格段にうまくいくカテーテルアブレーションの基本とコツ　改訂版

出版社： 羊土社
著者：
発行日： 2022-03-15
分野： 臨床医学：内科  >  循環器一般
ISBN： 9784758107631
電子書籍版： 2022-03-15 （第2版第1刷）
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web動画や新たな機器の適切な使用法を追加し、現在施行されているアブレーション法をすべて網羅して解説した改訂版！安全・迅速な手技の習得に役立つエキスパートのコツが満載で、入門から実践まで活用できる1冊

目次

  • 第1章　アブレーションに必要な機器と基礎知識
    　1．アブレーションに必要な解剖
    　2．診断用電極カテーテルの操作法および経中隔穿刺法
    　3．カテーテルアブレーションに必要な心臓電気生理学的知識
    　4．アブレーションの適応
    　5．三次元マッピングシステムの使用法
    　　1）CARTO® system
    　　2）EnSite system
    　　3）RHYTHMIATM system
    　6．アブレーションの周術期管理
    　　1）上室不整脈
    　　2）心房細動
    　　3）心室不整脈
    　7．カテーテルアブレーションに必要な説明と同意書

    第2章　上室不整脈アブレーションのコツ＆トラブルシューティング
    　1．WPW 症候群
    　　1）左側副伝導路
    　　2）右側副伝導路
    　　3）中隔副伝導路
    　　4）特殊な副伝導路
    　2．房室結節リエントリー性頻拍
    　3．通常型心房粗動
    　4．心房頻拍（巣状興奮型心房頻拍）
    　5．心房頻拍（術後心房頻拍）
    　6．上室頻脈性不整脈における房室ブロック作成術

    第3章　心房細動アブレーションのコツ＆トラブルシューティング
    　1．電気的肺静脈隔離アブレーション法
    　　1）電位指標を用いた拡大肺静脈隔離術
    　　2）透視ガイド拡大肺静脈隔離術
    　　3）解剖学的拡大肺静脈隔離術（EEPVI）
    　　4）左房後壁 BOX 隔離術
    　　5）バルーンを用いた肺静脈隔離術
    　　　　a）クライオバルーン
    　　　　b）ホットバルーンシステムの特徴
    　　　　c）レーザーバルーン
    　2．非肺静脈起源心房細動に対するカテーテルアブレーション
    　3．心房細動基質に対するアブレーション法
    　　1）心房内線状焼灼術
    　　2）電位指標による心房細動ドライバー焼灼法
    　　3）自律神経節アブレーション
    　4．アブレーション後の再発心房頻拍に対するアブレーション
    　5．心房細動アブレーションの合併症と対策

    第４章　心室不整脈アブレーションのコツ＆トラブルシューティング
    　1．心室不整脈（期外収縮／頻拍）
    　2．特発性心室頻拍
    　3．虚血性心疾患に伴う心室頻拍
    　4．非虚血性心疾患に伴う心室頻拍
    　5．多形性心室頻拍・心室細動
    　6．心室不整脈アブレーションの合併症と対策

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本参考文献は電子書籍掲載内容を元にしております。

第1章 アブレーションに必要な機器と基礎知識

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第2章 上室不整脈アブレーションのコツ & トラブルシューティング

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P.155 掲載の参考文献
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第3章 心房細動アブレーションのコツ & トラブルシューティング

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P.261 掲載の参考文献
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3) Calkins H, et al : RE-CIRCUIT Study Steering Committee. RE-CIRCUIT study-randomized evaluation of dabigatran etexilate compared to warfarin in pulmonary vein ablation : assessment of an uninterrupted periprocedural anticoagulation strategy. Am J Cardiol, 115 : 154-155, 2015
 
4) Nogami A, et al : Safety and efficacy of minimally interrupted dabigatran vs uninterrupted warfarin therapy in adults undergoing atrial fibrillation catheter ablation : A randomized clinical trial. JAMA Netw Open, 2 : e191994, 2019
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5) Nakamura K, et al : Uninterrupted vs. interrupted periprocedural direct oral anticoagulants for catheter ablation of atrial fibrillation : a prospective randomized single-centre study on post-ablation thrombo-embolic and haemorrhagic events. Europace, 21 : 259-267, 2019
 
6) Kuwahara T, et al : Clinical characteristics and management of periesophageal vagal nerve injury complicating left atrial ablation of atrial fibrillation : lessons from eleven cases. J Cardiovasc Electrophysiol, 24 : 847-851, 2013
 
7) Kuwahara T, et al : Oesophageal cooling with ice water does not reduce the incidence of oesophageal lesions complicating catheter ablation of atrial fibrillation : randomized controlled study. Eurpace, 16 : 834-839, 2014
 

