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Elucidation of appropriate patients for percutaneous transluminal renal angioplasty treatment

Research Project

Project/Area Number 17K09743
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Kidney internal medicine
Research InstitutionKansai Medical University (2022)
Dokkyo Medical University (2019-2021)
National Cardiovascular Center Research Institute (2017-2018)

Principal Investigator

IWASHIMA Yoshio  関西医科大学, 医学部, 准教授 (80448068)

Project Period (FY) 2017-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2019: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2018: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2017: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords腎血管性高血圧 / 腎動脈狭窄 / 経皮的腎動脈形成術 / 線維筋性異形成 / 高血圧 / 高血圧性臓器障害 / 腎動脈狭窄症 / 自律神経 / 二次性高血圧症 / 原発性アルドステロン症 / 二次性高血圧 / 内科 / 循環器・高血圧
Outline of Final Research Achievements

Renovascular hypertension is one of the most common causes of secondary hypertension. We investigated the pathogenetic change after percutaneous transluminal renal angioplasty (PTA), and identify factors that may predict which patients are most likely to benefit from PTA. Our investigations found that (1) PTA treatment produced a greater decrease of morning home systolic blood pressure (BP) in fibromuscular dysplasia (FMD), and improved BP variability irrespective of BP response. Measurement of home BP seems to be important for treatment success, especially in atherosclerotic renal artery stenosis. (2) PTA can be expected to have a regressive effect on cardiac hypertrophy, (3) preoperative renal function is associated with outcome, and could be a predictor of postoperative renal function, (4) intrarenal perfusion might be a key modulator of the circadian patterns of BP, autonomic nerve activity, and natriuresis, and (5) the characterization of distinct profiles of FMD patients.

Academic Significance and Societal Importance of the Research Achievements

腎血管性高血圧は腎動脈の狭窄や閉塞を原因とする高血圧で、降圧薬が効きにくい治療抵抗性高血圧の原因疾患の一つである。経皮的腎動脈形成術(PTA)はその治療法の一つであり、血圧コントロールの改善をもたらすことも多く、効果的と考えられる。しかしながら、そのエビデンスは十分ではなく、血行改善に伴う病態の変化にも不明な部分が多い。とくに、同治療法が望まれる具体的な患者像に関するエビデンスが少ないことから、本研究では、PTAに伴う病態の変化や、治療効果を予測するための有用な指標を検討した。得られた知見は、腎臓内の虚血がもたらす病態の知見を深めただけでなく、治療選択のための重要な成果となると考えられる。

Report

(7 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (41 results)

All 2023 2022 2021 2020 2019 2018 2017 Other

All Int'l Joint Research (5 results) Journal Article (19 results) (of which Int'l Joint Research: 6 results,  Peer Reviewed: 19 results,  Open Access: 9 results) Presentation (13 results) (of which Int'l Joint Research: 4 results,  Invited: 5 results) Book (4 results)

  • [Int'l Joint Research] Cliniques Universitaires Saint Luc(ベルギー)

    • Related Report
      2022 Annual Research Report
  • [Int'l Joint Research] Cliniques Universitaires Saint Luc(ベルギー)

    • Related Report
      2021 Research-status Report
  • [Int'l Joint Research] Cliniques Universitaires Saint Luc(ベルギー)

    • Related Report
      2020 Research-status Report
  • [Int'l Joint Research] Cliniques Universitaires Saint Luc(ベルギー)

    • Related Report
      2019 Research-status Report
  • [Int'l Joint Research] Cliniques Universitaires Saint Luc(ベルギー)

    • Related Report
      2018 Research-status Report
  • [Journal Article] Efficacy and safety of sacubitril/valsartan after switching from azilsartan in hemodialysis patients with hypertension2023

    • Author(s)
      Iwashima Yoshio、Fukushima Hiromichi、Horio Takeshi、Rai Tatemitsu、Ishimitsu Toshihiko
    • Journal Title

      The Journal of Clinical Hypertension

      Volume: 25 Issue: 3 Pages: 304-308

    • DOI

      10.1111/jch.14635

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Impact of Percutaneous Transluminal Renal Angioplasty on Autonomic Nervous System and Natriuresis in Hypertensive Patients With Renal Artery Stenosis2022

    • Author(s)
      Iwashima Y、Hayashi S他
    • Journal Title

      Journal of the American Heart Association

      Volume: 11 Issue: 6

    • DOI

      10.1161/jaha.121.023655

    • Related Report
      2022 Annual Research Report 2021 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Blood pressure, arterial waveform, and arterial stiffness during hemodialysis and their clinical implications in intradialytic hypotension2022

