively randomized (1:1) to receive either cryoballoon or laserballoon PVI (cryoballoon: n=100: 50 paroxysmal atrial fibrillation + 50 persistent AF versus laserballoon: n=100: 50 paroxysmal atrial fibrillation + 50 persistent AF). All antiarrhythmic drugs were stopped after ablation. Follow-up included 3-day Holter-ECG recordings and office visits at 3, 6, and 12 months. Primary efficacy end point was defined as freedom from atrial tachyarrhythmia between 90 and 365 days after a single ablation. Secondary end points included procedural parameters and periprocedural complications. RESULTS Patient baseline parameters were not different between both groups. In all (n=200) complete PVI was obtained and the entire follow-up accomplished. Balloon only PVI was obtained in 98% (cryoballoon) versus 95% (laserballoon) requiring focal touch-up in 2 and 5 patients, respectively. Procedure but not fluoroscopy time was significantly shorter in the cryoballoon group (50.9±21.0 versus 96.0±20.4 minutes; P<0.0001 and 7.4±4.4 versus 8.4±3.2 minutes, P=0.083). Overall, the primary end point of no atrial tachyarrhythmia recurrence was met in 79% (cryoballoon: 80.0% versus laserballoon: 78.0%, P=ns). No death, atrio-esophageal fistula, tamponade, or vascular laceration requiring surgery occurred. In the cryoballoon group, 8 transient but no persistent phrenic nerve palsy were noted compared with 2 persistent phrenic nerve palsy and one transient ischemic attack in the laserballoon group. CONCLUSIONS Both balloon technologies represent highly effective and safe tools for PVI resulting in similar favorable rhythm outcome after 12 months. Use of the cryoballoon is associated with significantly shorter procedure but not fluoroscopy time.
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Affiliation(s)
- Julian K R Chun
- Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Kardiologie, Agaplesion Markuskrankenhaus, Frankfurt am Main, Germany (J.K.R.C., S.B., J.L., L.M., S.T., S.Z., L.B., F.B., T.N., L.U., S.C., B.S.).,Medizinische Klinik II, Kardiologie/Angiologie/Intensivmedizin, Universitätsklinikum Schleswig-Holstein, Universität zu Lübeck, Germany (J.K.R.C.)
| | - Stefano Bordignon
- Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Kardiologie, Agaplesion Markuskrankenhaus, Frankfurt am Main, Germany (J.K.R.C., S.B., J.L., L.M., S.T., S.Z., L.B., F.B., T.N., L.U., S.C., B.S.)
| | - Jana Last
- Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Kardiologie, Agaplesion Markuskrankenhaus, Frankfurt am Main, Germany (J.K.R.C., S.B., J.L., L.M., S.T., S.Z., L.B., F.B., T.N., L.U., S.C., B.S.)
| | - Lukas Mayer
- Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Kardiologie, Agaplesion Markuskrankenhaus, Frankfurt am Main, Germany (J.K.R.C., S.B., J.L., L.M., S.T., S.Z., L.B., F.B., T.N., L.U., S.C., B.S.)
| | - Shota Tohoku
- Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Kardiologie, Agaplesion Markuskrankenhaus, Frankfurt am Main, Germany (J.K.R.C., S.B., J.L., L.M., S.T., S.Z., L.B., F.B., T.N., L.U., S.C., B.S.)
| | - Simone Zanchi
- Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Kardiologie, Agaplesion Markuskrankenhaus, Frankfurt am Main, Germany (J.K.R.C., S.B., J.L., L.M., S.T., S.Z., L.B., F.B., T.N., L.U., S.C., B.S.)
| | - Lorenzo Bianchini
- Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Kardiologie, Agaplesion Markuskrankenhaus, Frankfurt am Main, Germany (J.K.R.C., S.B., J.L., L.M., S.T., S.Z., L.B., F.B., T.N., L.U., S.C., B.S.)
| | - Fabrizio Bologna
- Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Kardiologie, Agaplesion Markuskrankenhaus, Frankfurt am Main, Germany (J.K.R.C., S.B., J.L., L.M., S.T., S.Z., L.B., F.B., T.N., L.U., S.C., B.S.)
| | - Takahiko Nagase
- Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Kardiologie, Agaplesion Markuskrankenhaus, Frankfurt am Main, Germany (J.K.R.C., S.B., J.L., L.M., S.T., S.Z., L.B., F.B., T.N., L.U., S.C., B.S.)
| | - Lukas Urbanek
- Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Kardiologie, Agaplesion Markuskrankenhaus, Frankfurt am Main, Germany (J.K.R.C., S.B., J.L., L.M., S.T., S.Z., L.B., F.B., T.N., L.U., S.C., B.S.)
| | - Shaojie Chen
- Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Kardiologie, Agaplesion Markuskrankenhaus, Frankfurt am Main, Germany (J.K.R.C., S.B., J.L., L.M., S.T., S.Z., L.B., F.B., T.N., L.U., S.C., B.S.)
| | - Boris Schmidt
- Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Kardiologie, Agaplesion Markuskrankenhaus, Frankfurt am Main, Germany (J.K.R.C., S.B., J.L., L.M., S.T., S.Z., L.B., F.B., T.N., L.U., S.C., B.S.)
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Zender N, Weise FK, Bordignon S, Herrmann E, Konstantinou A, Bologna F, Nagase T, Chen S, Chun KRJ, Schmidt B. Thromboembolism after electrical isolation of the left atrial appendage: a new indication for interventional closure? Europace 2020; 21:1502-1508. [PMID: 31230078 DOI: 10.1093/europace/euz161] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2019] [Accepted: 05/14/2019] [Indexed: 11/14/2022] Open
Abstract
AIMS Left atrial appendage electrical isolation (LAAI) may improve the rhythm outcome in selected patients with atrial fibrillation (AF). Controversy exists if LAAI is associated with an increased rate of thromboembolic complications. We sought to assess the feasibility, efficacy, and safety of interventional left atrial appendage closure (LAAC) in comparison to oral anticoagulation (OAC) after electrical LAAI. METHODS AND RESULTS Weeks after index LAAI using the cryoballoon or a linear maze like ablation strategy patients' left atrial appendage was invasively remapped. In case of persistent LAAI, LAAC was performed. Patients who refused invasive remapping continued OAC. The primary endpoint was composed of any stroke or systemic embolism (SE) and the occurrence of intracardiac thrombus. Secondary endpoints included stroke/SE, major bleeding, and all-cause death. Of 166 patients (51% female; mean age 70 ± 8 years; mean CHAD2S2VASc score 3.4 ± 1.8) after LAAI, 94 patients received LAAC (LAAC group) and 72 continued OAC (no LAAC). After LAAC, 83% of patients received dual antiplatelet therapy for 6 weeks and aspirin thereafter. During a mean follow-up of 778 ± 630 days, 5 and 11 primary endpoint events were observed in the LAAC and no LAAC group, respectively [hazard ratio (HR) 0.27, 95% confidence interval (CI) 0.10-0.75; P = 0.010]. The calculated annual thromboembolic event rates were 6.9% (no LAAC) and 2.3% (LAAC), respectively. Left atrial appendage closure significantly reduced the incidence of stroke and SE (HR 0.31, CI 0.1-0.98; P = 0.04). CONCLUSION After electrical LAAI for rhythm control in AF patients, interventional LAAC was associated with fewer thromboembolic complications when compared with OAC.
