{"id":9889,"date":"2026-11-07T21:13:45","date_gmt":"2026-11-07T12:13:45","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=9889"},"modified":"2026-11-07T21:15:50","modified_gmt":"2026-11-07T12:15:50","slug":"high-risk-pci-impella-chip-bcis3","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/high-risk-pci-impella-chip-bcis3\/","title":{"rendered":"\u9ad8\u30ea\u30b9\u30afPCI\u306bImpella\u306f\u6709\u52b9\u304b\uff1fCHIP-BCIS3\u8a66\u9a13\u304c\u793a\u3057\u305f\u5de6\u5ba4\u30a2\u30f3\u30ed\u30fc\u30c7\u30a3\u30f3\u30b0\u306e\u52b9\u679c\u3068\u9650\u754c"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">\u306f\u3058\u3081\u306b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u5fc3\u81d3\u306e\u8840\u7ba1\u3067\u3042\u308b\u51a0\u52d5\u8108\u304c\u72ed\u304f\u306a\u3063\u305f\u3068\u304d\u3001\u30ab\u30c6\u30fc\u30c6\u30eb\u3067\u8840\u7ba1\u3092\u5e83\u3052\u308b\u6cbb\u7642\u3092PCI\uff08\u7d4c\u76ae\u7684\u51a0\u52d5\u8108\u30a4\u30f3\u30bf\u30fc\u30d9\u30f3\u30b7\u30e7\u30f3\uff09\u3068\u547c\u3073\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5fc3\u81d3\u306e\u30dd\u30f3\u30d7\u6a5f\u80fd\u304c\u5927\u304d\u304f\u4f4e\u4e0b\u3057\u3001\u51a0\u52d5\u8108\u306e\u75c5\u5909\u3082\u8907\u96d1\u306a\u60a3\u8005\u3055\u3093\u3067\u306f\u3001\u6cbb\u7642\u4e2d\u306b\u8840\u5727\u304c\u4e0b\u304c\u308b\u306a\u3069\u306e\u5371\u967a\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u5fc3\u81d3\u306e\u8840\u6db2\u306e\u9001\u308a\u51fa\u3057\u3092\u88dc\u52a9\u3059\u308b\u5c0f\u578b\u30dd\u30f3\u30d7\u300cImpella\uff08\u30a4\u30f3\u30da\u30e9\uff09\u300d\u3092\u3001\u6cbb\u7642\u524d\u304b\u3089\u4f7f\u7528\u3059\u308b\u65b9\u6cd5\u304c\u9078\u3070\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001\u5faa\u74b0\u3092\u88dc\u52a9\u3067\u304d\u308b\u3053\u3068\u304c\u3001\u305d\u306e\u307e\u307e\u9577\u671f\u306e\u6b7b\u4ea1\u3084\u5165\u9662\u3092\u6e1b\u3089\u3059\u3053\u3068\u306b\u3064\u306a\u304c\u308b\u3068\u306f\u9650\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2026\u5e74\u306bNew England Journal of Medicine\u306b\u63b2\u8f09\u3055\u308c\u305fCHIP-BCIS3\u8a66\u9a13\u3067\u306f\u3001\u91cd\u5ea6\u306e\u5de6\u5ba4\u6a5f\u80fd\u4f4e\u4e0b\u3068\u5e83\u7bc4\u306a\u51a0\u52d5\u8108\u75be\u60a3\u3092\u6301\u3064300\u4eba\u3092\u5bfe\u8c61\u306b\u3001Impella CP\u3092\u4e88\u5b9a\u3057\u3066\u4f7f\u7528\u3059\u308b\u65b9\u6cd5\u3068\u3001\u4e88\u5b9a\u3057\u305f\u88dc\u52a9\u5faa\u74b0\u3092\u7528\u3044\u306a\u3044PCI\u3092\u6bd4\u8f03\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u3067\u306fImpella CP\u306e\u512a\u8d8a\u6027\u306f\u793a\u3055\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u5fc3\u8840\u7ba1\u6b7b\u304c\u30dd\u30f3\u30d7\u7fa4\u3067\u591a\u3044\u3068\u3044\u3046\u7d50\u679c\u3082\u8a8d\u3081\u3089\u308c\u3001\u4e88\u9632\u7684\u4f7f\u7528\u306e\u9069\u5fdc\u3092\u614e\u91cd\u306b\u8003\u3048\u308b\u5fc5\u8981\u6027\u304c\u793a\u3055\u308c\u307e\u3057\u305f\u3002<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u8a18\u4e8b\u3067\u306f\u3001\u7814\u7a76\u3067\u660e\u3089\u304b\u306b\u306a\u3063\u305f\u3053\u3068\u3068\u3001\u307e\u3060\u7d50\u8ad6\u3065\u3051\u3089\u308c\u306a\u3044\u3053\u3068\u3092\u6574\u7406\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1\uff0e\u5de6\u5ba4\u30a2\u30f3\u30ed\u30fc\u30c7\u30a3\u30f3\u30b0\u3068\u306f\u4f55\u304b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u5de6\u5ba4\u306f\u3001\u5168\u8eab\u3078\u8840\u6db2\u3092\u9001\u308a\u51fa\u3059\u5fc3\u81d3\u306e\u90e8\u5c4b\u3067\u3059\u3002Impella\u306f\u5927\u52d5\u8108\u5f01\u3092\u307e\u305f\u3044\u3067\u7559\u7f6e\u3057\u3001\u5de6\u5ba4\u5185\u306e\u8840\u6db2\u3092\u5927\u52d5\u8108\u3078\u9001\u308a\u51fa\u3059\u7d4c\u76ae\u7684\u306a\u88dc\u52a9\u30dd\u30f3\u30d7\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5de6\u5ba4\u306e\u8840\u6db2\u3092\u76f4\u63a5\u304f\u307f\u51fa\u3057\u3066\u8ca0\u8377\u3092\u8efd\u6e1b\u3059\u308b\u3053\u3068\u3092\u300c\u5de6\u5ba4\u30a2\u30f3\u30ed\u30fc\u30c7\u30a3\u30f3\u30b0\u300d\u3068\u547c\u3073\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PCI\u3067\u306f\u3001\u30d0\u30eb\u30fc\u30f3\u3067\u8840\u7ba1\u3092\u5e83\u3052\u308b\u969b\u306a\u3069\u306b\u3001\u5fc3\u7b4b\u3078\u306e\u8840\u6d41\u304c\u4e00\u6642\u7684\u306b\u4f4e\u4e0b\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3082\u3068\u3082\u3068\u306e\u5de6\u5ba4\u6a5f\u80fd\u304c\u4f4e\u3044\u60a3\u8005\u3055\u3093\u3067\u306f\u3001\u305d\u306e\u5f71\u97ff\u304c\u5927\u304d\u304f\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u3053\u3067\u3001\u3042\u3089\u304b\u3058\u3081\u30dd\u30f3\u30d7\u3067\u5faa\u74b0\u3092\u88dc\u52a9\u3059\u308c\u3070\u3001\u8840\u884c\u52d5\u614b\u3092\u7dad\u6301\u3057\u306a\u304c\u3089\u8907\u96d1\u306a\u75c5\u5909\u3092\u6cbb\u7642\u3057\u3084\u3059\u304f\u306