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Medical and Technological approach for creating the guideline of risk prediction of aortic aneurysm rupture

Research Project

Project/Area Number 26462101
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cardiovascular surgery
Research InstitutionThe University of Tokyo

Principal Investigator

Hoshina Katsuyuki  東京大学, 医学部附属病院, 講師 (90571761)

Co-Investigator(Kenkyū-buntansha) 重松 邦広  東京大学, 医学部附属病院, 講師 (20215966)
岡本 宏之  東京大学, 医学部附属病院, 登録研究医 (60348266)
宮田 哲郎  東京大学, 医学部附属病院, 届出研究医 (70190791)
Research Collaborator OHSHIMA Marie  東京大学, 大学院情報学環, 教授 (40242127)
YAMAMOTO Sota  芝浦工業大学, 工学部, 教授 (80293653)
YAMAMOTO Kota  東京大学, 医学部附属病院, 助教 (00753542)
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2016: ¥130,000 (Direct Cost: ¥100,000、Indirect Cost: ¥30,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2014: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Keywordssimulation / aortic aneurysm / rupture / stress / 嚢状瘤 / 破裂 / 大動脈瘤 / 大動脈瘤モデル / stent graft migration / saccular / model
Outline of Final Research Achievements

We have analyzed the fragility (rupture risk) of the aortic aneurysm with our original model. Saccular aneurysm is known to have potential risk of rupture, but the definition of “saccular” has not been determined. We put the hypothetical ellipse on the protruded aneurysm from the aorta, and revealed that the horizontally long ellipse and the vertically long with smaller fillet radius are the factors relating to the rupture risk and concluded these are important factors contribute to the definition of “saccular”. Although we used these definition on the thoracic aortic aneurysm cases by using the enlargement rate, we were not able to reveal the clear association clinically. Herein, we collected rupture cases of abdominal aortic aneurysms and analyzed them via propensity matching comparing to the control group in our institutes. Two factors, vertically long and horizontally long with small fillet, showed strong association with the rupture.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (10 results)

All 2016 2015 2014

All Journal Article (3 results) (of which Peer Reviewed: 2 results,  Open Access: 2 results,  Acknowledgement Compliant: 1 results) Presentation (7 results)

  • [Journal Article] 大動脈瘤の力学的考察2016

    • Author(s)
      保科克行
    • Journal Title

      Angiology Frontier

      Volume: 15 Pages: 1-5

    • Related Report
      2015 Research-status Report
  • [Journal Article] .Biomechanical analysis of an aortic aneurysm model and its clinical application to thoracic aortic aneurysms for defining "saccular" aneurysms.2015

    • Author(s)
      Akai T, Hoshina K, Yamamoto S, Takeuchi H, Nemoto Y, Ohshima M, Shigematsu K, Miyata T, Yamauchi H, Ono M, Watanabe T.
    • Journal Title

      J Am Heart Assoc.

      Volume: published online Issue: 1 Pages: 1-11

    • DOI

      10.1161/jaha.114.001547

    • Related Report
      2015 Research-status Report 2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Development of an Image-Based Modeling System to Investigate Evolutional Geometric Changes of a Stent Graft in an Abdominal Aortic Aneurysm2015

    • Author(s)
      Masaharu Kobayashi, Katsuyuki Hoshina, Sota Yamamoto, Youkou Nemoto, Takafumi Akai, Kunihiro Shigematsu, Toshiaki Watanabe, Marie Ohshima
    • Journal Title

      Circulation Journal

      Volume: 79 Issue: 7 Pages: 1534-1541

    • DOI

      10.1253/circj.CJ-15-0037

    • NAID

      130005083933

    • ISSN
      1346-9843, 1347-4820
    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Presentation] 大動脈瘤破裂リスク予測における簡易モデルを利用した解析と臨床的妥当性2016

    • Author(s)
      木村賢, 保科克行, 仁田淳, 宮原和洋, 瀬尾明彦, 牧野能久, 須原正光, 赤井淳, 伊佐治寿彦, 赤木大輔, 山本晃太, 宮原拓也, 渡邊聡明
    • Organizer
      第44回日本血管外科学会学術総会
    • Place of Presentation
      東京
    • Related Report
      2016 Annual Research Report
  • [Presentation] 腹部大動脈瘤術後の一次的な腎機能改善はなぜおこるか:腎血流変化のシミュレーションによる理論値と臨床データの比較検討2016

    • Author(s)
      保科克行、大島まり、山本創太、渡邉聡明
    • Organizer
      第57回日本脈管学会総会
    • Place of Presentation
      奈良
    • Related Report
      2016 Annual Research Report
  • [Presentation] ステントグラフト留置後のシミュレーションによる長期展望2015

    • Author(s)
      保科克行、根元洋光、木村賢、大島まり、山本創太、重松邦広、渡邉聡明
    • Organizer
      第56回日本脈管学会総会
    • Place of Presentation
      虎の門ヒルズフォーラム(東京都港区)
    • Year and Date
      2015-10-30
    • Related Report
      2015 Research-status Report
  • [Presentation] 医工連携によるステントグラフト挿入(EVAR)後の形状変化に関するモデリングシステムの構築とその修正2015

    • Author(s)
      根元洋光、木村賢、保科克行
    • Organizer
      第56回日本脈管学会総会
    • Place of Presentation
      虎の門ヒルズフォーラム(東京都港区)
    • Year and Date
      2015-10-29
    • Related Report
      2015 Research-status Report
  • [Presentation] 腹部大動脈瘤に対するステントグラフト内挿術後のステントグラフト形状変化に関する解析2015

    • Author(s)
      根元洋光, 小林匡治, 木村賢, 須原正光, 望月康晃, 芳賀真, 白須拓郎, 松倉満, 谷口良輔, 赤井隆文, 西山綾子, 宮原拓也, 大島まり, 保科克行, 重松邦広
    • Organizer
      第43回日本血管外科学会総会
    • Place of Presentation
      パシフィコ横浜(神奈川県横浜市)
    • Year and Date
      2015-06-04
    • Related Report
      2015 Research-status Report
  • [Presentation] 大動脈のシミュレーション研究における医工連携とその成果2014

    • Author(s)
      保科克行、赤井隆文、根元洋光、大島まり、山本創太、山内治雄、小野稔、重松邦広、渡邉聡明
    • Organizer
      日本脈菅学会総会
    • Place of Presentation
      倉敷
    • Year and Date
      2014-10-30
    • Related Report
      2014 Research-status Report
  • [Presentation] 大動脈瘤の二次元構造解析による嚢状瘤の定義2014

    • Author(s)
      保科克行、赤井隆文、竹内浩明、山本創太、大島まり、根元洋光、西山綾子、宮原拓也、保坂晃弘、岡本宏之、重松邦広、宮田哲郎、渡邉聡明
    • Organizer
      日本外科学会定期学術集会
    • Place of Presentation
      京都
    • Year and Date
      2014-04-04
    • Related Report
      2014 Research-status Report

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Published: 2014-04-04   Modified: 2018-03-22  

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