PCIエキスパートになるための28カ条

出版社: メジカルビュー社
著者:
発行日: 2021-04-01
分野: 臨床医学:内科  >  循環器一般
ISBN: 9784758319737
電子書籍版: 2021-04-01 (第1版第1刷)
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経皮的冠動脈インターベンション(PCI)についての基礎はひととおり押さえているが,独り立ちにはまだ不安があるといった若手医師に向けた虎の巻。これを読めば,エキスパート達が「何を理解し」「何を考え」「何を身につけ」PCIを行っているのかがわかる。
手技の上達,さらなるレベルアップのための極意を凝縮した必携の一冊!

目次

  • 第1条 PCI 前の虚血評価により,PCI が必須かどうかを見極めるべし
    第2条 冠動脈造影の心得:病変評価の重要性を識るべし
    第3条 患者リスク評価の心得:術前評価の重要性を識るべし
    第4条 穿刺のテクニックを身につけるべし
    第5条 アプローチ部位とガイディングカテーテル選択:バックアップを考察すべし
    第6条 ガイドワイヤーを使いこなすべし
    第7条 場面に応じてバルーンを選択すべし
    第8条 ステントの種類と構造を理解すべし
    第9条 マイクロカテーテルの使い分けを身につけるべし
    第10条 薬剤コーテッドバルーン(DCB)の適応と活かし方を押さえるべし
    第11条 IVUS ガイド PCI:エキスパートの視点を学ぶべし
    第12条 OCT/OFDI ガイド PCI:エキスパートの視点を学ぶべし
    第13条 急性冠症候群(ACS)に立ち向かうときの心構えを身につけよ
    第14条 石灰化病変を正しく評価し治療戦略を考えるべし
    第15条 分岐部病変を正しく評価し治療戦略を考えるべし
    第16条 CTO 病変の評価とantegrade approach の手法を会得せよ
    第17条 Retrograde approach の望ましい症例を見極めよ
    第18条 糖尿病症例へのPCI:エキスパートの思考を学ぶべし
    第19条 高齢者へのPCI:エキスパートのエンドポイント設定を学ぶべし
    第20条 BRS の適応,適切な留置術,術後管理:エキスパートの思考を学ぶべし
    第21条 ステント血栓症の分類:成因を理解し,正しく対策せよ
    第22条 高出血リスク(HBR)とわかったときの対応:エキスパートに学ぶべし
    第23条 冠動脈解離を正しく評価し,適切にマネージメントすべし(特発性含む)
    第24条 メカニズムに応じてステント再狭窄に備えよ   舩津篤史,中村 茂
    第25条 事前に備えよ! 心タンポナーデ,slow fl ow,コレステロール塞栓症
    第26条 造影剤腎症を回避せよ:エキスパートのノウハウはこうだ!
    第27条 術前後の抗血栓療法エッセンス:これで君もエキスパートだ!
    第28条 虚血関連のエビデンスを押さえるべし(ISCHEMIA 試験,ORBITA 試験)

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第1条 PCI前の虚血評価により, PCIが必須かどうかを見極めるべし

P.15 掲載の参考文献
1) Maron DJ, Hochman JS, Reynolds HR, et al : Initial invasive or conservative strategy for stable coronary disease. N Engl J Med 382 : 1395-1407, 2020.
2) Pijls NHJ, van Schaardenburgh P, Manoharanet G, et al : Percutaneous coronary intervention of functional nonsignificant stenosis : 5 year follow up of the DEFER study. J Am Coll Cardiol 49 : 2105-2111, 2007.
3) Zimmermann FM, Ferrara A, Johnson NP, et al : Deferral vs. performance of percutaneous coronary intervention of functionally non-significant coronary stenosis : 15-year followup of the DEFER trial. Eur Heart J 36 : 3182-3188, 2015.
4) Tonino PA, De Bruyne B, Pijls NHJ, et al : FAME Study Investigators : Fractional flow reserve versus angiography for guiding percutaneous coronary intervention. N Engl J Med 360 : 213-224, 2009.
5) Tonino PA, Fearon WF, De Bruyne B, et al : Angiographic versus functional severity of coronary artery stenoses in the FAME Study. Fractional flow reserve versus angiography in multivessel evaluation. J Am Coll Cardiol 55 : 2816-2821, 2010.
6) De Bruyne B, Fearon WF, Pijls NHJ, et al : FAME 2 Trial Investigators : Fractional flow reserve-guided PCI for stable coronary artery disease. N Engl J Med 371 : 1208-1217, 2014.

