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Establishment of optimal antithrombotic therapy by using novel thrombus formation analysis system in patients with cardiovascular disease

Research Project

Project/Area Number 15K09089
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

KAIKITA Koichi  熊本大学, 大学院生命科学研究部(医), 准教授 (30346978)

Research Collaborator ISHII Masanobu  熊本大学, 医学教育部, 大学院生
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: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2016: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords循環器・高血圧 / 血栓形成能評価システム / 抗血栓療法 / 冠動脈疾患 / 心房細動 / 直接的経口抗凝固薬 / 新規経口抗凝固薬 / 血栓形成能測定システム
Outline of Final Research Achievements

First, we tested the utility of T-TAS in patients with coronary artery disease (CAD) with or without antiplatelet therapies. We measured PL-AUC levels by T-TAS in 372 patients who were divided into three groups; patients not on any antiplatelet therapy (control), on aspirin only, and on aspirin and clopidogrel. PL-AUC levels were significantly lower in two antiplatelet therapy groups compared with control group, and the level was significantly lower in the aspirin/clopidogrel group than aspirin group. Next, we evaluated the utility of T-TAS in predicting periprocedural bleeding in patients with atrial fibrillation (AF) undergoing catheter ablation (CA) by measuring AR-AUC levels on the day, 3 and 30 days post-CA. AR-AUC levels at the day of CA and 3 days post-CA was associated with periprocedural bleeding events, suggesting that AR-AUC level determined by T-TAS is a potentially useful marker for prediction of bleeding events in AF patients undergoing CA.

Report

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

    (29 results)

All 2018 2017 2016 2015

All Journal Article (7 results) (of which Peer Reviewed: 7 results,  Open Access: 3 results,  Acknowledgement Compliant: 5 results) Presentation (22 results) (of which Int'l Joint Research: 6 results)

  • [Journal Article] Edoxaban Enhances Thromboprophylaxis by Physiotherapy After Total Knee Arthroplasty ― The Randomized Controlled ESCORT-TKA Trial ―2018

    • Author(s)
      Sueta D, Kaikita K, Okamoto N, Yamabe S, Ishii M, Arima Y, Ito M, Oimatsu Y, Mitsuse T, Iwashita S, Nakamura E, Hokimoto S, Mizuta H, Ogawa H, Tsujita K
    • Journal Title

      Circulation Journal

      Volume: 82 Issue: 2 Pages: 524-531

    • DOI

      10.1253/circj.CJ-17-0612

    • NAID

      130006321860

    • ISSN
      1346-9843, 1347-4820
    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Direct Oral Anticoagulants Form Thrombus Different From Warfarin in a Microchip Flow Chamber System2017

    • Author(s)
      Ishii Masanobu、Kaikita Koichi、Ito Miwa、Sueta Daisuke、Arima Yuichiro、Takashio Seiji、Izumiya Yasuhiro、Yamamoto Eiichiro、Yamamuro Megumi、Kojima Sunao、Hokimoto Seiji、Yamabe Hiroshige、Ogawa Hisao、Tsujita Kenichi
    • Journal Title

      Scientific Reports

      Volume: 7 Issue: 1 Pages: 7399-7399

    • DOI

      10.1038/s41598-017-07939-6

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Total thrombus-formation analysis system predicts periprocedural bleeding events in patients with coronary artery disease undergoing percutaneous coronary intervention.2017

    • Author(s)
      Oimatsu Y, Kaikita K, Ishii M, Mitsuse T, Ito M, Arima Y, Sueta D, Takahashi A, Iwashita S, Yamamoto E, Kojima S, Hokimoto S, Tsujita K.
    • Journal Title

      J Am Heart Assoc.

      Volume: 6 Issue: 4

    • DOI

      10.1161/jaha.116.005263

    • Related Report
      2017 Annual Research Report 2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Efficacy study of the combination of edoxaban and physiotherapy on the prevention of venous-thromboembolism in patients after total knee arthroplasty (ESCORT-TKA trial): study protocol for a randomized controlled trial.2016

    • Author(s)
      Sueta D, Kaikita K, Okamoto N, Yamabe S, Ishii M, Arima Y, Ito M, Oimatsu Y, Iwashita S, Takahashi A, Sakamoto K, Tsujita K, Nakamura E, Hokimoto S, Mizuta H, Ogawa H
    • Journal Title

      Clin Trials Regul Sci Cardiol.

      Volume: 19 Pages: 1-4

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Assessment of platelet-derived thrombogenicity by the total thrombus-formation analysis system in coronary artery disease patients on antiplatelet therapy.2016

    • Author(s)
      Arima Y, Kaikita K, Ishii M, Ito M, Sueta D, Oimatsu Y, Sakamoto K, Tsujita K, Kojima S, Nakagawa K, Hokimoto S, Ogawa H.
    • Journal Title

      J Thromb Haemost.

