{"version":"1.0","provider_name":"\u8056\u8def\u52a0\u56fd\u969b\u75c5\u9662 \u5fc3\u8840\u7ba1\u30bb\u30f3\u30bf\u30fc","provider_url":"https:\/\/cardiovascularcenter.luke.ac.jp\/en\/","title":"Impella - \u8056\u8def\u52a0\u56fd\u969b\u75c5\u9662 \u5fc3\u8840\u7ba1\u30bb\u30f3\u30bf\u30fc","type":"rich","width":600,"height":338,"html":"<blockquote class=\"wp-embedded-content\" data-secret=\"rOet0T1P2Z\"><a href=\"https:\/\/cardiovascularcenter.luke.ac.jp\/impella\/\">Impella<\/a><\/blockquote><iframe sandbox=\"allow-scripts\" security=\"restricted\" src=\"https:\/\/cardiovascularcenter.luke.ac.jp\/impella\/embed\/#?secret=rOet0T1P2Z\" width=\"600\" height=\"338\" title=\"&#8220;Impella&#8221; &#8212; \u8056\u8def\u52a0\u56fd\u969b\u75c5\u9662 \u5fc3\u8840\u7ba1\u30bb\u30f3\u30bf\u30fc\" data-secret=\"rOet0T1P2Z\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\" class=\"wp-embedded-content\"><\/iframe><script>\n\/*! This file is auto-generated *\/\n!function(d,l){\"use strict\";l.querySelector&&d.addEventListener&&\"undefined\"!=typeof URL&&(d.wp=d.wp||{},d.wp.receiveEmbedMessage||(d.wp.receiveEmbedMessage=function(e){var t=e.data;if((t||t.secret||t.message||t.value)&&!\/[^a-zA-Z0-9]\/.test(t.secret)){for(var s,r,n,a=l.querySelectorAll('iframe[data-secret=\"'+t.secret+'\"]'),o=l.querySelectorAll('blockquote[data-secret=\"'+t.secret+'\"]'),c=new RegExp(\"^https?:$\",\"i\"),i=0;i<o.length;i++)o[i].style.display=\"none\";for(i=0;i<a.length;i++)s=a[i],e.source===s.contentWindow&&(s.removeAttribute(\"style\"),\"height\"===t.message?(1e3<(r=parseInt(t.value,10))?r=1e3:~~r<200&&(r=200),s.height=r):\"link\"===t.message&&(r=new URL(s.getAttribute(\"src\")),n=new URL(t.value),c.test(n.protocol))&&n.host===r.host&&l.activeElement===s&&(d.top.location.href=t.value))}},d.addEventListener(\"message\",d.wp.receiveEmbedMessage,!1),l.addEventListener(\"DOMContentLoaded\",function(){for(var e,t,s=l.querySelectorAll(\"iframe.wp-embedded-content\"),r=0;r<s.length;r++)(t=(e=s[r]).getAttribute(\"data-secret\"))||(t=Math.random().toString(36).substring(2,12),e.src+=\"#?secret=\"+t,e.setAttribute(\"data-secret\",t)),e.contentWindow.postMessage({message:\"ready\",secret:t},\"*\")},!1)))}(window,document);\n\/\/# sourceURL=https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-includes\/js\/wp-embed.min.js\n<\/script>\n","description":"Impella\u3068\u306f\uff1f \u5bfe\u8c61\u60a3\u8005 Impella\u306e\u7a2e\u985e\u3068\u7279\u5fb4 https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2024\/04\/Impella-movie.mp4 1. Impella\u3068\u306f\uff1f