a\u308a\u3001\u5fc3\u7b4b\u969c\u5bb3\u3084\u9577\u671f\u306e\u6709\u5bb3\u4e8b\u8c61\u3082\u6e1b\u3089\u305b\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u3001\u3068\u8003\u3048\u3089\u308c\u3066\u304d\u307e\u3057\u305f\u3002CHIP-BCIS3\u306f\u3001\u3053\u306e\u81e8\u5e8a\u7684\u306a\u5229\u76ca\u3092\u691c\u8a3c\u3057\u305f\u7814\u7a76\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"511\" height=\"600\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-10-511x600.png\" alt=\"Impella\u304c\u5927\u52d5\u8108\u5f01\u3092\u307e\u305f\u304e\u3001\u5de6\u5ba4\u304b\u3089\u5927\u52d5\u8108\u3078\u8840\u6db2\u3092\u9001\u3063\u3066\u5de6\u5ba4\u306e\u8ca0\u8377\u3092\u8efd\u6e1b\u3059\u308b\u4ed5\u7d44\u307f\u3002\" class=\"wp-image-9890\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-10-511x600.png 511w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-10-256x300.png 256w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-10-768x901.png 768w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-10.png 800w\" sizes=\"auto, (max-width: 511px) 100vw, 511px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u56f3\u8aac\uff1aImpella\u306b\u3088\u308b\u5de6\u5ba4\u30a2\u30f3\u30ed\u30fc\u30c7\u30a3\u30f3\u30b0\u306e\u6982\u5ff5\u56f3<\/strong>\u3002\u5927\u52d5\u8108\u5f01\u3092\u307e\u305f\u3044\u3067\u7559\u7f6e\u3057\u305f\u30dd\u30f3\u30d7\u304c\u5de6\u5ba4\u304b\u3089\u5927\u52d5\u8108\u3078\u8840\u6db2\u3092\u9001\u308a\u51fa\u3059\u3002\u751f\u7406\u5b66\u7684\u306a\u5faa\u74b0\u88dc\u52a9\u304c\u9577\u671f\u81e8\u5e8a\u8ee2\u5e30\u3092\u6539\u5584\u3059\u308b\u304b\u3069\u3046\u304b\u306f\u3001\u81e8\u5e8a\u8a66\u9a13\u3067\u306e\u691c\u8a3c\u3092\u8981\u3059\u308b\u3002\u539f\u8457\u306e\u8a18\u8ff0\u306b\u57fa\u3065\u304f\u72ec\u81ea\u6a21\u5f0f\u56f3\u3067\u3042\u308a\u3001\u5b9f\u969b\u306e\u89e3\u5256\u5b66\u7684\u5bf8\u6cd5\u3092\u518d\u73fe\u3059\u308b\u3082\u306e\u3067\u306f\u306a\u3044\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5fc3\u4e0d\u5168\u3067\u306f\u3001\u5fc3\u81d3\u306e\u6a5f\u80fd\u4f4e\u4e0b\u304c\u80ba\u3046\u3063\u8840\u3084\u80f8\u6c34\u3068\u3057\u3066\u73fe\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u753b\u50cf\u3068\u75c5\u614b\u306e\u95a2\u4fc2\u306f\u3001<a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-94\/\" target=\"_blank\" rel=\"noopener\">\u5fc3\u4e0d\u5168\u306b\u4f34\u3046\u8449\u9593\u80f8\u6c34\u306e\u75c7\u4f8b\u89e3\u8aac<\/a>\u3082\u3054\u53c2\u7167\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2\uff0eCHIP-BCIS3\u8a66\u9a13\u306f\u3069\u306e\u3088\u3046\u306a\u7814\u7a76\u304b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u82f1\u56fd21\u65bd\u8a2d\u3067\u884c\u308f\u308c\u305f\u3001\u591a\u65bd\u8a2d\u5171\u540c\u30fb\u975e\u76f2\u691c\u30fb\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u3067\u3059\u3002\u767b\u9332\u671f\u9593\u306f2021\u5e748\u6708\u304b\u30892024\u5e7412\u6708\u307e\u3067\u3067\u3001300\u4eba\u304c\u53c2\u52a0\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u4e3b\u306a\u5bfe\u8c61\u6761\u4ef6<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5de6\u5ba4\u99c6\u51fa\u7387\uff08LVEF\uff09\u304c35\uff05\u4ee5\u4e0b\u3002\u91cd\u5ea6\u306e\u50e7\u5e3d\u5f01\u9006\u6d41\u304c\u3042\u308b\u5834\u5408\u306f45\uff05\u4ee5\u4e0b\u3002<\/li>\n\n\n\n<li>\u5e83\u7bc4\u306a\u51a0\u52d5\u8108\u75be\u60a3\u304c\u3042\u308a\u3001BCIS Jeopardy Score\u304c8\u4ee5\u4e0a\u3002<\/li>\n\n\n\n<li>\u7279\u5b9a\u306e\u9ad8\u30ea\u30b9\u30af\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8\u75c5\u5909\u3001\u8907\u96d1\u306a\u77f3\u7070\u5316\u75c5\u5909\u3001\u9006\u884c\u6027\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u4e88\u5b9a\u3059\u308b\u6162\u6027\u5b8c\u5168\u9589\u585e\u75c5\u5909\u306a\u3069\u3001\u898f\u5b9a\u306e\u8907\u96d1PCI\u6761\u4ef6\u3092\u6e80\u305f\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">BCIS Jeopardy Score\u306f\u3001\u51a0\u52d5\u8108\u75c5\u5909\u306b\u3088\u3063\u3066\u8840\u6d41\u304c\u8105\u304b\u3055\u308c\u308b\u5fc3\u7b4b\u306e\u7bc4\u56f2\u3092\u8a55\u4fa1\u3059\u308b\u6307\u6a19\u3067\u30010\uff5e12\u70b9\u306e\u7bc4\u56f2\u3092\u3068\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5b9f\u969b\u306e\u5bfe\u8c61\u96c6\u56e3\u3067\u306f\u3001LVEF\u306e\u4e2d\u592e\u5024\u306f27\uff05\u3001BCIS Jeopardy