      Volume: 14 Issue: 4 Pages: 850-859

    • DOI

      10.1111/jth.13256

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Total thrombus-formation analysis system (T-TAS) can predict periprocedural bleeding events in patients undergoing catheter ablation for atrial fibrillation.2016

    • Author(s)
      Ito M, Kaikita K, Sueta D, Ishii M, Oimatsu Y, Arima Y, Iwashita S, Takahashi A, Hoshiyama T, Kanazawa H, Sakamoto K, Yamamoto E, Tsujita K, Yamamuro M, Kojima S, Hokimoto S, Yamabe H, Ogawa H.
    • Journal Title

      J Am Heart Assoc.

      Volume: 5 Issue: 1

    • DOI

      10.1161/jaha.115.002744

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] A novel quantitative assessment of whole blood thrombogenicity in patients treated with a non-vitamin K oral anticoagulant.2015

    • Author(s)
      Sueta D, Kaikita K, Okamoto N, Arima Y, Ishii M, Ito M, Oimatsu Y, Iwashita S, Takahashi A, Nakamura E, Hokimoto S, Mizuta H, Ogawa H.
    • Journal Title

      Int J Cardiol.

      Volume: 197 Pages: 98-100

    • DOI

      10.1016/j.ijcard.2015.06.041

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] Optimal Predictors for Periprocedural Bleeding Events After Catheter Ablation for Atrial Fibrillation; Comparison of T-TAS and Plasma DOACs Concentration.2018

    • Author(s)
      Ito M, Kaikita K, Sueta D, Ishii M, Oimatsu Y, Mitsuse T, Kiyama T, Arima Y, Kanazawa H, Kaneko S, Kanemaru Y, Takashio S, Izumiya Y, Yamabe H, Tsujita K,
    • Organizer
      第82回日本循環器学会総会・学術集会, 2018.3.23‐25, 大阪
    • Related Report
      2017 Annual Research Report
  • [Presentation] Combination of Two Different Microchips in T-TAS Predicts High Risk Patients with Periprocedural Bleeding Events after Percutaneous Coronary Intervention.2018

    • Author(s)
      Oimatsu Y, Kaikita K, Ishii M, Mitsuse T, Ito M, Arima Y, Sueta D, Nakanishi N, Kanazawa H, Takashio S, Yamamoto E, Sakamoto K, Izumiya Y, Kojima S, Tusjita K.
    • Organizer
      第82回日本循環器学会総会・学術集会, 2018.3.23‐25, 大阪
    • Related Report
      2017 Annual Research Report
  • [Presentation] Total Thrombus-Formation Analysis System (T-TAS) Predicts 1-Year Bleeding Events in Patients with Coronary Artery Disease.2018

    • Author(s)
      Mitsuse T, Kaikita K, Sueta D, Ishii M, Oimatsu Y, Arima Y, Yamamoto E, Kojima S, Yamabe H, Tsujita K
    • Organizer
      第82回日本循環器学会総会・学術集会, 2018.3.23‐25, 大阪
    • Related Report
      2017 Annual Research Report
  • [Presentation] Total Thrombus-formation Analysis System but not Plasma Concentration of Direct Oral Antico-agulants Predict Bleeding Events in Patients with Atrial Fibrillation.2017

    • Author(s)
      Kaikita K, Ishii M, Ito M, Sueta D, Oimatsu Y, Arima Y, Yamamoto E, Tsujita K, Yamamuro M, Kojima S, Yamabe H, Hokimoto S.
    • Organizer
      第81回日本循環器学会総会学術集会
    • Place of Presentation
      金沢
    • Year and Date
      2017-03-17
    • Related Report
      2016 Research-status Report
  • [Presentation] Total Thrombus-formation Analysis System (T-TAS) to Predict Atrial Fibrillation Recurrence after Catheter Ablation.2017

    • Author(s)
      Ito M, Kaikita K, Sueta D, Ishii M, Oimatsu Y, Mitsuse T, Arima Y, Kanazawa H, Kaneko S, Kanemaru Y, Yamabe H, Hokimoto S.
    • Organizer
      第81回日本循環器学会総会学術集会
    • Place of Presentation
      金沢
    • Year and Date
      2017-03-17
    • Related Report
      2016 Research-status Report
  • [Presentation] The Optimal Predictor of Periprocedural Bleeding in Patients Undergoing Catheter Ablation for Atrial Fibrillation.2017