    • Author(s)
      Iwashima Yoshio、Fukushima Hiromichi、Horio Takeshi、Rai Tatemitsu、Ishimitsu Toshihiko
    • Journal Title

      Hypertension Research

      Volume: 46 Issue: 3 Pages: 697-707

    • DOI

      10.1038/s41440-022-01126-5

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Kinetics of atrial and brain natriuretic peptides during hemodialysis are regulated in association with different cardiac functional changes2022

    • Author(s)
      Horio Takeshi、Ito Shogo、Fujimoto Kohei、Izumiya Yasuhiro、Yoshiyama Minoru、Iwashima Yoshio、Nakamura Satoko、Yoshihara Fumiki
    • Journal Title

      Heart and Vessels

      Volume: 37 Issue: 7 Pages: 1146-1152

    • DOI

      10.1007/s00380-021-02011-w

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Renoprotective effect of chronic treatment with sodium-glucose cotransporter 2 inhibitors and its associated factors in Japanese patients with chronic heart failure and diabetes2022

    • Author(s)
      Yokouchi Go、Horio Takeshi、Matsumoto Naoki、Fukuda Kohei、Yoshimura Ryutaro、Fujiwara Ryosuke、Matsuoka Yujiro、Sakamoto Yuya、Iwashima Yoshio、Oshiro Yoshiyuki、Fujimoto Kohei、Kasayuki Noriaki
    • Journal Title

      IJC Heart & Vasculature

      Volume: 43 Pages: 101152-101152

    • DOI

      10.1016/j.ijcha.2022.101152

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Associations Between Arterial Stiffness Indices and Chronic Kidney Disease Categories in Essential Hypertensive Patients2020

    • Author(s)
      Kusunoki H、Hayashi S他
    • Journal Title

      American Journal of Hypertension

      Volume: 34 Issue: 5 Pages: 484-493

    • DOI

      10.1093/ajh/hpaa163

    • Related Report
      2021 Research-status Report 2020 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] How should we define appropriate patients for percutaneous transluminal renal angioplasty treatment?2020

    • Author(s)
      Iwashima Yoshio、Ishimitsu Toshihiko
    • Journal Title

      Hypertension Research

      Volume: 43 Issue: 10 Pages: 1015-1027

    • DOI

      10.1038/s41440-020-0496-z

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] The European/International Fibromuscular Dysplasia Registry and Initiative (FEIRI)-clinical phenotypes and their predictors based on a cohort of 1000 patients2020

    • Author(s)
      Pappaccogli Marco、Di Monaco Silvia、Warchol-Celinska Ewa、Lorthioir Aurelien、Amar Laurence、Aparicio Lucas S、Beauloye Christophe、Bruno Rosa Maria、Chenu Patrick、de Leeuw Peter、De Backer Tine、Delmotte Philippe、Dika Zivka、Gordin Daniel、Heuten Hilde、Iwashima Yoshio、etc
    • Journal Title

      Cardiovascular Research

      Volume: 117 Issue: 3 Pages: 950-959

    • DOI

      10.1093/cvr/cvaa102

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Impact of Percutaneous Revascularization on Left Ventricular Mass and Its Relationship to Outcome in Hypertensive Patients With Renal Artery Stenosis2020

    • Author(s)
      Iwashima Yoshio、Fukuda Tetsuya、Horio Takeshi、Kusunoki Hiroshi、Hayashi Shin-ichiro、Kamide Kei、Kawano Yuhei、Ishimitsu Toshihiko、Yoshihara Fumiki
    • Journal Title

      American Journal of Hypertension

      Volume: 33 Issue: 6 Pages: 570-580

    • DOI

      10.1093/ajh/hpaa036

    • Related Report
      2020 Research-status Report 2019 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Association Between Circadian Hemodynamic Characteristics and Target Organ Damage in Patients With Essential Hypertension2019

    • Author(s)
      Kusunoki Hiroshi、Iwashima Yoshio、Kawano Yuhei、Hayashi Shin-ichiro、Kishida Masatsugu、Horio Takeshi、Shinmura Ken、Yoshihara Fumiki
    • Journal Title

      American Journal of Hypertension

      Volume: 32 Issue: 8 Pages: 742-751

    • DOI

      10.1093/ajh/hpz088

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2019)2019

    • Author(s)
      Umemura Satoshi、Arima Hisatomi、Arima Shuji、et al. (45名中13番目)
    • Journal Title