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Affiliation(s)
- Niklas Zender
- Cardioangiologisches Centrum Bethanien, Agaplesion Markus-Krankenhaus, Wilhelm-Epstein Str. 4, D Frankfurt am Main, Germany
| | - Felix K Weise
- Cardioangiologisches Centrum Bethanien, Agaplesion Markus-Krankenhaus, Wilhelm-Epstein Str. 4, D Frankfurt am Main, Germany
| | - Stefano Bordignon
- Cardioangiologisches Centrum Bethanien, Agaplesion Markus-Krankenhaus, Wilhelm-Epstein Str. 4, D Frankfurt am Main, Germany
| | - Eva Herrmann
- Department of Medicine, Institute of Biostatistics and Mathematical Modelling, Goethe-University, Frankfurt, Germany
| | - Athanasios Konstantinou
- Cardioangiologisches Centrum Bethanien, Agaplesion Markus-Krankenhaus, Wilhelm-Epstein Str. 4, D Frankfurt am Main, Germany
| | - Fabrizio Bologna
- Cardioangiologisches Centrum Bethanien, Agaplesion Markus-Krankenhaus, Wilhelm-Epstein Str. 4, D Frankfurt am Main, Germany
| | - Takahiko Nagase
- Cardioangiologisches Centrum Bethanien, Agaplesion Markus-Krankenhaus, Wilhelm-Epstein Str. 4, D Frankfurt am Main, Germany
| | - Shaojie Chen
- Cardioangiologisches Centrum Bethanien, Agaplesion Markus-Krankenhaus, Wilhelm-Epstein Str. 4, D Frankfurt am Main, Germany
| | - Kyoung Ryul Julian Chun
- Cardioangiologisches Centrum Bethanien, Agaplesion Markus-Krankenhaus, Wilhelm-Epstein Str. 4, D Frankfurt am Main, Germany
| | - Boris Schmidt
- Cardioangiologisches Centrum Bethanien, Agaplesion Markus-Krankenhaus, Wilhelm-Epstein Str. 4, D Frankfurt am Main, Germany
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Nagase T, Kobori A, Inaba O, Sasaki Y, Tomizawa N, Asano S, Fukunaga H, Mabuchi K, Inoue K, Tanizaki K, Murai T, Iguchi N, Nitta J, Isobe M. Comparison of dragging ablation and point-by-point ablation with a laser balloon on linear lesion formation. J Cardiovasc Electrophysiol 2020; 31:2848-2856. [PMID: 32786049 DOI: 10.1111/jce.14714] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Revised: 07/24/2020] [Accepted: 08/08/2020] [Indexed: 12/21/2022]
Abstract
INTRODUCTION Lesion size and continuity in dragging laser balloon (LB) ablation, which may enable fast and durable pulmonary vein isolation for atrial fibrillation, are unknown. We evaluated the differences in size and continuity of linear lesions formed by dragging ablation and conventional point-by-point ablation using an LB in vitro model. METHODS AND RESULTS Chicken muscles were cauterized using the first-generation LB in dragging and point-by-point fashion. Dragging ablation was manually performed with different dragging speeds (0.5-2°/s) using an overlap ratio of the beginning and last site during one application at 12 W/20 s and 8.5 W/30 s. Point-by-point ablation was performed with 25% and 50% overlap ratios at six energy settings (5.5 W/30 s to 12 W/20 s). Lesion depth, width, and continuity were compared. Lesion continuity was assessed by the surface and deep visible gap degree categorized from 1 (perfect) to 3 (poor). Twenty lesions were evaluated for each ablation protocol. Lesion depth and width in dragging ablation at high power (12 W) were comparable with most measurements in point-by-point ablation. Lesion depth and width were smaller at faster-dragging speed and lower power (8.5 W) in dragging ablation. The surface visible gap degree was better in dragging ablation at all dragging speeds than a 25% overlapped point-by-point ablation (p < .001). CONCLUSION Dragging LB ablation at high power provides deep and continuous linear lesion formation comparable with that of point-by-point LB ablation. However, lesion depth and width depending on the dragging speed and power.
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Affiliation(s)
- Takahiko Nagase
- Department of Cardiology, Sakakibara Heart Institute, Fuchu, Tokyo, Japan
| | - Atsushi Kobori
- Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan
| | - Osamu Inaba
- Department of Cardiology, Saitama Red Cross Hospital, Saitama, Japan
| | - Yasuhiro Sasaki
- Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan
| | - Naoki Tomizawa
- Department of Cardiology, Saitama Red Cross Hospital, Saitama, Japan
| | - So Asano
- Department of Cardiology, Sakakibara Heart Institute, Fuchu, Tokyo, Japan
| | - Hiroshi Fukunaga
- Department of Cardiology, Sakakibara Heart Institute, Fuchu, Tokyo, Japan
| | - Kei Mabuchi
- Department of Cardiology, Sakakibara Heart Institute, Fuchu, Tokyo, Japan
| | - Kanki Inoue
- Department of Cardiology, Sakakibara Heart Institute, Fuchu, Tokyo, Japan
| | - Kohei Tanizaki
- Department of Cardiology, Sakakibara Heart Institute, Fuchu, Tokyo, Japan
| | - Tatsuya Murai
- Department of Pathology, Sakakibara Heart Institute, Fuchu, Tokyo, Japan
| | - Nobuo Iguchi
- Department of Cardiology, Sakakibara Heart Institute, Fuchu, Tokyo, Japan
| | - Junichi Nitta
- Department of Cardiology, Sakakibara Heart Institute, Fuchu, Tokyo, Japan
| | - Mitsuaki Isobe
- Department of Cardiology, Sakakibara Heart Institute, Fuchu, Tokyo, Japan
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20
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Chen S, Schmidt B, Bordignon S, Tohoku S, Urbanek L, Plank K, Willems F, Throm C, Konstantinou A, Hilbert M, Zanchi S, Bianchini L, Bologna F, Tsianakas N, Kreuzer C, Nagase T, Perrotta L, Last J, Chun KRJ. Cryoballoon pulmonary vein isolation in treating atrial fibrillation using different freeze protocols: The “ICE‐T 4 minutes vs 3 minutes” propensity‐matched study (Frankfurt ICE‐T 4 vs. 3). J Cardiovasc Electrophysiol 2020; 31:1923-1931. [DOI: 10.1111/jce.14602] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Accepted: 05/31/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Shaojie Chen
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
- Die Sektion MedizinUniversität zu Lübeck Lübeck Germany
| | - Boris Schmidt
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
| | - Stefano Bordignon
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
| | - Shota Tohoku
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
| | - Lukas Urbanek
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
| | - Karin Plank
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
| | - Franziska Willems
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
| | - Christina Throm
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
| | - Athanasios Konstantinou
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
| | - Max Hilbert
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
| | - Simone Zanchi
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
| | - Lorenzo Bianchini
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
| | - Fabrizio Bologna
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
| | - Nikolaos Tsianakas
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
| | - Claudia Kreuzer
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
| | - Takahiko Nagase
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
| | - Laura Perrotta
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
| | - Jana Last
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
| | - K. R. Julian Chun
- Cardioangiologisches Centrum Bethanien (CCB), Frankfurt Academy For Arrhythmias (FAFA); Kardiologie, Medizinische Klinik IIIAgaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe‐Universität Frankfurt am Main Frankfurt am Main Germany
- Medizinische Klinik II, Kardiologie/Angiologie/IntensivmedizinUniversitätsklinikum Schleswig‐Holstein, Universität zu Lübeck Lübeck Germany
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Takakubo Y, Yamamoto T, Nagase T, Narita A, Toyono S, Suzuki A, Nakajima T, Fukushima S, Takagi M. AB1198 DECREASING OF TOTAL AND UNILATERAL KNEE ARTHROPLASTIES DUE TO RHEUMATOID ARTHRITIS BUT INCREASING IN OSTEOARTHRITIS IN OUR INSTITUTES IN LAST DECADE OF SUPER-AGING SOCIETY. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.656] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:The rate of elderly people over 65 year-old increased from 22.1 % in 2008 to 27.7% in 2017 in Japan, also from 27.1 % to 32.3 % in our super-aging area1, 2. The number of total and unilateral knee arthroplasty (TKA, UKA) have increased annually in all over the world according to the larger population of elderly people due to osteoarthritis (OA)3. In fact, the numbers of primary TKA predicted increasing from six hundred fifty-six thousand cases at 2010 to one million three hundred seventy-six thousand cases at 2020 in USA4. In the other hand, rheumatoid arthritis (RA) therapy have been remarkably improved from starting to use biologic agents since 2003 in Japan5. The rate of orthopaedic surgery may reflect trends in disease severity and drug management of RA5.Objectives:The aim of study is to reveal the rate of TKA, including UKA and revision TKA in elderly people in our super-aging area of Japan.Methods:We surveyed the number and cause of primary and revision TKA and UKA in our institutes using the data of diagnosis procedure combination and the record of surgeries in the last decade.Results:Figure 1.Table 1.2008-122013-17TimesOsteoarthritis15652252*1.3Rheumatoid arthritis13181*0.6Trauma155Osteonecrosis of femoral condylar2041*2.1Revision21391.9Total17382418*1.4*p< 0.05Conclusion:The number and rate of primary TKA/UKA due to RA decreased year by year because of progression of modern medication therapy. In the other hand, in case of OA increased because of increasing of elderly people affected by knee OA in the super-aging society.References:[1]National Institute of Population and Social Security Research. Japanese Mortality Database, 2018.http://www.ipss.go.jp/[2]Yamagata prefecture, Health and longevity Promotion Section. Rate of elderly people in Yamagata prefecture, 2018.http://www.pref.yamagata.jp/ou/kikakushinko/020052/tokei/jinkel.html[3]Annual report 2017 of replacement arthroplasty in Japan. The Japanese Society For Replacement Arthroplasty The Japan Arthroplasty Register.https://jsra.info/jar-report.html[4]Kurtz SM, et al. J Bone Joint Surg Am. 96: 624-30, 2014.[5]Momohara S, et al. J Rheumatol. 41:862-5, 2014.Disclosure of Interests:None declared
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22
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Ikeda Y, Kato R, Mori H, Tsutsui K, Goto K, Nagase T, Tanaka S, Asano S, Tawara M, Yukino M, Hasegawa S, Nakano S, Iwanaka S, Muramatsu T, Matsumoto K. Impact of high-density mapping on outcome of the second ablation for atrial fibrillation. J Interv Card Electrophysiol 2020; 60:135-146. [PMID: 32144678 DOI: 10.1007/s10840-020-00716-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2019] [Accepted: 02/16/2020] [Indexed: 10/24/2022]
Abstract
PURPOSE Identification of a conduction gap between the left atrium and pulmonary vein (LA-PV gap) and the circuit of atrial tachycardia after pulmonary vein isolation (PVI) is an important process during the second ablation for atrial fibrillation (AF). The high-density mapping system RHYTHMIA® is useful for identification of an LA-PV gap and the circuit of atrial tachycardia. Therefore, this study was performed to investigate the effect of RHYTHMIA® in terms of the outcome of the second ablation for AF. METHODS One hundred patients underwent a second ablation for AF in our institute from April 2015 to December 2018. We retrospectively evaluated 49 patients using RHYTHMIA® (group 1) and 51 patients using the conventional method with additional anatomical guide by CARTO® system. RESULTS In group 1, we performed redo PVI for 41 patients with 49 LA-PV countable gaps and ablation for other atrial arrhythmias in 7 patients. In group 2, we performed redo PVI in 40 patients with 33 LA-PV countable gaps and ablation for other atrial arrhythmias in 9 patients. Three and two unstable arrhythmias in each group were not ablated. The final recurrence of atrial arrhythmia was significantly lower in group 1 than 2 (8/49 (16%) vs. 17/51 (33%), respectively; P = 0.017). Atrial arrhythmias other than AF after the second ablation occurred in only one patient in group 1 but seven patients in group 2. CONCLUSION Using high-density mapping for the second ablation of AF was found to be superior to the conventional ablation method in terms of the suppression of atrial events in this study. This technique warrants further investigation.