Score\u306e\u4e2d\u592e\u5024\u306f12\u3001SYNTAX\u30b9\u30b3\u30a2\u306e\u4e2d\u592e\u5024\u306f38\u3067\u3057\u305f\u3002\u5de6\u5ba4\u6a5f\u80fd\u4f4e\u4e0b\u3068\u75c5\u5909\u306e\u8907\u96d1\u3055\u306e\u4e21\u9762\u304b\u3089\u3001\u9ad8\u30ea\u30b9\u30af\u306e\u96c6\u56e3\u3060\u3063\u305f\u3068\u3044\u3048\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5bfe\u8c61\u5916\u3068\u306a\u3063\u305f\u75c5\u614b<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u7121\u4f5c\u70ba\u5316\u6642\u70b9\u306e\u5fc3\u539f\u6027\u30b7\u30e7\u30c3\u30af\u3084\u6025\u6027ST\u4e0a\u6607\u578b\u5fc3\u7b4b\u6897\u585e\u306f\u9664\u5916\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305f\u3060\u3057\u3001\u5b89\u5b9a\u3057\u305f\u5916\u6765\u60a3\u8005\u3055\u3093\u3060\u3051\u306e\u8a66\u9a13\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u6025\u6027\u51a0\u75c7\u5019\u7fa4\u3092\u9069\u5fdc\u3068\u3059\u308b\u60a3\u8005\u3055\u3093\u306f188\u4eba\u3001\u7dca\u6025\u6027\u306e\u3042\u308bPCI\u9069\u5fdc\u306f\u4e21\u7fa4\u3067\u305d\u308c\u305e\u308c72.3\uff05\u300179.6\uff05\u3092\u5360\u3081\u307e\u3057\u305f\u3002\u300c\u4e88\u5b9a\u3057\u305f\u88dc\u52a9\u5faa\u74b0\u306e\u4f7f\u7528\u300d\u3092\u8a55\u4fa1\u3057\u305f\u8a66\u9a13\u3067\u3042\u308b\u3053\u3068\u3068\u3001\u300c\u5168\u4f8b\u304c\u5b89\u5b9a\u51a0\u52d5\u8108\u75be\u60a3\u3067\u3042\u308b\u3053\u3068\u300d\u306f\u533a\u5225\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6025\u6027\u5fc3\u7b4b\u6897\u585e\u306e\u75c5\u578b\u3084ST\u4e0a\u6607\u306b\u3064\u3044\u3066\u306f\u3001<a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-4155\/\" target=\"_blank\" rel=\"noopener\">\u6025\u6027\u5fc3\u7b4b\u6897\u585e\u306e\u75c5\u578b\u5206\u985e\u3068\u5fc3\u96fb\u56f3\u8a3a\u65ad<\/a>\u3067\u89e3\u8aac\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u6bd4\u8f03\u3057\u305f\u6cbb\u7642<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Impella CP\u7fa4\uff1a148\u4eba<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PCI\u76f4\u524d\u306bImpella CP\u3092\u7559\u7f6e\u3057\u3001\u5de6\u5ba4\u30a2\u30f3\u30ed\u30fc\u30c7\u30a3\u30f3\u30b0\u3092\u884c\u3046\u65b9\u91dd\u3067\u3059\u3002144\u4eba\u3067\u7559\u7f6e\u306b\u6210\u529f\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u6a19\u6e96\u6cbb\u7642\u7fa4\uff1a152\u4eba<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u88dc\u52a9\u5faa\u74b0\u3092\u4e88\u5b9a\u3057\u3066\u4f7f\u7528\u305b\u305a\u306bPCI\u3092\u884c\u3046\u65b9\u91dd\u3067\u3059\u3002\u305f\u3060\u3057\u3001\u898f\u5b9a\u306e\u91cd\u7be4\u306a\u5faa\u74b0\u4e0d\u5168\u306a\u3069\u306b\u5bfe\u3059\u308b\u6551\u6e08\u7684\u306a\u88dc\u52a9\u5faa\u74b0\u306f\u8a8d\u3081\u3089\u308c\u307e\u3057\u305f\u3002\u5b9f\u969b\u306b\u306f9\u4eba\u3067\u6551\u6e08\u7684\u88dc\u52a9\u5faa\u74b0\u304c\u4f7f\u7528\u3055\u308c\u30018\u4eba\u304cIABP\u30011\u4eba\u304cImpella\u3067\u3057\u305f\u3002\u6a19\u6e96\u6cbb\u7642\u7fa4\u3078\u306eImpella\u4f7f\u7528\u306f\u30d7\u30ed\u30c8\u30b3\u30eb\u4e0a\u8a8d\u3081\u3089\u308c\u3066\u3044\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u89e3\u6790\u306f\u5272\u4ed8\u306b\u57fa\u3065\u304fintention-to-treat\u89e3\u6790\u3067\u884c\u308f\u308c\u307e\u3057\u305f\u3002\u6700\u4f4e\u8ffd\u8de1\u671f\u9593\u306f12\u304b\u6708\u3001\u8ffd\u8de1\u671f\u9593\u4e2d\u592e\u5024\u306f22\u304b\u6708\u3067\u3059\u3002\u81e8\u5e8a\u30a4\u30d9\u30f3\u30c8\u306f\u5272\u4ed8\u3092\u77e5\u3089\u306a\u3044\u72ec\u7acb\u3057\u305f\u59d4\u54e1\u4f1a\u304c\u5224\u5b9a\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"423\" height=\"600\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-11-423x600.png\" alt=\"CHIP-BCIS3\u8a66\u9a13\u306e\u5bfe\u8c61\u6761\u4ef6\u3068\u3001Impella CP\u7fa4148\u4eba\u30fb\u6a19\u6e96\u6cbb\u7642\u7fa4152\u4eba\u3078\u306e\u7121\u4f5c\u70ba\u5272\u4ed8\u3002\" class=\"wp-image-9891\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-11-423x600.png 423w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-11-211x300.png 211w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-11-768x1090.png 768w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-11.png 800w\" sizes=\"auto, (max-width: 423px) 100vw, 423px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u56f3\u8aac<\/strong>\uff1a\u82f1\u56fd21\u65bd\u8a2d\u3067\u3001\u91cd\u5ea6\u306e\u5de6\u5ba4\u6a5f\u80fd\u4f4e\u4e0b\u3068\u5e83\u7bc4\u306a\u51a0\u52d5\u8108\u75be\u60a3\u3092\u6301\u3061\u3001\u898f\u5b9a\u306e\u8907\u96d1PCI\u3092\u4e88\u5b9a\u3057\u305f300\u4eba\u3092\u7121\u4f5c\u70ba\u5316\u3057\u305f\u3002Impella CP\u3092\u4e88\u5b9a\u3057\u3066\u4f7f\u7528\u3059\u308b\u65b9\u91dd\u3068\u3001\u4e88\u5b9a\u3057\u305f\u88dc\u52a9\u5faa\u74b0\u3092\u7528\u3044\u306a\u3044\u65b9\u91dd\u3092\u6bd4\u8f03\u3057\u305f\u3002\u7121\u4f5c\u70ba\u5316\u6642\u70b9\u306e\u5fc3\u539f\u6027\u30b7\u30e7\u30c3\u30af\u304a\u3088\u3073\u6025\u6027ST\u4e0a\u6607\u578b\u5fc3\u7b4b\u6897\u585e\u306f\u9664\u5916\u3055\u308c\u305f\u3002\u6700\u4f4e\u8ffd\u8de1\u671f\u959312\u304b\u6708\u3001\u4e2d\u592e\u502422\u304b\u6708\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3\uff0e\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306f\u300c\u91cd\u8981\u5ea6\u3092\u4ed8\u3051\u305f\u8907\u5408\u8a55\u4fa1\u300d<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u