診療科

循環器内科

心臓血管のあらゆる領域に質の高い
診断と治療を提供します。
負担の少ないカテーテル治療実績は
国内トップクラス。
充実した当直体制で救急も
24時間受け入れ可能です。

お知らせ

ドクターインタビュー

循環器内科科長多田 憲生
東北における循環器領域で
最後の砦となるような
医療体制を目指して

基本情報

トピックス

診療科について

循環器内科は心臓血管の広い領域に対応する専門医を有します。

県内のみならず東北全域より患者さんが集まります。

内科のみならず心臓血管外科との密な連携によって、循環器領域の最後の砦たるハートチームを形成しています。

患者さんに体の負担の少ない”カテーテル”を用いた検査、治療を幅広くそして数多く行っています。

さらに、急性心筋梗塞のような救急医療も重要視しています。当院では、常時2人の循環器当直医が待機していることにより、急性心筋梗塞の患者さんが病院に到着すると同時に治療を開始することができます。

循環器内科で扱う主な症例

 

虚血性心疾患
狭心症、不安定狭心症、急性心筋梗塞
心筋症
肥大型心筋症、拡張型心筋症など
弁膜症
僧帽弁狭窄症・閉鎖不全症、大動脈弁狭窄症・閉鎖不全症など
不整脈疾患
洞機能不全症候群、心房細動、心房粗動、発作性心房細動、心室頻拍、心室細動、発作性上室性頻拍症など
末梢動脈疾患
下肢閉塞性動脈硬化症、腎動脈狭窄症、鎖骨下動脈狭窄症など
大動脈疾患
急性大動脈解離、胸部大動脈瘤、腹部大動脈瘤など
静脈疾患
肺梗塞、深部静脈血栓症、静脈瘤など

治療実績と症例数

 

実績

2019 2020
PCI (待機的) 570 428
PCI (緊急) 461 493
EVT 392 416
カテーテルアブレーション 566 547
新規ペースメーカー植込術 225 264
ICD 11 17
CRT 15 10
ペースメーカーリード抜去(エキシマレーザーを含む) 34 35
TAVI 236 246
経皮的僧帽弁クリップ術 (MitraClip) 80 103
経皮的左心耳閉鎖術 23 54
経皮的心房中隔欠損閉鎖術(ASD) 35 26
経皮的動脈管開存閉鎖術(PDA) 7 6
下肢静脈瘤(ラジオ波血管内焼灼術を含む) 166 115

研究業績

  • 2017年

      • Computed Tomography Score of Aortic Valve Tissue May Predict Cerebral Embolism During Transcatheter Aortic Valve Implantation.
        (JACC Cardiovasc Imaging. 2017 Aug;10(8):960-962. doi: 10.1016/j.jcmg.2017.06.005.)
        Norio Tada, Yoshihiro Haga, Shinichi Suzuki, Yusuke Enta, Masaki Miyasaka, Hiroshi Inoue, Masataka Taguri, Kiyoshi Ishii, Masaki Hata, Masashi Sakuma, Shigeru Toyoda, Teruo Inoue, Tatsushi Ootomo.
      • Feasibility Assessment of Alcohol Septal Ablation in Transcatheter Aortic Valve Replacement Using Multidetector Computed Tomography.
        (JACC Cardiovasc Interv. 2017 Jan 23;10(2):e7-e9. doi: 10.1016/j.jcin.2016.10.029.)
        Takashi Yanagiuchi, Norio Tada, Yukiko Mizutani, Takashi Matsumoto, Mie Sakurai , Tatsushi Ootomo.
      • Transcatheter closure of an atrial septal defect with high risk of erosion using a Figulla Flex II atrial septal defect occluder.
        (Cardiovasc Interv Ther. 2017 Oct;32(4):436-439. doi: 10.1007/s12928-017-0457-x. Epub 2017 Jan 20.)
        Norio Tada, Yukiko Mizutani, Takashi Matsumoto, Mie Sakurai, Tatsushi Ootomo.
      • Transcatheter valve-in-valve implantation for failed mitral prosthesis: the first experience in Japan.
        (Cardiovasc Interv Ther. 2017 Jan;32(1):82-86. doi: 10.1007/s12928-015-0374-9.)
        Norio Tada, Yusuke Enta, Mie Sakurai, Tatsushi Ootomo, Masaki Hata.
      • Balloon Repositioning of Transcatheter Aortic Valve after Migration into the Left Ventricular Outflow Tract, Followed by Valve-in-Valve Procedure.
        (Tex Heart Inst J. 2017 Aug 1;44(4):274-278. doi: 10.14503/THIJ-16-5958. eCollection 2017 Aug.)
        Masaki Ito, Norio Tada, Masaki Hata.
      • Simultaneous Transcatheter Intervention for Coarctation of the Aorta and Bicuspid Aortic Valve.
        (J Heart Valve Dis. 2017 Jul;26(4):481-484.)
        Yukiko Mizutani, Norio Tada, Takahiko Masuda, Masaki Hata.