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Affiliation(s)
- Yoshifumi Ikeda
- Department of Cardiology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan
| | - Ritsushi Kato
- Department of Cardiology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan.
| | - Hitoshi Mori
- Department of Cardiology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan
| | - Kenta Tsutsui
- Department of Cardiology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan
| | - Koji Goto
- Department of Cardiology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan
| | - Takahiko Nagase
- Department of Cardiology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan
| | - Sayaka Tanaka
- Department of Cardiology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan
| | - Sou Asano
- Department of Cardiology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan
| | - Mai Tawara
- Department of Cardiology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan
| | - Midori Yukino
- Department of Cardiology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan
| | - Saki Hasegawa
- Department of Cardiology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan
| | - Shintaro Nakano
- Department of Cardiology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan
| | - Shiro Iwanaka
- Department of Cardiology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan
| | - Toshihiro Muramatsu
- Department of Cardiology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan
| | - Kazuo Matsumoto
- Department of Cardiology, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan
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23
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Igarashi T, Suzuki H, Ushida K, Matsumoto M, Inoue K, Kanno T, Miwa Y, Ishii T, Nagase T, Katsumata Y, Hirose A. Initial hazard assessment of 1,4-dichlorobutane: Genotoxicity tests, 28-day repeated-dose toxicity test, and reproductive/developmental toxicity screening test in rats. Regul Toxicol Pharmacol 2020; 112:104610. [PMID: 32032664 DOI: 10.1016/j.yrtph.2020.104610] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2019] [Revised: 01/27/2020] [Accepted: 02/01/2020] [Indexed: 11/27/2022]
Abstract
1,4-Dichlorobutane (1,4-DCB) is used as raw materials for drugs, pesticides, fragrances, and chemical fibers, and being used as a solvent. Its toxicity data was insufficient for screening assessment under the Japanese Chemical Substances Control Law. We conducted toxicity tests and hazard classification for screening assessment 1,4-DCB showed negative in the Ames test, positive in the in vitro chromosomal aberrations test with metabolic activation, and negative in the in vivo mouse bone-marrow micronucleus test. The 28-day repeated-dose toxicity study, where male and female rats were administered 1,4-DCB by gavage at 0, 12, 60, and 300 mg/kg/day, showed significant effects on the liver and pancreas from 12 mg/kg/day and kidney at 300 mg/kg/day. Based on periportal hepatocellular hypertrophy and decreased zymogen granules in pancreas, the lowest observed adverse effect level (LOAEL) of 12 mg/kg/day was obtained. The reproductive/developmental toxicity screening study, in which male and female rats were administered 1,4-DCB by gavage at dose of 0, 2.4, 12, and 60 mg/kg/day for 42-46 days, showed that the delivery index was decreased at 60 mg/kg/day without maternal toxicity. Based on the general toxicity, we classified this chemical as hazard class 2, with a D-value (Derived No Effect Level) of 0.002 mg/kg/day.
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Affiliation(s)
- Toshime Igarashi
- Division of Risk Assessment, Center for Biological Safety & Research, National Institute of Health Sciences, 3-25-26 Tonomachi, Kawasaki-ku, Kawasaki-shi, Kanagawa, 210-9501, Japan; Division of Cellular & Molecular Toxicology, Center for Biological Safety & Research, National Institute of Health Sciences, 3-25-26 Tonomachi, Kawasaki-ku, Kawasaki-shi, Kanagawa, 210-9501, Japan.
| | - Hiroshi Suzuki
- Division of Risk Assessment, Center for Biological Safety & Research, National Institute of Health Sciences, 3-25-26 Tonomachi, Kawasaki-ku, Kawasaki-shi, Kanagawa, 210-9501, Japan.
| | - Kazuo Ushida
- Division of Risk Assessment, Center for Biological Safety & Research, National Institute of Health Sciences, 3-25-26 Tonomachi, Kawasaki-ku, Kawasaki-shi, Kanagawa, 210-9501, Japan.
| | - Mariko Matsumoto
- Division of Risk Assessment, Center for Biological Safety & Research, National Institute of Health Sciences, 3-25-26 Tonomachi, Kawasaki-ku, Kawasaki-shi, Kanagawa, 210-9501, Japan.
| | - Kaoru Inoue
- Division of Risk Assessment, Center for Biological Safety & Research, National Institute of Health Sciences, 3-25-26 Tonomachi, Kawasaki-ku, Kawasaki-shi, Kanagawa, 210-9501, Japan.
| | - Takuya Kanno
- CMIC Pharma Science Co., Ltd., CMIC Bioresearch Center, 10221 Kobuchizawa-cho, Hokuto-shi, Yamanashi, 408-0044, Japan.
| | - Yoshihisa Miwa
- Nihon Bioresearch Inc., 6-104 Majima, Fukuju-cho, Hashima-shi, Gifu, 501-6251, Japan.
| | - Takahiro Ishii
- BoZo Research Center Inc., 1284 Kamado, Gotennba-shi, Shizuoka, 412-0039, Japan.
| | - Takahiko Nagase
- Nihon Bioresearch Inc., 6-104 Majima, Fukuju-cho, Hashima-shi, Gifu, 501-6251, Japan.
| | - Yoshihiro Katsumata
- BoZo Research Center Inc., 1284 Kamado, Gotennba-shi, Shizuoka, 412-0039, Japan.
| | - Akihiko Hirose
- Division of Risk Assessment, Center for Biological Safety & Research, National Institute of Health Sciences, 3-25-26 Tonomachi, Kawasaki-ku, Kawasaki-shi, Kanagawa, 210-9501, Japan.
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24
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Ito T, Funaki T, Iwanari H, Tanaka G, Nagase T, Hamakubo T, Murakami Y. B22 Development of a Novel Serum Marker for Detecting Small-Cell Lung Cancer by Targeting a Cell Adhesion Molecule 1 (CADM1). J Thorac Oncol 2020. [DOI: 10.1016/j.jtho.2019.12.088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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25
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Kobayashi K, Suzukawa M, Watanabe K, Arakawa S, Igarashi S, Asari I, Hebisawa A, Matsui H, Nagai H, Nagase T, Ohta K. Secretory IgA accumulated in the airspaces of idiopathic pulmonary fibrosis and promoted VEGF, TGF-β and IL-8 production by A549 cells. Clin Exp Immunol 2019; 199:326-336. [PMID: 31660581 DOI: 10.1111/cei.13390] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/21/2019] [Indexed: 12/14/2022] Open
Abstract
Secretory IgA (SIgA) is a well-known mucosal-surface molecule in first-line defense against extrinsic pathogens and antigens. Its immunomodulatory and pathological roles have also been emphasized, but it is unclear whether it plays a pathological role in lung diseases. In the present study, we aimed to determine the distribution of IgA in idiopathic pulmonary fibrosis (IPF) lungs and whether IgA affects the functions of airway epithelial cells. We performed immunohistochemical analysis of lung sections from patients with IPF and found that mucus accumulated in the airspaces adjacent to the hyperplastic epithelia contained abundant SIgA. This was not true in the lungs of non-IPF subjects. An in-vitro assay revealed that SIgA bound to the surface of A549 cells and significantly promoted production of vascular endothelial growth factor (VEGF), transforming growth factor (TGF)-β and interleukin (IL)-8, important cytokines in the pathogenesis of IPF. Among the known receptors for IgA, A549 cells expressed high levels of transferrin receptor (TfR)/CD71. Transfection experiments with siRNA targeted against TfR/CD71 followed by stimulation with SIgA suggested that TfR/CD71 may be at least partially involved in the SIgA-induced cytokine production by A549 cells. These phenomena were specific for SIgA, distinct from IgG. SIgA may modulate the progression of IPF by enhancing synthesis of VEGF, TGF-β and IL-8.
