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Hemodynamic and histological effects of catheter ablation to renal artery

Research Project

Project/Area Number 24591036
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Circulatory organs internal 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) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,330,000 (Direct Cost: ¥4,100,000、Indirect Cost: ¥1,230,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2013: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2012: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords高血圧 / 自律神経 / カテーテルアブレーション / 腎動脈
Outline of Final Research Achievements

To study the role of the renal autonomic nerves and of radiofrequency (RF) ablation of the renal artery in the regulation of blood pressure (BP), we performed an experimental study. The main findings obtained from the project were as follows. (1) Before ablation, electrical nerve stimulation (ENS) of either renal artery increased BP and heart rate. ENS also augmented LF/HF and serum adrenaline. (2) After ablation, ENS-induced augmentation of BP, LF/HF and serum adrenaline were markedly attenuated. (3) Although angiographic damage was not observed, RF ablation at 20W created mild injuries in the renal artery and in the terminal nerves distributed in the renal artery. Structural damage was not apparent in the autonomic nerve running on the renal artery surface. In conclusion, ENS in the renal artery increases BP via an increase in central sympathetic nervous activity. This response could be used to determine the target ablation site and endpoint of renal artery RF ablation.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (13 results)

All 2014 2013 2012

All Journal Article (2 results) (of which Peer Reviewed: 1 results) Presentation (9 results) (of which Invited: 1 results) Book (2 results)

  • [Journal Article] 腎デナベーション2014

    • Author(s)
      斎藤修・池主雅臣
    • Journal Title

      循環器内科

      Volume: 74 Pages: 40-43

    • Related Report
      2014 Annual Research Report
  • [Journal Article] Blood pressure and autonomic responses to electrical stimulation of the renal atrerial nerves before and after ablation of the renal artery2013

    • Author(s)
      Chinushi M, Izumi D, Iijima K, Suzuki K, Furushima H, Saitoh O, Furuta Y, Aizawa Y, Iwafuchi M
    • Journal Title

      Hypertension

      Volume: 61 Issue: 2 Pages: 450-456

    • DOI

      10.1161/hypertensionaha.111.00095

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] Arrhythmias in various disease: lesson from animal model2014

    • Author(s)
      Chinushi M, Furushima H
    • Organizer
      Japanese Heart Rhythm Socity
    • Place of Presentation
      東京
    • Year and Date
      2014-07-24
    • Related Report
      2014 Annual Research Report
  • [Presentation] 高周波カテーテルアブレーションを用いた腎自律神経の機能構造学的修飾2014

    • Author(s)
      池主雅臣
    • Organizer
      福岡山口臨床不整脈
    • Place of Presentation
      小倉
    • Year and Date
      2014-04-25
    • Related Report
      2014 Annual Research Report
  • [Presentation] 高周波カテーテルアブレーションによる腎自律神経系の修飾2014

    • Author(s)
      池主雅臣
    • Organizer
      両毛不整脈
    • Place of Presentation
      宇都宮
    • Year and Date
      2014-04-19
    • Related Report
      2014 Annual Research Report
  • [Presentation] Catheter-based Renal Autonomic Nerve Ablation: Implication of Discrepant Results between Electrical Nerve Stimulation (ENS) Induced Hemodynamic Response and Histological Examinations.2014

    • Author(s)
      Chinushi M, Izumi D, Iijima K, Suzuki K, Saito O, Furushima H, Satoh A, Tanaka Y, Iwafuchi M
    • Organizer
      The 78th Annual scientific Meeting of the Japanese Circulation Society
    • Place of Presentation
      Tokyo
    • Related Report
      2013 Research-status Report
  • [Presentation] 神経電気刺激と高周波通電による腎動脈自律神経興奮への介入2013

    • Author(s)
      池主雅臣、鈴木克弥、斉藤修、飯嶋賢一、和泉大輔、佐藤光希、古嶋博司、南野徹、岩渕三哉
    • Organizer
      第30回日本心電学会学術集会
    • Place of Presentation
      青森
    • Related Report
      2013 Research-status Report
  • [Presentation] 高周波カテーテルアブレーションによる腎自律神経の機能組織学的修飾2013

    • Author(s)
      池主雅臣
    • Organizer
      日本不整脈学会カテーテルアブレーション関連秋季大会2013
    • Place of Presentation
      横浜
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Site-specific Differences in the Renal Nerve Stimulation-induced Blood Pressure Response and Histological Effects of Radiofrequency Renal Artery Ablation2013

    • Author(s)
      Chinushi M, Izumi D, Iijima K, Suzuki K, Saito O, Honma, Satoh A, Furushima H, Iwafuchi M.
    • Organizer
      日本循環会学会
    • Place of Presentation
      横浜
    • Related Report
      2012 Research-status Report
  • [Presentation] J 波出現様式に対する自律神経興奮と心室再分極の関与:ホルター心電図を用いた検討2013

    • Author(s)
      齋藤修, 池主雅臣, 鈴木克弥, 大塚英明, 樋口浩太郎, 阿部暁, 杉浦広隆
    • Organizer
      日本循環会学会
    • Place of Presentation
      横浜
    • Related Report
      2012 Research-status Report
  • [Presentation] Hemodynamic Responses and Histological Effects of Radiofrequency Catheter Ablation to Renal Artery Sympathetic Nerve2012

    • Author(s)
      Chinushi M, Izumi D, Iijima K, Suzuki K, Furushima H, Aizawa Y, Iwafuchi M.
    • Organizer
      American Heart Association
    • Place of Presentation
      ロサンゼルス (アメリカ)
    • Related Report
      2012 Research-status Report
  • [Book] 高血圧に対する腎動脈交感神経アブレーション2014

    • Author(s)
      斎藤修・池主雅臣
    • Total Pages
      8
    • Publisher
      医薬ジャーナル
    • Related Report
      2014 Annual Research Report
  • [Book] 高血圧に対する腎動脈交感神経アブレーション2014

    • Author(s)
      斉藤修・池主雅臣
    • Total Pages
      20
    • Publisher
      医薬ジャーナル社
    • Related Report
      2013 Research-status Report

URL: 

Published: 2013-05-31   Modified: 2019-07-29  

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