慶應義塾大学 · 医学
Hayashida教授の研究室は、心血管疾患、特に僧帽弁異常を有する患者を対象とした介入的心臓治療の最適化を主眼としています。特に经皮的心膜弁留置術（TAVI）の術前評価、画像ガイドド設計、合併症のメカニズム解明に注力しており、CTガイドドサイズ決定やアプローチ法の最適化による臨床的成績向上を目指しています。また、関節鏡下修復術を用いた肩関節不安定症の治療成績に関する研究を通じて、整形外科学研究とのクロスオーバーも行っています。
Figures are computed from collected data and may differ slightly.
In selected BAV patients, transcatheter aortic valve implantation may be associated with low complication rate, efficacy, and acceptable outcomes similar to those in non-BAV patients.
Eighty-two patients with traumatic anterior shoulder instability were treated with an arthroscopic transglenoid multiple suture technique (Caspari's method) and followed-up for more than 2 years. A retrospective analysis of the clinical outcome was performed to determine the factors related to poor results. The mean age at operation was 21 years (range, 13 to 50 years) and the mean follow-up period was 40 months (range, 24 to 70 months). According to the status of the ligament-labrum complex and
CT-guided valve sizing in TAVI significantly reduces the incidence of post-procedural AR compared to TEE sizing. This strategy may have the potential to improve clinical outcomes.
Although annulus rupture is one of the most severe complications of transcatheter aortic valve implantation (TAVI), the incidence and mechanism of this complication remain unclear. Out of 387 consecutive TAVI cases in our institution, the incidence of annulus rupture was 1.0% (4/387). The first two patients died because of hemodynamic collapse due to tamponade on day 0. Both surviving patients had undergone preprocedural multidetector computed tomography which revealed large calcifications in th
The TAo approach for both Sapien XT and CoreValve implantation can be used with satisfactory clinical outcome and an acceptable risk. This access route could prove a valid alternative to the transapical approach.
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