池永 寛樹HIROKI IKENAGA

Last Updated :2025/03/03

所属・職名
大学院医系科学研究科(医) 助教
メールアドレス
hirokiikenagayahoo.co.jp
自己紹介
専門分野: カテーテルインターベンション、冠動脈内イメージング、冠微小循環障害 SHDインターベンション (TAVI、M-TEER (MitraClip、PASCAL)、PFO閉鎖術)

基本情報

主な職歴

  • 2012年04月01日, 2013年03月31日, 広島大学, 病院, 医科診療医
  • 2017年10月23日, 2018年08月21日, シダースサイナイメディカルセンター, 研究員
  • 2018年09月01日, 2021年09月30日, 広島大学, 病院, 助教
  • 2017年04月01日, 2018年08月31日, 広島大学, 病院, 医科診療医
  • 2007年04月01日, 2012年03月31日, 広島市立広島市民病院, 循環器内科, 医師(委託医)

学歴

  • 広島大学, 医学部, 医学科, 日本, 1999年04月, 2005年03月
  • 広島大学, 大学院医歯薬保健学研究科, 博士課程医歯薬学専攻, 日本, 2013年04月, 2017年03月

学位

  • 博士(医学) (広島大学)

研究分野

  • 医歯薬学 / 内科系臨床医学 / 循環器内科学

研究キーワード

  • カテーテルインターベンション、冠動脈内イメージング、冠微小循環障害、SHD インターベンション (TAVI, M-TEER(MitraClip, PASCAL), PFO occluder)

所属学会

  • 日本内科学会 (内科認定医、総合内科専門医)、日本循環器学会 (循環器専門医)、日本心血管インターベンション治療学会 (CVIT認定医、専門医)、日本心臓血管内視鏡学会 (認定医)、日本経カテーテル心臓弁治療学会

教育活動

授業担当

  1. 2024年, 学部専門, 集中, 臨床実習入門プログラム
  2. 2024年, 学部専門, 集中, 臨床実習I

研究活動

学術論文(★は代表的な論文)