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Affiliation(s)
- K Kobayashi
- Clinical Research Center, National Hospital Organization Tokyo National Hospital, Tokyo, Japan.,Department of Respiratory Medicine, University of Tokyo, Tokyo, Japan
| | - M Suzukawa
- Clinical Research Center, National Hospital Organization Tokyo National Hospital, Tokyo, Japan
| | - K Watanabe
- Clinical Research Center, National Hospital Organization Tokyo National Hospital, Tokyo, Japan.,Department of Respiratory Medicine, University of Tokyo, Tokyo, Japan
| | - S Arakawa
- Department of Respiratory Medicine, University of Tokyo, Tokyo, Japan.,Division of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan
| | - S Igarashi
- Clinical Research Center, National Hospital Organization Tokyo National Hospital, Tokyo, Japan
| | - I Asari
- Clinical Research Center, National Hospital Organization Tokyo National Hospital, Tokyo, Japan
| | - A Hebisawa
- Clinical Research Center, National Hospital Organization Tokyo National Hospital, Tokyo, Japan.,Asahi General Hospital, Chiba, Japan
| | - H Matsui
- Clinical Research Center, National Hospital Organization Tokyo National Hospital, Tokyo, Japan
| | - H Nagai
- Clinical Research Center, National Hospital Organization Tokyo National Hospital, Tokyo, Japan
| | - T Nagase
- Department of Respiratory Medicine, University of Tokyo, Tokyo, Japan
| | - K Ohta
- Clinical Research Center, National Hospital Organization Tokyo National Hospital, Tokyo, Japan.,Department of Respiratory Medicine, Japan Anti-Tuberculosis Association (JATA) Fukujuji Hospital, Tokyo, Japan
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26
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Chen S, Schmidt B, Sommer P, Liu S, Krucoff MW, Kiuchi MG, Andrea B, Acou WJ, Schratter A, Nagase T, Ling Z, Yin Y, Hindricks G, Puererfellner H, Chun KRJ. P1022Upstream therapy using preoperative renin-angiotensin system inhibitors in prevention of postoperative atrial fibrillation and adverse events: a collaborative pooled-analysis over 27,000 patients. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz747.0613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Renin-angiotensin-system inhibitors (RASIs) have been suggested as an upstream therapy for selected AF patients; however, the evidence in surgical setting is limited.
Objective
We aimed to evaluate the role of preoperative RASIs in prevention of postoperative atrial fibrillation (POAF) and adverse events for patients undergoing cardiac surgery.
Methods
In this collaborative pooled-analysis, both randomized and nonrandomized controlled trials comparing preoperative RASIs with no preoperative RASIs treatment on the incidence of POAF were identified. Sensitivity and subgroup analyses of RCTs were performed to test the stability of the overall-effect, and meta-regression to explore the potential risk of bias. The primary outcome was POAF, and the secondary outcomes includes rate of stroke, mortality and duration of hospitalization.
Results
Eleven trials involving 27885 patients (male 74%, median age 65yrs) were included. As compared to the control group, preoperative RASIs did not significantly reduce the risk of POAF (OR: 1.04, 95% CI: 0.91–1.19), stroke (OR: 0.86, 95% CI: 0.62–1.19), death (OR: 1.07, 95% CI: 0.85–1.35), composite adverse cardiac events (OR: 1.04, 95% CI: 0.91–1.18), and hospital stay (WMD: −0.04, 95% CI: −1.05 to 0.98). Pooled-analysis of randomized trials showed consistent results. The primary overall-effect was maintained in sensitivity and subgroup analyses. Meta-regression showed that male-gender was a significant risk-factor of POAF and use of Beta-blockers was associated with a significantly reduced risk in developing POAF.
Conclusion and relevance
This study demonstrates that preoperative RASIs do not offer additional benefit in reducing the risk of postoperative AF, stroke, death and hospitalization in the setting of cardiac surgery. The results provide no support for use of RASIs for the prevention of POAF and adverse events in patients undergoing cardiac surgery.
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Affiliation(s)
- S Chen
- Cardioangiologisches Centrum Bethanien (CCB) am Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - B Schmidt
- Cardioangiologisches Centrum Bethanien (CCB) am Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - P Sommer
- Heart Center of Leipzig, Leipzig, Germany
| | - S Liu
- Shanghai Jiao Tong University Affiliated First People's Hospital, Shanghai, China
| | - M W Krucoff
- Duke Clinical Research Institute, Durham, United States of America
| | - M G Kiuchi
- Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - B Andrea
- Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | | | | | - T Nagase
- Saitama Medical University, Saitama, Japan
| | - Z Ling
- The Second Affiliated Hospital- Chongqing Medical University, Chongqing, China
| | - Y Yin
- The Second Affiliated Hospital- Chongqing Medical University, Chongqing, China
| | | | | | - K R J Chun
- Cardioangiologisches Centrum Bethanien (CCB) am Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
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27
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Nagase T, Komatsu M, So YG, Ishida T, Yoshida H, Kawaguchi Y, Tanaka Y, Saitoh K, Ikarashi N, Kuwahara M, Nagao M. Smectic Liquid-Crystalline Structure of Skyrmions in Chiral Magnet Co_{8.5}Zn_{7.5}Mn_{4}(110) Thin Film. Phys Rev Lett 2019; 123:137203. [PMID: 31697552 DOI: 10.1103/physrevlett.123.137203] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/24/2019] [Indexed: 06/10/2023]
Abstract
The organizing of magnetic skyrmions shows several forms similar to atomic arrays of solid states. Using Lorentz transmission electron microscopy, we report the first direct observation of a stable liquid-crystalline structure of skyrmions in chiral magnet Co_{8.5}Zn_{7.5}Mn_{4}(110) thin film, caused by magnetic anisotropy and chiral surface twist. Elongated skyrmions are oriented and periodically arranged only in the ⟨110⟩ directions, whereas they exhibit short-range order along the ⟨001⟩ directions, indicating a smectic skyrmion state. In addition, skyrmions possess anisotropic interaction with an opposite sign depending on the crystal orientation, in contrast to existing isotropic interaction.
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Affiliation(s)
- T Nagase
- Department of Electrical, Electronic Engineering and Information Engineering, School of Engineering, Nagoya University, Nagoya 464-8601, Japan
| | - M Komatsu
- Department of Materials Science, Graduate School of Engineering Science, Akita University, Akita 010-8502, Japan
| | - Y G So
- Department of Materials Science, Graduate School of Engineering Science, Akita University, Akita 010-8502, Japan
| | - T Ishida
- Advanced Measurement Technology Center, Institute of Materials and Systems for Sustainability, Nagoya University, Nagoya 464-8601, Japan
| | - H Yoshida
- Department of Physics, Hokkaido University, Sapporo 060-0810, Japan
| | - Y Kawaguchi
- Department of Applied Physics, Graduate School of Engineering, Nagoya University, Nagoya 464-8601, Japan
| | - Y Tanaka
- Department of Applied Physics, Graduate School of Engineering, Nagoya University, Nagoya 464-8601, Japan
| | - K Saitoh
- Advanced Measurement Technology Center, Institute of Materials and Systems for Sustainability, Nagoya University, Nagoya 464-8601, Japan
| | - N Ikarashi
- Center for Integrated Research of Future Electronics, Institute of Materials and Systems for Sustainability, Nagoya University, Nagoya 464-8601, Japan
- Department of Electronics, Graduate School of Engineering, Nagoya University, Nagoya 464-8603, Japan
| | - M Kuwahara
- Advanced Measurement Technology Center, Institute of Materials and Systems for Sustainability, Nagoya University, Nagoya 464-8601, Japan
| | - M Nagao
- Center for Integrated Research of Future Electronics, Institute of Materials and Systems for Sustainability, Nagoya University, Nagoya 464-8601, Japan
- Department of Electronics, Graduate School of Engineering, Nagoya University, Nagoya 464-8603, Japan
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28
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Mori H, Kato R, Sumitomo N, Ikeda Y, Goto K, Tanaka S, Asano S, Tahara M, Nagase T, Iwanaga S, Muramatsu T, Matsumoto K. Relationship between the ablation index, lesion formation, and incidence of steam pops. J Arrhythm 2019; 35:636-644. [PMID: 31410234 PMCID: PMC6686293 DOI: 10.1002/joa3.12195] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Revised: 04/11/2019] [Accepted: 04/23/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The ablation index (AI) is reported to be useful for a durable pulmonary vein isolation (PVI). However, there have been no studies investigating the relationship between the power, contact force (CF), AI, and steam pops. METHODS Using an in vitro model, ablation energy was delivered until a steam pop occurred and the time to the steam pop and AI when the steam pop occurred were measured. The experiment was performed with a combination of various powers (20, 30, 40, and 50 W) and contact forces (CFs) (10, 30, and 50 g) 20 times for each setting. The analysis consisted of two protocols. The first protocol was a comparison between the ablation power and several parameters under the same CF (10, 30, and 50 g). The second protocol was a comparison between the CF and several parameters under the same power (20, 30, 40, and 50 W). The correlation between the lesion formation and ablation parameters was evaluated. RESULTS The AI value when steam pops occurred varied depending on the ablation settings. All AI median values were <500 under an ablation power of 50 W. On other hand, the median ablation time up to the steam pop was more than 46 seconds, but all median values of the AI were more than 550 under an ablation with 20 W. CONCLUSIONS The AI cannot predict steam pops. A low power and long duration ablation could obtain a high AI value. However, high-power ablation could not obtain a high AI value because of an early occurrence of steam pops.