8a66\u9a13\u3067\u306f\u3001\u5358\u7d14\u306b\u300c\u4f55\u3089\u304b\u306e\u30a4\u30d9\u30f3\u30c8\u304c\u8d77\u304d\u305f\u4eba\u6570\u300d\u3092\u6bd4\u8f03\u3059\u308b\u65b9\u6cd5\u3067\u306f\u306a\u304f\u3001\u6b21\u306e\u9806\u306b\u91cd\u8981\u5ea6\u3092\u4ed8\u3051\u305f\u968e\u5c64\u7684\u8907\u5408\u8a55\u4fa1\u9805\u76ee\u3092\u7528\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>\u5168\u6b7b\u4ea1<\/li>\n\n\n\n<li>\u969c\u5bb3\u3092\u6b8b\u3059\u8133\u5352\u4e2d<\/li>\n\n\n\n<li>\u81ea\u7136\u767a\u75c7\u306e\u5fc3\u7b4b\u6897\u585e<\/li>\n\n\n\n<li>\u5fc3\u8840\u7ba1\u75be\u60a3\u306b\u3088\u308b\u5165\u9662<\/li>\n\n\n\n<li>\u5468\u8853\u671f\u5fc3\u7b4b\u969c\u5bb3<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">\u89e3\u6790\u306b\u306fwin ratio\u3092\u4f7f\u7528\u3057\u307e\u3057\u305f\u3002Impella\u7fa4\u306e\u5404\u60a3\u8005\u3068\u6a19\u6e96\u6cbb\u7642\u7fa4\u306e\u5404\u60a3\u8005\u3092\u7d44\u307f\u5408\u308f\u305b\u3001\u307e\u305a\u6b7b\u4ea1\u307e\u3067\u306e\u6642\u9593\u3092\u6bd4\u8f03\u3057\u307e\u3059\u3002\u305d\u306e\u6bb5\u968e\u3067\u512a\u52a3\u304c\u6c7a\u307e\u3089\u306a\u3051\u308c\u3070\u3001\u9806\u306b\u6b21\u306e\u9805\u76ee\u3067\u6bd4\u8f03\u3057\u307e\u3059\u3002\u5165\u9662\u306b\u3064\u3044\u3066\u306f\u56de\u6570\u3001\u540c\u6570\u306a\u3089\u521d\u56de\u5165\u9662\u307e\u3067\u306e\u6642\u9593\u3092\u8a55\u4fa1\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Win ratio\u304c1\u3088\u308a\u5927\u304d\u3051\u308c\u3070Impella\u7fa4\u306b\u6709\u5229\u30011\u3088\u308a\u5c0f\u3055\u3051\u308c\u3070\u6a19\u6e96\u6cbb\u7642\u7fa4\u306b\u6709\u5229<\/strong>\u3068\u3044\u3046\u8aad\u307f\u65b9\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u306a\u304a\u3001\u300c\u5468\u8853\u671f\u5fc3\u7b4b\u969c\u5bb3\u300d\u306fPCI\u524d\u5f8c\u306e\u9ad8\u611f\u5ea6\u5fc3\u7b4b\u30c8\u30ed\u30dd\u30cb\u30f3\u5909\u5316\u3092\u7528\u3044\u3066\u8a55\u4fa1\u3055\u308c\u305f\u9805\u76ee\u3067\u3059\u3002\u81ea\u7136\u767a\u75c7\u306e\u5fc3\u7b4b\u6897\u585e\u3068\u306f\u5225\u306e\u6307\u6a19\u3068\u3057\u3066\u6271\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4\uff0e\u4e3b\u8981\u7d50\u679c\uff1aImpella CP\u306e\u512a\u8d8a\u6027\u306f\u793a\u3055\u308c\u306a\u304b\u3063\u305f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u516822,496\u7d44\u306e\u60a3\u8005\u9593\u6bd4\u8f03\u3067\u306f\u3001\u4ee5\u4e0b\u306e\u7d50\u679c\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Impella\u7fa4\u304c\u6709\u5229\uff1a36.6\uff05<\/li>\n\n\n\n<li>\u6a19\u6e96\u6cbb\u7642\u7fa4\u304c\u6709\u5229\uff1a43.0\uff05<\/li>\n\n\n\n<li>\u512a\u52a3\u304c\u6c7a\u307e\u3089\u306a\u304b\u3063\u305f\u6bd4\u8f03\uff1a20.4\uff05<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Win ratio\u306f0.85\u300195\uff05\u4fe1\u983c\u533a\u9593\u306f0.63\uff5e1.15\u3001P\uff1d0.30\u3067\u3057\u305f\u3002<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6570\u5024\u306e\u65b9\u5411\u306f\u6a19\u6e96\u6cbb\u7642\u7fa4\u306b\u6709\u5229\u3067\u3057\u305f\u304c\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\">\u3057\u305f\u304c\u3063\u3066\u3001\u7d50\u8ad6\u306f\u300cImpella CP\u3092\u4e88\u5b9a\u3057\u3066\u4f7f\u7528\u3059\u308b\u65b9\u91dd\u304c\u3001\u6a19\u6e96\u6cbb\u7642\u3088\u308a\u826f\u3044\u81e8\u5e8a\u8ee2\u5e30\u3092\u3082\u305f\u3089\u3059\u3053\u3068\u306f\u793a\u3055\u308c\u306a\u304b\u3063\u305f\u300d\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">36.6\uff05\u306843.0\uff05\u306f\u3001\u60a3\u8005\u3055\u3093\u306e\u30a4\u30d9\u30f3\u30c8\u767a\u751f\u7387\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u60a3\u8005\u540c\u58eb\u3092\u7d44\u307f\u5408\u308f\u305b\u305f\u6bd4\u8f03\u3067\u3001\u3069\u3061\u3089\u306e\u7fa4\u304c\u6709\u5229\u3060\u3063\u305f\u304b\u3092\u793a\u3059\u5272\u5408\u3067\u3059\u3002\u307e\u305f\u3001win ratio 0.85\u3092\u300c\u30a4\u30d9\u30f3\u30c8\u304c15\uff05\u6e1b\u3063\u305f\u300d\u3068\u8aad\u3080\u3053\u3068\u3082\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"439\" height=\"600\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-12-439x600.png\" alt=\"\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306ewin ratio\u306f0.85\u3067\u3001\u4e88\u5b9a\u3057\u305fImpella CP\u4f7f\u7528\u306e\u512a\u8d8a\u6027\u306f\u793a\u3055\u308c\u306a\u304b\u3063\u305f\u3002\" class=\"wp-image-9892\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-12-439x600.png 439w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-12-220x300.png 220w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-12-768x1049.png 768w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-12.png 800w\" sizes=\"auto, (max-width: 439px) 100vw, 