  1. Importance of the Assessment of Physical Frailty in Elderly Japanese Patients With Acute Myocardial Infarction, Circ J, 24巻, 87号, pp. 498-499, 202303
  2. Contemporary Survival Trends After Transcatheter Aortic Valve Implantation., Circ J, 13巻, 202312
  3. Rationale and design of the INVICTUS Registry: (Multicenter Registry of Invasive and Non-Invasive imaging modalities to compare Coronary Computed Tomography Angiography, Intravascular Ultrasound and Optical Coherence Tomography for the determination of Severity, Volume and Type of coronary atherosclerosiS), JOURNAL OF CARDIOVASCULAR COMPUTED TOMOGRAPHY, 17巻, 6号, pp. 401-406, 2023
  4. Relationship between the Selvester QRS Score and Coronary Microvascular Dysfunction Assessed by the Index of Microcirculatory Resistance, INTERNAL MEDICINE, 62巻, 24号, pp. 3591-3599, 2023
  5. Intravascular Ultrasound Features of Coronary Artery Disease with Triglyceride Deposit Atherosclerosis, AMERICAN JOURNAL OF CARDIOLOGY, 206巻, pp. 105-107, 20231101
  6. JCS/CVIT/JCC 2023 guideline focused update on diagnosis and treatment of vasospastic angina (coronary spastic angina) and coronary microvascular dysfunction, JOURNAL OF CARDIOLOGY, 82巻, 4号, pp. 293-341, 202310
  7. Determination of lipid-rich plaques by artificial intelligence-enabled quantitative computed tomography using near-infrared spectroscopy as reference, ATHEROSCLEROSIS, 386巻, 202312
  8. The reliability and utility of on-site CT-derived fractional flow reserve (FFR) based on fluid structure interactions: comparison with FFRCT based on computational fluid dynamics, invasive FFR, and resting full-cycle ratio, HEART AND VESSELS, 38巻, 9号, pp. 1095-1107, 202309
  9. Left-atrial volume reduction reflects improvement of cardiac sympathetic nervous function in patients with severe aortic stenosis after transcatheter aortic valve replacement, HEART AND VESSELS, 38巻, 8号, pp. 1083-1091, 202308
  10. JCS/CVIT/JCC 2023 Guideline Focused Update on Diagnosis and Treatment of Vasospastic Angina (Coronary Spastic Angina) and Coronary Microvascular Dysfunction, CIRCULATION JOURNAL, 87巻, 6号, pp. 879-936, 202306
  11. Relationship Between Attenuated Plaque Identified by Intravascular Ultrasound and Thrombus Formation After Excimer Laser Coronary Angioplasty, CARDIOVASCULAR REVASCULARIZATION MEDICINE, 49巻, pp. 15-21, 202304
  12. Factors Influencing Cardiac Sympathetic Nervous Function in Patients With Severe Aortic Stenosis: Assessment by I-123-Metaiodobenzylguanidine Myocardial Scintigraphy, HEART LUNG AND CIRCULATION, 31巻, 5号, pp. 671-677, 202205
  13. Wave Terminal Force V1 Is Associated with Left Ventricular Diastolic Function in Patients with No Significant Perfusion Abnormality Assessment by Myocardial Perfusion Single-Photon Emission Computed Tomography, INTERNATIONAL HEART JOURNAL, 63巻, 2号, pp. 299-305, 202203
  14. ★, Predictive Value of Plaque Morphology Assessed by Frequency-Domain Optical Coherence Tomography for Impaired Microvascular Perfusion after Elective Stent Implantation -the Intracoronary Electrocardiogram Study-, Eur Heart J Cardiovasc Imaging., 19巻, 3号, pp. 310-318, 20180301
  15. Relation Between Pulmonary Venous Flow and Left Atrial Pressure During Percutaneous Mitral Valve Repair With the MitraClip., Am J Cardiol, 272巻, pp. 185-188, 201812
  16. Association of QRS duration with left ventricular volume and ejection fraction after anterior myocardial infarction assessed by gated single photon emission computed tomography, ACTA CARDIOLOGICA, 73巻, 4号, pp. 371-376, 2018
  17. Radiofrequency catheter ablation is effective for atrial fibrillation patients with hypertrophic cardiomyopathy by decreasing left atrial pressure., J Arrhythm, 33巻, 4号, pp. 256-261, 201708