第3条 患者リスク評価の心得 : 術前評価の重要性を識るべし

P.26 掲載の参考文献
1) 日本循環器学会 : 2020年 JCSガイドライン フォーカスアップデート版 冠動脈疾患患者における抗血栓療法 (班長, 木村一雄, 中村正人). https://www.j-circ.or.jp/cms/wp-content/uploads/2020/04/JCS2020_Kimura_Nakamura.pdf (2021年1月閲覧)
2) Watanabe H, Domei T, Morimoto T, et al : Effect of 1-month dual antiplatelet therapy followed by clopidogrel vs 12-month dual antiplatelet therapy on cardiovascular and bleeding events in patients receiving PCI : The STOPDAPT-2 randomized clinical trial. JAMA 321 : 2414-2427, 2019.
3) Ishida M, Takahashi F, Goto I, et al : Clinical outcomes of patients treated using very short duration dual antiplatelet therapy after implantation of biodegradable-polymer drugeluting stents : rationale and design of a prospective multicenter REIWA registry. Cardiovasc Interv Ther 35 : 398-404, 2020.
4) Cannon CP, Bhatt DL, Oldgren J, et al : Dual antithrombotic therapy with dabigatran after PCI in atrial fibrillation. N Engl J Med 377 : 1513-1524, 2017.
5) Gibson CM, Mehran R, Bode C, et al : Prevention of bleeding in patients with atrial fibrillation undergoing PCI. N Engl J Med 375 : 2423-2434, 2016.
6) 日本動脈硬化学会 : 動脈硬化性疾患予防ガイドライン 2017年版. 日本動脈硬化学会, 2017.
7) Tonino PA, De Bruyne B, Pijls NH, et al : Fractional flow reserve versus angiography for guiding percutaneous coronary intervention. N Engl J Med 360 : 213-224, 2009.
8) Zimmermann FM, Ferrara A, Johnson NP, et al : Deferral vs. performance of percutaneous coronary intervention of functionally non-significant coronary stenosis : 15-year follow-up of the DEFER trial. Eur Heart J 36 : 3182-3188, 2015.
9) Weintraub WS, Spertus JA, Kolm P, et al : Effect of PCI on quality of life in patients with stable coronary disease. N Engl J Med 359 : 677-687, 2008.
10) Maron DJ, Hochman JS, Reynolds HR, et al : Initial invasive or conservative strategy for stable coronary disease. N Engl J Med 382 : 1395-1407, 2020.