    2018年

      • Complete Atrioventricular Block Associated with Pembrolizumab-induced Acute Myocarditis: The Need for Close Cardiac Monitoring.
        (Internal medicine (Tokyo, Japan). 2018 Nov 01;57(21);3157-3162. doi: 10.2169/internalmedicine.0255-17.)
         Yumi Katsume, Tsuyoshi Isawa, Yukihiro Toi, Ryo Fukuda, Yasuteru Kondo, Shunichi Sugawara, Tatsushi Ootomo
      • Anatomical features of the aortic root in aortic stenosis and a novel approach for transcatheter aortic valve implantation.
        (Heart and vessels. 2018 Aug;33(8);908-917. doi: 10.1007/s00380-018-1130-8.)
        Norio Tada, Teruo Inoue, Takashi Matsumoto, Mie Sakurai, Yukiko Mizutani, Yusuke Enta, Kazunori Ishii, Hiroshi Inoue, Masataka Taguri, Masaki Hata, Masashi Sakuma, Shigeru Toyoda, Tatsushi Ootomo.
      • A randomised comparison of incidence of radial artery occlusion and symptomatic radial artery spasm associated with elective transradial coronary intervention using 6.5 Fr SheathLess Eaucath Guiding Catheter vs. 6.0 Fr Glidesheath Slender.
        (EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology. 2018 04 20;13(17);2018-2025. pii: EIJ-D-17-00239.)
        Kazunori Horie, Norio Tada, Tsuyoshi Isawa, Takashi Matsumoto, Masataka Taguri, Shigeaki Kato, Taku Honda, Tatsushi Ootomo, Naoto Inoue.
      • Incidence, Predictors, and Clinical Impact of Prosthesis-Patient Mismatch Following Transcatheter Aortic Valve Replacement in Asian Patients: The OCEAN-TAVI Registry.
        (JACC. Cardiovascular interventions. 2018 04 23;11(8);771-780. pii: S1936-8798(18)30459-X.)
        Masaki Miyasaka, Norio Tada, Masataka Taguri, Shigeaki Kato, Yusuke Enta, Tatsushi Otomo, Masaki Hata, Yusuke Watanabe, Toru Naganuma, Motoharu Araki, Futoshi Yamanaka, Shinichi Shirai, Hiroshi Ueno, Kazuki Mizutani, Minoru Tabata, Akihiro Higashimori, Kensuke Takagi, Masanori Yamamoto, Kentaro Hayashida
      • Transradial Intervention in Patients With Non-ST Elevation Acute Coronary Syndrome Using One 4.0 Fr Sheath and One Sheathless Guide Catheter Via a Single Puncture Site: The 1-1-1 Strategy.
        (The Journal of invasive cardiology. 2018 09;30(9);316-323.)
        Kazunori Horie, Norio Tada, Tsuyoshi Isawa, Takashi Matsumoto, Masataka Taguri, Shigeaki Kato, Taku Honda, Tatsushi Ootomo, Naoto Inoue.
      • Impact of Prolonged Inflation Times During Plain Balloon Angioplasty on Angiographic Dissection in Femoropopliteal Lesions.
        (Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists. 2018 Dec;25(6);683-691. doi: 10.1177/1526602818799733.)
        Kazunori Horie, Akiko Tanaka, Masataka Taguri, Shigeaki Kato, Naoto Inoue.