  18. Impact of Malondialdehyde-Modified Low-Density Lipoprotein on Tissue Characteristics in Patients With Stable Coronary Artery Disease- Integrated Backscatter-Intravascular Ultrasound Study., Circ J, 80巻, 10号, pp. 2173-2182, 201609
  19. Slow-flow phenomenon after Paclitaxel-coated balloon angioplasty: findings from optical coherence tomography and coronary angioscopy., JACC Cardiovasc Interv, 8巻, 4号, pp. e59-e62, 201504
  20. Optical Coherence Tomography Findings After Scoring Balloon Dilatation., Rev Esp Cardiol, 68巻, 11号, pp. 1022-1022, 201511
  21. Predictive value of neutrophil to lymphocyte ratio for the presence of coronary artery ectasia in patients with aortic aneurysms., Int J Cardiol Heart Vessel., 15巻, 4号, pp. 30-34, 201408
  22. Effects of the topographical extent of coronary artery ectasia on coronary blood flow in patients with aortic aneurysms., Heart Vessels., 30巻, 6号, pp. 712-718, 201511
  23. Longitudinal extent of lipid pool assessed by optical coherence tomography predicts microvascular no-reflow after primary percutaneous coronary intervention for ST-segment elevation myocardial infarction., J Cardiol., 62巻, 2号, pp. 71-76, 201308
  24. Mechanisms of very late stent thrombosis after drug-eluting stent implantation: findings from coronary angioscopy and optical coherence tomography., JACC Cardiovasc Imaging., 4巻, 11号, pp. 1217-1219, 201111
  25. Usefulness of Lipoprotein (a) for predicting progression of non-culprit coronary lesions after acute myocardial infarction., Circ J., 75巻, 12号, pp. 2847-2852, 2011
  26. Very late stent thrombosis after sirolimus-eluting stent implantation observed using optical coherence tomography and coronary angioscopy., J Invasive Cardiol., 22巻, 11号, pp. 557-558, 201010
  27. Frontal QRS-T angle and World Health Organization classification for body mass index, INTERNATIONAL JOURNAL OF CARDIOLOGY, 272巻, pp. 185-188, 20181201
  28. Myocardial perfusion defect assessed by single-photon emission computed tomography and frontal QRS-T angle in patients with prior anterior myocardial infarction, HEART AND VESSELS, 34巻, 6号, pp. 971-975, 201906
  29. Coronary Artery Calcium Is Associated with Left Ventricular Diastolic Function Independent of Myocardial Ischemia Assessment by Myocardial Perfusion Single-Photon Emission Computed Tomography, INTERNATIONAL HEART JOURNAL, 60巻, 3号, pp. 554-559, 201905
  30. Effects of deep inspiration on QRS axis, T-wave axis and frontal QRS-T angle in the routine electrocardiogram, HEART AND VESSELS, 34巻, 9号, pp. 1519-1523, 201909
  31. Elevated Plasma Renin Activity Caused by Accelerated-malignant Hypertension in a Patient with Aldosterone-producing Adenoma Complicated with Renal Insufficiency, INTERNAL MEDICINE, 58巻, 21号, pp. 3107-3111, 2019
  32. Percutaneous Coronary Intervention for Interposed Coronary Graft Stenosis after Modified Bentall Procedure in a Teenaged Boy with Takayasu Arteritis, TEXAS HEART INSTITUTE JOURNAL, 46巻, 3号, pp. 207-210, 201906
  33. Comprehensive Evaluation of Tricuspid Regurgitation Location and Severity Using Vena Contracta Analysis: A Color Doppler Three-Dimensional Transesophageal Echocardiographic Study, JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 32巻, 12号, pp. 1526-+, 201912
  34. Effects of Myocardial Perfusion Defect on the Frontal QRS-T Angle in Anterior Versus Inferior Myocardial Infarction, INTERNAL MEDICINE, 59巻, 1号, pp. 23-28, 2020
  35. Associations of left ventricular shape with left ventricular volumes and functions assessed by ECG-gated SPECT in patients without significant perfusion abnormality, HEART AND VESSELS, 35巻, 1号, pp. 86-91, 202001
  36. Diagnostic value of peak filling rate derived from ECG-gated myocardial perfusion SPECT for detecting myocardial ischaemia in patients with non-obstructive coronary artery disease, ACTA CARDIOLOGICA, 75巻, 1号, pp. 37-41, 20200102
