{"id":9260,"date":"2026-10-16T19:27:11","date_gmt":"2026-10-16T10:27:11","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=9260"},"modified":"2026-10-16T21:41:06","modified_gmt":"2026-10-16T12:41:06","slug":"post-9260","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-9260\/","title":{"rendered":"\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8\u75c5\u5909\u306ePCI\u306bIVUS\u306f\u5fc5\u8981\u304b\uff1fOPTIMAL\u8a66\u9a13\u304c\u793a\u3057\u305f\u8840\u7ba1\u5185\u8d85\u97f3\u6ce2\u30ac\u30a4\u30c9\u3068\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9\u306e\u6bd4\u8f03\uff1a806\u4f8b\u306e\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13"},"content":{"rendered":"\n<p 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alt=\"\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8\u306e\u72ed\u7a84\u3068\u5de6\u524d\u4e0b\u884c\u679d\u30fb\u5de6\u56de\u65cb\u679d\u306e\u89e3\u5256\u5b66\u7684\u69cb\u9020\u304a\u3088\u3073\u5e83\u7bc4\u56f2\u306e\u5fc3\u7b4b\u865a\u8840\u30ea\u30b9\u30af\" class=\"wp-image-9267\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-93.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-93-400x300.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-93-768x576.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p 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artery\uff1aLCx\uff09\u3078\u5206\u5c90\u3059\u308b\u3002LAD\u306f\u4e3b\u3068\u3057\u3066\u5de6\u5ba4\u524d\u58c1\u3001\u5fc3\u5ba4\u4e2d\u9694\u304a\u3088\u3073\u5fc3\u5c16\u90e8\u306b\u3001LCx\u306f\u4e3b\u3068\u3057\u3066\u5de6\u5ba4\u5074\u58c1\u304b\u3089\u5f8c\u5074\u58c1\u306b\u8840\u6d41\u3092\u4f9b\u7d66\u3059\u308b\u3002LMCA\u306b\u9ad8\u5ea6\u72ed\u7a84\u304c\u751f\u3058\u308b\u3068\u3001\u4e21\u5206\u679d\u306e\u704c\u6d41\u9818\u57df\u306b\u5e83\u7bc4\u306a\u5fc3\u7b4b\u865a\u8840\u3092\u5f15\u304d\u8d77\u3053\u3059\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u672c\u56f3\u3067\u306f\u3001LMCA\u306e\u52d5\u8108\u786c\u5316\u6027\u72ed\u7a84\u3068\u3001\u305d\u306e\u4e0b\u6d41\u306b\u5b58\u5728\u3059\u308b\u5fc3\u7b4b\u704c\u6d41\u9818\u57df\u3092\u793a\u3057\u305f\u3002\u51a0\u52d5\u8108\u652f\u914d\u9818\u57df\u306b\u306f\u89e3\u5256\u5b66\u7684\u500b\u4eba\u5dee\u304c\u3042\u308a\u3001\u8868\u793a\u3057\u305f\u704c\u6d41\u9818\u57df\u306f\u4ee3\u8868\u7684\u306a\u5206\u5e03\u3092\u793a\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2\uff0ePCI\u3068IVUS\u306e\u9055\u3044\uff1a\u8840\u7ba1\u3092\u5916\u5074\u304b\u3089\u898b\u308b\u304b\u3001\u5185\u5074\u304b\u3089\u898b\u308b\u304b<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">2-1\uff0ePCI\uff08\u7d4c\u76ae\u7684\u51a0\u52d5\u8108\u30a4\u30f3\u30bf\u30fc\u30d9\u30f3\u30b7\u30e7\u30f3\uff09\u3068\u306f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">PCI\u306f\u3001\u624b\u9996\u3084\u811a\u306e\u4ed8\u3051\u6839\u306a\u3069\u306e\u52d5\u8108\u304b\u3089\u7d30\u3044\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u633f\u5165\u3057\u3001\u72ed\u304f\u306a\u3063\u305f\u51a0\u52d5\u8108\u3092\u30d0\u30eb\u30fc\u30f3\u3084\u30b9\u30c6\u30f3\u30c8\u306b\u3088\u3063\u3066\u62e1\u5f35\u3059\u308b\u6cbb\u7642\u6cd5\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u85ac\u5264\u6eb6\u51fa\u6027\u30b9\u30c6\u30f3\u30c8\uff08Drug-Eluting Stent\uff1aDES\uff09\u306f\u3001\u30b9\u30c6\u30f3\u30c8\u304b\u3089\u85ac\u5264\u304c\u653e\u51fa\u3055\u308c\u308b\u3053\u3068\u3067\u3001\u6cbb\u7642\u5f8c\u306e\u8840\u7ba1\u5185\u819c\u5897\u6b96\u3084\u518d\u72ed\u7a84\u3092\u6291\u5236\u3057\u307e\u3059\u3002<\/p>\n<\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001\u30b9\u30c6\u30f3\u30c8\u3092\u7559\u7f6e\u3059\u308b\u3060\u3051\u3067\u5341\u5206\u3068\u306f\u9650\u308a\u307e\u305b\u3093\u3002\u30b9\u30c6\u30f3\u30c8\u306e\u62e1\u5f35\u304c\u4e0d\u5341\u5206\u3067\u3042\u3063\u305f\u308a\u3001\u8840\u7ba1\u58c1\u3078\u306e\u5bc6\u7740\u304c\u4e0d\u5341\u5206\u3060\u3063\u305f\u308a\u3059\u308b\u3068\u3001\u8840\u6d41\u969c\u5bb3\u3001\u30b9\u30c6\u30f3\u30c8\u8840\u6813\u75c7\u3001\u518d\u72ed\u7a84\u306a\u3069\u306b\u3064\u306a\u304c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2-2\uff0e\u51a0\u52d5\u8108\u9020\u5f71\uff08Angiography\uff09\u306e\u7279\u5fb4<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u51a0\u52d5\u8108\u9020\u5f71\u306f\u3001\u9020\u5f71\u5264\u3092\u51a0\u52d5\u8108\u5185\u3078\u6ce8\u5165\u3057\u3066X\u7dda\u3067\u8840\u7ba1\u306e\u5185\u8154\u3092\u63cf\u51fa\u3059\u308b\u691c\u67fb\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u7ba1\u306e\u72ed\u7a84\u90e8\u4f4d\u3001\u8840\u6d41\u3001\u5206\u5c90\u90e8\u306e\u5f62\u614b\u306a\u3069\u3092\u628a\u63e1\u3067\u304d\u307e\u3059\u304c\u3001\u57fa\u672c\u7684\u306b\u306f\u4e8c\u6b21\u5143\u306e\u6295\u5f71\u753b\u50cf\u3067\u3042\u308a\u3001\u8840\u7ba1\u58c1\u5185\u90e8\u306e\u30d7\u30e9\u30fc\u30af\u3084\u6b63\u78ba\u306a\u8840\u7ba1\u65ad\u9762\u3092\u5341\u5206\u306b\u8a55\u4fa1\u3067\u304d\u306a\u3044\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7279\u306b\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8\u306e\u3088\u3046\u306b\u8840\u7ba1\u5f84\u304c\u5927\u304d\u304f\u3001\u5206\u5c90\u69cb\u9020\u304c\u8907\u96d1\u306a\u90e8\u4f4d\u3067\u306f\u3001\u9020\u5f71\u753b\u50cf\u3060\u3051\u3067\u30b9\u30c6\u30f3\u30c8\u5f84\u3084\u62e1\u5f35\u72b6\u614b\u3092\u5224\u65ad\u3059\u308b\u3053\u3068\u304c\u96e3\u3057\u3044\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2-3\uff0eIVUS\uff08\u8840\u7ba1\u5185\u8d85\u97f3\u6ce2\uff09\u3068\u306f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">IVUS\uff08Intravascular Ultrasound\uff09\u306f\u3001\u51a0\u52d5\u8108\u5185\u306b\u633f\u5165\u3057\u305f\u8d85\u97f3\u6ce2\u30d7\u30ed\u30fc\u30d6\u306b\u3088\u3063\u3066\u3001\u8840\u7ba1\u3092\u5185\u5074\u304b\u3089\u65ad\u5c64\u753b\u50cf\u3068\u3057\u3066\u89b3\u5bdf\u3059\u308b\u6280\u8853\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e3b\u306b\u4ee5\u4e0b\u306e\u60c5\u5831\u3092\u5f97\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8840\u7ba1\u5185\u8154\u306e\u9762\u7a4d\u3084\u76f4\u5f84<\/li>\n\n\n\n<li>\u52d5\u8108\u786c\u5316\u6027\u30d7\u30e9\u30fc\u30af\u306e\u5206\u5e03\u3084\u5f62\u614b<\/li>\n\n\n\n<li>\u8840\u7ba1\u5f84\u306b\u9069\u3057\u305f\u30b9\u30c6\u30f3\u30c8\u30b5\u30a4\u30ba<\/li>\n\n\n\n<li>\u30b9\u30c6\u30f3\u30c8\u7559\u7f6e\u5f8c\u306e\u62e1\u5f35\u72b6\u614b<\/li>\n\n\n\n<li>\u30b9\u30c6\u30f3\u30c8\u306e\u8840\u7ba1\u58c1\u3078\u306e\u5bc6\u7740\u72b6\u614b<\/li>\n\n\n\n<li>\u30b9\u30c6\u30f3\u30c8\u8fba\u7e01\u306e\u8840\u7ba1\u89e3\u96e2<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u3046\u3057\u305f\u8a55\u4fa1\u306b\u3088\u3063\u3066PCI\u306e\u7cbe\u5ea6\u5411\u4e0a\u304c\u671f\u5f85\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001\u753b\u50cf\u3067\u30b9\u30c6\u30f3\u30c8\u7559\u7f6e\u72b6\u614b\u3092\u8a73\u7d30\u306b\u8a55\u4fa1\u3067\u304d\u308b\u3053\u3068\u3068\u3001\u5b9f\u969b\u306b\u6b7b\u4ea1\u3084\u5fc3\u7b4b\u6897\u585e\u304c\u6e1b\u5c11\u3059\u308b\u3053\u3068\u306f\u5225\u306e\u554f\u984c\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u81e8\u5e8a\u7684\u306a\u52b9\u679c\u3092\u691c\u8a3c\u3057\u305f\u306e\u304c\u3001\u4eca\u56de\u306eOPTIMAL\u8a66\u9a13\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"600\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-94.png\" alt=\"\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8PCI\u306b\u304a\u3051\u308b\u51a0\u52d5\u8108\u9020\u5f71\u3068IVUS\u65ad\u9762\u753b\u50cf\u306e\u6bd4\u8f03\u3001\u30d7\u30e9\u30fc\u30af\u8a55\u4fa1\u304a\u3088\u3073\u30b9\u30c6\u30f3\u30c8\u62e1\u5f35\u72b6\u614b\u306e\u78ba\u8a8d\" class=\"wp-image-9270\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-94.