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Affiliation(s)
- Hitoshi Mori
- Department of CardiologySaitama Medical University International Medical CenterSaitamaJapan
| | - Ritsushi Kato
- Department of CardiologySaitama Medical University International Medical CenterSaitamaJapan
| | - Naokata Sumitomo
- Department of Pediatric CardiologySaitama Medical University International Medical CenterHidakaJapan
| | - Yoshifumi Ikeda
- Department of CardiologySaitama Medical University International Medical CenterSaitamaJapan
| | - Koji Goto
- Department of CardiologySaitama Medical University International Medical CenterSaitamaJapan
| | - Sayaka Tanaka
- Department of CardiologySaitama Medical University International Medical CenterSaitamaJapan
| | - So Asano
- Department of CardiologySaitama Medical University International Medical CenterSaitamaJapan
| | - Mai Tahara
- Department of CardiologySaitama Medical University International Medical CenterSaitamaJapan
| | - Takahiko Nagase
- Department of CardiologySaitama Medical University International Medical CenterSaitamaJapan
| | - Shiro Iwanaga
- Department of CardiologySaitama Medical University International Medical CenterSaitamaJapan
| | - Toshihiro Muramatsu
- Department of CardiologySaitama Medical University International Medical CenterSaitamaJapan
| | - Kazuo Matsumoto
- Department of CardiologySaitama Medical University International Medical CenterSaitamaJapan
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29
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Nagase T, Asano S, Yukino M, Mori H, Goto K, Ikeda Y, Iwanaga S, Muramatsu T, Mukaida H, Kato R, Matsumoto K. Influence of various energy settings and overlap ratios on size and continuity of lesions in a laser balloon ablation in vitro model. J Cardiovasc Electrophysiol 2019; 30:1330-1338. [DOI: 10.1111/jce.14040] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2019] [Revised: 06/04/2019] [Accepted: 06/16/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Takahiko Nagase
- Department of CardiologySaitama Medical University International Medical Center Saitama Japan
| | - So Asano
- Department of CardiologySaitama Medical University International Medical Center Saitama Japan
| | - Midori Yukino
- Department of CardiologySaitama Medical University International Medical Center Saitama Japan
| | - Hitoshi Mori
- Department of CardiologySaitama Medical University International Medical Center Saitama Japan
| | - Koji Goto
- Department of CardiologySaitama Medical University International Medical Center Saitama Japan
| | - Yoshifumi Ikeda
- Department of CardiologySaitama Medical University International Medical Center Saitama Japan
| | - Shiro Iwanaga
- Department of CardiologySaitama Medical University International Medical Center Saitama Japan
| | - Toshihiro Muramatsu
- Department of CardiologySaitama Medical University International Medical Center Saitama Japan
| | - Hisamitsu Mukaida
- Physics, Department of Liberal ArtsSaitama Medical University Saitama Japan
| | - Ritsushi Kato
- Department of CardiologySaitama Medical University International Medical Center Saitama Japan
| | - Kazuo Matsumoto
- Department of CardiologySaitama Medical University International Medical Center Saitama Japan
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30
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Itoh T, Kawabe M, Nagase T, Endo K, Miyoshi M, Miyahara K. Measurements of body surface area and volume in male Japanese White rabbits using a computed tomography scanner: comparison with male New Zealand White rabbits. Exp Anim 2019; 68:429-434. [PMID: 31092747 PMCID: PMC6842804 DOI: 10.1538/expanim.19-0008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
The body surface area (BSA) of animals has generally been estimated by multiplying the
k value by the measured body weight (BW) raised to the power of 2/3
(Meeh’s formula). In mathematical terms, the assumption that the density and body shape of
animals are essentially constant means that the BSA is proportional to BW2/3.
In this study, we measured the BSA and volume of 50 male Japanese White rabbits (JW) at 10
to 54 weeks of age using a computed tomography scanner, then calculated the
k value, density, and sphericity. The variations in these parameters
were then analyzed in relation to growth. The obtained results indicated that the
k value was negatively correlated to BW, and that this negative
correlation was mainly due to the variation in density. Based on the regression analysis,
we propose the following linear regression equation for calculating the k
value in male JW at 10–54 weeks of age: the k value = 14.602 − 0.959 × BW
[kg]. The calculated values ranged from 10.9 to 12.7 (working BW range: 1.98 to 3.81 kg).
The k value of male New Zealand White rabbits (NZW) determined in our
previous study and that of male JW in the present study were compared. It was revealed
that the k value of male JW was larger than that of male NZW. We
concluded that different breeds of rabbits express different k
values.
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Affiliation(s)
- Tadashi Itoh
- Nihon Bioresearch Inc., 6-104 Majima, Fukujucho, Hashima, Gifu 501-6251, Japan
| | - Mifumi Kawabe
- Animal Medical Center, Faculty of Applied Biological Sciences, Gifu University, 1-1 Yanagido, Gifu 501-1193, Japan
| | - Takahiko Nagase
- Nihon Bioresearch Inc., 6-104 Majima, Fukujucho, Hashima, Gifu 501-6251, Japan
| | - Katsumi Endo
- Nihon Bioresearch Inc., 6-104 Majima, Fukujucho, Hashima, Gifu 501-6251, Japan
| | - Masafumi Miyoshi
- Veterinary Medical Center, Obihiro University of Agriculture and Veterinary Medicine, Inadacho, Obihiro, Hokkaido 080-8555, Japan
| | - Kazuro Miyahara
- Veterinary Medical Center, Obihiro University of Agriculture and Veterinary Medicine, Inadacho, Obihiro, Hokkaido 080-8555, Japan
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31
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Nagase T, Bordignon S, Perrotta L, Bologna F, Tsianakas N, Chen S, Konstantinou A, Chun JK, Schmidt B. Analysis of procedural data of pulmonary vein isolation for atrial fibrillation with the second‐generation laser balloon. Pacing Clin Electrophysiol 2019; 42:837-845. [DOI: 10.1111/pace.13692] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Revised: 03/16/2019] [Accepted: 04/07/2019] [Indexed: 12/22/2022]
Affiliation(s)
- Takahiko Nagase
- Cardioangiologisches Centrum BethanienAgaplesion Markuskrankenhaus Medizinische Klinik III Frankfurt am Main Germany
| | - Stefano Bordignon
- Cardioangiologisches Centrum BethanienAgaplesion Markuskrankenhaus Medizinische Klinik III Frankfurt am Main Germany
| | - Laura Perrotta
- Cardioangiologisches Centrum BethanienAgaplesion Markuskrankenhaus Medizinische Klinik III Frankfurt am Main Germany
| | - Fabrizio Bologna
- Cardioangiologisches Centrum BethanienAgaplesion Markuskrankenhaus Medizinische Klinik III Frankfurt am Main Germany
| | - Nikolaos Tsianakas
- Cardioangiologisches Centrum BethanienAgaplesion Markuskrankenhaus Medizinische Klinik III Frankfurt am Main Germany
| | - Shaojie Chen
- Cardioangiologisches Centrum BethanienAgaplesion Markuskrankenhaus Medizinische Klinik III Frankfurt am Main Germany
| | - Athanasios Konstantinou
- Cardioangiologisches Centrum BethanienAgaplesion Markuskrankenhaus Medizinische Klinik III Frankfurt am Main Germany
| | - Julian K.R. Chun
- Cardioangiologisches Centrum BethanienAgaplesion Markuskrankenhaus Medizinische Klinik III Frankfurt am Main Germany
| | - Boris Schmidt
- Cardioangiologisches Centrum BethanienAgaplesion Markuskrankenhaus Medizinische Klinik III Frankfurt am Main Germany
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32
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Bordignon S, Chen S, Perrotta L, Bologna F, Nagase T, Konstantinou A, Weise F, Fuernkranz A, Schmidt B, Chun JKR. Durability of cryoballoon left atrial appendage isolation: Acute and invasive remapping electrophysiological findings. Pacing Clin Electrophysiol 2019; 42:646-654. [DOI: 10.1111/pace.13690] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Revised: 02/11/2019] [Accepted: 02/20/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Stefano Bordignon
- Cardioangiologisches Centrum BethanienAgaplesion Markus‐Krankenhaus Frankfurt am Main Germany
| | - Shaojie Chen
- Cardioangiologisches Centrum BethanienAgaplesion Markus‐Krankenhaus Frankfurt am Main Germany
| | - Laura Perrotta
- Cardioangiologisches Centrum BethanienAgaplesion Markus‐Krankenhaus Frankfurt am Main Germany
| | - Fabrizio Bologna
- Cardioangiologisches Centrum BethanienAgaplesion Markus‐Krankenhaus Frankfurt am Main Germany
| | - Takahiko Nagase
- Cardioangiologisches Centrum BethanienAgaplesion Markus‐Krankenhaus Frankfurt am Main Germany
| | - Athanasios Konstantinou
- Cardioangiologisches Centrum BethanienAgaplesion Markus‐Krankenhaus Frankfurt am Main Germany
| | - Felix Weise
- Cardioangiologisches Centrum BethanienAgaplesion Markus‐Krankenhaus Frankfurt am Main Germany
| | | | - Boris Schmidt
- Cardioangiologisches Centrum BethanienAgaplesion Markus‐Krankenhaus Frankfurt am Main Germany
| | - Julian K. R. Chun
- Cardioangiologisches Centrum BethanienAgaplesion Markus‐Krankenhaus Frankfurt am Main Germany
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33
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Chen S, Schmidt B, Bordignon S, Perrotta L, Bologna F, Nagase T, Chun KJ. Durable cryoballoon-based left atrial appendage isolation: Catheter maneuver, occlusion grade, contact force, and time to isolation. J Cardiovasc Electrophysiol 2019; 30:1278-1279. [PMID: 30868679 DOI: 10.1111/jce.13895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2019] [Accepted: 02/27/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Shaojie Chen
- The Frankfurt Academy for Arrhythmias, Cardioangiologisches Centrum Bethanien Frankfurt, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - Boris Schmidt