439px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u56f3\u8aac\uff1a\u516822,496\u7d44\u306e\u60a3\u8005\u9593\u6bd4\u8f03<\/strong>\u306b\u304a\u3044\u3066\u3001Impella\u7fa4\u304c\u6709\u5229\u3060\u3063\u305f\u6bd4\u8f03\u306f36.6\uff05\u3001\u6a19\u6e96\u6cbb\u7642\u7fa4\u304c\u6709\u5229\u3060\u3063\u305f\u6bd4\u8f03\u306f43.0\uff05\u3001\u6700\u7d42\u7684\u306b\u512a\u52a3\u304c\u6c7a\u307e\u3089\u306a\u304b\u3063\u305f\u6bd4\u8f03\u306f20.4\uff05\u3067\u3042\u3063\u305f\u3002Win ratio\u306f0.85\uff0895\uff05CI 0.63\u20131.15\u3001P\uff1d0.30\uff09\u3067\u3001Impella CP\u4f7f\u7528\u65b9\u91dd\u306e\u512a\u8d8a\u6027\u306f\u793a\u3055\u308c\u306a\u304b\u3063\u305f\u3002\u5272\u5408\u306f\u60a3\u8005\u5358\u4f4d\u306e\u30a4\u30d9\u30f3\u30c8\u767a\u751f\u7387\u3092\u793a\u3059\u3082\u306e\u3067\u306f\u306a\u3044\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5\uff0e\u6b7b\u4ea1\u306b\u95a2\u3059\u308b\u7d50\u679c\u306f\u3069\u3046\u8aad\u3080\u3079\u304d\u304b<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u5168\u6b7b\u4ea1<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Impella\u7fa4\uff1a47\u4eba\u300224\u304b\u6708\u63a8\u5b9a\u7d2f\u7a4d\u767a\u751f\u738732.6\uff05\u3002<\/li>\n\n\n\n<li>\u6a19\u6e96\u6cbb\u7642\u7fa4\uff1a33\u4eba\u300224\u304b\u6708\u63a8\u5b9a\u7d2f\u7a4d\u767a\u751f\u738723.4\uff05\u3002<\/li>\n\n\n\n<li>\u30cf\u30b6\u30fc\u30c9\u6bd4\uff1a1.54\uff0895\uff05\u4fe1\u983c\u533a\u95930.99\uff5e2.41\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u5168\u6b7b\u4ea1\u306fImpella\u7fa4\u3067\u6570\u5024\u4e0a\u591a\u3044\u7d50\u679c\u3067\u3057\u305f\u304c\u300195\uff05\u4fe1\u983c\u533a\u9593\u306f1\u3092\u307e\u305f\u3044\u3067\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5fc3\u8840\u7ba1\u6b7b<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Impella\u7fa4\uff1a36\u4eba\u300224\u304b\u6708\u63a8\u5b9a\u7d2f\u7a4d\u767a\u751f\u738726.7\uff05\u3002<\/li>\n\n\n\n<li>\u6a19\u6e96\u6cbb\u7642\u7fa4\uff1a20\u4eba\u300224\u304b\u6708\u63a8\u5b9a\u7d2f\u7a4d\u767a\u751f\u738714.5\uff05\u3002<\/li>\n\n\n\n<li>\u30cf\u30b6\u30fc\u30c9\u6bd4\uff1a1.91\uff0895\uff05\u4fe1\u983c\u533a\u95931.11\uff5e3.30\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u5fc3\u8840\u7ba1\u6b7b\u306e24\u304b\u6708\u63a8\u5b9a\u7d2f\u7a4d\u767a\u751f\u7387\u306e\u5dee\u306f12.2\u30d1\u30fc\u30bb\u30f3\u30c8\u30dd\u30a4\u30f3\u30c8\u3067\u3001Impella\u7fa4\u3067\u9ad8\u3044\u7d50\u679c\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u305f\u3060\u3057\u3001\u3053\u308c\u3089\u306f\u526f\u6b21\u8a55\u4fa1\u9805\u76ee\u3067\u3042\u308a\u3001\u4fe1\u983c\u533a\u9593\u306f\u591a\u91cd\u6bd4\u8f03\u306b\u3064\u3044\u3066\u8abf\u6574\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002\u5fc3\u8840\u7ba1\u6b7b\u304c\u5897\u3048\u308b\u53ef\u80fd\u6027\u3092\u793a\u3059\u91cd\u8981\u306a\u6240\u898b\u3068\u3057\u3066\u6271\u3044\u306a\u304c\u3089\u3001\u78ba\u5b9a\u7684\u306a\u6709\u5bb3\u4f5c\u7528\u3068\u65ad\u5b9a\u3057\u306a\u3044\u3053\u3068\u304c\u5fc5\u8981\u3067\u3059\u3002<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001\u30dd\u30f3\u30d7\u305d\u306e\u3082\u306e\u304c\u6b7b\u4ea1\u5dee\u3092\u751f\u3093\u3060\u6a5f\u5e8f\u306f\u3001\u3053\u306e\u8a66\u9a13\u3060\u3051\u3067\u306f\u660e\u3089\u304b\u306b\u306a\u3063\u3066\u3044\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u203b\u4e0a\u8a18\u306e\u5272\u5408\u306fKaplan\u2013Meier\u6cd5\u306b\u3088\u308b24\u304b\u6708\u6642\u70b9\u306e\u63a8\u5b9a\u5024\u3067\u3059\u3002\u8ffd\u8de1\u4e2d\u306b\u5b9f\u969b\u306b\u89b3\u5bdf\u3055\u308c\u305f\u4eba\u6570\u3092\u3001\u5272\u4ed8\u4eba\u6570\u3067\u5358\u7d14\u306b\u5272\u3063\u305f\u5272\u5408\u3068\u306f\u7570\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"439\" height=\"600\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-13-439x600.png\" alt=\"24\u304b\u6708\u63a8\u5b9a\u5168\u6b7b\u4ea1\u306fImpella\u7fa432.6\uff05\u30fb\u6a19\u6e96\u6cbb\u7642\u7fa423.4\uff05\u3001\u5fc3\u8840\u7ba1\u6b7b\u306f26.7\uff05\u30fb14.5\uff05\u3002\u526f\u6b21\u8a55\u4fa1\u9805\u76ee\u3067\u591a\u91cd\u6bd4\u8f03\u672a\u8abf\u6574\u3002\" class=\"wp-image-9893\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-13-439x600.png 439w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-13-220x300.png 220w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-13-768x1049.png 768w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/11\/image-13.png 800w\" sizes=\"auto, (max-width: 439px) 100vw, 439px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u56f3\u8aac\uff1a24\u304b\u6708\u6642\u70b9\u306eKaplan\u2013Meier\u63a8\u5b9a\u7d2f\u7a4d\u767a\u751f\u7387<\/strong>\u306f\u3001\u5168\u6b7b\u4ea1\u304cImpella\u7fa432.6\uff05\u3001\u6a19\u6e96\u6cbb\u7642\u7fa423.4\uff05\u3001\u5fc3\u8840\u7ba1\u6b7b\u304c26.7\uff05\u300114.5\uff05\u3067\u3042\u3063\u305f\u3002\u30cf\u30b6\u30fc\u30c9\u6bd4\u306f\u305d\u308c\u305e\u308c1.54\uff0895\uff05CI 