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Localized myocardial ablation using heavy ion irradiation as a possible therapy of myocardial ischemia-induced refractory heart failure

https://repo.qst.go.jp/records/59080
https://repo.qst.go.jp/records/59080
3df415a8-52be-4999-b14c-c2dfb6942df3
アイテムタイプ 会議発表用資料 / Presentation(1)
公開日 2002-06-05
タイトル
タイトル Localized myocardial ablation using heavy ion irradiation as a possible therapy of myocardial ischemia-induced refractory heart failure
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_c94f
資源タイプ conference output
アクセス権
アクセス権 metadata only access
アクセス権URI http://purl.org/coar/access_right/c_14cb
著者 Tanaka, Etsurou

× Tanaka, Etsurou

WEKO 588490

Tanaka, Etsurou

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Yoshioka, Kouichirou

× Yoshioka, Kouichirou

WEKO 588491

Yoshioka, Kouichirou

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Fujikura, Hisanori

× Fujikura, Hisanori

WEKO 588492

Fujikura, Hisanori

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Kurosawa, Hiroyuki

× Kurosawa, Hiroyuki

WEKO 588493

Kurosawa, Hiroyuki

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Furusawa, Yoshiya

× Furusawa, Yoshiya

WEKO 588494

Furusawa, Yoshiya

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Endo, Masahiro

× Endo, Masahiro

WEKO 588495

Endo, Masahiro

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Tsujii, Hirohiko

× Tsujii, Hirohiko

WEKO 588496

Tsujii, Hirohiko

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吉岡 公一郎

× 吉岡 公一郎

WEKO 588497

en 吉岡 公一郎

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藤倉 寿則

× 藤倉 寿則

WEKO 588498

en 藤倉 寿則

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古澤 佳也

× 古澤 佳也

WEKO 588499

en 古澤 佳也

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遠藤 真広

× 遠藤 真広

WEKO 588500

en 遠藤 真広

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辻井 博彦

× 辻井 博彦

WEKO 588501

en 辻井 博彦

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抄録
内容記述タイプ Abstract
内容記述 Extensive myocardial ischemia is a common cause of refractory heart failure and the degrees of ischemia is frequently inhomogenous between the regions. We propose local myocardial ablation method targeted to severe ischemic regions in order to save the remaining jeopardized regions by heavy ion beam-irradiation. Heavy ion beam being used for a less invasive cancer therapy can be localized at the target tissue in x-, y-, and z-directions with 1 mm order accuracy.
Six rabbits were irradiated through the left chest (20x20 mm) by a single dose of heavy ion beam (290 MeV/u carbon-12, 92 Gy). The irradiation could be focused to the subepicardial region of the anterior left ventricle wall and did not reach to the subendocardial region. Four weeks after the irradiation, histological necrosis was confined in the outer one-third of the irradiated region.
Autoradiographic analysis with 125I-metaiodobenzylguanidine revealed that transmural denervation (>85% decrease of 125I-uptake) was noted in the irradiated region but not in any other part of the heart. Contractile function evaluated by echocardiography (%FS: 27.2+5.8 vs 28.7+3.7%, n=6) and regional myocardial blood flow by microsphere method (1.76+0.56 vs 1.84+0.59 ml/min/g, n=6) were not different between the irradiated and the non-irradiated regions. General conditions and blood indices of bone marrow-, liver-, renal-functions were well maintained until sacrifice.
The heavy ion beam ablation might be a possible radiotherapy for refractory heart failure resulting from an extensive myocardial ischemia, because the method allows a less invasive ablation of the severely ischemic myocardium than the conventional therapies.
発表年月日
日付 2002-06-01
日付タイプ Issued
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Ver.1 2023-05-15 22:08:58.017732
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