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-94-400x300.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-94-768x576.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>\u56f32\uff1a\u51a0\u52d5\u8108\u9020\u5f71\u3068\u8840\u7ba1\u5185\u8d85\u97f3\u6ce2\uff08IVUS\uff09\u306b\u3088\u308b\u51a0\u52d5\u8108\u75c5\u5909\u304a\u3088\u3073\u30b9\u30c6\u30f3\u30c8\u7559\u7f6e\u72b6\u614b\u306e\u8a55\u4fa1\u306e\u6bd4\u8f03<\/strong>\u3000\u51a0\u52d5\u8108\u9020\u5f71\uff08coronary angiography\uff09\u306f\u9020\u5f71\u5264\u306b\u3088\u3063\u3066\u51a0\u52d5\u8108\u5185\u8154\u306e\u8f2a\u90ed\u3092\u63cf\u51fa\u3057\u3001\u72ed\u7a84\u90e8\u4f4d\u3001\u72ed\u7a84\u5ea6\u3001\u75c5\u5909\u9577\u304a\u3088\u3073\u8840\u6d41\u72b6\u614b\u3092\u8a55\u4fa1\u3059\u308b\u3002\u4e00\u65b9\u3001\u8840\u7ba1\u5185\u8d85\u97f3\u6ce2\uff08intravascular ultrasound\uff1aIVUS\uff09\u306f\u3001\u51a0\u52d5\u8108\u5185\u304b\u3089\u8d85\u97f3\u6ce2\u65ad\u5c64\u753b\u50cf\u3092\u53d6\u5f97\u3059\u308b\u3053\u3068\u3067\u3001\u5185\u8154\u9762\u7a4d\u3001\u8840\u7ba1\u5f84\u3001\u52d5\u8108\u786c\u5316\u6027\u30d7\u30e9\u30fc\u30af\u306e\u5206\u5e03\u3001\u77f3\u7070\u5316\u306e\u7a0b\u5ea6\u306a\u3069\u3092\u8a55\u4fa1\u3067\u304d\u308b\u3002\u30b9\u30c6\u30f3\u30c8\u7559\u7f6e\u5f8c\u306b\u306f\u3001\u30b9\u30c6\u30f3\u30c8\u62e1\u5f35\u4e0d\u8db3\uff08stent underexpansion\uff09\u3001\u8840\u7ba1\u58c1\u3078\u306e\u5bc6\u7740\u4e0d\u826f\uff08malapposition\uff09\u3001\u30b9\u30c6\u30f3\u30c8\u8fba\u7e01\u89e3\u96e2\uff08edge dissection\uff09\u306a\u3069\u306e\u8a55\u4fa1\u306b\u3082\u7528\u3044\u3089\u308c\u308b\u3002\u672c\u56f3\u3067\u306f\u51a0\u52d5\u8108\u9020\u5f71\u3068IVUS\u306b\u3088\u3063\u3066\u5f97\u3089\u308c\u308b\u60c5\u5831\u306e\u76f8\u9055\u3092\u5bfe\u6bd4\u3057\u3001\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8PCI\u306b\u304a\u3051\u308b\u753b\u50cf\u30ac\u30a4\u30c9\u306e\u6280\u8853\u7684\u610f\u7fa9\u3092\u793a\u3057\u305f\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3\uff0eOPTIMAL\u8a66\u9a13\uff1a806\u4eba\u3092\u5bfe\u8c61\u3068\u3057\u305f\u56fd\u969b\u5171\u540c\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13<\/h2>\n<\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">OPTIMAL\u8a66\u9a13\u306f\u3001\u975e\u4fdd\u8b77\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8\u75c5\u5909\u306ePCI\u306b\u304a\u3044\u3066\u3001IVUS\u30ac\u30a4\u30c9\u304c\u901a\u5e38\u306e\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9\u3088\u308a\u3082\u826f\u597d\u306a\u81e8\u5e8a\u8ee2\u5e30\u3092\u3082\u305f\u3089\u3059\u304b\u3069\u3046\u304b\u3092\u691c\u8a3c\u3057\u305f\u7814\u7a76\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3-1\uff0e\u8a66\u9a13\u30c7\u30b6\u30a4\u30f3<\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><th>\u9805\u76ee<\/th><th>\u5185\u5bb9<\/th><\/tr><tr><td>\u8a66\u9a13\u540d<\/td><td>OPTIMAL<\/td><\/tr><tr><td>\u7814\u7a76\u30c7\u30b6\u30a4\u30f3<\/td><td>\u591a\u65bd\u8a2d\u5171\u540c\u30fb\u975e\u76f2\u691c\u30fb\u30e9\u30f3\u30c0\u30e0\u5316\u512a\u8d8a\u6027\u8a66\u9a13<\/td><\/tr><tr><td>\u5b9f\u65bd\u5730\u57df<\/td><td>\u30a4\u30bf\u30ea\u30a2\u30fb\u30b9\u30da\u30a4\u30f3\u30fb\u82f1\u56fd<\/td><\/tr><tr><td>\u53c2\u52a0\u65bd\u8a2d<\/td><td>28\u65bd\u8a2d<\/td><\/tr><tr><td>\u767b\u9332\u671f\u9593<\/td><td>2020\u5e747\u6708\u301c2023\u5e746\u6708<\/td><\/tr><tr><td>\u5bfe\u8c61\u60a3\u8005<\/td><td>806\u4eba<\/td><\/tr><tr><td>IVUS\u30ac\u30a4\u30c9\u7fa4<\/td><td>401\u4eba<\/td><\/tr><tr><td>\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9\u7fa4<\/td><td>405\u4eba<\/td><\/tr><tr><td>\u8ffd\u8de1\u671f\u9593<\/td><td>\u4e2d\u592e\u50242.9\u5e74<\/td><\/tr><tr><td>\u4e3b\u89e3\u6790<\/td><td>Intention-to-treat\uff08ITT\uff09\u89e3\u6790<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u8a66\u9a13\u3067\u306f\u6cbb\u7642\u62c5\u5f53\u533b\u3084\u60a3\u8005\u3055\u3093\u306b\u5272\u4ed8\u3092\u96a0\u3059\u3053\u3068\u306f\u3067\u304d\u306a\u3044\u975e\u76f2\u691c\u30c7\u30b6\u30a4\u30f3\u304c\u63a1\u7528\u3055\u308c\u307e\u3057\u305f\u3002\u4e00\u65b9\u3001\u81e8\u5e8a\u30a4\u30d9\u30f3\u30c8\u306e\u5224\u5b9a\u306f\u72ec\u7acb\u3057\u305f\u59d4\u54e1\u4f1a\u306b\u3088\u3063\u3066\u884c\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3-2\uff0e\u5bfe\u8c61\u60a3\u8005\u306e\u7279\u5fb4<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u5bfe\u8c61\u306f18\u6b73\u4ee5\u4e0a\u3067\u3001\u51a0\u52d5\u8108\u9020\u5f71\u306b\u3088\u308a\u8996\u899a\u7684\u306b50\uff05\u4ee5\u4e0a\u306e\u72ed\u7a84\u3092\u8a8d\u3081\u3001PCI\u306b\u9069\u3057\u3066\u3044\u308b\u3068\u5224\u65ad\u3055\u308c\u305f\u975e\u4fdd\u8b77\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8\u75c5\u5909\u306e\u60a3\u8005\u3055\u3093\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u767b\u9332\u306b\u306f\u3001\u975e\u4fb5\u8972\u7684\u691c\u67fb\u3067\u4e2d\u7b49\u5ea6\u4ee5\u4e0a\u306e\u865a\u8840\u3092\u8a8d\u3081\u308b\u304b\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u57fa\u3065\u304f\u85ac\u7269\u7642\u6cd5\u3092\u53d7\u3051\u3066\u3082\u75c7\u72b6\u304c\u6b8b\u5b58\u3057\u3066\u3044\u308b\u3053\u3068\u306a\u3069\u304c\u6c42\u3081\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e3b\u306a\u60a3\u8005\u80cc\u666f\u306f\u4ee5\u4e0b\u306e\u3068\u304a\u308a\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><th>\u60a3\u8005\u80cc\u666f<\/th><th>\u7d50\u679c<\/th><\/tr><tr><td>\u5e73\u5747\u5e74\u9f62<\/td><td>71.4\u6b73<\/td><\/tr><tr><td>\u7537\u6027<\/td><td>78.4\uff05<\/td><\/tr><tr><td>\u7cd6\u5c3f\u75c5\u5408\u4f75<\/td><td>34.7\uff05<\/td><\/tr><tr><td>NSTEMI\uff08\u975eST\u4e0a\u6607\u578b\u5fc3\u7b4b\u6897\u585e\uff09<\/td><td>39.1\uff05<\/td><\/tr><tr><td>\u4e0d\u5b89\u5b9a\u72ed\u5fc3\u75c7<\/td><td>10.1\uff05<\/td><\/tr><tr><td>\u6162\u6027\u51a0\u75c7\u5019\u7fa4<\/td><td>50.8\uff05<\/td><\/tr><tr><td>\u5e73\u5747SYNTAX\u30b9\u30b3\u30a2<\/td><td>29.7<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">SYNTAX\u30b9\u30b3\u30a2\u306f\u3001\u51a0\u52d5\u8108\u75c5\u5909\u306e\u89e3\u5256\u5b66\u7684\u8907\u96d1\u6027\u3092\u8a55\u4fa1\u3059\u308b\u6307\u6a19\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u7814\u7a76\u306e\u5e73\u5747\u502429.7\u306f\u4e2d\u7b49\u5ea6\u304b\u3089\u9ad8\u5ea6\u306e\u8907\u96d1\u6027\u3092\u793a\u3057\u3066\u304a\u308a\u3001\u5358\u7d14\u306a\u51a0\u52d5\u8108\u72ed\u7a84\u3060\u3051\u3067\u306f\u306a\u304f\u3001\u8907\u96d1\u306a\u75c5\u5909\u3092\u6709\u3059\u308b\u60a3\u8005\u3055\u3093\u304c\u76f8\u5f53\u6570\u542b\u307e\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u306a\u304a\u3001\u767b\u9332\u524d48\u6642\u9593\u4ee5\u5185\u306eST\u4e0a\u6607\u578b\u5fc3\u7b4b\u6897\u585e\u3001\u5fc3\u539f\u6027\u30b7\u30e7\u30c3\u30af\u3001\u4f59\u547d2\u5e74\u672a\u6e80\u306a\u3069\u306f\u4e3b\u306a\u9664\u5916\u57fa\u6e96\u3068\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"600\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-95.png\" alt=\"OPTIMAL\u8a66\u9a13806\u4f8b\u306eIVUS\u30ac\u30a4\u30c9PCI\u7fa4\u3068\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9PCI\u7fa4\u3078\u306e\u7121\u4f5c\u70ba\u5272\u4ed8\u3001\u5b9f\u65bd\u624b\u6280\u304a\u3088\u3073ITT\u89e3\u6790\u96c6\u56e3\" class=\"wp-image-9273\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-95.