TEE試験対策ガイド　JB-POT・心エコー図専門医試験徹底攻略

出版社： 中外医学社
著者：
発行日： 2022-09-30
分野： 臨床医学：外科  >  麻酔科学/ペイン
ISBN： 9784498137103
電子書籍版： 2022-09-30 （1版1刷）
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JB-POTや心エコー図専門医などの試験対策に役立つ麻酔科研修医待望の1冊！　専門医合格の近道はここにあり．必須知識のわかりやすい解説+実際の出題を想定した文章題・動画問題で経食道心エコーが確実に身につく嬉しい内容．超音波の原理やドプラ法など基礎から，各疾患，アーチファクトとピットフォールなど臨床でも役立つ内容まで網羅！　合格後も役立ち知識が満載．

目次

  • Chapter　1-1　超音波の原理と画像 （1）超音波の原理

    Chapter　1-2　超音波の原理と画像（2）探触子

    Chapter　1-3　超音波の原理と画像（3）画像設定

    Chapter　1-4　超音波の原理と画像（4）超音波の音響安全

    Chapter　1-5　超音波の原理と画像（5）感染対策と洗浄・消毒

    Chapter　2　ドプラ法の原理と血流波形
    　　1．ドプラ効果とは
    　　2．超音波ドプラ血流測定の基礎
    　　3．ドプラモード（各論）
    　　4．弁疾患とドプラ波形

    Chapter　3　心臓の形態
    　　1．心臓の発生
    　　2．正常心臓の形態
    　　3．胎生期遺残構造物・病変と誤認されうる正常構造物
    　　4．心疾患に伴う心臓の形態変化
    　　5．エコーを用いた心臓形態の評価法
    　　6．先天性心疾患

    Chapter　4　心臓収縮機能
    　　1．解剖
    　　2．左室/右室収縮様式
    　　3．左室/右室の収縮機能

    Chapter　5　心臓拡張機能
    　　1．左室拡張機能障害とは
    　　2．心時相とPV loopからみた拡張機能障害
    　　3．拡張機能を診断するために必ず理解するべき4つの重要指標
    　　4．拡張機能障害診断アルゴリズム
    　　5．拡張機能を評価するためのその他の指標
    　　6．右室拡張機能
    　　7．拡張機能障害と特殊病態

    Chapter　6　弁疾患
    　　1．僧帽弁逆流症（MR）
    　　2．大動脈弁逆流症（AR）
    　　3．大動脈弁狭窄症（AS）
    　　4．人工弁評価
    　　5．三尖弁逆流症（TR）

    Chapter　7-1　心腔内病変
    　　1．良性原発性腫瘍
    　　2．悪性原発性腫瘍
    　　3．心腔内血栓症
    　　4．疣贅，膿瘍
    　　5．僧帽弁輪石灰化
    　　6．心房壁内血腫

    Chapter　7-2　心血管腔内デバイス
    　　1．IABP
    　　2．PCPSまたはVA-ECMO
    　　3．Impella
    　　4．左室補助人工心臓（LVAD）

    Chapter　8　心臓外の構造物
    　　1．低血圧と心タンポナーデ
    　　2．体外循環準備までのチェック
    　　3．体外循環開始時のチェック

    Chapter　9　先天性心疾患とTEE
    　　1．単純な心血管構造異常を伴う先天性心疾患群
    　　2．やや複雑な心血管構造異常を伴う先天性心疾患
    　　3．新生児期に手術が必要な疾患群

    Chapter　10　アーチファクトとピットフォール
    　　1．アーチファクト
    　　2．異常と間違えやすい正常構造物
    　　［文章問題］
    　　［ビデオ問題］

    Chapter　11　カテーテルインターベンション
    　　1．経カテーテル的僧帽弁形成術：MitraClipTM
    　　2．経カテーテル的左心耳閉鎖術：WATCHMANTM
    　　3．経カテーテル的大動脈弁留置術：TAVR/TAVI

    Chapter　12　3D TEEとマルチモダリティー
    　　1．3次元経食道心エコー（3D TEE）
    　　2．心腔内エコー（ICE）
    　　3．心臓CT

    Chapter　13　低血圧・心不全の鑑別と対処法
    　　1．総論：循環生理の基礎
    　　2．各論：周術期における循環変動とTEE所見

この書籍の参考文献

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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。

Chapter 1 - 1 超音波の原理と画像 ( 1 ) 超音波の原理

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Chapter 1 - 2 超音波の原理と画像 ( 2 ) 探触子