第4条 穿刺のテクニックを身につけるべし

P.32 掲載の参考文献
1) Garrett PD, Eckart RE, Bauch TD, et al : Fluoroscopic localization of the femoral head as a landmark for common femoral artery cannulation. Catheter Cardiovasc Interv 65 : 205-207, 2005.
2) Tiroch KA, Matheny ME, Resnic FS : Quantitative impact of cardiovascular risk factors and vascular closure devices on the femoral artery after repeat cardiac catheterization. Am Heart J 159 : 125-130, 2010.
3) Savolainen H, Baumgartner I, Schmidli J, et al : Femoral pseudoaneurysms requiring surgical treatment. Trauma Mon 16 : 194-197, 2012.
4) Slattery MM, Goh GS, Power S, et al : Comparison of ultrasound-guided and fluoroscopy-assisted antegrade common femoral artery puncture techniques. Cardiovasc Intervent Radiol 38 : 579-582, 2015.
5) 笠井智司, ほか : 達人が教える! PCI・カテーテル室のピンチからの脱出法 119 (村松俊哉, 編). 南江堂, 東京, 2014, p65.
6) Seto AH, Roberts JS, Abu-Fadel MS, et al : Real-time ultrasound guidance facilitates transradial access : RAUST (Radial Artery access with Ultrasound Trial). JACC Cardiovasc Interv 8 : 283-291, 2015.
7) Kiemeneij F : Left distal transradial access in the anatomical snuffbox for coronary angiography (1dTRA) and interventions (1dTRI). EuroIntervention 13 : 851-857, 2017.
8) [Article in Russian] Kaledin AL, Kochanov IN, Seletskii SS, et al : [Peculiarities of arterial access in endovascular surgery in elderly patients]. Adv Gerontol 27 : 115-119, 2014.
9) Fergusson DJ, Kamada RO : Percutaneous entry of the brachial artery for left heart catheterization using a sheath. Cathet Cardiovasc Diagn 7 : 111-114, 1981.
10) Kedev S, Zafirovska B, Dharma S, Petkoska D : Safety and feasibility of transulnar catheterization when ipsilateral radial access is not available. Catheter Cardiovasc Interv 83 : E51-E60, 2014.
11) Kwan TW, Ratcliffe JA, Chaudhry M, et al : Transulnar catheterization in patients with ipsilateral radial artery occlusion. Catheter Cardiovasc Interv 82 : E849-E855, 2013.
12) Troianos CA, Hartman GS, Glas KE, et al : Councils on Intraoperative Echocardiography and Vascular Ultrasound of the American Society of Echocardiography : Guidelines for performing ultrasound guided vascular cannulation : recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr 24 : 1291-1318, 2011.

第8条 ステントの種類と構造を理解すべし

P.56 掲載の参考文献
1) Nakazawa G : Stent thrombosis of drug eluting stent : pathological perspective. J Cardiol 58 : 84-91, 2011.
2) Nakazawa G, Otsuka F, Nakano M et al : The pathology of neoatherosclerosis in human coronary implants bare-metal and drug-eluting stents. J Am Coll Cardiol 57 : 1314-1322, 2011.
3) Torii S, Jinnouchi H, Sakamoto A et al : Drug-eluting coronary stents : insights from preclinical and pathology studies. Nat Rev Cardiol 17 : 37-51, 2020.
4) Kolandaivelu K, Swaminathan R, Gibson WJ et al : Stent thrombogenicity early in high-risk interventional settings is driven by stent design and deployment and protected by polymer-drug coatings. Circulation 123 : 1400-1409, 2011.

第10条 薬剤コーテッドバルーン ( DCB ) の適応と活かし方を押さえるべし

P.67 掲載の参考文献
1) Habara S, Iwabuchi M, Inoue N, et al : A multicenter randomized comparison of paclitaxel-coated balloon catheter with conventional balloon angioplasty in patients with bare-metal stent restenosis and drug-eluting stent restenosis. Am Heart J 166 : 527-533, 2013.
2) Habara S, Kadota K, Shimada T, et al : Late restenosis after Paclitaxel-coated balloon angioplasty occurs in patients with drug-eluting stent restenosis. J Am Coll Cardiol 66 : 14-22, 2015.
3) Miura K, Tada T, Habara S, et al : Optical coherence tomography predictors for recurrent restenosis after Paclitaxel-coated balloon angioplasty for drug-eluting stent restenosis. Circ J 82 : 2820-2828, 2018.
4) Cortese B, Di Palma G, Guimaraes MG, et al : Drug-coated balloon versus drug-eluting stent for small coronary vessel disease : PICCOLETO II randomized clinical trial. JACC Cardiovasc Interv 13 : 2840-2849, 2020.
5) Worthley S, Hendriks R, Worthley M, et al : Paclitaxel-eluting balloon and everolimus-eluting stent for provisional stenting of coronary bifurcations : 12-month results of the multicenter BIOLUX-I study. Cardiovasc Revasc Med 16 : 413-417, 2015.
6) Kitani S, Igarashi Y, Tsuchikane E, et al : Efficacy of drugcoated balloon angioplasty after directional coronary atherectomy for coronary bifurcation lesions (DCA/DCB registry). Catheter Cardiovasc Interv, 2020 Aug 10. Online ahead of print.