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-95-400x300.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-95-768x576.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u56f3\uff1aOPTIMAL\u8a66\u9a13\u306b\u304a\u3051\u308b\u60a3\u8005\u767b\u9332\u3001\u7121\u4f5c\u70ba\u5272\u4ed8\u304a\u3088\u3073\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306e\u89e3\u6790\u96c6\u56e3<\/strong>\u3000OPTIMAL\u8a66\u9a13\u3067\u306f\u3001\u975e\u4fdd\u8b77\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8\u75c5\u5909\u3092\u6709\u3059\u308b806\u4f8b\u304c\u3001IVUS\u30ac\u30a4\u30c9PCI\u7fa4401\u4f8b\u3068\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9PCI\u7fa4405\u4f8b\u306b1\uff1a1\u306e\u5272\u5408\u3067\u7121\u4f5c\u70ba\u306b\u5272\u308a\u4ed8\u3051\u3089\u308c\u305f\u3002IVUS\u7fa4\u3067\u306f2\u4f8b\u304c\u624b\u6280\u524d\u306b\u6b7b\u4ea1\u3057\u30017\u4f8b\u304cPCI\u3092\u53d7\u3051\u305a\u3001392\u4f8b\u306bPCI\u304c\u65bd\u884c\u3055\u308c\u305f\u3002\u9020\u5f71\u30ac\u30a4\u30c9\u7fa4\u3067\u306f1\u4f8b\u304c\u624b\u6280\u524d\u306b\u6b7b\u4ea1\u3057\u30013\u4f8b\u304cPCI\u3092\u53d7\u3051\u305a\u3001401\u4f8b\u306bPCI\u304c\u65bd\u884c\u3055\u308c\u305f\u3002\u753b\u50cf\u691c\u67fb\u306e\u30d7\u30ed\u30c8\u30b3\u30fc\u30eb\u9038\u8131\u3068\u3057\u3066\u3001IVUS\u7fa4\u3067\u306fIVUS\u672a\u5b9f\u65bd5\u4f8b\u3001IVUS\u4e0d\u6210\u529f5\u4f8b\u3001\u5149\u5e72\u6e09\u65ad\u5c64\u6cd5\uff08optical coherence tomography\uff1aOCT\uff09\u3078\u306e\u5909\u66f41\u4f8b\u304c\u8a8d\u3081\u3089\u308c\u305f\u3002\u9020\u5f71\u30ac\u30a4\u30c9\u7fa4\u3067\u306f12\u4f8b\u306bIVUS\u30012\u4f8b\u306bOCT\u304c\u4f7f\u7528\u3055\u308c\u305f\u3002\u8ffd\u8de1\u4e0d\u5b8c\u5168\u4f8b\u306f\u305d\u308c\u305e\u308c21\u4f8b\u304a\u3088\u307324\u4f8b\u3067\u3042\u3063\u305f\u3002\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306fintention-to-treat\uff08ITT\uff09\u306e\u539f\u5247\u306b\u57fa\u3065\u304d\u3001\u7121\u4f5c\u70ba\u5316\u3055\u308c\u305f806\u4f8b\u5168\u54e1\u3092\u89e3\u6790\u5bfe\u8c61\u3068\u3057\u305f\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4\uff0eIVUS\u30ac\u30a4\u30c9\u7fa4\u3068\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9\u7fa4\u3067\u4f55\u304c\u9055\u3063\u305f\u306e\u304b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">IVUS\u30ac\u30a4\u30c9\u7fa4\u3067\u306f\u3001\u30b9\u30c6\u30f3\u30c8\u7559\u7f6e\u524d\u306eIVUS\u8a55\u4fa1\u304c\u5f37\u304f\u63a8\u5968\u3055\u308c\u3001\u30b9\u30c6\u30f3\u30c8\u7559\u7f6e\u5f8c\u306eIVUS\u8a55\u4fa1\u306f\u5fc5\u9808\u3068\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">IVUS\u306b\u3088\u3063\u3066\u8840\u7ba1\u5f84\u3084\u30d7\u30e9\u30fc\u30af\u5f62\u614b\u3092\u78ba\u8a8d\u3057\u3001\u30b9\u30c6\u30f3\u30c8\u7559\u7f6e\u5f8c\u306b\u306f\u62e1\u5f35\u4e0d\u8db3\u3001\u5bc6\u7740\u4e0d\u826f\u3001\u8fba\u7e01\u89e3\u96e2\u306a\u3069\u3092\u8a55\u4fa1\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4-1\uff0eIVUS\u30ac\u30a4\u30c9\u7fa4\u306e\u30b9\u30c6\u30f3\u30c8\u6700\u9069\u5316\u57fa\u6e96<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u8a66\u9a13\u3067\u306f\u3001\u90e8\u4f4d\u3054\u3068\u306b\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u6700\u5c0f\u5185\u8154\u9762\u7a4d\uff08Minimum Lumen Area\uff1aMLA\uff09\u306e\u57fa\u6e96\u304c\u8a2d\u5b9a\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><th>\u8a55\u4fa1\u90e8\u4f4d<\/th><th>\u6700\u5c0f\u5185\u8154\u9762\u7a4d\u306e\u76ee\u6a19<\/th><\/tr><tr><td>\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8\u672c\u5e79<\/td><td>8 mm\u00b2\u4ee5\u4e0a<\/td><\/tr><tr><td>\u5206\u5c90\u90e8\u5408\u6d41\u9818\u57df<\/td><td>7 mm\u00b2\u4ee5\u4e0a<\/td><\/tr><tr><td>\u5de6\u524d\u4e0b\u884c\u679d\u8fd1\u4f4d\u90e8\u306a\u3069<\/td><td>6 mm\u00b2\u4ee5\u4e0a<\/td><\/tr><tr><td>\u5de6\u56de\u65cb\u679d\u8fd1\u4f4d\u90e8<\/td><td>5 mm\u00b2\u4ee5\u4e0a<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u308c\u3089\u306fOPTIMAL\u8a66\u9a13\u306e\u30d7\u30ed\u30c8\u30b3\u30fc\u30eb\u306b\u7d44\u307f\u8fbc\u307e\u308c\u305f\u6700\u9069\u5316\u57fa\u6e96\u3067\u3042\u308a\u3001\u3042\u3089\u3086\u308b\u60a3\u8005\u3055\u3093\u306b\u4e00\u5f8b\u306b\u9069\u7528\u3059\u308b\u666e\u904d\u7684\u306a\u95be\u5024\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8840\u7ba1\u5f84\u3001\u4f53\u683c\u3001\u5206\u5c90\u90e8\u5f62\u614b\u3001\u75c5\u5909\u5206\u5e03\u306a\u3069\u3092\u8003\u616e\u3057\u305f\u500b\u5225\u8a55\u4fa1\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3001\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9\u7fa4\u3067\u306f\u3001\u539f\u5247\u3068\u3057\u3066\u9020\u5f71\u753b\u50cf\u306b\u57fa\u3065\u3044\u3066PCI\u3092\u5b9f\u65bd\u3057\u3001\u5b89\u5168\u4e0a\u5fc5\u8981\u306a\u5834\u5408\u3092\u9664\u3044\u3066IVUS\u306e\u4f7f\u7528\u306f\u63a8\u5968\u3055\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e21\u7fa4\u3068\u3082\u306b\u3001\u4e3b\u3068\u3057\u3066Synergy\u307e\u305f\u306fSynergy Megatron\u306e\u30a8\u30d9\u30ed\u30ea\u30e0\u30b9\u6eb6\u51fa\u6027\u30b9\u30c6\u30f3\u30c8\u304c\u4f7f\u7528\u3055\u308c\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u57fa\u3065\u304f\u85ac\u7269\u7642\u6cd5\u3082\u884c\u308f\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4-2\uff0e\u5b9f\u969b\u306e\u624b\u6280\u5185\u5bb9<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">IVUS\u30ac\u30a4\u30c9\u7fa4\u3067\u306f\u3001PCI\u3092\u53d7\u3051\u305f\u60a3\u8005\u306e\u5927\u90e8\u5206\u3067IVUS\u8a55\u4fa1\u304c\u5b9f\u65bd\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30b9\u30c6\u30f3\u30c8\u7559\u7f6e\u5f8c\u306e\u30d0\u30eb\u30fc\u30f3\u62e1\u5f35\u3082\u4e21\u7fa4\u3068\u3082\u7d0496\u301c97\uff05\u3067\u884c\u308f\u308c\u3066\u304a\u308a\u3001\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9\u7fa4\u3067\u3082\u7a4d\u6975\u7684\u306a\u30b9\u30c6\u30f3\u30c8\u6700\u9069\u5316\u304c\u884c\u308f\u308c\u3066\u3044\u305f\u3053\u3068\u304c\u5206\u304b\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5b9f\u969b\u306e\u624b\u6280\u6642\u9593\u306f\u4ee5\u4e0b\u306e\u3068\u304a\u308a\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>IVUS\u30ac\u30a4\u30c9\u7fa4\uff1a88.6\u5206<\/li>\n\n\n\n<li>\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9\u7fa4\uff1a63.9\u5206<\/li>\n\n\n\n<li>\u5e73\u5747\u5dee\uff1a24.7\u5206\uff0895\uff05\u4fe1\u983c\u533a\u9593 