    2019年

      • Acute Myocardial Infarction Due to Prosthetic Valve Leaflet Thrombosis 15 Months After TAVR.
        (JACC. Cardiovascular interventions. 2019 08 26;12(16);e135-e136. pii: S1936-8798(19)31026-X.)
        Kazunori Ishii, Norio Tada, Masaki Miyasaka, Masaki Hata.
      • Spontaneous Resolution of Residual Shunting in 2 Compromised Patients after Amplatzer Occlusion of Postinfarction Ventricular Septal Defects.
        (Texas Heart Institute journal. 2019 02;46(1);44-47. doi: 10.14503/THIJ-17-6416.)
        Takashi Yanagiuchi, Norio Tada, Taro Suchi, Yukiko Mizutani, Takashi Matsumoto, Mie Sakurai, Tatsushi Ootomo.
      • Utility of preprocedural multidetector computed tomography in alcohol septal ablation for hypertrophic obstructive cardiomyopathy.
        (Cardiovascular intervention and therapeutics. 2019 Oct;34(4);364-372. doi: 10.1007/s12928-019-00574-0.)
        Takashi Yanagiuchi, Norio Tada, Yoshihiro Haga, Shinichi Suzuki, Mie Sakurai, Masataka Taguri, Tatsushi Ootomo.
      • Transcatheter aortic valve implantation after aortic valve neocuspidization using autologous pericardium: a case report.
        (European heart journal. Case reports. 2019 Sep;3(3);ytz105. doi: 10.1093/ehjcr/ytz105.)
        Norio Tada, Naoyuki Tanaka, Kazuo Abe, Masaki Hata.
      • Percutaneous closure of iatrogenic ventricular septal rupture following septal branch obstruction during elective coronary angioplasty.
        (Cardiovascular intervention and therapeutics. 2019 Jan;34(1);72-73. doi: 10.1007/s12928-018-0512-2.)
        Takashi Yanagiuchi, Norio Tada, Yusuke Enta, Masaki Hata, Hideki Abe, Tatsushi Ootomo.
      • Clinical Outcomes of Transcatheter Aortic Valve Implantation in Patients With Extremely Large Annulus and SAPIEN 3 Dimensions Based on Post-Procedural Computed Tomography.
        (Circulation journal : official journal of the Japanese Circulation Society. 2019 02 25;83(3);672-680. doi: 10.1253/circj.CJ-18-1059.)
        Masaki Miyasaka, Sung-Han Yoon, Rahul P Sharma, Yoshio Maeno, Sandhu Jaideep, Masataka Taguri, Shigeaki Kato, Hiroyuki Kawamori, Takahiro Nomura, Tomoki Ochiai, Shadi Nemanpour, Tarun Chakravarty, Mamoo Nakamura, Cheng Wen, Raj Makkar.
      • Endovascular treatment of ureteroarterial fistula using a covered stent, evaluated by intravascular ultrasound: a case report.
        (CVIR endovascular. 2019 May 16;2(1);16. doi: 10.1186/s42155-019-0060-6.)
        Kazunori Horie, Toshiya Fujiwara, Kiyofumi Satoyoshi, Masato Munehisa, Naoto Inoue.