第11条 IVUSガイドPCI : エキスパートの視点を学ぶべし

P.73 掲載の参考文献
1) Zhang Y, Farooq V, Garcia-Garcia HM, et al : Comparison of intravascular ultrasound versus angiography-guided drugeluting stent implantation : a meta-analysis of one randomised trial and ten observational studies involving 19,619 patients. EuroIntervention 8 : 855-865, 2012.
2) Klersy C, Ferlini M, Raisaro A, et al : Use of IVUS guided coronary stenting with drug eluting stent : a systematic review and meta-analysis of randomized controlled clinical trials and high quality observational studies. Int J Cardiol 170 : 54-63, 2013.
3) Jang JS, Song YJ, Kang W, et al : Intravascular ultrasoundguided implantation of drug-eluting stents to improve outcome : a meta-analysis. JACC Cardiovasc Interv 7 : 233-243, 2014.
4) Ahn JM, Kang SJ, Yoon SH, et al : Meta-analysis of outcomes after intravascular ultrasound-guided versus angiography-guided drug-eluting stent implantation in 26,503 patients enrolled in three randomized trials and 14 observational studies. Am J Cardiol 113 : 1338-1347.
5) Steinvil A, Zhang YJ, Lee SY, et al : Intravascular ultrasoundguided drug-eluting stent implantation : an updated meta-analysis of randomized control trials and observational studies. Int J Cardiol 216 : 133-139.
6) Elgendy IY, Mahmoud AN, Elgendy A.Y, et al : Outcomes with intravascular ultrasound-guided stent implantation : a meta-analysis of randomized trials in the era of drug-eluting stents. Circ Cardiovasc Interv 9 : e003700,2016.
7) Shin D.H, Hong S.J, Mintz G.S, et al : Effects of intravascular ultrasound-guided versus angiography-guided new-generation drug-eluting stent implantation : meta-analysis with individual patient-level data from 2,345 randomized patients. JACC Cardiovasc Interv 9 : 2232-2239, 2016.
8) Kubo T, Shinke T, Okamura T, et al : Optical frequency domain imaging vs. intravascular ultrasound in percutaneous coronary intervention (OPINION trial) : one-year angiographic and clinical results. Eur. Heart J 38, 3139-3147, 2017.

第12条 OCT / OFDIガイドPCI : エキスパートの視点を学ぶべし

P.78 掲載の参考文献
1) Kubo T, Shinke T, Okamura T et al : Optical frequency domain imaging vs. intravascular ultrasound in percutaneous coronary intervention (OPINION trial) : one-year angiographic and clinical results. Eur Heart J 38 : 3139-3147. 2017.
2) Kubo T, Akasaka T, Shite J et al : OCT compared with IVUS in a coronary lesion assessment : the OPUS-CLASS study. JACC Cardiovasc Imaging 6 : 1095-1104, 2013.
3) Ali ZA, Maehara A, Genereux P et al : Optical coherence tomography compared with intravascular ultrasound and with angiography to guide coronary stent implantation (ILUMIEN III : OPTIMIZE PCI) : a randomised controlled trial. Lancet 388 : 2618-2628, 2016.
4) Kume T, Okura H, Miyamoto Y et al : Natural history of stent edge dissection, tissue protrusion and incomplete stent apposition detectable only on optical coherence tomography after stent implantation-preliminary observation. Circ J 76 : 698-703, 2012.
5) Kobayashi Y, Okura H, Kume T et al : Impact of target lesion coronary calcification on stent expansion. Circ J 78 : 2209-2214, 2014.
6) Maejima N, Hibi K, Saka K et al : Relationship Between Thickness of Calcium on Optical Coherence Tomography and Crack Formation After Balloon Dilatation in Calcified Plaque Requiring Rotational Atherectomy. Circ J 80 : 1413-1419, 2016.