  37. Frontal QRS-T angle and left ventricular diastolic function assessed by ECG-gated SPECT in the absence of significant perfusion abnormality, HEART AND VESSELS, 35巻, 8号, pp. 1095-1101, 202008
  38. Effects of aging on coronary flow reserve in patients with no evidence of myocardial perfusion abnormality, HEART AND VESSELS, 35巻, 12号, pp. 1633-1639, 202012
  39. Effects of upright T-wave in lead aVR on left ventricular volume and function derived from ECG-gated SPECT in patients with advanced chronic kidney disease, ANNALS OF NUCLEAR MEDICINE, 35巻, 1号, pp. 1-7, 202101
  40. Effects of Newly Developed Right Versus Left Bundle Branch Block on the QRS Axis, T-wave Axis and Frontal QRS-T Angle in Patients with a Narrow QRS, INTERNAL MEDICINE, 60巻, 1号, pp. 25-30, 2021
  41. Impact of Prosthesis-Patient Mismatch After Transcatheter Aortic Valve Replacement on Changes in Cardiac Sympathetic Nervous Function Assessment by 123I-Metaiodobenzylguanidine Myocardial Scintigraphy, INTERNATIONAL HEART JOURNAL, 61巻, 6号, pp. 1188-1195, 202011
  42. Associations of frontal QRS-T angle with left ventricular volume and function derived from ECG-gated SPECT in patients with advanced chronic kidney disease, ANNALS OF NUCLEAR MEDICINE, 35巻, 6号, pp. 662-668, 202106
  43. Aortic valve calcium is associated with left ventricular diastolic function in patients without evidence of ischaemic heart disease: assessment by gated single-photon emission computed tomography, ACTA CARDIOLOGICA, 76巻, 4号, pp. 359-364, 20210704
  44. Effects of aging on coronary flow reserve in patients with no evidence of myocardial perfusion abnormality, Heart Vessels ., 35巻, 12号, pp. 1633-1639, 20200610
  45. Effects of Myocardial Perfusion Defect on the Frontal QRS-T Angle in Anterior Versus Inferior Myocardial Infarction, Intern Med, 59巻, 1号, pp. 23-28, 20200101
  46. Impact of Prosthesis-Patient Mismatch After Transcatheter Aortic Valve Replacement on Changes in Cardiac Sympathetic Nervous Function, Int Heart J ., 61巻, 6号, pp. 1188-1195, 20201128
  47. The Impact of Valvuloarterial Impedance on Left Ventricular Geometrical Change after Transcatheter Aortic Valve Replacement: A Comparison between Valvuloarterial Impedance and Mean Pressure Gradient., 9巻, 10号, pp. 3143-3143, 20200729
  48. Diagnostic value of peak filling rate derived from ECG-gated myocardial perfusion SPECT for detecting myocardial ischaemia in patients with non-obstructive coronary artery disease, Acta Cardiol ., 75巻, 1号, pp. 37-41, 20200201
  49. The association between epicardial adipose tissue thickness around the right ventricular free wall evaluated by transthoracic echocardiography and left atrial appendage function, Int J Cardiovasc Imaging ., 36巻, 4号, pp. 585-593, 20200401
  50. Diagnostic value of peak filling rate derived from ECG-gated myocardial perfusion SPECT for detecting myocardial ischaemia in patients with non-obstructive coronary artery disease, 75巻, 1号, pp. 37-41, 20200201
  51. Peri-stent contrast staining after ultrathin, biodegradable polymer sirolimus-eluting stent implantation: findings from optical coherence tomography and coronary angioscopy, Cardiovasc Interv Ther ., 20210123
  52. Impact of Percutaneous Edge-to-Edge Repair in Patients With Atrial Functional Mitral Regurgitation, Circ J ., 85巻, 7号, pp. 1001-1010, 20210625
  53. Prevalence, distribution, and determinants of pulmonary venous systolic flow reversal in severe mitral regurgitation, EUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING, 22巻, 9号, pp. 964-973, 202109
  54. The Monocyte to High-Density Lipoprotein Cholesterol Ratio Is Associated with Left Ventricular Diastolic Function in Patients with No Significant Perfusion Abnormality Assessment by Myocardial Perfusion Single-Photon Emission Computed Tomography, INTERNATIONAL HEART JOURNAL, 62巻, 4号, pp. 866-871, 202107

