Publications by authors named "Hirokazu Wakabayashi"

The healing process of acute incomplete stent apposition (ISA) in the early phase after stent implantation has not been well understood. We evaluated the temporal changes of ISA during the early phase after everolimus-eluting stent (EES) implantation using serial optical coherence tomography (OCT) analyses. Serial OCT examinations were performed immediately post-stenting and 2-week and 4-month after EES implantation for patients with ST-segment elevation myocardial infarction.

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Endomyocardial biopsy (EMB) is widely used for the diagnosis of unexplained ventricular dysfunction and for assessment of cardiac allograft rejection. But, the impact of vascular access site on procedural time of EMB is not well-known. From February 2014 to May 2016, consecutive patients requiring EMB were prospectively enrolled in this study.

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Tolvaptan (TLV) has an inhibiting effect for worsening renal function (WRF) in acute decompensated heart failure (HF) patients. However, there are limited data regarding the effect of continuous TLV administration on medium-term WRF.This was a retrospective observational study in hospitalized HF patients with chronic kidney disease (CKD).

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Article Synopsis
  • This study aimed to find an echocardiographic predictor for the effectiveness of tolvaptan in patients with heart failure (HF), as none previously existed.
  • In a sample of 62 hospitalized HF patients treated with tolvaptan, those who responded (i.e., lost over 1 kg by day 8) had significantly better echocardiographic measures, particularly a higher TAPSE value.
  • The study concluded that TAPSE can effectively predict the response to tolvaptan treatment in heart failure patients, with a recommended cutoff value of 17.0 mm for optimal sensitivity and specificity.
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