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Chapter 1 - 3 超音波の原理と画像 ( 3 ) 画像設定

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Chapter 1 - 4 超音波の原理と画像 ( 4 ) 超音波の音響安全

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Chapter 1 - 5 超音波の原理と画像 ( 5 ) 感染対策と洗浄・消毒

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Chapter 2 ドプラ法の原理と血流波形

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Chapter 3 心臓の形態

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Chapter 4 心臓収縮機能

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Chapter 5 心臓拡張機能

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Chapter 6 弁疾患

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Chapter 7 - 2 心血管腔内デバイス

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2) Thiele H, Zeymer U, Neumann FJ, et al. Intra-aortic balloon counterpulsation in acute myocardial infarction complicated by cardiogenic shock (IABP-SHOCK II) : Final 12 month results of a randomised, open-label trial. Lancet. 2013 ; 382 : 1638-45.
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5) Schmidt M, Tachon G, Devilliers C, et al. Blood oxygenation and decarboxylation determinants during venovenous ECMO for respiratory failure in adults. Intensive Care Med. 2013 ; 39 : 838-46.
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8) Crowley J, Cronin B, Essandoh M, et al. Transesophageal echocardiography for impella placement and management. J Cardiothorac Vasc Anesth[Internet]. 2019 ; 33 : 2663-8.
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11) Dhruva SS, Ross JS, Mortazavi BJ, et al. Association of use of an intravascular microaxial left ventricular assist device vs intra-aortic balloon pump with in-hospital mortality and major bleeding among patients with acute myocardial infarction complicated by cardiogenic shock. JAMA. 2020 ; 323 : 734-45.
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12) Rose EA, Gelijns AC, Moskowitz AJ, et al. Long-term use of a left ventricular assist device. N Engl J Med. 2001 ; 345 : 1435-43.
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13) Miller LW, Pagani FD, Russell SD, et al. Use of a continuous-flow device in patients awaiting heart transplantation. N Engl J Med. 2007 ; 357 : 885-96.
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14) Slaughter MS, Rogers JG, Milano CA, et al. Advanced heart failure treated with continuous-flow left ventricular assist device. N Engl J Med. 2009 ; 361 : 2241-51.
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15) Nguyen DQ, Thourani VH. Third-generation continuous flow left ventricular assist devices. Innov Technol Tech Cardiothorac Vasc Surg. 2010 ; 5 : 250-8.
 
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17) Mehra MR, Uriel N, Naka Y, et al. A fully magnetically levitated left ventricular assist device-final report. N Engl J Med. 2019 ; 380 : 1618-27.
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18) Mehra MR, Naka Y, Uriel N, et al. A fully magnetically levitated circulatory pump for advanced heart failure. N Engl J Med. 2017 ; 376 : 440-50.
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19) Heatley G, Sood P, Goldstein D, et al. Clinical trial design and rationale of the multicenter study of maglev technology in patients undergoing mechanical circulatory support therapy with HeartMate 3 (MOMENTUM 3) investigational device exemption clinical study protocol. J Hear Lung Transplant. 2016 ; 35 : 528-36.
 
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21) Kang G, Ha R, Banerjee D. Pulmonary artery pulsatility index predicts right ventricular failure after left ventricular assist device implantation. J Hear Lung Transplant [Internet]. 2016 ; 35 : 67-73.
 

Chapter 8 心臓外の構造物

P.158 掲載の参考文献
1) 日本循環器学会, 日本心臓血管外科学会, 日本胸部外科学会, 日本血管外科学会合同ガイドライン. 2020年改訂版 大動脈瘤・大動脈解離診療ガイドライン. https://www.j-circ.or.jp/cms/wp-content/uploads/2020/07/JCS2020_Ogino.pdf
 
2) 渡橋和政. 経食道心エコー法マニュアル 第5版. 東京 : 南江堂 ; 2019.
 