18.6\u301c30.9\u5206\uff09<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">IVUS\u3092\u7528\u3044\u308b\u3053\u3068\u3067\u624b\u6280\u6642\u9593\u306f\u9577\u304f\u306a\u308a\u307e\u3057\u305f\u304c\u3001\u5468\u8853\u671f\u5408\u4f75\u75c7\u306f\u305d\u308c\u305e\u308c7.4\uff05\u30687.2\uff05\u3067\u3001\u5927\u304d\u306a\u5dee\u306f\u8a8d\u3081\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u7d50\u679c\u306f\u3001\u753b\u50cf\u8a55\u4fa1\u306e\u8ffd\u52a0\u306b\u3088\u3063\u3066\u624b\u6280\u304c\u8907\u96d1\u306b\u306a\u308b\u4e00\u65b9\u3001\u305d\u308c\u304c\u5fc5\u305a\u3057\u3082\u81e8\u5e8a\u7684\u5229\u76ca\u306b\u3064\u306a\u304c\u308b\u3068\u306f\u9650\u3089\u306a\u3044\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5\uff0e\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\uff1aIVUS\u306b\u3088\u308b\u6b7b\u4ea1\u30fb\u5fc3\u7b4b\u6897\u585e\u30fb\u8133\u5352\u4e2d\u30fb\u518d\u6cbb\u7642\u306e\u6e1b\u5c11\u306f\u8a3c\u660e\u3055\u308c\u306a\u304b\u3063\u305f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u7814\u7a76\u306e\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306f\u3001\u4ee5\u4e0b\u306e\u30a4\u30d9\u30f3\u30c8\u3092\u7d44\u307f\u5408\u308f\u305b\u305f\u60a3\u8005\u4e2d\u5fc3\u306e\u8907\u5408\u8a55\u4fa1\u9805\u76ee\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\u3042\u3089\u3086\u308b\u8133\u5352\u4e2d<\/li>\n\n\n\n<li>\u3042\u3089\u3086\u308b\u5fc3\u7b4b\u6897\u585e<\/li>\n\n\n\n<li>\u3042\u3089\u3086\u308b\u518d\u8840\u884c\u518d\u5efa<\/li>\n\n\n\n<li>\u5168\u6b7b\u4ea1<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">\u8ffd\u8de1\u671f\u9593\u4e2d\u592e\u50242.9\u5e74\u3067\u3001\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306f\u4ee5\u4e0b\u306e\u7d50\u679c\u3068\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e3b\u8981\u8907\u5408\u30a4\u30d9\u30f3\u30c8\u767a\u751f\u5272\u5408<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">IVUS\u30ac\u30a4\u30c9\u7fa4<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">33.7%<\/h1>\n\n\n\n<p class=\"wp-block-paragraph\">135 \/ 401\u4eba<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9\u7fa4<\/p>\n\n\n\n<h1 class=\"wp-block-heading\">30.9%<\/h1>\n\n\n\n<p class=\"wp-block-paragraph\">125 \/ 405\u4eba<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30cf\u30b6\u30fc\u30c9\u6bd4\uff08HR\uff091.11<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">95\uff05\u4fe1\u983c\u533a\u9593\u30000.87\u20131.42<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">P\u5024\u30000.40<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u51fa\u5178\uff1aOPTIMAL\u8a66\u9a13\u3001\u539f\u8457Table 3\u3002\u5024\u306f\u60a3\u8005\u6570\u306b\u5bfe\u3059\u308b\u30a4\u30d9\u30f3\u30c8\u767a\u751f\u5272\u5408\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7d71\u8a08\u5b66\u7684\u306b\u6709\u610f\u306a\u5dee\u306f\u8a8d\u3081\u3089\u308c\u305a\u3001IVUS\u30ac\u30a4\u30c9\u306b\u3088\u308b\u4e3b\u8981\u8907\u5408\u30a4\u30d9\u30f3\u30c8\u306e\u6e1b\u5c11\u306f\u8a3c\u660e\u3055\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u306a\u304a\u300133.7\uff05\u306830.9\uff05\u306e\u5dee\u306f2.8\u30d1\u30fc\u30bb\u30f3\u30c8\u30dd\u30a4\u30f3\u30c8\u3067\u3001IVUS\u7fa4\u306e\u65b9\u304c\u6570\u5024\u4e0a\u306f\u9ad8\u3044\u7d50\u679c\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u300195\uff05\u4fe1\u983c\u533a\u9593\u306f1\u3092\u307e\u305f\u3044\u3067\u304a\u308a\u3001IVUS\u304c\u5b9f\u969b\u306b\u30ea\u30b9\u30af\u3092\u5897\u52a0\u3055\u305b\u308b\u3068\u65ad\u5b9a\u3059\u308b\u3053\u3068\u3082\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u91cd\u8981\u306a\u306e\u306f\u3001\u3053\u306e\u7814\u7a76\u304cIVUS\u306e\u512a\u8d8a\u6027\u3092\u793a\u305b\u306a\u304b\u3063\u305f\u8a66\u9a13\u3067\u3042\u308a\u3001IVUS\u3068\u51a0\u52d5\u8108\u9020\u5f71\u5358\u72ec\u304c\u540c\u7b49\u3067\u3042\u308b\u3053\u3068\u3092\u8a3c\u660e\u3059\u308b\u975e\u52a3\u6027\u8a66\u9a13\u3067\u306f\u306a\u3044\u3068\u3044\u3046\u70b9\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"600\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-96.png\" alt=\"OPTIMAL\u8a66\u9a13\u306e\u4e3b\u8981\u8907\u5408\u8a55\u4fa1\u9805\u76ee\u306fIVUS\u30ac\u30a4\u30c9PCI\u7fa433.7\uff05\u3001\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9PCI\u7fa430.9\uff05\u3067\u7d71\u8a08\u5b66\u7684\u6709\u610f\u5dee\u306a\u3057\" class=\"wp-image-9276\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-96.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-96-400x300.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-96-768x576.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u56f34\uff1aIVUS\u30ac\u30a4\u30c9PCI\u3068\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9PCI\u306b\u304a\u3051\u308b\u4e3b\u8981\u8907\u5408\u8a55\u4fa1\u9805\u76ee\u306e\u767a\u751f\u5272\u5408<\/strong>\u3000\u8ffd\u8de1\u671f\u9593\u4e2d\u592e\u50242.9\u5e74\u306b\u304a\u3044\u3066\u3001\u8133\u5352\u4e2d\u3001\u5fc3\u7b4b\u6897\u585e\u3001\u518d\u8840\u884c\u518d\u5efa\u304a\u3088\u3073\u5168\u6b7b\u4ea1\u304b\u3089\u69cb\u6210\u3055\u308c\u308b\u60a3\u8005\u4e2d\u5fc3\u306e\u4e3b\u8981\u8907\u5408\u8a55\u4fa1\u9805\u76ee\u306f\u3001IVUS\u30ac\u30a4\u30c9PCI\u7fa4401\u4f8b\u4e2d135\u4f8b\uff0833.7\uff05\uff09\u3001\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9PCI\u7fa4405\u4f8b\u4e2d125\u4f8b\uff0830.9\uff05\uff09\u306b\u767a\u751f\u3057\u305f\u3002IVUS\u7fa4\u306e\u51a0\u52d5\u8108\u9020\u5f71\u7fa4\u306b\u5bfe\u3059\u308b\u30cf\u30b6\u30fc\u30c9\u6bd4\uff08hazard ratio\uff1aHR\uff09\u306f1.11\uff0895\uff05\u4fe1\u983c\u533a\u9593\uff3bCI\uff3d0.87\u20131.42\u3001P\uff1d0.40\uff09\u3067\u3042\u308a\u3001IVUS\u30ac\u30a4\u30c9\u306b\u3088\u308b\u7d71\u8a08\u5b66\u7684\u306b\u6709\u610f\u306a\u30a4\u30d9\u30f3\u30c8\u6e1b\u5c11\u306f\u8a8d\u3081\u3089\u308c\u306a\u304b\u3063\u305f\u3002\u672c\u8a66\u9a13\u306fIVUS\u30ac\u30a4\u30c9\u306e\u512a\u8d8a\u6027\u3092\u691c\u8a3c\u3059\u308b\u305f\u3081\u306b\u8a2d\u8a08\u3055\u308c\u305f\u3082\u306e\u3067\u3042\u308a\u3001\u6709\u610f\u5dee\u304c\u8a8d\u3081\u3089\u308c\u306a\u304b\u3063\u305f\u3053\u3068\u306f\u4e21\u624b\u6280\u306e\u540c\u7b49\u6027\u307e\u305f\u306f\u975e\u52a3\u6027\u3092\u8a3c\u660e\u3059\u308b\u3082\u306e\u3067\u306f\u306a\u3044\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6\uff0e\u526f\u6b21\u8a55\u4fa1\u9805\u76ee\uff1a\u6b7b\u4ea1\u30fb\u5fc3\u7b4b\u6897\u585e\u30fb\u518d\u8840\u884c\u518d\u5efa\u306b\u660e\u78ba\u306a\u5dee\u306f\u8a8d\u3081\u3089\u308c\u305a<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u539f\u8457Table 