    2020年

      • Outcomes After First- Versus Second-Generation Drug-Eluting Stent Thrombosis (from the REAL-ST Registry).
        (The American journal of cardiology. 2020 10 01;132;52-58. pii: S0002-9149(20)30680-9.)
        Kazunori Horie, Shoichi Kuramitsu, Tomohiro Shinozaki, Masanobu Ohya, Hiromasa Otake, Futoshi Yamanaka, Hiroki Shiomi, Masahiro Natsuaki, Gaku Nakazawa, Norio Tada, Kenji Ando, Kazushige Kadota, Shigeru Saito, Takeshi Kimura
      • Impact of Scoring Balloons on Percutaneous Transluminal Angioplasty Outcomes in Femoropopliteal Lesions.
        (Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists. 2020 Jun;27(3);481-491. doi: 10.1177/1526602820914618.)
        Kazunori Horie, Akiko Tanaka, Masataka Taguri, Naoto Inoue.
      • A prospective interventional registry of short-term dual-antiplatelet treatment after implantation of drug-eluting stents in patients with atrial fibrillation requiring oral anticoagulation therapy.
        (Cardiovascular intervention and therapeutics. 2020 Apr;35(2);150-161. doi: 10.1007/s12928-019-00589-7.)
        Kazunori Horie, Takashi Matsumoto, Yukiko Mizutani, Norio Tada, Norichika Osai, Tsuyoshi Isawa, Masataka Taguri, Shigeaki Kato, Taku Honda, Tatsushi Ootomo, Naoto Inoue.
      • Investigation of Computed-Tomography Based Predictors of Acute Stroke Related to Transcatheter Aortic Valve Replacement: Aortic Wall Plaque Thickness Might be a Predictive Parameter of Stroke.
        (The Journal of invasive cardiology. 2020 Feb;32(2);E18-E26.)
        Masaki Miyasaka, Rahul P Sharma, Yoshio Maeno, Masataka Taguri, Sung-Han Yoon, Hiroyuki Kawamori, Norio Tada, Shigeaki Kato, Sharjeel Israr, Takahiro Nomura, Tomoki Ochiai, Yigal Abramowitz, Tarun Chakravarty, Mamoo Nakamura, Wen Cheng, John D Friedman, Daniel S Berman, Raj R Makkar.
      • Patients’ characteristics and mortality in urgent/emergent/salvage transcatheter aortic valve replacement: insight from the OCEAN-TAVI registry.
        (Open Heart. 2020 Dec;7(2):e001467. doi: 10.1136/openhrt-2020-001467.)
        Yusuke Enta, Masaki Miyasaka, Masataka Taguri, Norio Tada, Masaki Hata, Yusuke Watanabe, Toru Naganuma, Masahiro Yamawaki, Futoshi Yamanaka, Shinichi Shirai, Hiroshi Ueno, Kazuki Mizutani, Minoru Tabata, Kensuke Takagi, Masanori Yamamoto, Kentaro Hayashida, OCEAN-TAVI investigators.
      • Transcatheter mitral valve replacement.
        (J Cardiol. 2020 Nov 25;S0914-5087(20)30360-9. doi: 10.1016/j.jjcc.2020.10.020.)
        Yusuke Enta, Mamoo Nakamura.
      • Transcatheter aortic valve implantation for tricuspid aortic valve with a calcium bridge between the cusps: a case report.
        (European Heart Journal – Case Reports, Volume 4, Issue 6, December 2020, Pages 1–5.)
        Masaki Nakashima, Norio Tada, Masaki Hata.
      • Slender Sheath/Guiding Catheter Combination vs. Sheathless Guiding Catheter for Acute Coronary Syndrome: A Propensity-Matched Analysis of the Two Devices.
        (J Interv Cardiol. 2020 Aug 14;2020:8216831. doi: 10.1155/2020/8216831.)
        Tsuyoshi Isawa, Kazunori Horie, Taku Honda, Masataka Taguri, Norio Tada.
      • Predictors of the need for supportive femoral approach during transvenous extraction of pacemaker and defibrillator leads in Japanese patients.
        (J Arrhythm. 2020 Jul 3;36(4):746-754. doi: 10.1002/joa3.12395. eCollection 2020 Aug.)
        Tsuyoshi Isawa, Taku Honda, Kazuhiro Yamaya, Masataka Taguri.
      • Access-site complications of transradial percutaneous coronary intervention using sheathless guiding catheters for acute coronary syndrome: a prospective cohort study with radial ultrasound follow-up.
        (Cardiovasc Interv Ther. 2020 Oct;35(4):343-352. doi: 10.1007/s12928-019-00632-7.)
        Tsuyoshi Isawa, Kazunori Horie, Masataka Taguri, Tatsushi Ootomo.