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4) Orihashi K. Transesophageal echocardiography during cardiopulmonary resuscitation (CPR-TEE). Circ J. 2020 ; 84 : 820-4.
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Chapter 9 先天性心疾患とTEE

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4) Webb G, Gatzoulis MA. Atrial septal defects in the adult : recent progress and overview. Circulation. 2006 ; 114 : 1645-53.
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Chapter 10 アーチファクトとピットフォール

P.190 掲載の参考文献
1) Bertrand PB, Levine RA, Isselbacher EM, et al. Fact or artifact in two-dimensional echocardiography : avoiding misdiagnosis and missed diagnosis. J Am Soc Echocardiogr. 2016 ; 29 : 381-91.
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2) Le HT, Hangiandreou N, Timmerman R, et al. Imaging artifacts in echocardiography. Anesth Analg. 2016 ; 122 : 633-46.
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3) Quien MM, Saric M. Ultrasound imaging artifacts : how to recognize them and how to avoid them. Echocardiography. 2018 ; 35 : 1388-401.
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4) Faletra FF, Ramamurthi A, Dequarti MC, et al. Artifacts in three-dimensional transesophageal echocardiography. J Am Soc Echocardiogr. 2014 ; 27 : 453-62.
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6) 国沢卓之, 金信秀. 原理とアーチファクト. In : 国沢卓之. 初心者から研修医のための経食道心エコー 部長も科長もみんな初心者. 東京 : 真興交易医書出版部 ; 2014. p.250-81.
 
7) 鈴木昭広, 国沢卓之. アーチファクトとピットフォール. In : 国沢卓之. 初心者から研修医のための経食道心エコー II 部長も科長ももう初級者. 東京 : 真興交易医書出版部 ; 2015. p.179-97.
 

Chapter 11 カテーテルインターベンション

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1) Alfieri O, Maisano F, De Bonis M, et al. The double-orfice technique in mitral valve repair : a simple solution for complex problems. J Thorac Cardiovasc Surg. 2001 ; 122 : 674-81.
 
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3) Stone GW, Lindenfeld J, Abraham WT, et al. Transcatheter mitral-valve repair in patients with heart failure. N Engl J Med. 2018 ; 379 : 2307-18.
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4) Feldman T, Foster E, Glower DD, et al. Percutaneous repair or surgery for mitral regurgitation. N Engl J Med. 2011 ; 364 : 1395-406.
 
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6) Zoghbi WA, Asch FM, Bruce C, et al. Guidelines for the evaluation of valvular regurgitaion after percutaneous valve repair or replacement : a report from the American Society of Echocardiography Developed in Collaboration with the Society for Cardiovascular Angiography and Interventions, Japanese Society of Echocardiography, and Society for Cardiovascular Magnetic Resonance. J Am Soc Echocardiogr. 2019 ; 32 : 431-75.
 
7) Halaby R, Herrman HC, Gertz ZM, et al. Effect of mitral valve gradient after MitraClip on outcomes in secondary mitral regurgiaion. Results from the COAPT Trial. JACC Cardiovasc Interv. 2021 ; 14 : 879-89.
 
8) Kuwata S, Taramasso M, Czopak A, et al. Continuous direct left atrial pressure. Intraprocedual measurement predicts clinical response following MitraClip therapy. JACC Cardiovasc Interv. 2019 ; 12 : 127-36.
 
9) Schueler R, Ozturk C, Wedekind JA, et al. Persistence of iatrogenic atrial septal defect after interventional mitral valve repair with the MitraClip system : a note of caution. JACC Cardiovasc Interv. 2015 ; 8 : 450-9.
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10) Toyama K, Rader F, Kar S, et al. Iatrogenic atrial septal defect after percutaneous mitral valve repair with the MitraClip system. Am J Cardiol. 2018 ; 121 : 475-9.
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11) Matar F, Welter-Frost A. Management of iatrogenic atrial septal defects in the era of large bore transcatheter mitral valve therapies. Cardiovasc Revasc Med. 2021 ; 31 : 83-8.
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12) Freitas-Ferraz AB, Rodes-Cabau J, Junquera Vega L, et al. Transesophageal echocardiography complications associated with interventional cardiology procedures. Am Heart J. 2020 ; 221 : 19-28.
 
13) 日本循環器学会/日本不整脈心電図学会. 不整脈非薬物治療ガイドライン (2021年フォーカスアップデート版). https://www.j-circ.or.jp/cms/wp-content/uploads/2021/03/JCS2021_Kurita_Nogami.pdf (2021年5月閲覧)
 
14) 日本循環器学会. 左心耳閉鎖システムに関する適正使用指針. https://www.j-circ.or.jp/cms/wpcontent/uploads/2021/05/wm_tekisei_shishin.pdf (2021年5月閲覧)
 
15) Di Biase L, Santangeli P, Anselmino M, et al. Does the left atrial appendage morphology correlate with the risk of stroke in patients with atrial fibrillation? J Am Coll Cardiol. 2012 ; 60 : 531-8.
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16) O'Brien B, Zafar H, De Freitas S, et al. Transseptal puncture - review of anatomy, techniques, complications and challenges. Int J Cardiol. 2017 ; 233 : 12-22.
 