第13条 急性冠症候群 ( ACS ) に立ち向かうときの心構えを身につけよ

P.83 掲載の参考文献
1) 日本循環器学会 : 急性冠症候群ガイドライン (2018年改訂版) (班長, 木村一雄). https://www.j-circ.or.jp/cms/wp-content/uploads/2020/02/JCS2018_kimura.pdf (2021年1月閲覧)
2) Shiomi H, Nakagawa Y, Morimoto T, et al : Association of onset to balloon and door to balloon time with long term clinical outcome in patients with ST elevation acute myocardial infarction having primary percutaneous coronary intervention : observational study. BMJ 344 : e3257, 2012.
3) 日本蘇生協議会, 日本救急医療財団監修. JRC蘇生ガイドライン 2010. へるす出版 2011.

第15条 分岐部病変を正しく評価し治療戦略を考えるべし

P.95 掲載の参考文献
1) Medina A, Suarez de Lezo J, Pan M : A new classification of coronary bifurcation lesions. Rev Esp Cardiol 59 : 183, 2006.
2) Koo BK, Kang HJ, Youn TJ, et al : J Am Coll Cardiol 46 : 633-637, 2005.

第16条 CTO病変の評価とantegrade approachの手法を会得せよ

P.105 掲載の参考文献
1) Habara M, Tsuchikane E, Muramatsu T ; Retrograde Summit Investigators, et al : Comparison of percutaneous coronary intervention for chronic total occlusion outcome according to operator experience from the Japanese retrograde summit registry. Catheter Cardiovasc Interv 87 : 1027-1035. 2016.
2) Morino Y, Abe M, Morimoto T, J-CTO Registry Investigators, et al : Predicting successful guidewire crossing through chronic total occlusion of native coronary lesions within 30 minutes : the J-CTO (Multicenter CTO Registry in Japan) score as a difficulty grading and time assessment tool. JACC Cardiovasc Interv 4 : 213-221, 2011.
3) Harding SA, Wu EB, Lo S, et al : A New Algorithm for Crossing Chronic Total Occlusions From the Asia Pacific Chronic Total Occlusion Club. JACC Cardiovasc Interv 10 : 2135-2143. 2017.
4) Sumitsuji S, Inoue K, Ochiai M, et al : Fundamental wire technique and current standard strategy of percutaneous intervention for chronic total occlusion with histopathological insights. JACC Cardiovasc Interv4 : 941-951, 2011.

第18条 糖尿病症例へのPCI : エキスパートの思考を学ぶべし

P.116 掲載の参考文献
1) Tada T, Kimura T, Morimoto T, et al : Comparison of three-year clinical outcomes after sirolimus-eluting stent implantation among insulin-treated diabetic, non-insulin-treated diabetic, and non-diabetic patients from j-Cypher registry. Am J Cardiol 107 : 1155-1162, 2011.
2) Neumann FJ, Neumann FJ, Sousa-Uva M, et al : 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J, 2018. doi : 10.1093/eurheartj/ehy394.
3) Farkouh ME, Domanski M, Dangas GD, et al : Long-term Survival following Multivessel Revascularization in Patients with Diabetes (FREEDOM Follow-On Study). J Am Coll Cardiol, 2018. doi : 10.1016/j.jacc.2018.11.001.
4) Guandalini GS, Bangalore S. The Potential Effects of New Stent Platforms for Coronary Revascularization in Patients With Diabetes. Can J Cardiol 34 : 653-664, 2018.
5) Davies MJ, D'Alessio DA, Fradkin J, et al : Management of Hyperglycemia in Type 2 Diabetes, 2018. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care 41 : 2669-2701, 2018.