    2021年

      • Incidence and predictors of prosthesis-patient mismatch after TAVI using SAPIEN 3 in Asian: differences between the newer and older balloon-expandable valve.
        (Open Heart. 2021 Mar;8(1):e001531. doi: 10.1136/openhrt-2020-001531.)
        Masaki Miyasaka, Norio Tada, Masataka Taguri, Shigeaki Kato, Yusuke Enta, Masaki Hata, Yusuke Watanabe, Toru Naganuma, Masahiro Yamawaki, Futoshi Yamanaka, Shinichi Shirai, Hiroshi Ueno, Kazuki Mizutani, Minoru Tabata, Kensuke Takagi, Masanori Yamamoto, Kentaro Hayashida, OCEAN-TAVI investigators.
      • Venography and Selective Ablation for Recurrent Varices after Surgery Using Radiofrequency Ablation Catheter.
        (Case Reports in Vascular Medicine Volume 2021, Article ID 6687450, 4 pages https://doi.org/10.1155/2021/6687450)
         Yusuke Enta, Makoto Saigan, Akiko Tanaka, Masaki Hata, Norio Tada.
      • Venography and Selective Ablation for Recurrent Varices after Surgery Using Radiofrequency Ablation Catheter.
        (Case Reports in Vascular Medicine Volume 2021, Article ID 6687450, 4 pages https://doi.org/10.1155/2021/6687450)
         Yusuke Enta, Makoto Saigan, Akiko Tanaka, Masaki Hata, Norio Tada.
      • Atrial Septal Defect Closure via Left Subclavian Vein Approach in a Patient With Absent Inferior Vena Cava.
        (World J Pediatr Congenit Heart Surg. 2021 May 6;2150135120983807. doi: 10.1177/2150135120983807. )
        Yusuke Enta, Shunsuke Tatebe, Yoshikatsu Saiki , Norio Tada 
      • Percutaneous closure of an iatrogenic atrial septal defect with bidirectional shunt for hemodynamic collapse following percutaneous transvenous mitral commissurotomy.
        (Cardiovasc Interv Ther. 2021 Oct 20. doi: 10.1007/s12928-021-00817-z.)
        Kazunori Sugimura, Masaki Nakashima, Mie Sakurai, Masaki Hata, Norio Tada  
      •  Impact of Baseline and Postprocedural Intravascular Ultrasound Findings on 1-Year Primary Patency After Drug-Coated Balloon Treatment of Femoropopliteal Lesions. J Endovasc Ther. 2022 Feb;29(1):66-75.
        Horie K, Tanaka A, Taguri M, Inoue N.
      •  Long-term clinical effectiveness of a drug-coated balloon for in-stent restenosis in Femoropopliteal lesions. CVIR Endovasc. 2021 Jan 11;4(1):13. 
        Horie K, Tanaka A, Suzuki K, Taguri M, Inoue N.
      •  Endovascular revascularization of heavily calcified occlusion in superior mesenteric artery using Transcollateral approach. CVIR Endovasc. 2021 Jun 1;4(1):45.
        Horie K, Tanaka A, Tada N.
      • Usefulness of three-dimensional reconstruction images of coronary computed tomography angiogram in percutaneous coronary intervention after Bentall Operation. Tex Heart Inst J. doi: 10.1007/s12928-021-00817-z.
        Kazunori Sugimura, Masaki Miyasaka, Masaki Nakashima, Masaki Hata, Norio Tada
      • Use of the Evolution RL Sheath During an Open-Heart Lead Extraction.
        (Circ Rep. 2021 Sep 23;3(11):684-685. doi: 10.1253/circrep.CR-21-0118. )
        Isawa T, Honda T, Yamaya K, Toyoda S.
      • Atrial septal perforation with Needle’s Eye Snare during transvenous lead extraction.
        J Arrhythm. 2021 Jul 11;37(5):1348-1350. doi: 10.1002/joa3.12593.
        Isawa T, Honda T, Yamaya K, Hasegawa Y, Ito J.
      • Definite Acute Myocarditis After Coronavirus Disease 2019 mRNA Vaccination.
        Circ J. 2021 Dec 4. doi: 10.1253/circj.CJ-21-0840.
        Maeda M, Isawa T, Tada N.

        2022年

        Horie K, Kuramitsu S, Matsuo H, Shinozaki T, Takashima H, Shiono Y, Terai H, Kikuta Y, Ishihara T, Saigusa T, Sakamoto T, Asano T, Tsujita K, Masamura K, Doijiri T, Ogita M, Kurita T, Matsuo A, Sonoda S, Yokoi H, Tanaka N; J-CONFIRM Investigators. Two-Year Outcomes of Asymptomatic vs. Symptomatic Patients After Deferral of Revascularization Based on Fractional Flow Reserve - Insights From the J-CONFIRM Registry. Circ Rep. 2020 Nov 18;2(12):744-752. doi: 10.1253/circrep.CR-20-0110. PMID: 33693205; PMCID: PMC7937522.

