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Development of high frequency vibration therapy for fibrinolysis

Research Project

Project/Area Number 15K10304
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Neurosurgery
Research InstitutionYamaguchi University

Principal Investigator

ISHIHARA Hideyuki  山口大学, 医学部附属病院, 講師 (50346566)

Co-Investigator(Kenkyū-buntansha) 鈴木 倫保  山口大学, 大学院医学系研究科, 教授 (80196873)
Project Period (FY) 2015-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Fiscal Year 2017: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords脳梗塞 / rt-PA療法 / rt-PA / 振動 / 脳塞栓症 / tPA療法 / 振動周波数 / 振動強度
Outline of Final Research Achievements

The purpose of this study is to induce thrombus thawing by intravenous therapy of recombinant tissue plasminogen activator (rt-PA) safely and conveniently using an external high-frequency vibration device and to improve the reopening rate. It is a basic experiment aiming at clinical application. Since it is an experiment focusing on the fact that the reopening rate due to thrombolysis is high at the time of helicopter transport under rt-PA administration, we investigated the frequency and vibration intensity of the vibration condition at helicopter transportation with a vibrometer. The optimum frequency and vibration intensity that lead to thrombolysis enhancement were examined by vibration stimulation in the presence of rt - PA using whole blood clots in vitro. From these experimental results, the optimal vibration condition was considered to be 30 to 50 Hz, 50 to 100 dB. An external vibrator for generating this vibration condition is under preparation.

Academic Significance and Societal Importance of the Research Achievements

臨床実験までには至っていないが、体外振動装置は安全基準(JIS規格)内であるため、臨床応用可能な装置となった。重症脳梗塞に対するrt-PA療法の血栓溶解作用増強は、今後、一つの治療法として確立するものと考えている。

Report

(5 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (15 results)

All 2018 2017 2016 2015

All Journal Article (7 results) (of which Peer Reviewed: 5 results,  Open Access: 2 results) Presentation (7 results) (of which Int'l Joint Research: 2 results) Book (1 results)

  • [Journal Article] telemedicineとtelestroke2018

    • Author(s)
      石原秀行、鈴木倫保
    • Journal Title

      分子脳血管病

      Volume: 17 Pages: 52-56

    • Related Report
      2018 Annual Research Report
  • [Journal Article] 研究 抗血小板薬内服中の非外傷性脳内出血症例に対する血小板輸血の有効性2017

    • Author(s)
      Sugimoto K, Ishihara H, Shinoyama M, Sadahiro H, Suzuki M.
    • Journal Title

      Neurological Surgery 脳神経外科

      Volume: 45 Issue: 11 Pages: 965-970

    • DOI

      10.11477/mf.1436203629

    • ISSN
      0301-2603, 1882-1251
    • Year and Date
      2017-11-10
    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Safety and Time Course of Drip-and-Ship in Treatment of Acute Ischemic Stroke.2017

    • Author(s)
      Ishihara H, Oka F, Oku T, Shinoyama M, Suehiro E, Sugimoto K, Suzuki M.
    • Journal Title

      J Stroke Cerebrovasc Dis.

      Volume: 26 Issue: 11 Pages: 2477-2481

    • DOI

      10.1016/j.jstrokecerebrovasdis.2017.03.008

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Successful endovascular treatment for thrombosed giant aneurysm of the V1 segment of the vertebral artery: A case report.2017

    • Author(s)
      Kiyohira M, Ishihara H, Oku T, Kawano A, Oka F, Suzuki M.
    • Journal Title

      Interv Neuroradiol.

      Volume: 23 Issue: 6 Pages: 628-631

    • DOI

      10.1177/1591019917722515

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Drip-ship treatmentの安全性について2016

    • Author(s)
      石原 秀行、奥 高行、山根 亜希子、杉山 修一、末廣 栄一、貞廣 浩和、鈴木 倫保
    • Journal Title

      The Mt. Fuji Workshop on CVD

      Volume: 34 Pages: 167-168

    • Related Report
      2016 Research-status Report
  • [Journal Article] Decreased Flow Velocity with Transcranial Color-Coded Duplex Sonography Correlates with Delayed Cerebral Ischemia due to Peripheral Vasospasm of the Middle Cerebral Artery.2016

    • Author(s)
      Sadahiro H, Shirao S, Yoneda H, Ishihara H, Oku T, Inamura A, Yamane A, Sugimoto K, Fujiyama Y, Suzuki M.
    • Journal Title

      J Stroke Cerebrovasc Dis.