0.99\u20132.41\uff09\u30011.91\uff081.11\u20133.30\uff09\u3002\u5b9f\u6e2c\u30a4\u30d9\u30f3\u30c8\u6570\u306f\u5168\u6b7b\u4ea147\u4eba\u5bfe33\u4eba\u3001\u5fc3\u8840\u7ba1\u6b7b36\u4eba\u5bfe20\u4eba\u3002\u5272\u5408\u306f\u5b9f\u6e2c\u4eba\u6570\u3092\u5272\u4ed8\u4eba\u6570\u3067\u5272\u3063\u305f\u5024\u3067\u306f\u306a\u3044\u3002\u526f\u6b21\u8a55\u4fa1\u9805\u76ee\u306e\u4fe1\u983c\u533a\u9593\u306f\u591a\u91cd\u6bd4\u8f03\u672a\u8abf\u6574\u3067\u3042\u308a\u3001\u78ba\u5b9a\u7684\u306a\u6709\u5bb3\u4f5c\u7528\u306e\u8a3c\u660e\u3068\u306f\u89e3\u91c8\u3057\u306a\u3044\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6\uff0e\u5fc3\u7b4b\u969c\u5bb3\u3068\u8840\u884c\u518d\u5efa\u306e\u7d50\u679c<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u5468\u8853\u671f\u5fc3\u7b4b\u969c\u5bb3\u306f\u6e1b\u5c11\u3057\u306a\u304b\u3063\u305f<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Impella\u7fa4\uff1a\u8a55\u4fa1\u53ef\u80fd133\u4eba\u4e2d82\u4eba\u300161.7\uff05\u3002<\/li>\n\n\n\n<li>\u6a19\u6e96\u6cbb\u7642\u7fa4\uff1a\u8a55\u4fa1\u53ef\u80fd124\u4eba\u4e2d62\u4eba\u300150.0\uff05\u3002<\/li>\n\n\n\n<li>\u30ea\u30b9\u30af\u6bd4\uff1a1.23\uff0895\uff05\u4fe1\u983c\u533a\u95930.99\uff5e1.54\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u5de6\u5ba4\u306e\u8ca0\u8377\u3092\u8efd\u304f\u3059\u308c\u3070\u3001PCI\u306b\u4f34\u3046\u5fc3\u7b4b\u969c\u5bb3\u3082\u6e1b\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u3044\u3046\u671f\u5f85\u306b\u5bfe\u3057\u3001\u672c\u8a66\u9a13\u3067\u306f\u6e1b\u5c11\u306f\u8a8d\u3081\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u6570\u5024\u4e0a\u306fImpella\u7fa4\u3067\u591a\u3044\u7d50\u679c\u3067\u3057\u305f\u304c\u3001\u4fe1\u983c\u533a\u9593\u306f1\u3092\u307e\u305f\u3044\u3067\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u306a\u304a\u3001\u3053\u306e\u9805\u76ee\u306b\u306f\u8a55\u4fa1\u4e0d\u80fd\u4f8b\u304c\u3042\u308a\u3001\u4e21\u7fa4\u306e\u5168\u5272\u4ed8\u60a3\u8005\u3067\u6e2c\u5b9a\u3067\u304d\u305f\u7d50\u679c\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u6700\u7d42\u7684\u306a\u8840\u884c\u518d\u5efa\u306e\u7a0b\u5ea6\u306f\u540c\u7a0b\u5ea6\u3060\u3063\u305f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u6bb5\u968e\u7684\u306aPCI\u3092\u542b\u3081\u305f\u51a0\u52d5\u8108\u8840\u884c\u518d\u5efa\u6307\u6570\u306e\u4e2d\u592e\u5024\u306f\u3001\u4e21\u7fa4\u3068\u308267\uff05\u3067\u3057\u305f\u3002\u6b8b\u5b58SYNTAX\u30b9\u30b3\u30a2\u306e\u4e2d\u592e\u5024\u3082\u3001Impella\u7fa414\u3001\u6a19\u6e96\u6cbb\u7642\u7fa413\u3068\u8fd1\u3044\u5024\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3001\u6bb5\u968e\u7684PCI\u306fImpella\u7fa410\u4eba\u3001\u6a19\u6e96\u6cbb\u7642\u7fa427\u4eba\u306b\u5b9f\u65bd\u3055\u308c\u307e\u3057\u305f\u3002\u6cbb\u7642\u3092\u9032\u3081\u308b\u30bf\u30a4\u30df\u30f3\u30b0\u306b\u306f\u9055\u3044\u304c\u3042\u3063\u305f\u3082\u306e\u306e\u3001\u6700\u7d42\u7684\u306a\u8840\u884c\u518d\u5efa\u306e\u7a0b\u5ea6\u306b\u5927\u304d\u306a\u9055\u3044\u306f\u793a\u3055\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8PCI\u306b\u304a\u3051\u308b\u753b\u50cf\u30ac\u30a4\u30c9\u306e\u81e8\u5e8a\u7684\u4fa1\u5024\u306b\u3064\u3044\u3066\u306f\u3001<a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-9260\/\" target=\"_blank\" rel=\"noopener\">IVUS\u30ac\u30a4\u30c9\u3068\u51a0\u52d5\u8108\u9020\u5f71\u30ac\u30a4\u30c9\u3092\u6bd4\u8f03\u3057\u305fOPTIMAL\u8a66\u9a13<\/a>\u3082\u53c2\u8003\u306b\u306a\u308a\u307e\u3059\u3002\u88dc\u52a9\u5faa\u74b0\u3068\u8840\u7ba1\u5185\u753b\u50cf\u306f\u7570\u306a\u308b\u4ecb\u5165\u3067\u3042\u308a\u3001\u305d\u308c\u305e\u308c\u306e\u5bfe\u8c61\u3068\u7814\u7a76\u7d50\u679c\u3092\u500b\u5225\u306b\u8a55\u4fa1\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">7\uff0e\u51fa\u8840\u3084\u8840\u7ba1\u5408\u4f75\u75c7\u306f\u3069\u3046\u3060\u3063\u305f\u304b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u9000\u9662\u524d\u306e\u5927\u51fa\u8840\u306f\u4ee5\u4e0b\u306e\u3068\u304a\u308a\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Impella\u7fa4\uff1a148\u4eba\u4e2d16\u4eba\u300110.8\uff05\u3002<\/li>\n\n\n\n<li>\u6a19\u6e96\u6cbb\u7642\u7fa4\uff1a151\u4eba\u4e2d11\u4eba\u30017.3\uff05\u3002<\/li>\n\n\n\n<li>\u30ea\u30b9\u30af\u6bd4\uff1a1.48\uff0895\uff05\u4fe1\u983c\u533a\u95930.71\uff5e3.09\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u8efd\u5ea6\u306e\u8840\u7ba1\u5408\u4f75\u75c7\u306f15.5\uff05\u5bfe9.9\uff05\u3001\u91cd\u5927\u306a\u8840\u7ba1\u5408\u4f75\u75c7\u306f1.4\uff05\u5bfe0.7\uff05\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u8a66\u9a13\u3067\u306f\u3001\u51fa\u8840\u3084\u8840\u7ba1\u5408\u4f75\u75c7\u306e\u660e\u78ba\u306a\u7fa4\u9593\u5dee\u306f\u793a\u3055\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u305f\u3060\u3057\u3001\u30a4\u30d9\u30f3\u30c8\u6570\u304c\u5c11\