      Hypertension Research

      Volume: 42 Issue: 9 Pages: 1235-1481

    • DOI

      10.1038/s41440-019-0284-9

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Genetic factors associated with elevation of uric acid after treatment with thiazide-like diuretic in patients with essential hypertension2019

    • Author(s)
      Ohta Yuko、Kamide Kei、Hanada Hironori、et al. (37人中31番目)
    • Journal Title

      Hypertension Research

      Volume: 43 Issue: 3 Pages: 220

    • DOI

      10.1038/s41440-019-0356-x

    • URL

      https://pure.teikyo.jp/en/publications/f08acef5-966e-482f-b858-d2bbf63b3339

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Gene and environmental interactions according to the components of lifestyle modifications in hypertension guidelines.2019

    • Author(s)
      Kokubo Y、 Padmanabhan S、 Iwashima Y、 Yamagishi K、 Goto A.
    • Journal Title

      Environ Health Prev Med.

      Volume: 24 Issue: 1 Pages: 19-29

    • DOI

      10.1186/s12199-019-0771-2

    • NAID

      120007128165

    • Related Report
      2019 Research-status Report 2018 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Circadian hemodynamic characteristics in hypertensive patients with primary aldosteronism2018

    • Author(s)
      Kusunoki Hiroshi、Iwashima Yoshio、Kawano Yuhei、Hayashi Shin-ichiro、Kishida Masatsugu、Horio Takeshi、Shinmura Ken、Yoshihara Fumiki
    • Journal Title

      Journal of Hypertension

      Volume: 36 Issue: 11 Pages: 2260

    • DOI

      10.1097/hjh.0000000000001800

    • URL

      https://pure.teikyo.jp/en/publications/2b0f77e4-a4c9-41b0-bf80-c035bab8b0d3

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Association between renal function and outcomes after percutaneous transluminal renal angioplasty in hypertensive patients with renal artery stenosis2018

    • Author(s)
      Iwashima Yoshio、Fukuda Tetsuya、Horio Takeshi、Hayashi Shin-ichiro、Kusunoki Hiroshi、Kishida Masatsugu、Nakamura Satoko、Kamide Kei、Kawano Yuhei、Yoshihara Fumiki
    • Journal Title

      Journal of Hypertension

      Volume: 36 Issue: 1 Pages: 126

    • DOI

      10.1097/hjh.0000000000001499

    • URL

      https://localhost/en/publications/c5eeff6e-bccd-465d-8fcc-4af2829f49ad

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Factors Associated with Outcomes of Percutaneous Transluminal Renal Angioplasty in Patients with Renal Artery Stenosis: class FormattedString { value: A Retrospective Analysis of 50 Consecutive Cases }2018

    • Author(s)
      Matayoshi Tetsutaro、Kamide Kei、Tanaka Ryoichi、Fukuda Tetsuya、Horio Takeshi、Iwashima Yoshio、Yoshihara Fumiki、Nakamura Satoko、Nakahama Hajime、Ohya Yusuke、Kawano Yuhei
    • Journal Title

      International Journal of Hypertension

      Volume: 2018 Pages: 1-8

    • DOI

      10.1155/2018/1952685

    • URL

      https://localhost/en/publications/7e96cf86-6070-4afe-92d1-91ef526171ef

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effects of Percutaneous Transluminal Renal Angioplasty on Office and Home Blood Pressure and Home Blood Pressure Variability in Hypertensive Patients with Renal Artery Stenosis2017

    • Author(s)
      Iwashima Y, Hayashi S 他
    • Journal Title

      HYPERTENSION

      Volume: 69 Issue: 1 Pages: 109

    • DOI

      10.1161/hypertensionaha.116.08124

    • URL

      https://pure.teikyo.jp/en/publications/36770e00-3802-41e9-958d-5f977f0c62f3

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Preventive effect of renin-angiotensin system inhibitors on new-onset atrial fibrillation in hypertensive patients: A propensity score matching analysis2017

    • Author(s)
      Horio T、Akiyama M、Iwashima Y、Yoshihara F、Nakamura S、Tokudome T、Okutsu M、Tanaka H、Komatsubara I、Okimoto N、Kamakura S、Kawano Y
    • Journal Title

      Journal of Human Hypertension

      Volume: 31 Issue: 7 Pages: 450

    • DOI

      10.1038/jhh.2016.95

    • URL

      https://pure.teikyo.jp/en/publications/2d20a670-5314-4b83-ba43-86ed61e8071f

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effective uric acid-lowering treatment for hypertensive patients with hyperuricemia2017