第19条 高齢者へのPCI : エキスパートのエンドポイント設定を学ぶべし

P.123 掲載の参考文献
1) Uemura S, Okamoto H, Nakai M, et al : Primary percutaneous coronary intervention in elderly patients with acute myocardial infarction -An analysis from a Japanese nationwide claim-based database. Circ J 83 : 1229-1238, 2019.
2) Maron DJ, Hochman JS, Reynolds HR, et al : Initial invasive or conservative strategy for stable coronary disease. N Engl J Med 382 : 1395-1407, 2020.
3) Shin JS, Tahk SJ, Yang HM, et al : Impact of female gender on bleeding complications after transradial coronary intervention (from the Korean Transradial Coronary Intervention registry). Am J Cardiol 113 : 2002-2006, 2014.
4) Brener MI, Bush A, Miller JM, et al : Hasan RK. Influence of Radial Versus Femoral Access Site on Coronary Angiography and Intervention Outcomes : A Systematic Review and Meta-Analysis. Catheter Cardiovasc Interv 90 : 1093-1104, 2017.
5) Tammam K, Ikari Y, Yoshimachi F et al : Impact of transradial coronary intervention on bleeding complications in octogenarians. Cardiovasc Interv and Ther 32 : 18-23, 2017.
6) Gellen B, Lesault PF, Canoui-Poitrine F, et al : Feasibility limits of transradial primary percutaneous coronary intervention in acute myocardial infarction in the real life (TRAP-AMI). Int J Cardiol 168 : 1056-1061, 2013.
7) Tegn N, Abdelnoor M, Aaberge L, et al : Invasive versus conservative strategy in patients aged 80 years or older with non-ST-elevation myocardial infarction or unstable angina pectoris (After Eighty study) : an open-label randomised controlled trial. Lancet 387 : 1057-1065, 2016.

第20条 BRSの適応, 適切な留置術, 術後管理 : エキスパートの思考を学ぶべし

P.129 掲載の参考文献
1) Ali ZA, Gao R, Kimura T, et al : Three-Year Outcomes With the Absorb Bioresorbable Scaffold : Individual-Patient-Data Meta-Analysis From the ABSORB Randomized Trials. Circulation 137 : 464-479, 2018.
2) Wykrzykowska JJ, Kraak RP, Hofma SH, et al : Bioresorbable Scaffolds versus Metallic Stents in Routine PCI. N Engl J Med 376 : 2319-2328, 2017.
3) Karanasos A, Van Mieghem N, van Ditzhuijzen N, et al : Angiographic and optical coherence tomography insights into bioresorbable scaffold thrombosis : single-center experience. Circ Cardiovasc Interv 8, 2015.

第21条 ステント血栓症の分類 : 成因を理解し, 正しく対策せよ

P.136 掲載の参考文献
1) Palmerini T, Biondi-Zoccai G, Della Riva D, et al : Stent thrombosis with drug-eluting and bare-metal stents : evidence from a comprehensive network meta-analysis. Lancet 379 : 1393-1402, 2012.
2) Holmes DR Jr, Kereiakes DJ, Garg S, et al : Stent thrombosis. J Am Coll Cardiol 56 : 1357-1365, 2010.
3) 日本循環器学会 : 2020年JCSガイドライン フォーカスアップデート版 冠動脈疾患患者における抗血栓療法 (班長, 木村一雄, 中村正人). https://www.j-circ.or.jp/cms/wp-content/uploads/2020/04/JCS2020_Kimura_Nakamura.pdf (2021年1月閲覧)
4) Mehran R, Baber U, Steg PG, et al : Cessation of dual antiplatelet treatment and cardiac events after percutaneous coronary intervention (PARIS) : 2 year results from a prospective observational study. Lancet 382 : 1714-1722, 2013.
5) Nakamura M, Isshiki T, Kimura T, et al : Optimal cutoff value of P2Y12 reaction units to prevent major adverse cardiovascular events in the acute periprocedural period : post-hoc analysis of the randomized PRASFIT-ACS study. Int J Cardiol 182 : 541-548, 2015.
6) Imai M, Kadota K, Goto T, et al : Incidence, risk factors, and clinical sequelae of angiographic peri-stent contrast staining after sirolimus-eluting stent implantation. Circulation 123 : 2382-2391, 2011.