3\u3067\u306f\u3001\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306b\u52a0\u3048\u3066\u500b\u3005\u306e\u81e8\u5e8a\u30a4\u30d9\u30f3\u30c8\u306b\u3064\u3044\u3066\u3082\u691c\u8a0e\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><th>\u8a55\u4fa1\u9805\u76ee<\/th><th>IVUS\u7fa4<\/th><th>\u9020\u5f71\u7fa4<\/th><th>HR<\/th><\/tr><tr><td>\u5168\u6b7b\u4ea1<\/td><td>15.7\uff05<\/td><td>15.1\uff05<\/td><td>1.06<\/td><\/tr><tr><td>\u5fc3\u8840\u7ba1\u6b7b\u4ea1<\/td><td>9.5\uff05<\/td><td>7.2\uff05<\/td><td>1.34<\/td><\/tr><tr><td>\u5fc3\u7b4b\u6897\u585e<\/td><td>11.2\uff05<\/td><td>10.9\uff05<\/td><td>1.04<\/td><\/tr><tr><td>\u518d\u8840\u884c\u518d\u5efa<\/td><td>12.0\uff05<\/td><td>11.1\uff05<\/td><td>1.10<\/td><\/tr><tr><td>\u6a19\u7684\u75c5\u5909\u518d\u8840\u884c\u518d\u5efa<\/td><td>8.0\uff05<\/td><td>8.9\uff05<\/td><td>0.91<\/td><\/tr><tr><td>\u8133\u5352\u4e2d<\/td><td>3.0\uff05<\/td><td>1.0\uff05<\/td><td>3.11<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u5168\u6b7b\u4ea1\u3001\u5fc3\u7b4b\u6897\u585e\u3001\u518d\u8840\u884c\u518d\u5efa\u306e\u767a\u751f\u5272\u5408\u306f\u4e21\u7fa4\u3067\u304a\u304a\u3080\u306d\u8fd1\u3044\u5024\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6a19\u7684\u75c5\u5909\u518d\u8840\u884c\u518d\u5efa\u306fIVUS\u7fa4\u30678.0\uff05\u3001\u9020\u5f71\u7fa4\u30678.9\uff05\u3068\u3001\u6570\u5024\u4e0a\u306fIVUS\u7fa4\u304c\u3084\u3084\u4f4e\u3044\u7d50\u679c\u3067\u3057\u305f\u304c\u3001\u660e\u78ba\u306a\u5229\u76ca\u3092\u793a\u3059\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u526f\u6b21\u8a55\u4fa1\u9805\u76ee\u306e95\uff05\u4fe1\u983c\u533a\u9593\u306b\u306f\u591a\u91cd\u6bd4\u8f03\u306e\u8abf\u6574\u304c\u884c\u308f\u308c\u3066\u3044\u306a\u3044\u305f\u3081\u3001\u5076\u7136\u306e\u5909\u52d5\u3092\u8003\u616e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u500b\u3005\u306e\u30a4\u30d9\u30f3\u30c8\u306e\u6570\u5024\u5dee\u3092\u3001\u305d\u306e\u307e\u307e\u6cbb\u7642\u52b9\u679c\u3068\u3057\u3066\u89e3\u91c8\u3059\u3079\u304d\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">7\uff0e\u8133\u5352\u4e2d\u306fIVUS\u7fa4\u30673.0\uff05\u3001\u9020\u5f71\u7fa4\u30671.0\uff05\uff1a\u3069\u3046\u89e3\u91c8\u3059\u3079\u304d\u304b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u56de\u306e\u7d50\u679c\u3067\u7279\u306b\u614e\u91cd\u306a\u89e3\u91c8\u304c\u6c42\u3081\u3089\u308c\u308b\u306e\u304c\u3001\u8133\u5352\u4e2d\u306e\u767a\u751f\u5272\u5408\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>IVUS\u30ac\u30a4\u30c9\u7fa4\uff1a12\u4eba\uff083.0\uff05\uff09<\/li>\n\n\n\n<li>\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9\u7fa4\uff1a4\u4eba\uff081.0\uff05\uff09<\/li>\n\n\n\n<li>HR 3.11\uff0895\uff05\u4fe1\u983c\u533a\u9593 1.00\u301c9.65\uff09<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">IVUS\u7fa4\u3067\u8133\u5352\u4e2d\u304c\u6570\u5024\u4e0a\u591a\u304f\u8a8d\u3081\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3067\u3001\u8133\u5352\u4e2d\u306e\u767a\u751f\u6570\u306f\u5168\u4f53\u306716\u4ef6\u3068\u5c11\u306a\u304f\u3001\u63a8\u5b9a\u3055\u308c\u305f\u30cf\u30b6\u30fc\u30c9\u6bd4\u306e\u4fe1\u983c\u533a\u9593\u3082\u5e83\u3044\u3053\u3068\u304b\u3089\u3001\u4e0d\u78ba\u5b9f\u6027\u306e\u5927\u304d\u3044\u7d50\u679c\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3055\u3089\u306b\u3001\u8133\u5352\u4e2d\u307e\u3067\u306e\u671f\u9593\u306e\u4e2d\u592e\u5024\u306f\u7d0419\u304b\u6708\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">IVUS\u306b\u3088\u308b\u30ab\u30c6\u30fc\u30c6\u30eb\u64cd\u4f5c\u305d\u306e\u3082\u306e\u304c\u3001\u9577\u671f\u9593\u7d4c\u904e\u3057\u305f\u5f8c\u306e\u8133\u5352\u4e2d\u3092\u76f4\u63a5\u5f15\u304d\u8d77\u3053\u3057\u305f\u3068\u3044\u3046\u56e0\u679c\u95a2\u4fc2\u306f\u3001\u672c\u7814\u7a76\u304b\u3089\u306f\u793a\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7814\u7a76\u8457\u8005\u3089\u3082\u3001\u3053\u306e\u6240\u898b\u306f\u4e88\u671f\u3055\u308c\u3066\u304a\u3089\u305a\u3001\u5076\u7136\u306e\u7d50\u679c\u3067\u3042\u308b\u53ef\u80fd\u6027\u306b\u8a00\u53ca\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u305f\u304c\u3063\u3066\u3001\u73fe\u6bb5\u968e\u3067\u306f\u300cIVUS\u306b\u3088\u3063\u3066\u8133\u5352\u4e2d\u30ea\u30b9\u30af\u304c\u7d043\u500d\u306b\u306a\u308b\u300d\u3068\u8868\u73fe\u3059\u308b\u3053\u3068\u306f\u4e0d\u9069\u5207\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7d71\u8a08\u5b66\u7684\u306a\u4e0d\u78ba\u5b9f\u6027\u3068\u81e8\u5e8a\u7684\u306a\u56e0\u679c\u95a2\u4fc2\u3092\u533a\u5225\u3057\u3001\u4eca\u5f8c\u306e\u7814\u7a76\u3067\u518d\u691c\u8a3c\u3059\u3079\u304d\u5b89\u5168\u6027\u30b7\u30b0\u30ca\u30eb\u3068\u3057\u3066\u6349\u3048\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"600\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-97.png\" alt=\"OPTIMAL\u8a66\u9a13\u306e\u5168\u6b7b\u4ea1\u30fb\u5fc3\u7b4b\u6897\u585e\u30fb\u518d\u8840\u884c\u518d\u5efa\u30fb\u8133\u5352\u4e2d\u306e\u30cf\u30b6\u30fc\u30c9\u6bd4\u306895\uff05\u4fe1\u983c\u533a\u9593\u3092\u793a\u3057\u305f\u30d5\u30a9\u30ec\u30b9\u30c8\u30d7\u30ed\u30c3\u30c8\" class=\"wp-image-9278\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-97.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-97-400x300.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/10\/image-97-768x576.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u56f35\uff1aIVUS\u30ac\u30a4\u30c9PCI\u3068\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9PCI\u306b\u304a\u3051\u308b\u4e3b\u8981\u306a\u526f\u6b21\u8a55\u4fa1\u9805\u76ee\u306e\u30cf\u30b6\u30fc\u30c9\u6bd4\u306895\uff05\u4fe1\u983c\u533a\u9593<\/strong>\u3000OPTIMAL\u8a66\u9a13\u306e\u526f\u6b21\u8a55\u4fa1\u9805\u76ee\u306b\u3064\u3044\u3066\u3001IVUS\u30ac\u30a4\u30c9PCI\u7fa4\u306e\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9PCI\u7fa4\u306b\u5bfe\u3059\u308b\u30cf\u30b6\u30fc\u30c9\u6bd4\uff08HR\uff09\u306895\uff05\u4fe1\u983c\u533a\u9593\uff08CI\uff09\u3092\u30d5\u30a9\u30ec\u30b9\u30c8\u30d7\u30ed\u30c3\u30c8\u3067\u793a\u3057\u305f\u3002\u5168\u6b7b\u4ea1\u306fHR 1.06\uff0895\uff05CI 0.74\u20131.50\uff09\u3001\u5fc3\u7b4b\u6897\u585e\u306fHR 1.04\uff0895\uff05CI 0.68\u20131.57\uff09\u3001\u518d\u8840\u884c\u518d\u5efa\u306fHR 1.10\uff0895\uff05CI 0.73\u20131.65\uff09\u3067\u3042\u308a\u3001\u3044\u305a\u308c\u3082IVUS\u30ac\u30a4\u30c9\u306b\u3088\u308b\u660e\u78ba\u306a\u81e8\u5e8a\u7684\u5229\u76ca\u306f\u793a\u3055\u308c\u306a\u304b\u3063\u305f\u3002\u4e00\u65b9\u3001\u8133\u5352\u4e2d\u306fIVUS\u7fa412\u4f8b\uff083.0\uff05\uff09\u3001\u9020\u5f71\u30ac\u30a4\u30c9\u7fa44\u4f8b\uff081.0\uff05\uff09\u306b\u767a\u751f\u3057\u3001HR 3.11\uff0895\uff05CI 1.00\u20139.65\uff09\u3067\u3042\u3063\u305f\u3002\u3057\u304b\u3057\u3001\u30a4\u30d9\u30f3\u30c8\u6570\u304c\u5c11\u306a\u304f\u4fe1\u983c\u533a\u9593\u304c\u5e83\u3044\u3053\u3068\u306b\u52a0\u3048\u3001\u8133\u5352\u4e2d\u767a\u75c7\u307e\u3067\u306e\u671f\u9593\u306e\u4e2d\u592e\u5024\u304c\u7d0419\u304b\u6708\u3067\u3042\u3063\u305f\u3053\u3068\u304b\u3089\u3001IVUS\u4f7f\u7528\u3068\u8133\u5352\u4e2d\u767a\u75c7\u3068\u306e\u56e0\u679c\u95a2\u4fc2\u306f\u78ba\u7acb\u3055\u308c\u3066\u3044\u306a\u3044\u3002\u56f3\u4e2d\u306e\u70b9\u306fHR\u3001\u6a2a\u7dda\u306f95\uff05CI\u3092\u793a\u3057\u3001\u7e26\u306e\u7834\u7dda\uff08HR\uff1d1\uff09\u306f\u7fa4\u9593\u5dee\u304c\u306a\u3044\u5834\u5408\u306e\u57fa\u6e96\u5024\u3092\u793a\u3059\u3002\u526f\u6b21\u8a55\u4fa1\u9805\u76ee\u306b\u5bfe\u3059\u308b\u591a\u91cd\u6bd4\u8f03\u8abf\u6574\u306f\u884c\u308f\u308c\u3066\u304a\u3089\u305a\u3001\u3053\u308c\u3089\u306e\u7d50\u679c\u306f\u63a2\u7d22\u7684\u306b\u89e3\u91c8\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">8\uff0eOPTIMAL\u8a66\u9a13\u306f\u3001\u306a\u305c\u5f93\u6765\u306eIVUS\u6709\u7528\u6027\u3092\u652f\u6301\u3059\u308b\u7814\u7a76\u3068\u7570\u306a\u308b\u7d50\u679c\u306b\u306a\u3063\u305f\u306e\u304b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u5f93\u6765\u3001ULTIMATE\u8a66\u9a13\u3084RENOVATE-COMPLEX-PCI\u8a66\u9a13\u306a\u3069\u3001\u5e45\u5e83\u3044\u51a0\u52d5\u8108\u75c5\u5909\u3092\u5bfe\u8c61\u3068\u3059\u308b\u7814\u7a76\u3067\u306f\u3001\u8840\u7ba1\u5185\u753b\u50cf\u30ac\u30a