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Electrical nerve stimulation-guided renal artery ablation to determine optimal ablation site and evaluate therapeutic effects during the operation

Research Project

Project/Area Number 15K09066
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cardiovascular medicine
Research InstitutionNiigata University

Principal Investigator

Chinushi Masaomi  新潟大学, 医歯学系, 教授 (40303151)

Co-Investigator(Renkei-kenkyūsha) Iwafuchi Mituya  新潟大学, 医歯学系, 教授 (70143766)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2015: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords高血圧 / 不整脈 / 自律神経 / カテーテルアブレーション / 自律神経興奮 / 神経電気刺激
Outline of Final Research Achievements

This study was performed to study the role of renal artery radiofrequency (RF) ablation as a therapeutic option for drug-refractory hypertension and malignant ventricular arrhythmia (VA). The main findings obtained from the project are as follows. (1) Before ablation, electrical nerve stimulation (ENS) from the renal artery augmented BP and induced VA. (2) Responses to the ENS showed site specific differences, and the most sensitive site was usually located at the distal portion of the renal artery. (3) RF ablation inhibited ENS-related BP augmentation and VA induction. Similar therapeutic effects were observed between short applications of 20 and 25W, but vascular injury was more apparent with 25W application. Short application of 15W was less effective and created only minor vascular injury. Longer application of 10W had similar therapeutic effects and less vascular injury as compared to short application of 20W.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (13 results)

All 2018 2017 2016 2015

All Journal Article (5 results) (of which Peer Reviewed: 4 results,  Open Access: 2 results) Presentation (8 results) (of which Int'l Joint Research: 3 results)

  • [Journal Article] Electrical stimulation-based evaluation for functional modification of renal autonomic nerve activities induced by catheter ablation2016

    • Author(s)
      Chinushi M, Suzuki K, Saitoh O, Furushima H, Iijima K, Izumi D, Sato A, Sugai M, Iwafuchi M.
    • Journal Title

      Heart Rhythm

      Volume: 13 Issue: 8 Pages: 1707-1715

    • DOI

      10.1016/j.hrthm.2016.04.021

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Sustained ventricular tachycardia developed following successful ablation of target idiopathic left ventricular premature complexes2016

    • Author(s)
      Tagawa M, Ochiai Y, Nakamura Y, Furushima H, Chinushi M.
    • Journal Title

      Int J Cardiol

      Volume: 222 Pages: 686-688

    • DOI

      10.1016/j.ijcard.2016.08.042

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 器質的心疾患症例の心室性不整脈と自律神経興奮2016

    • Author(s)
      池主雅臣・齋藤修・奥田明子・古嶋博司
    • Journal Title

      心電図

      Volume: 36 Pages: 31-37

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] 血圧調整における左右腎交感神経興奮の役割2016

    • Author(s)
      池主雅臣・鈴木克弥・斎藤修・大矢佳奈・飯嶋賢一・佐藤光希・和泉大輔・須貝美佳・古嶋博司
    • Journal Title

      心臓

      Volume: 6 Pages: 1-9

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] 鼓動のリズムバランスを感じ診る2015

    • Author(s)
      池主雅臣・齋藤 修・奥田明子
    • Journal Title

      Therapeutic Research

      Volume: 36 Pages: 863-867

    • Related Report
      2015 Research-status Report
  • [Presentation] Renal Sympathetic Nerve as a Therapeutic Target for Ventricular Arrhythmia; Electrical Nerve Stimulation and Radiofrequency Ablation in an Experimental Model.2018

    • Author(s)
      Chinushi M、Saitoh O、Watanabe J、Sugai A、Furushima H.
    • Organizer
      第82 回日本循環器学会学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Arrhythmogenesis in Enhanced Renal Sympathetic Activity and Therapeutic Option of the Proximal Renal Artery Ablation for Life-threatening Ventricular Arrhythmias2017

    • Author(s)
      池主雅臣、齋藤修、渡辺順也、菅井綾里、鈴木克弥、須貝美佳、岩渕三哉、飯嶋賢一、佐藤光希、和泉大輔、古嶋博司
    • Organizer
      第81回日本循環器学会総会
    • Place of Presentation
      金沢フォーラス (石川県・金沢市)
    • Year and Date
      2017-03-17
    • Related Report
      2016 Research-status Report
  • [Presentation] Bepridil Has Therapeutic Effects for Cardio-sympathetic Activity-induced Ventricular Arrhythmia without Affecting Autonomic Balance while Preserving Hemodynamic Responses by Sympathetic Stimulation2017

    • Author(s)
      池主雅臣、齋藤修、渡辺順也、菅井綾里、鈴木克弥、飯嶋賢一、佐藤光希、和泉大輔、古嶋博司
    • Organizer
      第81回日本循環器学会総会
    • Place of Presentation
      金沢フォーラス (石川県・金沢市)
    • Year and Date
      2017-03-17
    • Related Report
      2016 Research-status Report
  • [Presentation] Electrical Nerve Stimulation(ENS)Guided Renal Autonomic Nerve Ablation (Comparison of Ens-Induced Responses Between Onsite and Remote Distal Sites of Ablation)2017

    • Author(s)
      Saitoh O、Chinushi M
    • Organizer
      APHRS/JHRS 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Dose-Dependent Effects of Bepridil for the Treatment of Ventricular Arrhythmias Associated with Enhanced Cardio-Sympathetic Activity2017

    • Author(s)
      Watanabe J、Chinushi M.
    • Organizer
      APHRS/JHRS 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Force-control Bipolar Radiofrequency Ablation under Monitoring of dv/dt and Integral Value of Impedance Decrement. Results from a Dual-bath Experimental Study2016

    • Author(s)
      Chinushi M, Saitoh O, Watanabe J, Sugai A, Tagawa M, Furushima H.
    • Organizer
      The 9th Asia Pacific Heart Rhythm Society Scientific Session
    • Place of Presentation
      COEX intenational conference center (ソウル・韓国)
    • Year and Date
      2016-10-12
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 2.Functional Modification of Renal Autonomic Nerve Activity: Correlation between Electrical Stimulation-induced BP Augmentation and Structural Damage to the Renal Artery2016

    • Author(s)
      池主雅臣・鈴木克弥・齋藤修・古嶋博司・飯嶋賢一・和泉大輔・佐藤光希・岩渕三哉
    • Organizer
      第80回日本循環器学会総会
    • Place of Presentation
      仙台国際会議場(宮城県・仙台市)
    • Year and Date
      2016-03-18
    • Related Report
      2015 Research-status Report
  • [Presentation] Catheter-based Renal Nerve Ablation: Interaction between Left and Right Side Activity Estimated by Electrical Nerve Stimulation and RF Ablation2015

    • Author(s)
      池主雅臣・鈴木克弥・齋藤修・大矢佳奈・飯嶋賢一・佐藤光希・和泉大輔・古嶋博司
    • Organizer
      第79回日本循環器学会総会
    • Place of Presentation
      大阪国際会議場(大阪府・大阪市)
    • Year and Date
      2015-04-24
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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