    • Author(s)
      Mitsuse T, Kaikita K, Oimatsu Y, Sueta D, Arima Y, Kanazawa H, Yamamoto E, Tsujita K, Yamamuro M, Kojima S, Yamaabe H, Hokimoto S, Ishii M.
    • Organizer
      第81回日本循環器学会総会学術集会
    • Place of Presentation
      金沢
    • Year and Date
      2017-03-17
    • Related Report
      2016 Research-status Report
  • [Presentation] Total Thrombus-formation Analysis System Predicts Periprocedural Bleeding Events in Patients with Coronary Arterial Disease Undergoing Percutaneous Coronary Intervention.2017

    • Author(s)
      Oimatsu Y, Kaikita K, Ishii M, Mitsuse T, Ito M, Arima Y, Sueta D, Ymamoto E, Tsujita K, Kojima S, Hokimoto S.
    • Organizer
      第81回日本循環器学会総会学術集会
    • Place of Presentation
      金沢
    • Year and Date
      2017-03-17
    • Related Report
      2016 Research-status Report
  • [Presentation] Optimal Predictors for Periprocedural Bleeding Events after Catheter Ablation for Atrial Fibrillation - Comparison of Total Thrombus-Formation Analysis System (T-TAS) and Plasma DOACs Concentration-.2017

    • Author(s)
      Ito M, Kaikita K, Sueta D, Ishii M, Oimatsu Y, Mitsuse T, Arima Y, Kanazawa H, Kaneko S, Kanemaru Y, Kiyama T, Takashio S, Izumiya Y, Yamabe H, Tsujita K.
    • Organizer
      American Heart Association Scientific Sessions 2017, 2017.11.11-15, Anaheim, California
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Combination of Two Different Microchips in Total Thrombus-Formation Analysis System Predicts High Risk Patients With Periprocedural Bleeding Events Events After Percutaneous Coronary Intervention.2017

    • Author(s)
      Oimatsu Y, Kaikita K, Ishii M, Mitsuse T, Ito M, Arima Y, Sueta D, Kanazawa H, Takashio S, Yamamoto E, Sakamoto K, Izumiya Y, Kojima S, Tsujita K.
    • Organizer
      American Heart Association Scientific Sessions 2017, 2017.11.11-15, Anaheim, California
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Differential Thrombus Formation with Anticoagulants on a Microchip Flow-Chamber System.2017

    • Author(s)
      Ishii M, Kaikita K, Ito M, Sueta D, Oimatsu Y, Mitsuse T, Arima Y, Hoshiyama T, Kanazawa H, Yamamoto E, Yamamuro M, Kojima S, Hokimoto S, Yamabe H, Tsujita K.
    • Organizer
      第39回日本血栓止血学会学術集会,2017.6.8-10,名古屋
    • Related Report
      2017 Annual Research Report
  • [Presentation] Total Thrombus-formation Analysis System Predicts Poor Adherence to Anticoagulant in Patients Undergoing Catheter for A trial Fibrillation.2016

    • Author(s)
      Ito M, Kaikita K, Sueta D, IshiiM, Oimatsu Y, Mitsuse T, Arima Y, Iwashita S, Takahashi A, Kanazawa H, Kaneko S, Kanemaru Y, Hokimoto S, Yamabe H, Ogawa H.
    • Organizer
      American Heart Association Scientific Sessions 2016
    • Place of Presentation
      New Orleans, Louisiana, U.S.A.
    • Year and Date
      2016-11-12
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Total Thrombus-Formation Analysis System Predicts the Recurrence After Catheter Ablation for Atrial Fibrillation2016

    • Author(s)
      Ito M, Kaikita K, Sueta D, IshiiM, Oimatsu Y, Mitsuse T, Arima Y, Iwashita S, Takahashi A, Kanazawa H, Kaneko S, Kanemaru Y, Hokimoto S, Yamabe H, Ogawa H.
    • Organizer
      American Heart Association Scientific Sessions 2016
    • Place of Presentation
      New Orleans, Louisiana, U.S.A.
    • Year and Date
      2016-11-12
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Total Thrombus-formation Analysis System (T-TAS) Predicts Poor Prognosis in Patients Undergoing Follow-up Coronary Angiography After Prectaneous Coronary Intervention.2016

    • Author(s)
      Oimatsu Y, Kaikita K, Ishii M, Mitsuse T, Ito M, Arima Y, Sueta D, Yamamoto E, Tsujita K, Kojima S, Hokimoto S.
    • Organizer
      American Heart Association Scientific Sessions 2016
    • Place of Presentation
      New Orleans, Louisiana, U.S.A.
    • Year and Date
      2016-11-12
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] A Novel Flow-Chamber System for Quantitative Assessment of Whole Blood Thrombogenicity in Coronary Artery Disease Patients with Antiplatelet Therapies.2016

