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Laser application and its management in the patients with severe coronary heart disease

Research Project

Project/Area Number 61440061
Research Category

Grant-in-Aid for General Scientific Research (A)

Allocation TypeSingle-year Grants
Research Field Thoracic surgery
Research InstitutionKobe University School of Medicine, Department of Surgery Division II

Principal Investigator

OKADA Masayoshi  Kobe University School of Medicine,Associate Proffessor, 医学部, 助教授 (70030856)

Co-Investigator(Kenkyū-buntansha) HISANO Katsuya  Kobe University School of Medicine,Reseach Associate, 医学部附属病院, 助手 (30135800)
SASADA Akinori  Kobe University School of Medicine,Assistant proffessor, 医学部附属病院, 講師 (20178677)
KOZAWA Shuichi  Kobe University School of Medicine,Associate Proffessor, 医学部附属病院, 助教授 (60116209)
NAKAMURA Kazuo  Kobe University School of Medicine,Proffessor, 医学図, 教授 (50030820)
Project Period (FY) 1986 – 1988
Project Status Completed (Fiscal Year 1988)
Budget Amount *help
¥20,000,000 (Direct Cost: ¥20,000,000)
Fiscal Year 1988: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 1987: ¥3,000,000 (Direct Cost: ¥3,000,000)
Fiscal Year 1986: ¥16,000,000 (Direct Cost: ¥16,000,000)
KeywordsCO_2 and Argon laser / Myocardial revascularization by laser / Coronary artery bypass grafting by laser / Laser angioplasty / 冠静脈の動脈化手術 / CO_2レーザー / Argonレーザー / レーザー冠動脈形成術 / 冠動脈外科 / レーザーによる血管吻合法 / レーザー血管吻合の臨床 / 【CO_2】レーザー / レーザー出力と組織反応 / 血管吻合の至適条件
Research Abstract

Recently, laser has been utilized in the field of cardiovascular surgery.
The purposes of laser application are as follows; that is, 1) To evaluate the feasibility and effects of myocardial revascularization by laser for saving the patients for whom coronary artery bypass grafting can not be performed at all, because of small coronary arteries or diffuse stenoses of the coronary arteries. 2) To keep the highly patency rate in the long-term period after vascular anastomosis by laser especially for small-caliber vessels. 3) To make laser angioplasty for obstructive arterial disease in the extermities and coronary artery disease.
Firstly, we have studied the relationships between the laser energy and tissue reaction using CO^2 and Argon laser in three categories which described above.
After optimal conditions of each experimental results could be confirmed, we have employed laser techniques in clinical cases with intermittent claudication and renal failure as well as angina pectoris.
Vascular anastomoisis by laser was successfully applied in 84 patients including 6 cases with coronary artery bypass grafting who were uneventful without any complications postoperatively. Laser angioplasty was also successfully carried out in 21 patients whom consisted of 16 cases of angioplasty for the peripheral artery and 5 cases for the coronary artery.
On the other hand, it could be considered that arterialization of the coronary vein and myocardial revascularization by laser were useful procedure to improve the circulation of the ischemic myocardium.
In conclusion, laser application should be recommended to make quality of the life of the patients with severe coronary heart disease.

Report

(4 results)
  • 1988 Annual Research Report   Final Research Report Summary
  • 1987 Annual Research Report
  • 1986 Annual Research Report
  • Research Products

    (34 results)

All Other

All Publications (34 results)

  • [Publications] 岡田昌義: 日本レーザー医学会誌. 8. 5-9 (1987)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] 岡田昌義,生田博,清水一太,掘井弘幸,吉田正人,辻義彦,中村和夫: 臨床胸部外科. 8. 47-57 (1988)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] 岡田昌義,中村和夫: 臨床成人病. 8. 1700 (1988)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] 岡田昌義,中村和夫: Heart Nursing. 2. 123-137 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Okada,M.;Ikuta,H.;Shimizu,K.;Horii,H.;Nakamura,K.: Surg & Med Lasers. 2. 61-64 (1988)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Okada,M.;Shimizu,K.;Horii,H.;Ikuta,H.;Nakamura,K.: Surg & Med Lasers. 2. 65-71 (1988)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Okada,M.;Tsuji,Y.;Yoshida,M.;Shimizu,K.;Ikuta,H.;Horii,H.;Nakamura,K.: "Laser Application in the Fields of Cardiovascular Surgery;Experimental and Clinical Studies-LASER-Optoelectronics in Medicine" Springer-Verlag, 10 (1987)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Okada,M; Ikuta,H; Shimizu,K; Horii,H; Nakamura,K: "Alternative method of myocardial revascularization by laser; Experimental and clinical study" Kobe J. Med. Sci.32. 151-161 (1986)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Okada,M; Shimizu,K; Ikuta,H; Horii,H; Nakamura,K: "Vascular anastomosis by laser; Experimental and clinical study" Revue Europ. Tech. Biomed.8. 389-393 (1986)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Okada,M; Shimizu,K; Ikuta,H; Horii,H; Nakamura,K: "An alternative method of vascular anastomosis by laser; Experimental and clinical study" Lasers Surg. & Med.7. 240-248 (1987)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Okada,M; Yoshida,M; Tsuji,Y; Nakamura,K: "Laser angioplasty with vascular endoscope in the fields of the peripheral and the coronary artery" Surg. Med. Lasers. 2. 53-60 (1988)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Okada,M; Ikuta,H; Shimizu,K; Horii,H; Nakamura,K: "A new myocardial revascularization by high energy laser" Surg. Med. Lasers. 2. 61-64 (1988)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Okada,M; Tsuji,Y; Yoshida,M; Shimizu,K; Ikuta,H; Horii,H; Nakamura,K: Laser Application in the Fields of Cardiovascular Surgery -LASER Optoelectoronics in Medicine. Springer-Verlag, 466-476 (1987)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] 岡田昌義: 日本レーザー医学会誌. 8. 5-9 (1987)