第22条 高出血リスク ( HBR ) とわかったときの対応 : エキスパートに学ぶべし

P.142 掲載の参考文献
1) Nakamura M, Iijima R : Implications and characteristics of high bleeding risk in East Asian patients undergoing percutaneous coronary intervention : Start with what is right rather than what is acceptable. J Cardiol, 2020. Online ahead of print.
2) 日本循環器学会 : 2020年JCSガイドライン フォーカスアップデート版 冠動脈疾患患者における抗血栓療法 (班長, 木村一雄, 中村正人). https://www.j-circ.or.jp/cms/wp-content/uploads/2020/04/JCS2020_Kimura_Nakamura.pdf (2021年1月閲覧)
3) Nakamura M, Kadota K, Takahashi A, et al : Relationship between platelet reactivity and ischemic and bleeding events after percutaneous coronary intervention in East Asian patients : 1-year results of the PENDULUM registry. J Am Heart Assoc 9 : e015439, 2020.
4) Watanabe H, Domei T, Morimoto T, et al : Effect of 1-month dual antiplatelet therapy fFollowed by Clopidogrel vs 12-month dual antiplatelet therapy on cardiovascular and bleeding events in patients receiving PCI : The STOPDAPT-2 randomized clinical trial. JAMA 321 : 2414-2427, 2019.
5) Nakamura M, Morino Y, Kakuta T, et al : Monotherapy with Prasugrel after dual-antiplatelet therapy for Japanese percutaneous coronary intervention patients with high bleeding risk-a prospective cohort study (PENDULUM mono study). Circ J 85 : 27-36, 2020.

第23条 冠動脈解離を正しく評価し, 適切にマネージメントすべし ( 特発性含む )

P.147 掲載の参考文献
1) Saw J : Spontaneous coronary artery dissection. Can J Cardiol 29 : 1027-1033, 2013.
2) Vanzetto G, Berger-Coz E, Barone-Rochette G et al : Prevalence, therapeutic management and medium-term prognosis of spontaneous coronary artery dissection : results from a data base of 11,605 patients. Eur J Cardiothorac Surg 35 : 250-254, 2009.
4) Nishiguchi T, Tanaka T, Taruya A, et al : Prognosis of spontaneous coronary artery dissection treated by percutaneous coronary intervention with optical coherence tomography. J Cardiol 70 : 524-529, 2017.
5) Alfonso F, Paulo M, Lennie V, et al : Spontaneous coronary artery dissection : long-term follow-up of a large series of patients prospectively managed with a "conservative" therapeutic strategy. JACC Cardiovasc Interv 5 : 1062-1070, 2012.
6) Saw J, Ricci D, Starovoytov A, et al : Spontaneous coronary artery dissection : prevalence of predisposing conditions including fibromuscular dysplasia in a tertiary center cohort. JACC Cardiovasc Interv 6 : 44-52, 2013.
7) Nakashima T, Noguchi T, Haruta S, et al : Prognostic impact of spontaneous coronary artery dissection in young female patients with acute myocardial infarction : A report from the Angina Pectoris-Myocardial Infarction Multicenter Investigators in Japan. Int J Cardiol 207 : 341-348, 2016.

第24条 メカニズムに応じてステント再狭窄に備えよ

P.156 掲載の参考文献
1) Habara S, Iwabuchi M, Inoue N, et al : A multicenter randomized comparison of paclitaxel-coated balloon catheter with conventional balloon angioplasty in patients with baremetal stent restenosis and drug-eluting stent restenosis. Am Heart J 166, 527-533, 2013.

第27条 術前後の抗血栓療法エッセンス : これで君もエキスパートだ!