u306a\u304f\u3001\u63a8\u5b9a\u5024\u306b\u3082\u5e45\u304c\u3042\u308a\u307e\u3059\u3002\u300c\u5dee\u304c\u793a\u3055\u308c\u306a\u304b\u3063\u305f\u300d\u3053\u3068\u306f\u300c\u5b89\u5168\u6027\u304c\u540c\u7b49\u3068\u8a3c\u660e\u3055\u308c\u305f\u300d\u3053\u3068\u3092\u610f\u5473\u3057\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001\u8a66\u9a13\u3067\u306f\u4e8b\u524d\u306e\u8840\u7ba1\u8a55\u4fa1\u3084\u753b\u50cf\u3092\u7528\u3044\u305f\u7a7f\u523a\u304c\u91cd\u8996\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u3002\u8457\u8005\u3089\u3082\u3001\u5b9f\u81e8\u5e8a\u306e\u60a3\u8005\u96c6\u56e3\u3067\u306f\u51fa\u8840\u30fb\u8840\u7ba1\u5408\u4f75\u75c7\u306e\u4e0d\u5229\u76ca\u3092\u904e\u5c0f\u8a55\u4fa1\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u3092\u6307\u6458\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">8\uff0e\u5fc3\u539f\u6027\u30b7\u30e7\u30c3\u30af\u3078\u306e\u4f7f\u7528\u3068\u306f\u5206\u3051\u3066\u8003\u3048\u308b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CHIP-BCIS3\u304c\u8a55\u4fa1\u3057\u305f\u306e\u306f\u3001<strong>\u7121\u4f5c\u70ba\u5316\u6642\u70b9\u3067\u5fc3\u539f\u6027\u30b7\u30e7\u30c3\u30af\u306e\u306a\u3044\u60a3\u8005\u3055\u3093\u306b\u3001PCI\u524d\u304b\u3089\u4e88\u5b9a\u3057\u3066Impella CP\u3092\u4f7f\u7528\u3059\u308b\u65b9\u91dd<\/strong>\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3059\u3067\u306b\u5fc3\u539f\u6027\u30b7\u30e7\u30c3\u30af\u306b\u9665\u3063\u305f\u60a3\u8005\u3055\u3093\u3078\u306e\u6cbb\u7642\u3068\u306f\u3001\u4f7f\u7528\u306e\u76ee\u7684\u3001\u6642\u671f\u3001\u80cc\u666f\u30ea\u30b9\u30af\u304c\u7570\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u539f\u8457\u3067\u3082\u3001ST\u4e0a\u6607\u578b\u5fc3\u7b4b\u6897\u585e\u306b\u4f34\u3046\u5fc3\u539f\u6027\u30b7\u30e7\u30c3\u30af\u3092\u5bfe\u8c61\u3068\u3057\u305fDanGer-Shock\u8a66\u9a13\u3067\u306f\u3001Impella\u4f7f\u7528\u7fa4\u3067180\u65e5\u5168\u6b7b\u4ea1\u304c\u4f4e\u304b\u3063\u305f\u3053\u3068\u306b\u8a00\u53ca\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u308c\u3089\u306e\u7d50\u679c\u306f\u5bfe\u8c61\u75c5\u614b\u304c\u7570\u306a\u308b\u305f\u3081\u3001\u5358\u7d14\u306b\u306f\u6bd4\u8f03\u3067\u304d\u307e\u305b\u3093\u3002CHIP-BCIS3\u306e\u7d50\u679c\u3092\u3001\u5fc3\u539f\u6027\u30b7\u30e7\u30c3\u30af\u306b\u5bfe\u3059\u308b\u88dc\u52a9\u5faa\u74b0\u5168\u4f53\u3078\u4e00\u822c\u5316\u3059\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">9\uff0e\u7814\u7a76\u306e\u5f37\u307f\u3068\u9650\u754c<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u7814\u7a76\u306e\u5f37\u307f\u306f\u3001\u91cd\u5ea6\u306e\u5de6\u5ba4\u6a5f\u80fd\u4f4e\u4e0b\u3068\u8907\u96d1\u306a\u51a0\u52d5\u8108\u75c5\u5909\u3092\u6301\u3064\u60a3\u8005\u3055\u3093\u3092\u5bfe\u8c61\u306b\u3001\u4e88\u5b9a\u3057\u305f\u88dc\u52a9\u5faa\u74b0\u306e\u8ffd\u52a0\u5229\u76ca\u3092\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u3067\u691c\u8a3c\u3057\u305f\u70b9\u3067\u3059\u3002\u72ec\u7acb\u3057\u305f\u76f2\u691c\u30a4\u30d9\u30f3\u30c8\u5224\u5b9a\u304c\u884c\u308f\u308c\u3001\u5168\u4f8b\u306712\u304b\u6708\u306e\u8ffd\u8de1\u60c5\u5831\u304c\u5f97\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e00\u65b9\u3001\u89e3\u91c8\u306b\u306f\u4ee5\u4e0b\u306e\u9650\u754c\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5bfe\u8c61\u306f300\u4eba\uff1a<\/strong> \u5c0f\u3055\u306a\u6cbb\u7642\u5229\u76ca\u3084\u3001\u7279\u5b9a\u306e\u60a3\u8005\u96c6\u56e3\u3067\u306e\u5229\u76ca\u307e\u3067\u5b8c\u5168\u306b\u5426\u5b9a\u3067\u304d\u308b\u898f\u6a21\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/li>\n\n\n\n<li><strong>\u975e\u76f2\u691c\u8a66\u9a13\uff1a<\/strong> \u6a5f\u5668\u306e\u4f7f\u7528\u306f\u96a0\u305b\u305a\u3001\u8853\u8005\u306e\u624b\u6280\u9078\u629e\u3084\u6cbb\u7642\u65b9\u91dd\u3078\u5f71\u97ff\u3057\u305f\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u82f1\u56fd\u306e\u65bd\u8a2d\u3067\u5b9f\u65bd\uff1a<\/strong> \u533b\u7642\u4f53\u5236\u3084\u624b\u6280\u306e\u9055\u3044\u3092\u8e0f\u307e\u3048\u3066\u4ed6\u5730\u57df\u3078\u9069\u7528\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u5bfe\u8c61\u3068\u6a5f\u5668\u304c\u9650\u5b9a\u3055\u308c\u308b\uff1a<\/strong> Impella