4\u30c9\u306b\u3088\u308bPCI\u306e\u6709\u7528\u6027\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u306e\u52b9\u679c\u306f\u4e3b\u306b\u518d\u8840\u884c\u518d\u5efa\u306e\u6e1b\u5c11\u306a\u3069\u3092\u901a\u3058\u3066\u793a\u3055\u308c\u3001\u4e00\u90e8\u306e\u8a66\u9a13\u3067\u306f\u5fc3\u7b4b\u6897\u585e\u306a\u3069\u306e\u30a4\u30d9\u30f3\u30c8\u306b\u3082\u5dee\u304c\u8a8d\u3081\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u308c\u3067\u306f\u3001\u306a\u305cOPTIMAL\u8a66\u9a13\u3067\u306f\u540c\u69d8\u306e\u81e8\u5e8a\u7684\u512a\u8d8a\u6027\u304c\u78ba\u8a8d\u3055\u308c\u306a\u304b\u3063\u305f\u306e\u3067\u3057\u3087\u3046\u304b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">8-1\uff0e\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9\u7fa4\u3067\u3082\u9ad8\u5ea6\u306a\u624b\u6280\u6700\u9069\u5316\u304c\u5b9f\u65bd\u3055\u308c\u3066\u3044\u305f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">OPTIMAL\u8a66\u9a13\u3067\u306f\u3001\u9020\u5f71\u30ac\u30a4\u30c9\u7fa4\u3067\u3082\u30b9\u30c6\u30f3\u30c8\u7559\u7f6e\u5f8c\u306e\u30d0\u30eb\u30fc\u30f3\u62e1\u5f35\u304c96.0\uff05\u3067\u5b9f\u65bd\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001\u8fd1\u4f4d\u6700\u9069\u5316\u624b\u6280\uff08Proximal Optimization Technique\uff1aPOT\uff09\u308285.1\uff05\u3067\u884c\u308f\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">POT\u306f\u3001\u8840\u7ba1\u5f84\u306e\u5927\u304d\u3044\u8fd1\u4f4d\u90e8\u306b\u5408\u308f\u305b\u3066\u30b9\u30c6\u30f3\u30c8\u3092\u9069\u5207\u306b\u62e1\u5f35\u3057\u3001\u5206\u5c90\u90e8\u306e\u5f62\u614b\u3084\u30b9\u30c6\u30f3\u30c8\u5bc6\u7740\u3092\u6539\u5584\u3059\u308b\u305f\u3081\u306e\u91cd\u8981\u306a\u624b\u6280\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u3088\u3046\u306b\u3001\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9\u7fa4\u3067\u3082\u9ad8\u5ea6\u306b\u6a19\u6e96\u5316\u3055\u308c\u305f\u6cbb\u7642\u304c\u884c\u308f\u308c\u3066\u3044\u305f\u305f\u3081\u3001IVUS\u8ffd\u52a0\u306b\u3088\u308b\u5dee\u304c\u5c0f\u3055\u304f\u306a\u3063\u305f\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">8-2\uff0e\u53c2\u52a0\u65bd\u8a2d\u3068\u8853\u8005\u306e\u7d4c\u9a13\u304c\u8c4a\u5bcc\u3060\u3063\u305f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u8a66\u9a13\u306b\u53c2\u52a0\u3057\u305f\u65bd\u8a2d\u306f\u3001\u8907\u96d1\u51a0\u52d5\u8108\u75c5\u5909\u306ePCI\u3092\u591a\u304f\u5b9f\u65bd\u3059\u308b\u65bd\u8a2d\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001\u62c5\u5f53\u8853\u8005\u306f\u8a66\u9a13\u958b\u59cb\u524d\u304b\u3089\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8PCI\u306e\u76f8\u5f53\u5272\u5408\u3067IVUS\u3092\u4f7f\u7528\u3057\u3066\u304a\u308a\u3001\u8840\u7ba1\u5185\u753b\u50cf\u306b\u57fa\u3065\u304f\u30b9\u30c6\u30f3\u30c8\u6700\u9069\u5316\u306e\u7d4c\u9a13\u304c\u8c4a\u5bcc\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">IVUS\u3092\u76f4\u63a5\u4f7f\u7528\u3057\u3066\u3044\u306a\u3044\u5834\u5408\u3067\u3082\u3001\u904e\u53bb\u306eIVUS\u7d4c\u9a13\u304b\u3089\u5f97\u3089\u308c\u305f\u77e5\u8b58\u3084\u624b\u6280\u4e0a\u306e\u5224\u65ad\u304c\u9020\u5f71\u30ac\u30a4\u30c9\u7fa4\u306e\u6cbb\u7642\u306b\u53cd\u6620\u3055\u308c\u3066\u3044\u305f\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u3053\u3068\u306f\u3001OPTIMAL\u8a66\u9a13\u306e\u7d50\u679c\u3092\u7d4c\u9a13\u306e\u5c11\u306a\u3044\u8853\u8005\u3084\u65bd\u8a2d\u3078\u3001\u305d\u306e\u307e\u307e\u4e00\u822c\u5316\u3059\u3079\u304d\u3067\u306f\u306a\u3044\u7406\u7531\u306e\u4e00\u3064\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">8-3\uff0e\u73fe\u4ee3\u306e\u30b9\u30c6\u30f3\u30c8\u6027\u80fd\u304c\u5411\u4e0a\u3057\u3066\u3044\u308b<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u8a66\u9a13\u3067\u306f\u7b2c\u4e8c\u4e16\u4ee3\u306e\u85ac\u5264\u6eb6\u51fa\u6027\u30b9\u30c6\u30f3\u30c8\u3068\u73fe\u4ee3\u7684\u306aPCI\u6280\u8853\u304c\u4f7f\u7528\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30b9\u30c6\u30f3\u30c8\u8a2d\u8a08\u3084\u75c5\u5909\u524d\u51e6\u7f6e\u3001\u7559\u7f6e\u5f8c\u62e1\u5f35\u306a\u3069\u306e\u9032\u6b69\u306b\u3088\u3063\u3066\u3001\u4e21\u7fa4\u3067\u826f\u597d\u306a\u6a5f\u68b0\u7684\u6cbb\u7642\u304c\u5b9f\u73fe\u3055\u308c\u3001\u8ffd\u52a0\u7684\u306aIVUS\u306e\u5229\u76ca\u304c\u5c0f\u3055\u304f\u306a\u3063\u305f\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001\u3053\u308c\u3089\u306f\u539f\u8457\u8457\u8005\u3089\u304c\u63d0\u793a\u3057\u305f\u8003\u5bdf\u3092\u542b\u3080\u4eee\u8aac\u3067\u3042\u308a\u3001\u672c\u8a66\u9a13\u306b\u3088\u3063\u3066\u500b\u5225\u306e\u6a5f\u5e8f\u304c\u5b9f\u8a3c\u3055\u308c\u305f\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">9\uff0e\u7814\u7a76\u306e\u9650\u754c\uff1a\u512a\u8d8a\u6027\u304c\u793a\u3055\u308c\u306a\u304b\u3063\u305f\u7406\u7531\u3092\u7d71\u8a08\u5b66\u7684\u306b\u8003\u3048\u308b<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">9-1\uff0e\u672c\u8a66\u9a13\u306f\u975e\u76f2\u691c\u306e\u512a\u8d8a\u6027\u8a66\u9a13\u3060\u3063\u305f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">OPTIMAL\u8a66\u9a13\u306f\u3001IVUS\u30ac\u30a4\u30c9\u304c\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9\u3088\u308a\u512a\u308c\u3066\u3044\u308b\u304b\u3092\u8abf\u3079\u308b\u512a\u8d8a\u6027\u8a66\u9a13\u3068\u3057\u3066\u8a08\u753b\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p 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class=\"wp-block-paragraph\">\u8fd1\u5e74\u306e\u5faa\u74b0\u5668\u8a3a\u7642\u3067\u306f\u3001\u8907\u96d1\u51a0\u52d5\u8108\u75c5\u5909\u3084\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8PCI\u306b\u304a\u3044\u3066\u3001\u8840\u7ba1\u5185\u753b\u50cf\u3092\u7528\u3044\u305f\u6cbb\u7642\u6700\u9069\u5316\u304c\u91cd\u8996\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2024\u5e74\u6b27\u5dde\u5fc3\u81d3\u75c5\u5b66\u4f1a\uff08ESC\uff09\u306e\u6162\u6027\u51a0\u75c7\u5019\u7fa4\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306a\u3069\u3067\u3082\u3001\u8907\u96d1\u75c5\u5909\u306b\u5bfe\u3059\u308b\u8840\u7ba1\u5185\u753b\u50cf\u30ac\u30a4\u30c9\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u56de\u306eOPTIMAL\u8a66\u9a13\u306f\u3001\u305d\u306e\u3088\u3046\u306a\u6a19\u6e96\u7684\u306a\u8003\u3048\u65b9\u306b\u65b0\u305f\u306a\u691c\u8a0e\u6750\u6599\u3092\u63d0\u4f9b\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001\u672c\u7814\u7a76\u304b\u3089\u5c0e\u304b\u308c\u308b\u81e8\u5e8a\u7684\u89e3\u91c8\u306f\u3001\u300cIVUS\u3092\u4f7f\u308f\u306a\u304f\u3066\u3082\u5e38\u306b\u554f\u984c\u306a\u3044\u300d\u3068\u3044\u3046\u5358\u7d14\u306a\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5b9f\u969b\u306ePCI\u3067\u306f\u3001\u6b21\u306e\u3088\u3046\u306a\u75c5\u5909\u3084\u72b6\u6cc1\u3067\u3001IVUS\u304b\u3089\u5f97\u3089\u308c\u308b\u60c5\u5831\u304c\u91cd\u8981\u306b\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u9ad8\u5ea6\u77f3\u7070\u5316\u306b\u3088\u3063\u3066\u8840\u7ba1\u5f84\u3084\u30b9\u30c6\u30f3\u30c8\u62e1\u5f35\u72b6\u614b\u306e\u8a55\u4fa1\u304c\u96e3\u3057\u3044\u5834\u5408<\/li>\n\n\n\n<li>\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8\u306e\u8907\u96d1\u306a\u5206\u5c90\u90e8\u75c5\u5909<\/li>\n\n\n\n<li>\u9020\u5f71