| Budget Amount *help |
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2015: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
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| Outline of Final Research Achievements |
The present study retrospectively investigated the effect of interventional radiology (IVR) therapy for portal hypertension, partial splenic embolization (PSE): n=94, on local and systemic hemodynamics in patients with cirrhosis. While PSE significantly decreased cardiac output, there were no significant changes following PSE in serum levels of renin, aldosterone, and brain natriuretic peptide. The procedure resulted in increased hepatic arterial flow in compensation for decreased portal venous flow, and both wedged hepatic venous pressure and hepatic venous pressure gradient were significantly declined after PSE. Histopathological study of liver tissue showed no dramatic differences between pre-PSE and post-PSE. In conclusion, PSE has a significant effect on local and systemic hemodynamics in cirrhotic patients. We would like to do further analyses and investigations for synergistic effects of IVR therapy for portal hypertension and autologous bone marrow cell infusion (ABMi) therapy.
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