      • Horie K, Takahara M, Nakama T, Tanaka A, Tobita K, Hayakawa N, Mori S, Iwata Y, Suzuki K. Retrospective Multicenter Comparison Between Viabahn Covered Stent-Grafts and Supera Interwoven Nitinol Stents for Endovascular Treatment in Severely Calcified Femoropopliteal Artery Disease: The ARMADILLO Study (Adjusted Retrospective coMparison of scAffolDs In caLcified LesiOns). J Endovasc Ther. 2022 Sep 22:15266028221124727. doi: 10.1177/15266028221124727. Epub ahead of print. PMID: 36146948.
      • Isawa T, Horie K, Tada N, Toyoda S. Initial Experience With a Novel Sheathless Guiding Catheter (Hyperion SheathLess) for Transradial Coronary Intervention. J Invasive Cardiol. 2022 Jul;34(7):E490-E495. Epub 2022 Jun 24. PMID: 35738561.

      • Isawa T, Toi Y, Sugawara S, Taguri M, Toyoda S. Incidence, Clinical Characteristics, and Predictors of Cardiovascular Immune-Related Adverse Events Associated with Immune Checkpoint Inhibitors. Oncologist. 2022 May 6;27(5):e410-e419. doi: 10.1093/oncolo/oyac056. PMID: 35348766; PMCID: PMC9074992.

      • Isawa T, Honda T, Yamaya K, Toyoda S. A steerable introducer-assisted wire-loop snare technique: A bailout for unsuccessful lead extraction by a Needle’s Eye Snare. J Arrhythm. 2022 Aug 9;38(5):821-823. doi: 10.1002/joa3.12766. PMID: 36237864; PMCID: PMC9535801

      • Jumpei Saito, Kennosuke Yamashita, Takaki Numajiri, Yuma Gibo, Soichiro Usumoto, Syuro Narui, Tatsuki Fujioka, Yu Asukai , Wataru Igawa, Morio Ono, Seitaro Ebara, Toshitaka Okabe, Naoei Isomura, Masahiko Ochiai. Grid-mapping catheters versus PentaRay catheters for left atrial mapping on ensite precision mapping system. J Cardiovasc Electrophysiol. 2022 Jul;33(7):1405-1411. doi: 10.1111/jce.15498. Epub 2022 Apr 28.
      • Takehiro Nomura, Masaki Miyasaka, Masaki Nakashima, Makoto Saigan, Arata Inoue, Yusuke Enta, Yusuke Toki, Kazunori Ishii, Mie Sakurai, Yoshiko Munehisa, Jun Ito, Masaki Hata, Masataka Taguri , Norio Tada. Delivery balloon volume positively correlates with the diameter and effective orifice area of implanted SAPIEN 3. J Cardiol. 2022 Sep;80(3):190-196. doi: 10.1016/j.jjcc.2022.03.011. Epub 2022 Apr 22.
      • Nomura T, Teruo I, Miyasaka M, Hirose S, Enta Y, Ishii K, Nakashima M, Saigan M, Toki Y, Sakurai M, Munehisa Y, Hata M, Taguri M, Toyoda S, Tada N. Detection of left coronary ostial obstruction during transcatheter aortic valve replacement by coronary flow velocity measurement in the left main trunk by intraoperative transesophageal echocardiography. J Cardiol. 2022 Sep 13:S0914-5087(22)00217-9. doi: 10.1016/j.jjcc.2022.08.009. PMID: 36114119
      • Suguru Hirose, Yusuke Enta, Kazunori Ishii, Arata Inoue, Masaki Nakashima, Takehiro Nomura, Makoto Saigan, Norio Tada. En face view of the transcatheter heart valve from deep right-anterior-oblique cranial position for coronary access after transcatheter aortic valve implantation: a case series. Eur Heart J Case Rep. 2022 Feb 7;6(2):ytac059. doi: 10.1093/ehjcr/ytac059. eCollection 2022 Feb.

    患者さんの紹介について

    救急患者さんをご紹介いただく場合

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