CP\u3092\u7528\u3044\u305f\u672c\u8a66\u9a13\u306e\u7d50\u679c\u3092\u3001\u3059\u3079\u3066\u306e\u88dc\u52a9\u5faa\u74b0\u6a5f\u5668\u3084\u75c5\u614b\u3078\u4e00\u62ec\u3057\u3066\u9069\u7528\u3059\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u3002<\/li>\n\n\n\n<li><strong>\u526f\u6b21\u8a55\u4fa1\u9805\u76ee\u306e\u591a\u91cd\u6027\uff1a<\/strong> \u6b7b\u4ea1\u3084\u5408\u4f75\u75c7\u306e\u500b\u5225\u7d50\u679c\u306f\u3001\u63a2\u7d22\u7684\u306a\u5074\u9762\u3092\u8e0f\u307e\u3048\u3066\u8a55\u4fa1\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u8ffd\u8de1\u671f\u9593\uff1a<\/strong> \u4e2d\u592e\u502422\u304b\u6708\u306e\u7d50\u679c\u3067\u3042\u308a\u3001\u3055\u3089\u306b\u9577\u671f\u306e\u8ee2\u5e30\u306b\u306f\u8ffd\u52a0\u306e\u8ffd\u8de1\u304c\u5fc5\u8981\u3067\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u8a66\u9a13\u306f\u512a\u8d8a\u6027\u3092\u691c\u8a3c\u3057\u305f\u7814\u7a76\u3067\u3059\u3002\u6709\u610f\u5dee\u304c\u306a\u304b\u3063\u305f\u3053\u3068\u304b\u3089\u3001\u4e21\u65b9\u91dd\u304c\u540c\u7b49\u3067\u3042\u308b\u3001\u3042\u308b\u3044\u306f\u3042\u3089\u3086\u308b\u60a3\u8005\u3055\u3093\u3067Impella\u304c\u4e0d\u8981\u3067\u3042\u308b\u3001\u3068\u7d50\u8ad6\u3065\u3051\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">10\uff0e\u81e8\u5e8a\u3078\u306e\u793a\u5506<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CHIP-BCIS3\u306f\u3001\u300c\u5de6\u5ba4\u6a5f\u80fd\u304c\u4f4e\u304f\u3001PCI\u304c\u8907\u96d1\u3060\u304b\u3089\u300d\u3068\u3044\u3046\u7406\u7531\u3060\u3051\u3067Impella CP\u3092\u4e00\u5f8b\u306b\u4e88\u5b9a\u4f7f\u7528\u3059\u308c\u3070\u3001\u9577\u671f\u4e88\u5f8c\u304c\u6539\u5584\u3059\u308b\u3068\u3044\u3046\u8003\u3048\u3092\u652f\u6301\u3057\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u81e8\u5e8a\u3067\u306f\u3001\u5faa\u74b0\u52d5\u614b\u3001\u6cbb\u7642\u3059\u308b\u5fc3\u7b4b\u9818\u57df\u3001\u75c5\u5909\u306e\u8907\u96d1\u3055\u3001\u8840\u7ba1\u30a2\u30af\u30bb\u30b9\u3001\u6bb5\u968e\u7684\u6cbb\u7642\u306e\u9078\u629e\u80a2\u306a\u3069\u3092\u8e0f\u307e\u3048\u3001\u88dc\u52a9\u5faa\u74b0\u3092\u8ffd\u52a0\u3059\u308b\u76ee\u7684\u3068\u671f\u5f85\u3067\u304d\u308b\u5229\u76ca\u3092\u500b\u5225\u306b\u691c\u8a0e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306f\u672c\u7814\u7a76\u3092\u8e0f\u307e\u3048\u305f\u81e8\u5e8a\u7684\u306a\u89e3\u91c8\u3067\u3042\u308a\u3001\u7279\u5b9a\u306e\u9078\u629e\u57fa\u6e96\u306e\u6709\u52b9\u6027\u304c\u672c\u8a66\u9a13\u3067\u8a3c\u660e\u3055\u308c\u305f\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u6a5f\u5668\u306e\u751f\u7406\u5b66\u7684\u306a\u50cd\u304d\u3068\u3001\u60a3\u8005\u3055\u3093\u306b\u3068\u3063\u3066\u306e\u9577\u671f\u7684\u306a\u5229\u76ca\u3092\u3001\u305d\u308c\u305e\u308c\u691c\u8a3c\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u53c2\u8003\u6587\u732e<\/h2>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<ol start=\"1\" class=\"wp-block-list\">\n<li>Perera D, Ryan M, Ezad SM, et al.; CHIP-BCIS3 Investigators. Left Ventricular Unloading in High-Risk Percutaneous Coronary Intervention. N Engl J Med. 2026;394:1779\u20131789. DOI: <a href=\"https:\/\/doi.org\/10.1056\/NEJMoa2515704\">10.1056\/NEJMoa2515704<\/a>. \u30aa\u30f3\u30e9\u30a4\u30f3\u516c\u958b\uff1a2026\u5e743\u670829\u65e5\u3002<\/li>\n\n\n\n<li>Ryan M, Ezad SM, Webb I, et al. Percutaneous Left Ventricular Unloading During High-Risk Coronary Intervention: Rationale and Design of the CHIP-BCIS3 Randomized Controlled Trial. Circ Cardiovasc Interv. 2024;17:e013367. DOI: <a href=\"https:\/\/doi.org\/10.1161\/CIRCINTERVENTIONS.123.013367\">10.1161\/CIRCINTERVENTIONS.123.013367<\/a>.<\/li>\n\n\n\n<li>M\u00f8ller JE, Engstr\u00f8m T, Jensen LO, et al. Microaxial Flow Pump or Standard Care in Infarct-Related Cardiogenic Shock. N Engl J Med. 2024;390:1382\u20131393. DOI: <a href=\"https:\/\/doi.org\/10.1056\/NEJMoa2312572\">10.1056\/NEJMoa2312572<\/a>.<\/li>\n<\/ol>\n<\/blockquote>\n\n\n\n<p class=\"wp-block-paragraph\">\u8a66\u9a13\u767b\u9332\uff1a<a href=\"https:\/\/clinicaltrials.gov\/study\/NCT05003817\">CHIP-BCIS3\uff1aNCT05003817<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u95a2\u9023\u8a18\u4e8b<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-9260\/\" target=\"_blank\" rel=\"noopener\">\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8\u75c5\u5909\u306ePCI\u306bIVUS\u306f\u5fc5\u8981\u304b\uff1fOPTIMAL\u8a66\u9a13\u306e\u89e3\u8aac<\/a><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8PCI\u306b\u304a\u3044\u3066\u3001\u8840\u7ba1\u5185\u753b\u50cf\u306e\u4f7f\u7528\u304c\u81e8\u5e8a\u8ee2\u5e30\u306e\u6539\u5584\u306b\u3064\u306a\u304c\u308b\u304b\u3092\u691c\u8a3c\u3057\u305f\u7814\u7a76\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-4155\/\" target=\"_blank\" rel=\"noopener\">\u6025\u6027\u5fc3\u7b4b\u6897\u585e\u306e\u75c5\u578b\u5206\u985e\u3068\u5fc3\u96fb\u56f3\u8a3a\u65ad<\/a><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">ST\u4e0a\u6607\u578b\u5fc3\u7b4b\u6897\u585e\u306a\u3069\u306e\u75c5\u578b\u3068\u3001\u5fc3\u96fb\u56f3\u3067\u78ba\u8a8d\u3059\u3079\u304d\u6240\u898b\u3092\u89e3\u8aac\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-94\/\" target=\"_blank\" rel=\"noopener\">\u5375\u5f62\u72b6\u8449\u9593\u80f8\u6c34\uff1a\u5fc3\u4e0d\u5168\u3092\u7591\u3046\u753b\u50cf\u6240\u898b<\/a><\/h3>\n\n\n\n<p 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