- The Frankfurt Academy for Arrhythmias, Cardioangiologisches Centrum Bethanien Frankfurt, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - Stefano Bordignon
- The Frankfurt Academy for Arrhythmias, Cardioangiologisches Centrum Bethanien Frankfurt, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - Laura Perrotta
- The Frankfurt Academy for Arrhythmias, Cardioangiologisches Centrum Bethanien Frankfurt, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - Fabrizio Bologna
- The Frankfurt Academy for Arrhythmias, Cardioangiologisches Centrum Bethanien Frankfurt, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - Takahiko Nagase
- The Frankfurt Academy for Arrhythmias, Cardioangiologisches Centrum Bethanien Frankfurt, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - Kr Julian Chun
- The Frankfurt Academy for Arrhythmias, Cardioangiologisches Centrum Bethanien Frankfurt, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
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Chen S, Schmidt B, Bordignon S, Perrotta L, Bologna F, Nagase T, Chun KRJ. Left appendage isolation plus left appendage occlusion on top of pulmonary vein isolation, a therapeutic option for a PVI nonresponder with persistent atrial fibrillation? J Cardiovasc Electrophysiol 2019; 30:1177-1178. [DOI: 10.1111/jce.13881] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2019] [Accepted: 02/20/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Shaojie Chen
- Frankfurt Academy For Arrhythmias, Cardioangiologisches Centrum Bethanien Frankfurt, Medizinische Klinik III; Agaplesion Markus Krankenhaus; Frankfurt am Main Germany
| | - Boris Schmidt
- Frankfurt Academy For Arrhythmias, Cardioangiologisches Centrum Bethanien Frankfurt, Medizinische Klinik III; Agaplesion Markus Krankenhaus; Frankfurt am Main Germany
| | - Stefano Bordignon
- Frankfurt Academy For Arrhythmias, Cardioangiologisches Centrum Bethanien Frankfurt, Medizinische Klinik III; Agaplesion Markus Krankenhaus; Frankfurt am Main Germany
| | - Laura Perrotta
- Frankfurt Academy For Arrhythmias, Cardioangiologisches Centrum Bethanien Frankfurt, Medizinische Klinik III; Agaplesion Markus Krankenhaus; Frankfurt am Main Germany
| | - Fabrizio Bologna
- Frankfurt Academy For Arrhythmias, Cardioangiologisches Centrum Bethanien Frankfurt, Medizinische Klinik III; Agaplesion Markus Krankenhaus; Frankfurt am Main Germany
| | - Takahiko Nagase
- Frankfurt Academy For Arrhythmias, Cardioangiologisches Centrum Bethanien Frankfurt, Medizinische Klinik III; Agaplesion Markus Krankenhaus; Frankfurt am Main Germany
| | - K. R. Julian Chun
- Frankfurt Academy For Arrhythmias, Cardioangiologisches Centrum Bethanien Frankfurt, Medizinische Klinik III; Agaplesion Markus Krankenhaus; Frankfurt am Main Germany
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35
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Arakawa S, Suzukawa M, Watanabe K, Kobayashi K, Matsui H, Nagai H, Nagase T, Ohta K. Secretory immunoglobulin A induces human lung fibroblasts to produce inflammatory cytokines and undergo activation. Clin Exp Immunol 2019; 195:287-301. [PMID: 30570135 DOI: 10.1111/cei.13253] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/06/2018] [Indexed: 12/19/2022] Open
Abstract
Immunoglobulin (Ig)A is the most abundant immunoglobulin in humans, and in the airway mucosa secretory IgA (sIgA) plays a pivotal role in first-line defense against invading pathogens and antigens. IgA has been reported to also have pathogenic effects, including possible worsening of the prognosis of idiopathic pulmonary fibrosis (IPF). However, the precise effects of IgA on lung fibroblasts remain unclear, and we aimed to elucidate how IgA activates human lung fibroblasts. We found that sIgA, but not monomeric IgA (mIgA), induced interleukin (IL)-6, IL-8, monocyte chemoattractant protein (MCP)-1 and granulocyte-macrophage colony-stimulating factor (GM-CSF) production by normal human lung fibroblasts (NHLFs) at both the protein and mRNA levels. sIgA also promoted proliferation of NHLFs and collagen gel contraction comparable to with transforming growth factor (TGF)-β, which is involved in fibrogenesis in IPF. Also, Western blot analysis and real-time quantitative polymerase chain reaction (PCR) revealed that sIgA enhanced production of α-smooth muscle actin (α-SMA) and collagen type I (Col I) by NHLFs. Flow cytometry showed that NHLFs bound sIgA, and among the known IgA receptors, NHLFs significantly expressed CD71 (transferrin receptor). Transfection of siRNA targeting CD71 partially but significantly suppressed cytokine production by NHLFs co-cultured with sIgA. Our findings suggest that sIgA may promote human lung inflammation and fibrosis by enhancing production of inflammatory or fibrogenic cytokines as well as extracellular matrix, inducing fibroblast differentiation into myofibroblasts and promoting human lung fibroblast proliferation. sIgA's enhancement of cytokine production may be due partially to its binding to CD71 or the secretory component.
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Affiliation(s)
- S Arakawa
- National Hospital Organization Tokyo National Hospital, Tokyo, Japan.,Department of Respiratory Medicine, University of Tokyo, Tokyo, Japan
| | - M Suzukawa
- National Hospital Organization Tokyo National Hospital, Tokyo, Japan
| | - K Watanabe
- National Hospital Organization Tokyo National Hospital, Tokyo, Japan.,Department of Respiratory Medicine, University of Tokyo, Tokyo, Japan
| | - K Kobayashi
- National Hospital Organization Tokyo National Hospital, Tokyo, Japan.,Department of Respiratory Medicine, University of Tokyo, Tokyo, Japan
| | - H Matsui
- National Hospital Organization Tokyo National Hospital, Tokyo, Japan
| | - H Nagai
- National Hospital Organization Tokyo National Hospital, Tokyo, Japan
| | - T Nagase
- Department of Respiratory Medicine, University of Tokyo, Tokyo, Japan
| | - K Ohta
- National Hospital Organization Tokyo National Hospital, Tokyo, Japan
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Chen S, Schmidt B, Bordignon S, Perrotta L, Bologna F, Nagase T, Chun KRJ. Compound motor action potential guided 240 seconds plus bonus freeze for safe and durable left atrial appendage isolation in patients with recurrent persistent atrial fibrillation: How to isolate the appendage with cryoballoon (the CMAP guided ICE‐B protocol). J Cardiovasc Electrophysiol 2019; 30:272-283. [DOI: 10.1111/jce.13818] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2018] [Revised: 11/11/2018] [Accepted: 11/28/2018] [Indexed: 01/08/2023]
Affiliation(s)
- Shaojie Chen
- Frankfurt Academy For Arrhythmias (FAFA), Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Agaplesion Markus KrankenhausFrankfurt am Main Germany
| | - Boris Schmidt
- Frankfurt Academy For Arrhythmias (FAFA), Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Agaplesion Markus KrankenhausFrankfurt am Main Germany
| | - Stefano Bordignon
- Frankfurt Academy For Arrhythmias (FAFA), Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Agaplesion Markus KrankenhausFrankfurt am Main Germany
| | - Laura Perrotta
- Frankfurt Academy For Arrhythmias (FAFA), Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Agaplesion Markus KrankenhausFrankfurt am Main Germany
| | - Fabrizio Bologna
- Frankfurt Academy For Arrhythmias (FAFA), Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Agaplesion Markus KrankenhausFrankfurt am Main Germany
| | - Takahiko Nagase
- Frankfurt Academy For Arrhythmias (FAFA), Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Agaplesion Markus KrankenhausFrankfurt am Main Germany
| | - K. R. Julian Chun
- Frankfurt Academy For Arrhythmias (FAFA), Cardioangiologisches Centrum Bethanien (CCB), Medizinische Klinik III, Agaplesion Markus KrankenhausFrankfurt am Main Germany
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37
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Chen S, Chun KRJ, Bordignon S, Weise FK, Nagase T, Perrotta L, Bologna F, Schmidt B. Left atrial appendage occlusion using LAmbre Amulet and Watchman in atrial fibrillation. J Cardiol 2018; 73:299-306. [PMID: 30583991 DOI: 10.1016/j.jjcc.2018.10.010] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2018] [Revised: 10/11/2018] [Accepted: 10/23/2018] [Indexed: 11/15/2022]
Abstract
BACKGROUND Left atrial appendage closure (LAAC) has been suggested as an alternative to anticoagulation in non-valvular atrial fibrillation (AF). The present study aimed to compare a LAmbre LAA occluder system [Lifetech Scientific (Shenzhen) Co. Ltd., Shenzhen, China] with the most investigated Amulet (St. Jude Medical Inc., St. Paul, MN, USA) and Watchman (Boston Scientific, Plymouth, MN, USA) devices in terms of peri-procedural and short-term outcomes. METHODS This is a prospective observational study. RESULTS Overall, 140 patients (50 female, mean age 76.2±8.4 years) were consecutively enrolled. Mean CHA2DS2-VASc score was 3.8±1.5, and mean HAS-BLED score was 3.9±1.1. Baseline clinical characteristics were comparable between the three groups (LAmbre, n=30; Amulet, n=74; Watchman, n=36); the LAmbre group had significantly more patients with complicated LAA morphology (p=0.006). The implant success rate was 100% in LAmbre, 99% in Amulet, and 100% in Watchman group (p=0.638). The number of device repositions was not significantly different between groups (0.7±1.1 in LAmbre, 1.0±2.0 in Amulet, and 1.4±1.8 in Watchman group, p=0.345). Fluoroscopic and procedural times were similar between groups. Major peri-procedural adverse events did not differ between groups (0% vs. 0% vs. 2.8%, p=0.233). Six months' follow-up showed good device stability and patients' clinical condition in all groups. CONCLUSION LAmbre, Amulet, and Watchman exhibit remarkable implant success rate, low risk of peri-procedural adverse events, and good clinical outcomes.
