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The Elucidation of Thrombus Formation and the Application to Novel Monitoring in Cardiopulmonary Bypass Surgery

Research Project

Project/Area Number 24890200
Research Category

Grant-in-Aid for Research Activity Start-up

Allocation TypeSingle-year Grants
Research Field Anesthesiology/Resuscitation studies
Research InstitutionKyoto Prefectural University of Medicine

Principal Investigator

OGAWA SATORU  京都府立医科大学, 医学部附属病院, 助教 (50636131)

Project Period (FY) 2012-08-31 – 2014-03-31
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2012: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords血栓 / 止血 / 人工心肺 / フローチャンバー / 血流 / 血小板 / 抗凝固薬 / 人工心肺手術
Research Abstract

After cardiopulmonary bypass (CPB) surgery, platelet concentration is the mainstay approach for hemostasis. The cut-off value and its monitoring, however, are not established in clinical practice. This study is conducted to investigate the interaction between platelet number and platelet function in the blood flow. In result, CPB caused the depletion in platelet count after hemodilution and inhibition of platelet function. We also observed the anticonagulants affect platelet thrombus formation by low thrombin generation on thrombus surface in flow condition. In conclusion, blood flow should be included on the development of novel monitoring apparatus for the perioperative bleeding.

Report

(3 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Annual Research Report
  • Research Products

    (25 results)

All 2014 2013 2012 Other

All Journal Article (11 results) (of which Peer Reviewed: 6 results) Presentation (14 results) (of which Invited: 7 results)

  • [Journal Article] Transfusion and hematologic variables after fibrinogen or platelet transfusion in valve replacement surgery : preliminary data of purified lyophilized human fibrinogen concentrate versus conventional transfusion2014

    • Author(s)
      Kenichi A Tanaka, Katherine Egan, Fania Szlam, Satoru Ogawa, John D Roback, Gautam Sreeram, Robert A Guyton, Edward P Chen
    • Journal Title

      Transfusion

      Volume: 54 Issue: 1 Pages: 109-18

    • DOI

      10.1111/trf.12248

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Haemodilution-induced Changes in Coagulation and Effects of Haemostatic Components under Flow Conditions2013

    • Author(s)
      Satoru Ogawa, Tomoko Ohnishi, Kazuya Hosokawa, Fania Szlam, Edward P. Chen, Kenichi A. Tanaka
    • Journal Title

      British Journal of Anaesthesia

      Volume: 111 Issue: 6 Pages: 1013-23

    • DOI

      10.1093/bja/aet229

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Influences of hemodilution and anticoagulation on anti-platelet P_2Y_<12 > therapy–In vitro whole blood perfusion model2013

    • Author(s)
      Satoru Ogawa, Michael A. Mazzeffi, Fania Szlam, Jerrold H. Levy, Kazuya Hosokawa, Kenichi A. Tanaka
    • Journal Title

      JCTVA

      Volume: 27 Issue: 6 Pages: e69-e71

    • DOI

      10.1053/j.jvca.2013.06.010

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 3-factor Prothrombin Complex Concentrate and Hemostasis after High-risk Cardiovascular Surgery2013

    • Author(s)
      Kenichi A. Tanaka, Michael A. Mazzeffi Matthias Grube, Satoru Ogawa, Edward P. Chen
    • Journal Title

      Transfusion

      Volume: 53 Issue: 4 Pages: 920-1

    • DOI

      10.1111/trf.12110

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 人工心肺手術におけるヘパリン抗凝固と、そのモニタリング-ACTを活用する-2013

    • Author(s)
      小川覚、中嶋康文、平崎裕二、溝部俊樹
    • Journal Title

      The Journal of the Japanese Society of Cardiovascular Anesthesiologists

      Volume: 17 Pages: 43-50

    • Related Report
      2013 Final Research Report
  • [Journal Article] <質疑応答>洗浄赤血球-LR「日赤」について2013

    • Author(s)
      小川覚、中嶋康文、溝部俊樹
    • Journal Title

      臨床麻酔

      Volume: 37 Pages: 1792-4

    • Related Report
      2013 Final Research Report
  • [Journal Article] 周術期における血栓塞栓症と抗血小板・抗凝固療法−新規抗血栓薬と今後のブリッジング療法−2013

    • Author(s)
      中嶋康文、小川覚、溝部俊樹
    • Journal Title

      LiSA

      Volume: 20 Pages: 240-6

    • Related Report
      2013 Final Research Report
  • [Journal Article] 人工心肺手術におけるヘパリン抗凝固と、そのモニタリング -ACTを活用する-2013

    • Author(s)
      小川覚、中嶋康文、平崎裕二、溝部俊樹.
    • Journal Title

      The Journal of the Japanese Society of Cardiovascular Anesthesiologists

      Volume: 17 Pages: 43-50

    • Related Report
      2013 Annual Research Report
  • [Journal Article] 周術期における血栓塞栓症と抗血小板・抗凝固療法-新規抗血栓薬と今後のブリッジング療法-.2013

    • Author(s)
      中嶋康文
    • Journal Title

      LiSA

      Volume: 20 Pages: 240-246

    • Related Report
      2012 Annual Research Report
  • [Journal Article] Evaluation of a Novel Flow Chamber System to Assess Clot Formation in Factor VIII-deficient Mice and Anti-factor IX Treated Human Blood2012