    • Related Report
      1988 Annual Research Report
  • [Publications] 岡田昌義,生田博,清水一太,堀井弘幸,吉田正人,辻義彦,中村和夫: 臨床胸部外科. 8. 47-57 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 岡田昌義,中村和夫: 臨床成人病. 18. 1988-1700 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 岡田昌義,中村和夫: Heart Nursing. 2. 123-137 (1989)

    • Related Report
      1988 Annual Research Report
  • [Publications] Okada M;Ikuta H;Shimizu K;Horii H;Nakamura K: Surg & MEd Lasers. 2. 61-64 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] Okada M;Shimizu K;Horii H;Ikuta H;Nakamura K: Surg & MEd Lasers. 2. 65-71 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] Okada M;Tsuji Y;Yoshida M;Shimizu K;Ikuta H;Horii H;Nakamura K: "Laser Application in the Fields of Cardilvascular Surgery;Experimental and Clinical Studies -LASER-Optoelectronics in Medicine" Springer-Verlag, 10 (1987)

    • Related Report
      1988 Annual Research Report
  • [Publications] 岡田昌義,清水一太,生田博,堀井弘幸,中村和夫: 日本レーザー医学会誌. 7. 75-77 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 岡田昌義: 日本臨牀. 45. 736-748 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 岡田昌義: 外科診療. 29. 1190-1200 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 岡田昌義,堀井弘幸,清水一太,生田博,中村和夫: 日本心臓血管外科学会雑誌. 16. 377-380 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 岡田昌義,辻義彦,吉田正人,中村和夫: 医科器械学. 57. 33-35 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 岡田昌義,清水一太,生田博,堀井弘幸,中村和夫: 日本外科学会雑誌. 88. 390-400 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 岡田昌義,清水一太,堀井弘幸,生田博,奥野邦男,松田昌三,中村和夫: 日本外科学会雑誌. 86. 1203-1207 (1985)

    • Related Report
      1986 Annual Research Report
  • [Publications] 岡田昌義,堀井弘幸,清水一太,生田博,久保田真毅,今井雅尚,中村和夫: 日本レーザー医学会誌. 6. 525-530 (1986)

    • Related Report
      1986 Annual Research Report
  • [Publications] 岡田昌義: 臨床胸部外科. 6. 207-219 (1986)

    • Related Report
      1986 Annual Research Report
  • [Publications] 岡田昌義,中村和夫: 日本外科学会雑誌. 87. 1013-1016 (1986)

    • Related Report
      1986 Annual Research Report
  • [Publications] 岡田昌義,清水一太,生田博,堀井弘幸,中村和夫: 医学のあゆみ. 139. 411-412 (1986)

    • Related Report
      1986 Annual Research Report
  • [Publications] 岡田昌義,生田博,清水一太,堀井弘幸,中村和夫: 日本レーザー医学会誌. 7. 113-114 (1987)

    • Related Report
      1986 Annual Research Report
  • [Publications] 岡田昌義: "臓器移植を考えるもう一つのいのち-血管吻合法-" 河北新報社, 0)310(137-14 (1986)

    • Related Report
      1986 Annual Research Report
  • [Publications] Okada,M.;Nakamura,K.: "Nd:YAG Laser in Medicine and Surgery;Laser application in the fields of cardiovascular surgery" Professional Postgraduate Services, 651(319-328) (1986)

    • Related Report
      1986 Annual Research Report

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Published: 1987-03-31   Modified: 2016-04-21  

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