招待講演、口頭・ポスター発表等

  1. EvolutTM FXの使用経験からの考察, 池永寛樹, West Evolut Implanters Meeting Vol.1, 2023年12月15日, 通常, 日本語
  2. 広島県における虚血性心疾患2次予防の取り組み -広島ACS脂質管理クリニカルパス-, 池永寛樹, 広島県虚血性心疾患地域連携クリニカルパス講演会 広島県 脳卒中・心臓病等総合支援センターモデル事業 疾患啓発活動認定講演会, 2023年12月08日, 通常, 日本語
  3. Ryuseiの有効症例, 池永寛樹, Ryusei Night, 2023年12月05日, 通常, 日本語
  4. 背景が複雑な患者のMitraClip症例 ~TAVI、PCI後にMitraClipを行った慢性骨髄性白血病、ADLの低い患者の症例~, 池永寛樹, MitraClip Masters Club, 2023年10月16日, 招待, 日本語
  5. 閉塞性冠動脈疾患とINOCA, 池永寛樹, INOCA FORUM, 2023年10月06日, 通常, 日本語
  6. 広島県における虚血性心疾患2次予防の取り組み -広島ACS脂質管理クリニカルパス-, 池永寛樹, 広島県虚血性心疾患地域連携クリニカルパス講演会 広島県 脳卒中・心臓病等総合支援センターモデル事業 疾患啓発活動認定講演会, 2023年09月29日, 通常, 日本語
  7. EvolutTM FXの使用経験からの考察, 池永寛樹, 広島弁膜症治療セミナー, 2023年09月08日, 通常, 日本語
  8. CTOの症例, 池永寛樹, 困った症例Conference, 2023年07月11日, 通常, 日本語
  9. SAPIEN 3 Ultra RESILIAの使用経験, 池永寛樹, 広島TAVI Joint Meeting, 2023年06月23日, 通常, 日本語
  10. 重度僧帽弁輪石灰化を伴う心房性機能性MRに対しMitraClipを施行した1例, 池永寛樹, 第2回臨床3D心エコーの会, 2023年04月20日, 通常, 日本語
  11. ELCA-induced thrombus formationの検討, 池永寛樹, 第19回中国地区心血管画像研究会, 2023年04月01日, 通常, 日本語
  12. 弁尖の石灰化が強かった症例, 池永寛樹, Ultra Conference~TAVI症例検討会~, 2023年03月08日, 通常, 日本語
  13. 弁尖長が長いP2 flailの1例, 池永寛樹, 倉敷ライブ2023, 2023年02月24日, 招待, 日本語
  14. 当院でのPCI after TAVI症例, 池永寛樹, Ultra Conference~TAVI後PCI治療を考える~, 2023年02月02日, 通常, 日本語
  15. カテ室で行う心筋虚血診断 ~閉塞性冠動脈疾患とINOCA ~, 池永寛樹, 第33回日本心血管画像動態学会, 2023年01月14日, 招待, 日本語
  16. TRをどのように評価するか, 池永 寛樹, 2021年05月28日, 招待, 英語

受賞

  1. 2016年06月10日, Young Investigator's Award, 日本循環器学会中国四国合同地方会, 冠動脈内心電図、光干渉断層法を用いた経皮的カテーテル治療の術中微小循環障害による心筋傷害の予測
  2. 2016年06月11日, 広仁会基礎医学研究賞, 広島大学医学部医学科広仁会, 冠動脈内心電図、光干渉断層法およびバイオマーカーによる経皮的冠動脈カテーテル治療の術中微小循環障害に起因する心筋傷害の予測:炎症、酸化ストレスの役割とスタチンの心筋傷害の予防効果についての検討
  3. 2017年, 広島大学循環器内科同門会学術研究基金留学助成, 広島大学循環器内科同門会
  4. 2014年, The International Travel Grants of Hiroshima University Funds, Hiroshima University Funds
  5. 2011年09月03日, 最優秀演題賞, 日本心血管インターベンション治療学会中国四国地方会, 異なるメカニズムが示唆されたVery late stent thrombosisの3症例
  6. 2010年09月04日, 最優秀演題賞, 日本心血管インターベンション治療学会中国四国地方会, New Generation PCI -The Present Trend and Limit of The Virtual 3Fr PCI 2010-