    • Author(s)
      Satoru Ogawa
    • Journal Title

      Haemophilia

      Volume: 18 Issue: 6 Pages: 926-932

    • DOI

      10.1111/j.1365-2516.2012.02867.x

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 周術期出血と希釈性凝固障害ー止血治療を考えるための’3つの軸’ー2012

    • Author(s)
      小川覚
    • Journal Title

      臨床麻酔

      Volume: 36 Pages: 1773-1781

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Presentation] 危機的出血への対応シンポジウム:抗血栓療法を受ける患者の緊急手術における止血管理—本邦での対応—2014

    • Author(s)
      小川覚
    • Organizer
      第36回日本血栓止血学会総会
    • Place of Presentation
      大阪
    • Year and Date
      2014-05-29
    • Related Report
      2013 Final Research Report
  • [Presentation] 手術室内での危機管理—突然の危機に際しても麻酔科医がコマンダーとなって冷静に対応する:術中の突然の大量出血2014

    • Author(s)
      小川覚
    • Organizer
      第61回日本麻酔科学会総会
    • Place of Presentation
      横浜
    • Year and Date
      2014-05-16
    • Related Report
      2013 Final Research Report
  • [Presentation] 広報委員会:麻酔科に必要な技術、技能と臨床診療における諸問題:最後の砦2014

    • Author(s)
      小川覚
    • Organizer
      第61回日本麻酔科学会総会
    • Place of Presentation
      横浜
    • Year and Date
      2014-05-16
    • Related Report
      2013 Final Research Report
  • [Presentation] 大量出血症例における急性凝固障害に対する最適輸血量法を考える:心臓血管外科領域での大量出血への対応2014

    • Author(s)
      小川覚
    • Organizer
      第62回日本輸血細胞治療学会総会
    • Place of Presentation
      奈良
    • Year and Date
      2014-05-15
    • Related Report
      2013 Final Research Report
  • [Presentation] 周術期の出血と、フィブリノゲン—もう迷わない、止血へのアプローチ—2014

    • Author(s)
      小川覚
    • Organizer
      第61回日本麻酔科学会総会
    • Place of Presentation
      横浜
    • Year and Date
      2014-05-15
    • Related Report
      2013 Final Research Report
  • [Presentation] Evaluation of the Dry-Hematology System (DRIHEMATO^®) to Assess Whole Blood Fibrinogen Levels During Cardiopulmonary Bypass Surgery2014

    • Author(s)
      Satoru Ogawa, K.A.Tanaka, Ysufumi Nakajima, Yoshinobu Nakayama, Jun Takeshita, Masatoshi Arai, Toshiki Mizobe
    • Organizer
      Society of Cardiovascular Anesthesiologists(口演)Annual Meeting
    • Place of Presentation
      New Orleans
    • Year and Date
      2014-04-01
    • Related Report
      2013 Final Research Report
  • [Presentation] 血液凝固異常と区域麻酔〜新規抗血栓薬を考える〜2013

    • Author(s)
      小川覚
    • Organizer
      第3回術後疼痛懇話会
    • Place of Presentation
      京都
    • Year and Date
      2013-07-19
    • Related Report
      2013 Final Research Report
  • [Presentation] 危機的出血への対応シンポジウム:抗血栓療法を受ける患者の緊急手術における止血管理―本邦での対応―

    • Author(s)
      小川覚
    • Organizer
      第36回日本血栓止血学会総会
    • Place of Presentation
      大阪
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 大量出血症例における急性凝固障害に対する最適輸血量法を考える:心臓血管外科領域での大量出血への対応

    • Author(s)
      小川覚
    • Organizer
      第62回日本輸血細胞治療学会総会
    • Place of Presentation
      奈良
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 周術期の出血と、フィブリノゲン―もう迷わない、止血へのアプローチ―

    • Author(s)
      小川覚
    • Organizer
      第61回日本麻酔科学会総会
    • Place of Presentation
      横浜
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 手術室内での危機管理―突然の危機に際しても麻酔科医がコマンダーとなって冷静に対応する:術中の突然の大量出血

    • Author(s)
      小川覚
    • Organizer
      第61回日本麻酔科学会総会
    • Place of Presentation
      横浜
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 麻酔科に必要な技術、技能と臨床診療における諸問題:最後の砦

    • Author(s)
      小川覚
    • Organizer
      第61回日本麻酔科学会総会
    • Place of Presentation
      横浜
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 周術期出血における血液希釈と凝固障害

    • Author(s)
      小川覚
    • Organizer
      第17回 京滋凝固研究会、
    • Place of Presentation
      京都
    • Related Report
      2012 Annual Research Report
    • Invited
  • [Presentation] ヘパリン完全マスター/ヘパリン抗凝固と、そのモニタリングー“みえる”ものと、“みえていない”ものー

    • Author(s)
      小川覚
    • Organizer
      第17回日本心臓血管麻酔学会学術総会
    • Place of Presentation
      仙台
    • Related Report
      2012 Annual Research Report
    • Invited

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Published: 2012-11-27   Modified: 2019-07-29  

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