P.175 掲載の参考文献
1) 日本循環器学会 : 2020年 JCSガイドライン フォーカスアップデート版 冠動脈疾患患者における抗血栓療法 (班長, 木村一雄, 中村正人). https://www.j-circ.or.jp/cms/wp-content/uploads/2020/04/JCS2020_Kimura_Nakamura.pdf (2021年1月閲覧)
2) Natsuaki M, Morimoto T, Yamaji K, et al : Prediction of thrombotic and bleeding events after percutaneous coronary intervention : CREDO-Kyoto thrombotic and bleeding risk scores. J Am Heart Assoc 7 : e008708, 2018.
3) Baber U, Mehran R, Giustino G, et al : Coronary thrombosis and major bleeding after PCI with drug-eluting stents : risk scores from PARIS. J Am Coll Cardiol 67 : 2224-2234, 2016.
4) Costa F, van Klaveren D, James S, et al : Derivation and validation of the predicting bleeding complications in patients undergoing stent implantation and subsequent dual antiplatelet therapy (PRECISE-DAPT) score : a pooled analysis of individual-patient datasets from clinical trials. Lancet 389 : 1025-1034, 2017.
5) Yeh RW, Secemsky E, Kereiakes DJ, et al : Development and validation of a prediction rule for benefit and harm of dual antiplatelet therapy beyond 1 year after percutaneous coronary intervention. JAMA 315 : 1735-1749, 2016.
6) Urban P, Mehran R, Colleran R, et al : Defining high bleeding risk in patients undergoing percutaneous coronary intervention. Circulation 140 : 240-261, 2019.
7) Cuisset T, Deharo P, Quilici J, et al : Benefit of switching dual antiplatelet therapy after acute coronary syndrome : the TOPIC (timing of platelet inhibition after acute coronary syndrome) randomized study. Eur Heart J 38 : 3070-3078, 2017.
8) Vranckx P, Valgimigli M, Juni P, et al : Ticagrelor plus aspirin for 1 month, followed by ticagrelor monotherapy for 23 months vs aspirin plus clopidogrel or ticagrelor for 12 months, followed by aspirin monotherapy for 12 months after implantation of a drug-eluting stent : a multicentre, open-label, randomised superiority trial. Lancet 392 : 940-949, 2018.
9) Watanabe H, Domei T, Morimoto T, et al : Effect of 1-month dual antiplatelet therapy followed by clopidogrel vs 12-month dual antiplatelet therapy on cardiovascular and bleeding events in patients receiving PCI : The STOPDAPT-2 randomized clinical trial. JAMA 321 : 2414-2427, 2019.
10) Goto K, Nakai K, Shizuta S, et al : Anticoagulant and antiplatelet therapy in patients with atrial fibrillation undergoing percutaneous coronary intervention. Am J Cardiol 114 : 70-78, 2014.

第28条 虚血関連のエビデンスを押さえるべし ( ISCHEMIA試験, ORBITA試験 )

P.179 掲載の参考文献
1) Boden WE, O'Rourke RA, Teo KK, et al : Optimal medical therapy with or without PCI for stable coronary disease. N Engl J Med 356 : 1503-1516, 2007.
2) Shaw LJ, Berman DS, Maron DJ, et al : Optimal medical therapy with or without percutaneous coronary intervention to reduce ischemic burden : results from the Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation (COURAGE) trial nuclear substudy. Circulation 117 : 1283-1291, 2008.
3) Xaplanteris P, Fournier S, Pijls NHJ, et al : Five-year outcomes with PCI guided by fractional flow reserve. N Engl J Med 379 : 250-259, 2018.
4) Maron DJ, Hochman JS, Reynolds HR, et al : Initial invasive or conservative strategy for stable coronary disease. N Engl J Med 382 : 1395-1407, 2020.
5) Spertus JA, Jones PG, Maron DJ, et al : Health-status outcomes with invasive or conservative care in coronary disease. N Engl J Med 382 : 1408-1419, 2020.
6) Al-Lamee R, Thompson D, Dehbi HM, et al : Percutaneous coronary intervention in stable angina (ORBITA) : a double-blind, randomised controlled trial. Lancet 391 : 31-40, 2018.

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