17) Aonuma K, Yamasaki H, Nakamura M, et al. Percutaneous WATCHMAN left atrial appendage closure for Japanese patients with nonvalvular atrial fibrillation at increased risk of thromboembolism. Circ J. 2018 ; 82 : 2946-53.
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18) Kar S, Doshi SK, Sadhu A, et al. Primary outcome evaluation of a next-generation left atrial appendage closure device. Circulation. 2021 ; 143 : 1754-62.
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19) Mack MJ, Leon MB, Thourani VH, et al. Transcatheter aortic-valve replacement with a balloonexpandable valve in low-risk patients. N Engl J Med. 2019 ; 380 : 1695-705.
 
20) Popma JJ, Deeb GM, Yakubov SJ, et al. Transcatheter aortic-valve replacement with a selfexpanding valve in low-risk patients. N Engl J Med. 2019 ; 380 : 1706-15.
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21) Beurthert S, Karam N, Resseguier N, et al. Femoral versus nonfemoral peripheral access for transcatheter aortic valve replacement. JACC. 2019 ; 74 : 2728-39.
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22) Sa MPBO, Van den Eynde, Simonato M, et al. Valve-in-valve transcatheter aortic valve replacement versus redo surgical aortic valve replacement. JACC Cardiovasc Interv. 2021 ; 14 : 211-20.
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23) Yamamoto M, Shimura T, Kano S, et al. Impact of preparatory coronary protection in patients at high anatomical risk of acute coronary obstruction during transcatheter aortic valve implantation. Int J Cardiol. 2016 ; 217 : 58-63.
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24) Ribeiro HB, Rodes-Cabau J, Blanke P, et al. Incidence, predictors, and clinical outcomes of coronary obstruction following transcatheter aortic valve replacement for degenerative bioprosthetic surgical valves : insights from the VIVD registry. Eur Heart J. 2018 ; 39 : 687-95.
 

Chapter 12 3D TEEとマルチモダリティー

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1) Gianni C, Domenico G, Rocca D, et al. Real-time 3D intracardiac echocardiography. Card Electrophysiol Clin. 2021 ; 13 : 419-26.
 
2) Hahn RT, Abraham T, Adams MS, et al. Guidelines for performing a comprehensive transesophageal echocardiographic examination : recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr. 2013 ; 26 : 921-64.
 
3) Shahgaldi K, Manouras A, Brodin LA, et al. Direct measurement of left ventricular outflow tract area using three-dimensional echocardiography in biplane mode improves accuracy of stroke volume assessment. Echocardiography. 2010 ; 27 : 1078-85, 2010.
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4) Leipsic J, Gurvitch R, LaBounty TM, et al. Multidetector computed tomography in transcatheter aortic valve implantation. JACC Cardiovasc Imaging. 2011 ; 4 : 416-29.
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5) Jilaihawi H, Kashif M, Fontanna G, et al. Cross-sectional computed tomographic assessment improves accuracy of aortic annular sizing for transcatheter aortic valve replacement and reduced the incidence of paravalvular aortic regurgitation. J Am Coll Cardiol. 2012 ; 59 : 1275-86.
 
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7) Mediratta A, Addetia K, Medvedofsky D, et al. 3D echocardiographic analysis of aortic annulus for transcatheter aortic valve replacement using novel aortic valve quantification software : comparison with computed tomography. Echocardiography. 2017 ; 59 : 690-9.
 
8) Mork C, Wei M, Jiang W, et al. Aortic annular sizing using novel software in three-dimensional transesophageal echocardiography for transcatheter aortic valve replacement : a systematic review and meta-analysis. Diagnostics. 2021 ; 11 : 751.
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Chapter 13 低血圧・心不全の鑑別と対処法

P.233 掲載の参考文献
1) 外須美夫. 麻酔中の循環維持法 : 前負荷指向型の循環管理. 日臨麻会誌. 1997 ; 17 : 366-9.
 
2) Rudski LG, Lai WW, Afilalo J. et. al. Guidelines for the echocardiographic assessment of the right heart in adults : a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2010 ; 23 : 685-713.
 

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