\u753b\u50cf\u3060\u3051\u3067\u306f\u30b9\u30c6\u30f3\u30c8\u306e\u62e1\u5f35\u4e0d\u8db3\u3084\u5bc6\u7740\u4e0d\u826f\u3092\u5224\u65ad\u3057\u306b\u304f\u3044\u5834\u5408<\/li>\n\n\n\n<li>\u8840\u7ba1\u5f84\u304c\u5927\u304d\u304f\u5909\u5316\u3059\u308b\u75c5\u5909\u3084\u3001\u8907\u96d1\u306a\u30b9\u30c6\u30f3\u30c8\u7559\u7f6e\u3092\u8981\u3059\u308b\u5834\u5408<\/li>\n\n\n\n<li>\u8840\u7ba1\u89e3\u96e2\u3084\u30b9\u30c6\u30f3\u30c8\u95a2\u9023\u5408\u4f75\u75c7\u304c\u7591\u308f\u308c\u308b\u5834\u5408<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u308c\u3089\u306f\u4e00\u822c\u7684\u306aPCI\u306e\u6280\u8853\u7684\u30fb\u81e8\u5e8a\u7684\u5224\u65ad\u3068\u3057\u3066\u8003\u616e\u3055\u308c\u308b\u9805\u76ee\u3067\u3042\u308a\u3001OPTIMAL\u8a66\u9a13\u304c\u5404\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u306b\u304a\u3051\u308bIVUS\u306e\u5229\u76ca\u3092\u500b\u5225\u306b\u8a3c\u660e\u3057\u305f\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3001\u7d4c\u9a13\u8c4a\u5bcc\u306a\u8853\u8005\u304c\u73fe\u4ee3\u7684\u306a\u30b9\u30c6\u30f3\u30c8\u6700\u9069\u5316\u3092\u5fb9\u5e95\u3057\u3066\u3044\u308b\u65bd\u8a2d\u3067\u306f\u3001\u3059\u3079\u3066\u306e\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8PCI\u306bIVUS\u3092\u8ffd\u52a0\u3059\u308b\u3053\u3068\u306b\u3088\u308b\u81e8\u5e8a\u8ee2\u5e30\u306e\u6539\u5584\u5e45\u304c\u3001\u5f93\u6765\u306e\u60f3\u5b9a\u3088\u308a\u5c0f\u3055\u3044\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4eca\u5f8c\u306f\u3001\u4e00\u5f8b\u306bIVUS\u3092\u4f7f\u7528\u3059\u308b\u304b\u3069\u3046\u304b\u3060\u3051\u3067\u306a\u304f\u3001\u75c5\u5909\u5f62\u614b\u3001\u624b\u6280\u306e\u96e3\u6613\u5ea6\u3001\u8853\u8005\u7d4c\u9a13\u306a\u3069\u3092\u8e0f\u307e\u3048\u3001IVUS\u306b\u3088\u308b\u8ffd\u52a0\u60c5\u5831\u304c\u6700\u3082\u6709\u7528\u3068\u306a\u308b\u60a3\u8005\u7fa4\u3092\u660e\u3089\u304b\u306b\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">11\uff0e\u4e00\u822c\u5185\u79d1\u30fb\u5916\u6765\u8a3a\u7642\u3078\u306e\u793a\u5506\uff1aPCI\u5f8c\u3082\u52d5\u8108\u786c\u5316\u3078\u306e\u7d99\u7d9a\u7684\u306a\u6cbb\u7642\u304c\u91cd\u8981<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">OPTIMAL\u8a66\u9a13\u306f\u9ad8\u5ea6\u306b\u5c02\u9580\u7684\u306a\u51a0\u52d5\u8108\u30ab\u30c6\u30fc\u30c6\u30eb\u6cbb\u7642\u306e\u7814\u7a76\u3067\u3059\u304c\u3001\u4e00\u822c\u5185\u79d1\u306e\u8a3a\u7642\u306b\u3082\u91cd\u8981\u306a\u793a\u5506\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PCI\u3067\u51a0\u52d5\u8108\u306e\u72ed\u7a84\u3092\u6539\u5584\u3057\u3066\u3082\u3001\u52d5\u8108\u786c\u5316\u305d\u306e\u3082\u306e\u304c\u6d88\u5931\u3059\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001PCI\u306e\u5b9f\u65bd\u65b9\u6cd5\u3060\u3051\u3067\u306a\u304f\u3001\u9577\u671f\u306b\u308f\u305f\u308b\u5fc3\u8840\u7ba1\u5371\u967a\u56e0\u5b50\u306e\u7ba1\u7406\u304c\u3001\u305d\u306e\u5f8c\u306e\u5fc3\u7b4b\u6897\u585e\u3084\u8133\u5352\u4e2d\u306a\u3069\u3092\u4e88\u9632\u3059\u308b\u3046\u3048\u3067\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7279\u306b\u4ee5\u4e0b\u306e\u9805\u76ee\u306b\u3064\u3044\u3066\u3001\u7d99\u7d9a\u3057\u305f\u7ba1\u7406\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8102\u8cea\u7570\u5e38\u75c7\u306b\u5bfe\u3059\u308bLDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u7ba1\u7406<\/li>\n\n\n\n<li>\u9ad8\u8840\u5727\u306e\u9069\u5207\u306a\u6cbb\u7642<\/li>\n\n\n\n<li>\u7cd6\u5c3f\u75c5\u306e\u8840\u7cd6\u7ba1\u7406\u3068\u5fc3\u8840\u7ba1\u30ea\u30b9\u30af\u8a55\u4fa1<\/li>\n\n\n\n<li>\u7981\u7159\u3001\u904b\u52d5\u3001\u98df\u4e8b\u306a\u3069\u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584<\/li>\n\n\n\n<li>\u500b\u5225\u306e\u865a\u8840\u30ea\u30b9\u30af\u30fb\u51fa\u8840\u30ea\u30b9\u30af\u306b\u5fdc\u3058\u305f\u6297\u8840\u5c0f\u677f\u7642\u6cd5<\/li>\n\n\n\n<li>\u51a0\u52d5\u8108\u75be\u60a3\u306b\u5408\u4f75\u3059\u308b\u5fc3\u4e0d\u5168\u3084\u6162\u6027\u814e\u81d3\u75c5\u306e\u8a55\u4fa1<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3068\u304f\u306b\u3001PCI\u5f8c\u306e\u6297\u8840\u5c0f\u677f\u85ac\u3092\u81ea\u5df1\u5224\u65ad\u3067\u4e2d\u6b62\u3059\u308b\u3068\u3001\u30b9\u30c6\u30f3\u30c8\u8840\u6813\u75c7\u306a\u3069\u306e\u91cd\u5927\u306a\u5408\u4f75\u75c7\u306b\u3064\u306a\u304c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6297\u8840\u5c0f\u677f\u85ac\u306e\u7a2e\u985e\u3084\u7d99\u7d9a\u671f\u9593\u306f\u3001PCI\u3092\u5b9f\u65bd\u3057\u305f\u5faa\u74b0\u5668\u5185\u79d1\u533b\u306e\u65b9\u91dd\u3092\u57fa\u672c\u3068\u3057\u3066\u3001\u51fa\u8840\u30ea\u30b9\u30af\u3084\u4f75\u5b58\u75be\u60a3\u3092\u8003\u616e\u3057\u306a\u304c\u3089\u7ba1\u7406\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u67cf\u5e02\u30fb\u6211\u5b6b\u5b50\u5e02\u3067\u51a0\u52d5\u8108\u75be\u60a3\u3084\u751f\u6d3b\u7fd2\u6163\u75c5\u306e\u7ba1\u7406\u3092\u53d7\u3051\u308b\u65b9\u3078<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u3001\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u306b\u3088\u308b\u9ad8\u8840\u5727\u30fb\u7cd6\u5c3f\u75c5\u30fb\u8102\u8cea\u7570\u5e38\u75c7\u306a\u3069\u306e\u751f\u6d3b\u7fd2\u6163\u75c5\u7ba1\u7406\u3068\u3001\u6b6f\u79d1\u8a3a\u7642\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u72ed\u5fc3\u75c7\u3084\u5fc3\u7b4b\u6897\u585e\u306b\u5bfe\u3057\u3066\u51a0\u52d5\u8108\u30b9\u30c6\u30f3\u30c8\u6cbb\u7642\uff08PCI\uff09\u3092\u53d7\u3051\u305f\u60a3\u8005\u3055\u3093\u3067\u306f\u3001\u52d5\u8108\u786c\u5316\u306e\u9032\u884c\u4e88\u9632\u306b\u52a0\u3048\u3066\u3001\u6297\u8840\u5c0f\u677f\u85ac\u306e\u670d\u7528\u72b6\u6cc1\u3092\u8e0f\u307e\u3048\u305f\u6b6f\u79d1\u6cbb\u7642\u3082\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5f53\u9662\u3067\u306f\u533b\u79d1\u30fb\u6b6f\u79d1\u304c\u9023\u643a\u3057\u3001\u5168\u8eab\u72b6\u614b\u3084\u670d\u85ac\u5185\u5bb9\u3092\u8003\u616e\u3057\u305f\u8a3a\u7642\u306b\u53d6\u308a\u7d44\u3093\u3067\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u25a0 \u53d7\u8a3a\u3092\u3054\u5e0c\u671b\u306e\u65b9\u3078<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u3010\u533b\u79d1\u3011\u7dcf\u5408\u5185\u79d1\u30fb\u751f\u6d3b\u7fd2\u6163\u75c5\u30fb\u30ea\u30a6\u30de\u30c1\u81a0\u539f\u75c5\u5185\u79d1<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u25b6 WEB\u4e88\u7d04\u306f\u3053\u3061\u3089<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/melmo-app.com\/clinic\/673d5e08785f0f0030870bdb\/reservation?method=visit\">https:\/\/melmo-app.com\/clinic\/673d5e08785f0f0030870bdb\/reservation?method=visit<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u3010\u6b6f\u79d1\u3011\u6b6f\u5468\u75c5\u30fb\u6839\u7ba1\u6cbb\u7642\u30fb\u3080\u3057\u6b6f\u30fb\u4e88\u9632\u6b6f\u79d1\u30fb\u6709\u75c5\u8005\u6b6f\u79d1<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u25b6 WEB\u4e88\u7d04\u306f\u3053\u3061\u3089<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"http:\/\/www.gomidental-kashiwa.com\/reservation\/\">http:\/\/www.gomidental-kashiwa.com\/reservation\/<\/a><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u25a0 \u304a\u96fb\u8a71\u3067\u306e\u3054\u4e88\u7d04\u30fb\u304a\u554f\u3044\u5408\u308f\u305b<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u3010\u533b\u79d1\u301104-7196-7531<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3010\u6b6f\u79d1\u301104-7191-7081<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3012277-0902 \u5343\u8449\u770c\u67cf\u5e02\u5927\u4e95764-1<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5927\u4e95\u4ea4\u5dee\u70b9\u8fd1\u304f\u30fb\u99d0\u8eca\u5834\u5b8c\u5099<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u203b\u51a0\u52d5\u8108\u30ab\u30c6\u30fc\u30c6\u30eb\u691c\u67fb\u30fbPCI\u304c\u5fc5\u8981\u306a\u5834\u5408\u306f\u3001\u5faa\u74b0\u5668\u5c02\u9580\u65bd\u8a2d\u3067\u306e\u8a55\u4fa1\u30fb\u6cbb\u7642\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u203b\u6297\u8840\u5c0f\u677f\u85ac\u3092\u670d\u7528\u4e2d\u306e\u60a3\u8005\u3055\u3093\u306f\u3001\u6b6f\u79d1\u6cbb\u7642\u524d\u306b\u670d\u85ac\u72b6\u6cc1\u3092\u304a\u77e5\u3089\u305b\u304f\u3060\u3055\u3044\u3002\u81ea\u5df1\u5224\u65ad\u3067\u306e\u4f11\u85ac\u306f\u907f\u3051\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u5faa\u74b0\u5668\u5185\u79d1\u3068\u9023\u643a\u3057\u3066\u5bfe\u5fdc\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">12\uff0e\u7d50\u8ad6\uff1aIVUS\u306e\u300c\u753b\u50cf\u4e0a\u306e\u6709\u7528\u6027\u300d\u3068\u300c\u81e8\u5e8a\u4e88\u5f8c\u6539\u5584\u52b9\u679c\u300d\u3092\u5206\u3051\u3066\u8003\u3048\u308b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">2026\u5e74\u306eOPTIMAL\u8a66\u9a13\u3067\u306f\u3001\u975e\u4fdd\u8b77\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8\u75c5\u5909\u306b\u5bfe\u3057\u3066PCI\u3092\u53d7\u3051\u308b806\u4eba\u3092\u5bfe\u8c61\u306b\u3001IVUS\u30ac\u30a4\u30c9\u3068\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9\u304c\u6bd4\u8f03\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8ffd\u8de1\u671f\u9593\u4e2d\u592e\u50242.9\u5e74\u3067\u3001\u6b7b\u4ea1\u30fb\u5fc3\u7b4b\u6897\u585e\u30fb\u8133\u5352\u4e2d\u30fb\u518d\u8840\u884c\u518d\u5efa\u3092\u5408\u308f\u305b\u305f\u4e3b\u8981\u8907\u5408\u8a55\u4fa1\u9805\u76ee\u306f\u3001IVUS\u30ac\u30a4\u30c9\u7fa433.7\uff05\u3001\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9\u7fa430.9\uff05\u3067\u3042\u308a\u3001\u7d71\u8a08\u5b66\u7684\u306b\u6709\u610f\u306a\u5dee\u306f\u8a8d\u3081\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u7d50\u679c\u306f\u3001\u73fe\u4ee3\u7684\u306a\u30b9\u30c6\u30f3\u30c8\u3092\u4f7f\u7528\u3057\u3001PCI\u624b\u6280\u3092\u5341\u5206\u306b\u6700\u9069\u5316\u3067\u304d\u308b\u7d4c\u9a13\u8c4a\u5bcc\u306a\u65bd\u8a2d\u3067\u306f\u3001IVUS\u3092\u4e00\u5f8b\u306b\u4f7f\u7528\u3059\u308b\u3053\u3068\u306b\u3088\u308b\u81e8\u5e8a\u7684\u306a\u8ffd\u52a0\u5229\u76ca\u304c\u9650\u5b9a\u7684\u3067\u3042\u308b\u53ef\u80fd\u6027\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3001\u672c\u7814\u7a76\u306fIVUS\u3068\u51a0\u52d5\u8108\u9020\u5f71\u5358\u72ec\u306e\u540c\u7b49\u6027\u3092\u8a3c\u660e\u3057\u305f\u3082\u306e\u3067\u306f\u306a\u304f\u3001\u7279\u5b9a\u306e\u8907\u96d1\u75c5\u5909\u306b\u304a\u3051\u308bIVUS\u306e\u6709\u7528\u6027\u307e\u3067\u5426\u5b9a\u3059\u308b\u3082\u306e\u3067\u3082\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u51a0\u52d5\u8108\u6cbb\u7642\u306b\u304a\u3044\u3066\u91cd\u8981\u306a\u306e\u306f\u3001\u65b0\u3057\u3044\u753b\u50cf\u8a3a\u65ad\u6280\u8853\u3092\u4f7f\u7528\u3057\u305f\u304b\u3069\u3046\u304b\u3060\u3051\u3067\u306f\u306a\u304f\u3001\u305d\u306e\u60c5\u5831\u304c\u5b9f\u969b\u306b\u3069\u306e\u3088\u3046\u306a\u6cbb\u7642\u5224\u65ad\u306b\u3064\u306a\u304c\u308a\u3001\u60a3\u8005\u3055\u3093\u306e\u9577\u671f\u7684\u306a\u4e88\u5f8c\u6539\u5584\u306b\u5bc4\u4e0e\u3059\u308b\u304b\u3068\u3044\u3046\u8996\u70b9\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">OPTIMAL\u8a66\u9a13\u306f\u3001\u533b\u7642\u6280\u8853\u306e\u9ad8\u5ea6\u5316\u3068\u60a3\u8005\u4e2d\u5fc3\u306e\u81e8\u5e8a\u7684\u4fa1\u5024\u3092\u6539\u3081\u3066\u8003\u3048\u308b\u3046\u3048\u3067\u3001\u91cd\u8981\u306a\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u3068\u3044\u3048\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">13\uff0e\u53c2\u8003\u6587\u732e<\/h2>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">\u539f\u8457\u8ad6\u6587<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Testa L, De la Torre Hernandez JM, De Maria GL, et al. IVUS-Guided versus Angiography-Guided PCI in Unprotected Left Main Coronary Disease. N Engl J Med. 2026;394:2189\u20132199.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">DOI\uff1a10.1056\/NEJMoa2600440<a href=\"https:\/\/doi.org\/10.1056\/NEJMoa2600440?utm_source=chatgpt.com\">NEJM\u539f\u8457\u8ad6\u6587\u3092\u8aad\u3080<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ClinicalTrials.gov\uff1aNCT04111770<a href=\"https:\/\/clinicaltrials.gov\/study\/NCT04111770?utm_source=chatgpt.com\">OPTIMAL\u8a66\u9a13\u306e\u81e8\u5e8a\u8a66\u9a13\u767b\u9332<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u95a2\u9023\u3059\u308b\u91cd\u8981\u6587\u732e<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Lee JM, Choi KH, Song YB, et al. Intravascular Imaging\u2013Guided or Angiography-Guided Complex PCI. N Engl J Med. 2023;388:1668\u20131679.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Vrints C, Andreotti F, Koskinas KC, et al. 2024 ESC Guidelines for the management of chronic coronary syndromes. Eur Heart J. 2024;45:3415\u20133537.<\/p>\n<\/blockquote>\n\n\n\n<h2 class=\"wp-block-heading\">14\uff0e\u3042\u308f\u305b\u3066\u8aad\u307f\u305f\u3044\u95a2\u9023\u8a18\u4e8b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u65e2\u5b58\u306e\u9662\u5185\u8a18\u4e8b\u3092\u78ba\u8a8d\u3057\u3001\u2460PCI\u5f8c\u7ba1\u7406\u3001\u2461\u51a0\u52d5\u8108\u75be\u60a3\u3068\u30b9\u30c6\u30f3\u30c8\u3001\u2462\u6025\u6027\u5fc3\u7b4b\u6897\u585e\u306e\u8a3a\u65ad\u3001\u3068\u3044\u3046\u9806\u5e8f\u30673\u4ef6\u3092\u9078\u5b9a\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2460 <a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8624\/?utm_source=chatgpt.com\">\u591a\u679d\u51a0\u52d5\u8108\u75c5\u5909\u3067\u306fDAPT\u30921\u5e74\u5ef6\u9577\u3059\u3079\u304d\u304b\uff1fDAPT-MVD\u8a66\u9a13\u3068\u6b6f\u79d1\u6cbb\u7642\u6642\u306e\u6297\u8840\u5c0f\u677f\u85ac\u7ba1\u7406\u3092\u5c02\u9580\u533b\u304c\u89e3\u8aac<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PCI\u5f8c\u306e\u9577\u671f\u7684\u306a\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u4e88\u9632\u3068\u3001\u6297\u8840\u5c0f\u677f\u7642\u6cd5\u306e\u7d99\u7d9a\u30fb\u6b6f\u79d1\u6cbb\u7642\u6642\u306e\u6ce8\u610f\u70b9\u306b\u3064\u3044\u3066\u89e3\u8aac\u3057\u3066\u3044\u307e\u3059\u3002OPTIMAL\u8a66\u9a13\u306e\u5f8c\u306b\u8aad\u3080\u95a2\u9023\u8a18\u4e8b\u3068\u3057\u3066\u3001\u6700\u3082\u81e8\u5e8a\u7684\u306a\u3064\u306a\u304c\u308a\u304c\u5f37\u3044\u8a18\u4e8b\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2461 <a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-2380\/?utm_source=chatgpt.com\">\u7cd6\u5c3f\u75c5\u5408\u4f75PCI\u60a3\u8005\u306b\u304a\u3044\u3066\u65b0\u898f\u30b7\u30ed\u30ea\u30e0\u30b9\u6eb6\u51fa\u6027\u30b9\u30c6\u30f3\u30c8\u306f\u6a19\u6e96\u6cbb\u7642\u306b\u5bfe\u3057\u975e\u52a3\u52e2\u3092\u793a\u305b\u305a<\/a><\/p>\n\n\n\n<p 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