    • Author(s)
      Arima Y, Kaikita K, Ishii M, Oimatsu Y, Ono T, Iwashita S, Ito M, Tsujita K, Sakamoto K, Yamamoto E, Tanaka T, Kojima S, Hokimoto S, Ogawa H.
    • Organizer
      第80日本循環器学会総会・学術集会
    • Place of Presentation
      仙台
    • Year and Date
      2016-03-18
    • Related Report
      2015 Research-status Report
  • [Presentation] A Novel Quantitative Assessment of Whole Blood Thrombogenicity in Patients Treated with a Non-vitamin K Oral Anticoagulant.2016

    • Author(s)
      Sueta D, Kaikita K, Hokimoto S, Ogawa H.
    • Organizer
      第80日本循環器学会総会・学術集会
    • Place of Presentation
      仙台
    • Year and Date
      2016-03-18
    • Related Report
      2015 Research-status Report
  • [Presentation] Total Thrombus-formation Analysis System (T-TAS) as a Potent Predictor for Periprocedural Bleeding Events in Patients Undergoing Ablation for Atrial Fibrillation.2016

    • Author(s)
      Ito M, Kaikita K, Arima Y, Sueta D, Ishii M, Hoshiyama T, Kanazawa H, Sakamoto K, Yamamoto E, Tsujita K, Tanaka T, Yamamuro M, Kojima S, Hokimoto S, Yamabe H, Ogawa H.
    • Organizer
      第80日本循環器学会総会・学術集会
    • Place of Presentation
      仙台
    • Year and Date
      2016-03-18
    • Related Report
      2015 Research-status Report
  • [Presentation] T-TAS Predicts CYP2C19 Poor Metabolizer and Prognosis in Patients Undergoing Percutaneous Coronary Intervention Treated with Dual Antiplatelet Therapy.2016

    • Author(s)
      Oimatsu Y, Kaikita K, Ishii M, Ito M, Arima Y, Sueta D, Sakamoto K, Yamamoto E, Tsujita K, Kojima S, Hokimoto S, Ogawa H.
    • Organizer
      第80日本循環器学会総会・学術集会
    • Place of Presentation
      仙台
    • Year and Date
      2016-03-18
    • Related Report
      2015 Research-status Report
  • [Presentation] T-TASによる抗血栓薬モニタリング2016

    • Author(s)
      海北幸一
    • Organizer
      第38回日本血栓止血学会学術集会
    • Place of Presentation
      奈良
    • Related Report
      2016 Research-status Report
  • [Presentation] Novel Quantitative Assessment Of Whole Blood Thrombogenicity In Patients Treated With Anticoagulants Undergoing Radiofrequency Catheter Ablation For Atrial Fibrillation.2015

    • Author(s)
      Ito M, Kaikita K, Sueta D, IshiiM, Arima Y, Iwashita S, Takahashi A, Hoshiyama T, Kanazawa H, Sakamoto K, Yamamoto E, Tsujita K, Tanaka T, Yamamuro M, Kojima S, Hokimoto S, Yamabe H, Ogawa H.
    • Organizer
      American Heart Association Scientific Sessions
    • Place of Presentation
      Orlando, Florida、U.S.A.
    • Year and Date
      2015-11-07
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 冠動脈疾患における抗血栓療法の新展開2015

    • Author(s)
      海北幸一
    • Organizer
      第79日本循環器学会総会・学術集会
    • Place of Presentation
      大阪
    • Year and Date
      2015-04-24
    • Related Report
      2015 Research-status Report
  • [Presentation] T-TAS, a Novel Flow-Chamber System of Thrombogenicity, is Useful for the Assessment of Clotting Ability in Patients Undergoing Elective PCI.2015

    • Author(s)
      Arima Y, Kaikita K, Ono T, Iwashita S, Ito M, Ishii M, Tsujita K, Sakamoto K, Yamamoto E, Tanaka T, Kojima S, Hokimoto S, Ogawa H.
    • Organizer
      第79日本循環器学会総会・学術集会
    • Place of Presentation
      大阪
    • Year and Date
      2015-04-24
    • Related Report
      2015 Research-status Report
  • [Presentation] Total Thrombus-formation Analysis System (T-TAS) Predicts Poor Metabolizers of CYP2C19 Loss-of-function Alleles in Patients Undergoing Elective Percutaneous Coronary Intervention.2015

    • Author(s)
      Ishii M, Kaikita K, Arima Y, Ono T, Iwashita S, Ito M, Tsujita K, Sakamoto K, Kojima S, Hokimoto S, Ogawa H.
    • Organizer
      第79日本循環器学会総会・学術集会
    • Place of Presentation
      大阪
    • 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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