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Affiliation(s)
- Shaojie Chen
- Frankfurt Academy For Arrhythmias (FAFA), Cardioangiologisches Centrum Bethanien (CCB) Frankfurt am Main, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany.
| | - K R Julian Chun
- Frankfurt Academy For Arrhythmias (FAFA), Cardioangiologisches Centrum Bethanien (CCB) Frankfurt am Main, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany.
| | - Stefano Bordignon
- Frankfurt Academy For Arrhythmias (FAFA), Cardioangiologisches Centrum Bethanien (CCB) Frankfurt am Main, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - Felix K Weise
- Frankfurt Academy For Arrhythmias (FAFA), Cardioangiologisches Centrum Bethanien (CCB) Frankfurt am Main, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - Takahiko Nagase
- Frankfurt Academy For Arrhythmias (FAFA), Cardioangiologisches Centrum Bethanien (CCB) Frankfurt am Main, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - Laura Perrotta
- Frankfurt Academy For Arrhythmias (FAFA), Cardioangiologisches Centrum Bethanien (CCB) Frankfurt am Main, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - Fabrizio Bologna
- Frankfurt Academy For Arrhythmias (FAFA), Cardioangiologisches Centrum Bethanien (CCB) Frankfurt am Main, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - Boris Schmidt
- Frankfurt Academy For Arrhythmias (FAFA), Cardioangiologisches Centrum Bethanien (CCB) Frankfurt am Main, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany.
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38
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Nagase T, Bordignon S, Perrotta L, Bologna F, Tsianakas N, Chen S, Konstantinou A, Chun JK, Schmidt B. HEartLight guided - PUre Pulmonary Vein Isolation Regardless of Concomitant Atrial Substrate: HEURECA Study. Pacing Clin Electrophysiol 2018; 42:22-30. [DOI: 10.1111/pace.13552] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/08/2018] [Revised: 10/23/2018] [Accepted: 11/10/2018] [Indexed: 11/27/2022]
Affiliation(s)
- Takahiko Nagase
- Cardioangiologisches Centrum Bethanien; Agaplesion Markuskrankenhaus; Medizinische Klinik III Frankfurt am Main Germany
| | - Stefano Bordignon
- Cardioangiologisches Centrum Bethanien; Agaplesion Markuskrankenhaus; Medizinische Klinik III Frankfurt am Main Germany
| | - Laura Perrotta
- Cardioangiologisches Centrum Bethanien; Agaplesion Markuskrankenhaus; Medizinische Klinik III Frankfurt am Main Germany
| | - Fabrizio Bologna
- Cardioangiologisches Centrum Bethanien; Agaplesion Markuskrankenhaus; Medizinische Klinik III Frankfurt am Main Germany
| | - Nikolaos Tsianakas
- Cardioangiologisches Centrum Bethanien; Agaplesion Markuskrankenhaus; Medizinische Klinik III Frankfurt am Main Germany
| | - Shaojie Chen
- Cardioangiologisches Centrum Bethanien; Agaplesion Markuskrankenhaus; Medizinische Klinik III Frankfurt am Main Germany
| | - Athanasios Konstantinou
- Cardioangiologisches Centrum Bethanien; Agaplesion Markuskrankenhaus; Medizinische Klinik III Frankfurt am Main Germany
| | - Julian K.R. Chun
- Cardioangiologisches Centrum Bethanien; Agaplesion Markuskrankenhaus; Medizinische Klinik III Frankfurt am Main Germany
| | - Boris Schmidt
- Cardioangiologisches Centrum Bethanien; Agaplesion Markuskrankenhaus; Medizinische Klinik III Frankfurt am Main Germany
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Mori H, Kato R, Ikeda Y, Goto K, Tanaka S, Asano S, Shiki Y, Nagase T, Tahara M, Iwanaga S, Muramatsu T, Matsumoto K. The influence of the electrodes spacing of a mapping catheter on the atrial voltage substrate map. J Cardiol 2018; 72:434-442. [DOI: 10.1016/j.jjcc.2018.04.012] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2018] [Revised: 04/14/2018] [Accepted: 04/25/2018] [Indexed: 10/16/2022]
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40
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Nagase T, Terayama A, Nagaoka T, Fuyama N, Amiya K. PM-01Solidification Microstructure of Melt-Spun Ribbons in Al-Mg-Li-Ca Medium Entropy Alloys. Microscopy (Oxf) 2018. [DOI: 10.1093/jmicro/dfy097] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- T. Nagase
- Research Center for Ultra-High Voltage Electron Microscopy, Osaka University, Ibaraki, Japan
| | - A. Terayama
- Hiroshima Prefectural Technology Research Institute, West Region Industrial Research Center, Kure, Japan
| | - T. Nagaoka
- Hiroshima Prefectural Technology Research Institute, West Region Industrial Research Center, Kure, Japan
| | - N. Fuyama
- Hiroshima Prefectural Technology Research Institute, West Region Industrial Research Center, Kure, Japan
| | - K. Amiya
- Institute for Materials Research, Tohoku University, Sendai, Japan
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41
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Suehiro K, Morikage N, Ueda K, Samura M, Takeuchi Y, Nagase T. Venous Hemodynamics Assessed With Air Plethysmography in Legs With Lymphedema. J Vasc Surg Venous Lymphat Disord 2018. [DOI: 10.1016/j.jvsv.2018.07.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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42
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Itoh T, Kawabe M, Nagase T, Koike T, Miyoshi M, Miyahara K. Measurements of body surface area and volume in laboratory rabbits (New Zealand White rabbits) using a computed tomography scanner. Exp Anim 2018; 67:527-534. [PMID: 29998917 PMCID: PMC6219877 DOI: 10.1538/expanim.18-0028] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
The body surface area (BSA) of an organism is one of the important parameters for
evaluating physiological functions. In drug development, normalization by BSA is an
appropriate method for extrapolating doses between species. The BSA of animals has
generally been estimated by multiplying the k value by 2/3 of the power
of the body weight (BW) (Meeh’s formula). In mathematics, if it is assumed that the
density and body shape of the animals are essentially constant, the BSA is proportional to
BW2/3. In this study, we measured the BSA and volume (V) of
72 laboratory rabbits (48 males and 24 females of New Zealand White rabbits [NZW]), using
a computed tomography scanner. After BSA and V determination, the
k value, density, and sphericity were calculated. We analyzed
variations in the k value, density, and body shape of laboratory rabbits.
The mean k value of the 72 NZW was 11.0. We advocate using Meeh’s
formula, as follows, for estimating BSA of laboratory rabbits (NZW): 100 × BSA
[m2] = 11.0 × BW [kg]2/3.