    • Author(s)
      Ohta Yuko、Ishizuka Azusa、Arima Hisatomi、Hayashi Shinichiro、Iwashima Yoshio、Kishida Masatsugu、Yoshihara Fumiki、Nakamura Satoko、Kawano Yuhei
    • Journal Title

      Hypertension Research

      Volume: 40 Issue: 3 Pages: 259

    • DOI

      10.1038/hr.2016.139

    • URL

      https://pure.teikyo.jp/en/publications/7ff0fac9-e3e7-4341-925e-5297708cc42d

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 血行動態評価から考える腎機能障害合併高血圧の特徴2021

    • Author(s)
      岩嶋義雄
    • Organizer
      第43回日本高血圧学会総会
    • Related Report
      2021 Research-status Report
  • [Presentation] 腎動脈超音波検査でわかった腎内血行動態の重要性~高血圧の診療・治療を含めて~2021

    • Author(s)
      岩嶋義雄
    • Organizer
      第29回栃木県超音波研究会
    • Related Report
      2021 Research-status Report
  • [Presentation] シンポジウム「腎血行動態評価の重要性」2019

    • Author(s)
      岩嶋 義雄
    • Organizer
      第42回日本高血圧学会総会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] シンポジウム「二次性高血圧における血圧変動性の評価と意義」2019

    • Author(s)
      岩嶋 義雄
    • Organizer
      第42回日本高血圧学会総会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] Hemodynamic Characteristics in Essential Hypertensive Patients with Target Organ Damage2019

    • Author(s)
      岩嶋 義雄
    • Organizer
      第83回日本循環器学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] シンポジウム「腎血管性高血圧への経皮的腎血管形成術 (PTRA)の適応と効果について」2018

    • Author(s)
      岩嶋 義雄
    • Organizer
      第41回日本高血圧学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] Circadian hemodynamic characteristics in patients with primary aldosteronism.2018

    • Author(s)
      Yoshio Iwashima
    • Organizer
      28th European Meeting on Hypertension and Cardiovascular Protection
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Hemodynamic Characteristics in Essential Hypertensive Patients with Target Organ Damage.2018

    • Author(s)
      Yoshio Iwashima
    • Organizer
      American Heart Association, Scientific Sessions 2018
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Percutaneous Transluminal Renal Angioplasty for Fibromuscular Dysplasia.2018

    • Author(s)
      Yoshio Iwashima
    • Organizer
      Revisiting Fibromuscular Dysplasia & Related Vascular Diseases
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Impact of Renal Function on Outcomes After Percutaneous Transluminal Renal Angioplasty in Hypertensive Patients With Renal Artery Stenosis.2017

    • Author(s)
      Yoshio Iwashima
    • Organizer
      AHA Council on Hypertension American Society of Hypertension Joint Scientific Sessions 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] シンポジウム「腎動脈狭窄」2017

    • Author(s)
      岩嶋 義雄
    • Organizer
      第6回 臨床高血圧フォーラム
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 動脈硬化性の腎血管性高血圧患者における腎機能と経皮的腎血管形成術(PTRA)後の心血管・腎予後との関連2017

    • Author(s)
      岩嶋 義雄
    • Organizer
      第40回日本高血圧学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] シンポジウム「腎血管性高血圧への経皮的腎血管形成術 (PTRA): 血管拡張術は有用か?」2017

    • Author(s)
      岩嶋 義雄
    • Organizer
      第40回日本高血圧学会総会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Book] お薬立ちBOOK 20222022

    • Author(s)
      岩嶋義雄
    • Total Pages
      1047
    • Publisher
      南山堂
    • ISBN
      9784009107304
    • Related Report
      2021 Research-status Report
  • [Book] 内分泌画像検査・診断マニュアル 改訂第2版2020

    • Author(s)
      平田 結喜緒、成瀬 光栄、桑鶴 良平、田辺 晶代、山田 正三、岩嶋 義雄、他66名
    • Total Pages
      264
    • Publisher
      診断と治療社
    • ISBN
      9784787824493
    • Related Report
      2020 Research-status Report
  • [Book] 日本臨床増刊号 高血圧学(下)2020

    • Author(s)
      岩嶋 義雄
    • Total Pages
      535
    • Publisher
      日本臨床社
    • Related Report
      2020 Research-status Report
  • [Book] 高血圧診療ステップアップ2019

    • Author(s)
      日本高血圧学会 (編集)
    • Total Pages
      306
    • Publisher
      診断と治療社
    • Related Report
      2019 Research-status Report

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Published: 2017-04-28   Modified: 2024-01-30  

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