      Volume: 25 Issue: 10 Pages: 2352-2359

    • DOI

      10.1016/j.jstrokecerebrovasdis.2016.05.032

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Continuous Monitoring of Spreading Depolarization and Cerebrovascular Autoregulation after Aneurysmal Subarachnoid Hemorrhage2016

    • Author(s)
      Kazutaka Sugimoto, Satoshi Shirao, Hiroyasu Koizumi, Takao Inoue, Fumiaki Oka, Yuichi Maruta, Eiichi Suehiro, Hirokazu Sadahiro, Takayuki Oku, Hiroshi Yoneda, Hideyuki Ishihara, Sadahiro Nomura, Michiyasu Suzuki
    • Journal Title

      Journal of Stroke and Cerebrovascular Diseases

      Volume: 25 Issue: 10 Pages: 171-177

    • DOI

      10.1016/j.jstrokecerebrovasdis.2016.07.007

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Hub and Spokeモデルによる急性期再開通療法2018

    • Author(s)
      石原秀行、岡史朗、岡崎光希、西本拓真、貞廣浩和、末廣栄一、田中信宏、森尚昌、土師康平、鈴木倫保
    • Organizer
      第34回日本脳神経血管内治療学術総会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Hub and Spokeモデルによる急性期再開通療法2018

    • Author(s)
      石原秀行、岡史朗、岡崎光希、西本拓真、貞廣浩和、末廣栄一、田中信宏、森尚昌、土師康平、鈴木倫保
    • Organizer
      第75回日本脳神経外科学会学術総会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Telestrokeによる脳卒中診療体制の運用2018

    • Author(s)
      石原秀行、岡史朗、五島久陽、篠山瑞也、貞廣浩和、末廣栄一、田中信宏、森尚昌、岡崎光希、西本拓真、土師康平、鈴木倫保
    • Organizer
      Stroke2018
    • Related Report
      2018 Annual Research Report
  • [Presentation] Impact of Frailty on mid-term Outcome in Asymptomatic Patients after Carotid Artery Stenting2017

    • Author(s)
      Hideyuki Ishihara, Fumiaki Oka, Takayuki Oku, Hisaharu Goto, Takuma Nishimoto, Kouki Okazaki, Kouhei Haji, Miwa Kiyohira, Hirokazu Sadahiro, Reo Kawano, Michiyasu Suzuki
    • Organizer
      The 8th Korea-Japan Joint Stroke Conference
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Drip ship アプローチの有効性と課題について2016

    • Author(s)
      石原秀行、岡史朗、奥高行、篠山瑞也、吉野弘子、山根亜希子、杉本至健、岡崎光希、西本拓真、森尚昌、鈴木倫保
    • Organizer
      第32回日本脳神経血管内治療学術総会
    • Place of Presentation
      兵庫県神戸市(神戸国際会議場)
    • Year and Date
      2016-11-26
    • Related Report
      2016 Research-status Report
  • [Presentation] Telestrokeによる脳卒中診療体制の運用 Drip ship approach-2016

    • Author(s)
      石原秀行、岡史朗、篠山瑞也、奥高行、末廣栄一、田中信宏、杉本至健、五島久陽、山根亜希子、清平美和、森尚昌、岡崎光希、西本拓真、鈴木倫保
    • Organizer
      第75回日本脳神経外科学会学術総会
    • Place of Presentation
      福岡県福岡市(マリンメッセ福岡)
    • Year and Date
      2016-09-30
    • Related Report
      2016 Research-status Report
  • [Presentation] Safety and Time Course of Drip-and-ship2015

    • Author(s)
      Hideyuki Ishihara
    • Organizer
      Annual Meeting of the Society of Korean Endovascular Neurosurgeons 2015
    • Place of Presentation
      Seoul (Korea)
    • Year and Date
      2015-12-05
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Book] Annual Review神経20182018

    • Author(s)
      石原秀行、鈴木倫保
    • Total Pages
      332
    • Publisher
      中外医学社
    • Related Report
      2018 Annual Research Report

URL: 

Published: 2015-04-16   Modified: 2020-03-30  

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