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Affiliation(s)
- Tadashi Itoh
- Nihon Bioresearch Inc., 6-104 Majima, Fukujucho, Hashima, Gifu 501-6251, Japan
| | - Mifumi Kawabe
- Animal Medical Center, Faculty of Applied Biological Sciences, Gifu University, 1-1 Yanagido, Gifu 501-1193, Japan
| | - Takahiko Nagase
- Nihon Bioresearch Inc., 6-104 Majima, Fukujucho, Hashima, Gifu 501-6251, Japan
| | - Tsuneo Koike
- Nihon Bioresearch Inc., 6-104 Majima, Fukujucho, Hashima, Gifu 501-6251, Japan
| | - Masafumi Miyoshi
- Veterinary Medical Center, Obihiro University of Agriculture and Veterinary Medicine, Inadacho, Obihiro, Hokkaido 080-8555, Japan
| | - Kazuro Miyahara
- Veterinary Medical Center, Obihiro University of Agriculture and Veterinary Medicine, Inadacho, Obihiro, Hokkaido 080-8555, Japan
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Nagase T, Bordignon S, Perrotta L, Bologna F, Weise FK, Konstantinou A, Kato R, Schmidt B, Chun JKR. Low Risk of Pulmonary Vein Stenosis After Contemporary Atrial Fibrillation Ablation ― Lessons From Repeat Procedures After Radiofrequency Current, Cryoballoon, and Laser Balloon ―. Circ J 2018; 82:1558-1565. [DOI: 10.1253/circj.cj-17-1324] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Takahiko Nagase
- Cardio-angiological Center Bethanien, Agaplesion Markus Hospital, Medical Clinic III
| | - Stefano Bordignon
- Cardio-angiological Center Bethanien, Agaplesion Markus Hospital, Medical Clinic III
| | - Laura Perrotta
- Cardio-angiological Center Bethanien, Agaplesion Markus Hospital, Medical Clinic III
| | - Fabrizio Bologna
- Cardio-angiological Center Bethanien, Agaplesion Markus Hospital, Medical Clinic III
| | - Felix K. Weise
- Cardio-angiological Center Bethanien, Agaplesion Markus Hospital, Medical Clinic III
| | | | - Ritsushi Kato
- Department of Cardiology, International Medical Center, Saitama Medical University
| | - Boris Schmidt
- Cardio-angiological Center Bethanien, Agaplesion Markus Hospital, Medical Clinic III
| | - Julian K. R. Chun
- Cardio-angiological Center Bethanien, Agaplesion Markus Hospital, Medical Clinic III
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Chen S, Schmidt B, Bordignon S, Bologna F, Perrotta L, Nagase T, Chun KRJ. Atrial fibrillation ablation using cryoballoon technology: Recent advances and practical techniques. J Cardiovasc Electrophysiol 2018; 29:932-943. [PMID: 29663562 DOI: 10.1111/jce.13607] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2018] [Revised: 02/12/2018] [Accepted: 03/12/2018] [Indexed: 11/30/2022]
Abstract
Atrial fibrillation (AF) affects 1-2% of the population, and its prevalence is estimated to double in the next 50 years as the population ages. AF results in impaired patients' life quality, deteriorated cardiac function, and even increased mortality. Antiarrhythmic drugs frequently fail to restore sinus rhythm. Catheter ablation is a valuable treatment approach for AF, even as a first-line therapy strategy in selected patients. Effective electrical pulmonary vein isolation (PVI) is the cornerstone of all AF ablation strategies. Use of radiofrequency (RF) catheter in combination of a three-dimensional electroanatomical mapping system is the most established ablation approach. However, catheter ablation of AF is challenging even sometimes for experienced operators. To facilitate catheter ablation of AF without compromising the durability of the pulmonary vein isolation, "single shot" ablation devices have been developed; of them, cryoballoon ablation, is by far the most widely investigated. In this report, we review the current knowledge of AF and discuss the recent evidence in catheter ablation of AF, particularly cryoballoon ablation. Moreover, we review relevant data from the literature as well as our own experience and summarize the key procedural practical techniques in PVI using cryoballoon technology, aiming to shorten the learning curve of the ablation technique and to contribute further to reduction of the disease burden.
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Affiliation(s)
- Shaojie Chen
- CCB, Cardioangiologisches Centrum Bethanien Frankfurt am Main, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - Boris Schmidt
- CCB, Cardioangiologisches Centrum Bethanien Frankfurt am Main, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - Stefano Bordignon
- CCB, Cardioangiologisches Centrum Bethanien Frankfurt am Main, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - Fabrizio Bologna
- CCB, Cardioangiologisches Centrum Bethanien Frankfurt am Main, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - Laura Perrotta
- CCB, Cardioangiologisches Centrum Bethanien Frankfurt am Main, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - Takahiko Nagase
- CCB, Cardioangiologisches Centrum Bethanien Frankfurt am Main, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
| | - K R Julian Chun
- CCB, Cardioangiologisches Centrum Bethanien Frankfurt am Main, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany
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Weise FK, Bordignon S, Perrotta L, Konstantinou A, Bologna F, Nagase T, Chen S, Chun KJ, Schmidt B. Short-term dual antiplatelet therapy after interventional left atrial appendage closure with different devices. EUROINTERVENTION 2018; 13:e2138-e2146. [DOI: 10.4244/eij-d-17-00901] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Nagase T, Stefano SB, Perrotta LP, Bologna FB, Chen SC, Chun JC, Schmidt BS. P827Left atrial low voltage areas predict the outcome after laser balloon pulmonary vein isolation. Europace 2018. [DOI: 10.1093/europace/euy015.431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- T Nagase
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - S B Stefano
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - L P Perrotta
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - F B Bologna
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - S C Chen
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - J C Chun
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - B S Schmidt
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
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Konstantinou A, Bordignon S, Hilbert M, Bologna F, Tsianakas N, Nagase T, Chen S, Perrotta L, Weise FK, Lindhoff-Last E, Schmidt B, Chun KRJ. P384Plasma level of DOACS in patients undergoing catheter ablation for atrial fibrillation. Europace 2018. [DOI: 10.1093/europace/euy015.195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- A Konstantinou
- Cardiology Centre Bethanien (CCB), Cardiology, Frankfurt am Main, Germany
| | - S Bordignon
- Cardiology Centre Bethanien (CCB), Cardiology, Frankfurt am Main, Germany
| | - M Hilbert
- Cardiology Centre Bethanien (CCB), Cardiology, Frankfurt am Main, Germany
| | - F Bologna
- Cardiology Centre Bethanien (CCB), Cardiology, Frankfurt am Main, Germany
| | - N Tsianakas
- Cardiology Centre Bethanien (CCB), Cardiology, Frankfurt am Main, Germany
| | - T Nagase
- Cardiology Centre Bethanien (CCB), Cardiology, Frankfurt am Main, Germany
| | - S Chen
- Cardiology Centre Bethanien (CCB), Cardiology, Frankfurt am Main, Germany
| | - L Perrotta
- Cardiology Centre Bethanien (CCB), Cardiology, Frankfurt am Main, Germany
| | - F K Weise
- Cardiology Centre Bethanien (CCB), Cardiology, Frankfurt am Main, Germany
| | - E Lindhoff-Last
- Cardiology Centre Bethanien (CCB), Cardiology, Frankfurt am Main, Germany
| | - B Schmidt
- Cardiology Centre Bethanien (CCB), Cardiology, Frankfurt am Main, Germany
| | - KRJ Chun
- Cardiology Centre Bethanien (CCB), Cardiology, Frankfurt am Main, Germany
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Chen S, Schmidt B, Bordignon S, Bologna F, Nagase T, Tsianakas N, Perrotta L, Chun KRJ. P393Feasibility of Percutaneous Left Atrial Appendage Closure using a novel LAmbre occluder in patients with atrial fibrillation, initial results from a prospective cohort registry study. Europace 2018. [DOI: 10.1093/europace/euy015.204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- S Chen
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - B Schmidt
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - S Bordignon
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - F Bologna
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - T Nagase
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - N Tsianakas
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - L Perrotta
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - KRJ Chun
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
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Nagase T, Bordignon SB, Perrotta LP, Bologna FB, Chen SC, Konstantinou AK, Chun JC, Schmidt BS. P908Initial experience of pulmonary vein isolation for atrial fibrillation with the new generation laser balloon: Excalibur. Europace 2018. [DOI: 10.1093/europace/euy015.509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- T Nagase
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - S B Bordignon
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - L P Perrotta
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - F B Bologna
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - S C Chen
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | | | - J C Chun
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - B S Schmidt
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
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Chen S, Chun KRJ, Perrotta L, Bologna F, Nagase T, Tsianakas N, Bordignon S, Schmidt B. P936Catheter based Left Atrial Appendage Occluder implantation using a novel LAmbre system vs. Amulet and Watchman Device in atrial fibrillation. Europace 2018. [DOI: 10.1093/europace/euy015.537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- S Chen
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - KRJ Chun
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - L Perrotta
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - F Bologna
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - T Nagase
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - N Tsianakas
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - S Bordignon
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
| | - B Schmidt
- Cardiology Centre Bethanien (CCB), Frankfurt am Main, Germany
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