第4章 心室不整脈アブレーションのコツ & トラブルシューティング

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5) 蜂谷仁 : 特発性流出路心室期外収縮・心室頻拍. 心室性不整脈に対するカテーテルアブレーションの基本手技, CIRCULATION Up-to-Date, 8 : 632-641, 2013
 
6) Hachiya H, et al : Features suggesting preferential conduction in pulmonary artery ventricular arrhythmia for identification of successful ablation sites. Int Heart J, 62 : 771-778, 2021
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7) Hachiya H, et al : Electrocardiographic characteristics of left ventricular outflow tract tachycardia. Pacing Clin Electrophysiol, 23 : 1930-1934, 2000
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8) Sasaki T, et al : Utility of distinctive local electrogram pattern and aortographic anatomical position in catheter manipulation at coronary cusps. J Cardiovasc Electrophysiol, 22 : 521-529, 2011
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9) Hachiya H, et al : Discrete prepotential as an indicator of successful ablation in patients with coronary cusp ventricular arrhythmia. Circ Arrhythm Electrophysiol, 6 : 898-904, 2013
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10) 林達哉, 他 : 運動誘発性心外膜側起源流出路心室頻拍に対し, 大心静脈遠位からの高周波通電で根治した若年男性の1例. 心臓, 41 (特別号 4) : 165-172, 2009
 
11) Shirai Y, et al : Anatomical proximity dictates successful ablation from adjacent sites for outflow tract ventricular arrhythmias linked to the coronary venous system. Europace, 21 : 484-491, 2019
 
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2) Liu Q, et al : Macroreentrant loop in ventricular tachycardia from the left posterior fascicle : new implications for mapping and ablation. Circ Arrhythm Electrophysiol, 9 : e0042772, 2016
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3) Komatsu Y, et al : Fascicular ventricular tachycardia originating from papillary muscles : Purkinje network involvement in the reentrant circuit. Circ Arrhythm Electrophysiol, 10 : e004549, 2017
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4) Morishima I, et al : High-resolution mapping to unmask and localize presystolic Purkinje potentials during idiopathic verapamil-sensitive left anterior papillary muscle fascicular-Purkinje ventricular tachycardia. Circ J, 84 : 2035, 2020
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5) Phanthawimol W, et al : Reverse-type left posterior fascicular ventricular tachycardia : A new electrocardiographic entity. JACC Clin Electrophysiol, 7 : 843-854, 2021
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6) Talib AK, et al : Non-reentrant fascicular tachycardia : Clinical and electrophysiological characteristics of a distinct type of idiopathic ventricular tachycardia. Circ Arrhythm Electrophysiol, 9 : e004177, 2016
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2) Ballout JA, et al : Catheter ablation in patients with cardiogenic shock and refractory ventricular tachycardia. Circ Arrhythm Electrophysiol, 13 : e007669, 2020
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3) Stevenson WG, et al : Exploring postinfarction reentrant ventricular tachycardia with entrainment mapping. J Am Coll Cardiol, 29 : 1180-1189, 1997
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5) Nguyen DT, et al : Prospective multicenter experience with cooled radiofrequency ablation using high impedance irrigant to target deep myocardial substrate refractory to standard ablation. JACC Clin Electrophysiol, 4 : 1176-1185, 2018
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P.376 掲載の参考文献
1) Okubo K, et al : Long-Term Outcome After Ventricular Tachycardia Ablation in Nonischemic Cardiomyopathy : Late Potential Abolition and VT Noninducibility. Circ Arrhythm Electrophysiol, 13 : e008307, 2020
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1) Nogami A, et al : Mapping and ablation of idiopathic ventricular fibrillation from Purkinje system. Heart Rhythm, 2 : 646-649, 2005
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2) Hasegawa T, et al : Termination of long-duration ventricular fibrillation by catheter ablation. HeartRhythm Case Rep, 6 : 955-959, 2020
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3) Nademanee K, et al : Mapping and ablation of ventricular fibrillation associated with early repolarization syndrome. Circulation, 140 : 1477-1490, 2019
 
4) Kaneshiro T, et al : Successful catheter ablation of bidirectional ventricular premature contractions triggering ventricular fibrillation in catecholaminergic polymorphic ventricular tachycardia with RyR2 mutation. Circ Arrhythm Electrophysiol, 5 : e14-17, 2012
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5) Komatsu Y, et al : Catheter ablation of refractory ventricular fibrillation storm after myocardial infarction. Circulation, 139 : 2315-2325, 2019
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1) Murakawa Y, et al : A brief report on the nationwide survey of catheter ablation in Japan/the Japanese Catheter Ablation Registry (JCAR). J Arrhythm, 28 : 122-126, 2012
 

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