Impella(\u30a4\u30f3\u30da\u30e9)\u306f\u3001\u6025\u6027\u5fc3\u7b4b\u6897\u585e\u306a\u3069\u306b\u3088\u308a\u5fc3\u81d3\u306e\u52d5\u304d\u304c\u6975\u7aef\u306b\u60aa\u304f\u306a\u3063\u305f\u60a3\u8005\u3055\u3093\u306b\u304a\u3044\u3066\u3001\u5fc3\u81d3\u5de6\u5fc3\u5ba4\u304c\u8840\u6db2\u3092\u5168\u8eab\u306b\u9001\u308a\u51fa\u3059\u6a5f\u80fd\u3092\u30b5\u30dd\u30fc\u30c8\u3059\u308b\u305f\u3081\u306e\u88dc\u52a9\u5faa\u74b0\u88c5\u7f6e\u306e\u4e00\u3064\u3067\u3059\u3002\u8d85\u5c0f\u578b\u30dd\u30f3\u30d7\u3092\u5185\u8535\u3057\u305f\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u5de6\u5fc3\u5ba4\u306b\u7559\u7f6e\u3057\u3001\u5de6\u5fc3\u5ba4\u304b\u3089\u8840\u6db2\u3092\u5438\u3044\u4e0a\u3052\u3066\u4e0a\u884c\u5927\u52d5\u8108\u3078\u9001\u308a\u51fa\u3059\u3053\u3068\u3067\u5fc3\u81d3\u306e\u30dd\u30f3\u30d7\u6a5f\u80fd\u3092\u88dc\u52a9\u3057\u307e\u3059\u3002\u5fc3\u7b4b\u6897\u585e\u306a\u3069\u3067\u5fc3\u6a5f\u80fd\u304c\u6975\u7aef\u306b\u4f4e\u4e0b\u3059\u308b\u3068\u5fc3\u81d3\u304b\u3089\u5168\u8eab\u306b\u56de\u308b\u8840\u6db2\u91cf\u304c\u4f4e\u4e0b\u3057\u3001\u8840\u5727\u304c\u5341\u5206\u306b\u7dad\u6301\u3067\u304d\u306a\u3044\u72b6\u614b\uff08\u5fc3\u539f\u6027\u30b7\u30e7\u30c3\u30af\uff09\u3068\u306a\u308a\u307e\u3059\u3002\u5fc3\u539f\u6027\u30b7\u30e7\u30c3\u30af\u3067\u306f\u8133\u3084\u814e\u81d3\u306a\u3069\u306e\u5168\u8eab\u306e\u81d3\u5668\u3078\u306e\u8840\u6d41\u304c\u4f4e\u4e0b\u3057\u69d8\u3005\u306a\u81d3\u5668\u969c\u5bb3\u3092\u6765\u3057\u307e\u3059\u304c\u3001Impella\u306f\u3053\u306e\u3088\u3046\u306a\u72b6\u614b\u304b\u3089\u8131\u5374\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u3066\u4f7f\u7528\u3055\u308c\u307e\u3059\u3002\u30e8\u30fc\u30ed\u30c3\u30d1\u3067\u306f2005\u5e74\u304b\u3089\u3001\u30a2\u30e1\u30ea\u30ab\u3067\u306f2008\u5e74\u304b\u3089\u8ca9\u58f2\u958b\u59cb\u3068\u306a\u308a\u3001\u65e5\u672c\u3067\u306f2017\u5e749\u6708\u304b\u3089\u4f7f\u7528\u53ef\u80fd\u306b\u306a\u308a\u307e\u3057\u305f\u3002 \u00a0\u88dc\u52a9\u5faa\u74b0\u88c5\u7f6e\u3068\u547c\u3070\u308c\u308b\u3001\u5f31\u3063\u305f\u5fc3\u81d3\u306e\u30dd\u30f3\u30d7\u6a5f\u80fd\u3092\u52a9\u3051\u308b\u305f\u3081\u306e\u88c5\u7f6e\u306b\u306f\u3044\u304f\u3064\u304b\u306e\u7a2e\u985e\u304c\u5b58\u5728\u3057\u307e\u3059\u3002\u4e3b\u306a\u88dc\u52a9\u5faa\u74b0\u88c5\u7f6e\u3068\u3057\u3066\u3001\u2460\u5927\u52d5\u8108\u5185\u3067\u5fc3\u81d3\u306e\u53ce\u7e2e\u3068\u62e1\u5f35\u306b\u5408\u308f\u305b\u3066\u98a8\u8239\u3092\u62e1\u3052\u305f\u308a\u9589\u3058\u305f\u308a\u3059\u308bIABP (\u5927\u52d5\u8108\u5185\u30d0\u30eb\u30fc\u30f3\u30d1\u30f3\u30d4\u30f3\u30b0)\u3001\u2461\u3044\u308f\u3086\u308b\u5916\u4ed8\u3051\u306e\u4eba\u5de5\u5fc3\u80ba\u3067\u3042\u308bECMO (\u4f53\u5916\u5f0f\u819c\u578b\u4eba\u5de5\u80ba\uff1aPCPS \u3068\u3082\u547c\u3070\u308c\u307e\u3059)\u3001\u2462\u5fc3\u81d3\u306e\u4e2d\u306b\u76f4\u63a5\u690d\u3048\u8fbc\u3080\u30bf\u30a4\u30d7\u306e\u88dc\u52a9\u88c5\u7f6e\u3067\u3042\u308bVAD\uff08\u88dc\u52a9\u4eba\u5de5\u5fc3\u81d3\uff09\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u65b0\u305f\u306b\u2463\u7d4c\u76ae\u7684\u5de6\u5ba4\u88dc\u52a9\u88c5\u7f6e\u3068\u3057\u3066\u958b\u767a\u3055\u308c\u305f\u306e\u304cImpella\u306b\u306a\u308a\u307e\u3059\u3002 \u3000Impella\u306f\u6bd4\u8f03\u7684\u4f4e\u4fb5\u8972\u306a\uff08\u50b7\u306e\u5c0f\u3055\u306a\uff09\u51e6\u7f6e\u3067\u5faa\u74b0\u306e\u30b5\u30dd\u30fc\u30c8\u3092\u884c\u3046\u3053\u3068\u304c\u3067\u304d\u308b\u88dc\u52a9\u5faa\u74b0\u88c5\u7f6e\u3067\u3042\u308a\u3001\u81d3\u5668\u3078\u306e\u8840\u6d41\u3092\u4fdd\u3064\u3053\u3068\u306b\u52a0\u3048\u3066\u3001\u642d\u8f09\u3055\u308c\u305f\u4eba\u5de5\u30dd\u30f3\u30d7\u304c\u5fc3\u81d3\u306e\u4ed5\u4e8b\u3092\u80a9\u4ee3\u308f\u308a\u3059\u308b\u305f\u3081\u3001\u5fc3\u81d3\u304c\u5168\u8eab\u306b\u8840\u6db2\u3092\u9001\u308b\u305f\u3081\u306e\u8ca0\u62c5\u304c\u8efd\u6e1b\u3055\u308c\u3001\u5fc3\u6a5f\u80fd\u306e\u56de\u5fa9\u306b\u5bc4\u4e0e\u3059\u308b\u4e8b\u304c\u671f\u5f85\u3055\u308c\u3066\u3044\u307e\u3059 (\u3053\u308c\u3092\u30a2\u30f3\u30ed\u30fc\u30c7\u30a3\u30f3\u30b0\u3068\u547c\u3073\u307e\u3059)\u3002\u3053\u308c\u306f\u5f93\u6765\u306e\u88dc\u52a9\u5faa\u74b0\u88c5\u7f6e\u3068\u306f\u7570\u306a\u308bImpella\u72ec\u81ea\u306e\u9577\u6240\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u3055\u3089\u306b\u91cd\u75c7\u306e\u60a3\u8005\u3055\u3093\u306b\u5bfe\u3057\u3066\u306f\u3001\u524d\u8ff0\u306eECMO\uff08\u3044\u308f\u3086\u308b\u5916\u4ed8\u3051\u306e\u4eba\u5de5\u5fc3\u80ba\u88c5\u7f6e\uff09\u3068\u4f75\u7528\u3057\u3066\u4f7f\u7528\u3055\u308c\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002 \u00a0\u305d\u308c\u305e\u308c\u306e\u6a5f\u68b0\u7684\u5faa\u74b0\u88dc\u52a9\u306e\u7279\u5fb4\u3092\u8868\u306b\u307e\u3068\u3081\u3066\u3044\u307e\u3059\u3002 2. \u5bfe\u8c61\u60a3\u8005 \u300c\u5fc3\u539f\u6027\u30b7\u30e7\u30c3\u30af\u7b49\u306e\u85ac\u7269\u7642\u6cd5\u62b5\u6297\u6027\u306e\u6025\u6027\u5fc3\u4e0d\u5168\u300d\u304c\u9069\u5fdc\u306b\u306a\u308a\u307e\u3059\u3002\u7279\u306b\u6025\u6027\u5fc3\u7b4b\u6897\u585e\u3084\u5287\u75c7\u578b\u5fc3\u7b4b\u708e\u3068\u547c\u3070\u308c\u308b\u3088\u3046\u306a\u91cd\u5ea6\u306e\u5fc3\u7b4b\u708e\u306b\u3088\u3063\u3066\u3001\u5fc3\u81d3\u306e\u8840\u6db2\u62cd\u51fa\u91cf\u304c\u6975\u7aef\u306b\u4f4e\u4e0b\u3057\u3066\u3057\u307e\u3063\u305f\u60a3\u8005\u3055\u3093\u306b\u5bfe\u3057\u3066\u52b9\u679c\u304c\u671f\u5f85\u3055\u308c\u307e\u3059\u3002\u307e\u305f\u524d\u8ff0\u306e\u901a\u308a\u3001\u7279\u306b\u5fc3\u81d3\u3060\u3051\u3067\u306a\u304f\u547c\u5438\u4e0d\u5168\u3082\u5448\u3057\u3066\u3044\u308b\u3088\u3046\u306a\u6700\u91cd\u75c7\u4f8b\u3067\u306f\u3001Impella\u306b\u3088\u308b\u5de6\u5ba4\u8ca0\u8377\u306e\u8efd\u6e1b\u52b9\u679c\u3092\u671f\u5f85\u3057\u3066\u3001ECMO\u3068\u4f75\u7528\u3057\u3066\u4f7f\u7528\u3055\u308c\u308b\u4f8b\u3082\u3042\u308a\u307e\u3059(\u4f75\u7528\u3059\u308b\u5834\u5408\u3092ECPELLA [\u30a4\u30af\u30da\u30e9]\u3068\u547c\u3073\u307e\u3059)\u3002 3. Impella\u306e\u7a2e\u985e\u3068\u7279\u5fb4 Impella\u306b\u306f\u305d\u306e\u5927\u304d\u3055\u3068\u30b5\u30dd\u30fc\u30c8\u53ef\u80fd\u306a\u8840\u6db2\u6d41\u91cf\u304b\u3089\u3053\u308c\u307e\u3067\u3044\u304f\u3064\u304b\u306e\u7a2e\u985e\u304c\u51fa\u3066\u3044\u307e\u3059\u304c\u3001\u73fe\u5728\u65e5\u672c\u3067\u4f7f\u7528\u3067\u304d\u308b\u306e\u306f\u3001Impella CP\u00ae\ufe0e\u3001Impella 5.5\u00ae\ufe0e\u306e\uff12\u7a2e\u985e\u3067\u3059\u3002 \u00a0Impella CP\u00ae\ufe0e\u306f\u57fa\u672c\u7684\u306b\u8db3\u306e\u4ed8\u3051\u6839\u306b\u3042\u308b\u5927\u817f\u52d5\u8108\u304b\u3089\u3001\u76ae\u819a\u3092\u901a\u3058\u3066\u633f\u5165\u3057\u307e\u3059\u304c\u3001Impella 5.5\u00ae\ufe0e\u306f\u4eba\u5de5\u8840\u7ba1\u3092\u7528\u3044\u305f\u5916\u79d1\u7684\u624b\u8853\u306b\u3088\u3063\u3066\u9396\u9aa8\u306e\u4e0b\u306b\u3042\u308b\u52d5\u8108\uff08\u9396\u9aa8\u4e0b\u52d5\u8108\uff09\u304b\u3089\u633f\u5165\u3057\u307e\u3059\u3002\u7559\u7f6e\u65b9\u6cd5\u306e\u7c21\u4fbf\u3055\u3001\u6700\u5927\u88dc\u52a9\u6d41\u91cf\u3001\u60f3\u5b9a\u3055\u308c\u308b\u4f7f\u7528\u671f\u9593\u3001\u4e0b\u80a2\u56fa\u5b9a\u306e\u5fc5\u8981\u6027\uff08\u30ea\u30cf\u30d3\u30ea\u306e\u53ef\u5426\uff09\u306a\u3069\u304c\u7570\u306a\u308a\u307e\u3059\u304c\u3001\u305d\u308c\u305e\u308c\u306e\u60a3\u8005\u3055\u3093\u306b\u9069\u3057\u305f\u30c7\u30d0\u30a4\u30b9\u3092\u5f53\u9662\u306e\u30cf\u30fc\u30c8\u30c1\u30fc\u30e0\u3067\u76f8\u8ac7\u3057\u306a\u304c\u3089\u9078\u629e\u3057\u3066\u3044\u307e\u3059\u3002 *9Fr. = 3.0 mm, 17Fr. = 4.7mm, 21Fr. = 7.0mm TOP \u4e3b\u306a\u75be\u60a3\u3078\u623b\u308b","thumbnail_url":"https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2024\/04\/Impella-table-1.png"}