キクチ　ノリコ   Kikuchi Noriko   菊池　規子    所属   医学部 医学科（東京女子医科大学病院）    職種   講師
言語種別	日本語
発表タイトル	Heart Team Approach for LVAD - Cooperation with Home Medical Care -
会議名	第81回日本循環器学会学術集会
主催者	日本循環器学会
学会区分	全国規模の学会
発表形式	口頭
講演区分	シンポジウム・ワークショップ パネル（公募）
発表者・共同発表者	◎菊池規子, 弓野大, 志賀剛, 服部英敏, 鈴木敦, 芹澤直紀, 齋藤聡, 山崎健二, 布田伸一, 萩原誠久
発表年月日	2017/03/19
開催地 （都市, 国名）	金沢市
学会抄録	第81回日本循環器学会学術集会　プログラム集 424
概要	The number of advanced heart failure patients with left ventricular assist device (LVAD) implanted as a bridge to transplantation is increasing in the recent years. However, it takes several years before patients can get their transplantation in Japan. Therefore, it is important to have a good management of heart failure to prevent complications such as cerebral thromboembolism, drive line infection, pump failure, and many others. These patients need various home medical care after discharge. In our hospital, "LVAD Heart Team" is composed of multidisciplinary such as cardiologists, cardiovascular surgeons, nurses, physical therapists, medical engineers, nutritionists, psychologists, and social workers. At a patient's home, home medical care, visit nursing, and rehabilitation are provided. We believe it is necessary to construct "LVAD Heart Team" including home medical care to provide "seamless" care to the patients. Case: A 51-year-old male with severe heart failure due to dilated cardiomyopathy received an implantation of LVAD as the bridge to transplantation. He suffered cerebral infarction before implantation of LVAD. He also had motor aphasia and right paresis. We asked for a special home medical care team to manage heart failure by medication adjustment, using pump, wound care by polite disinfection, and strict coagulation by CoaguChek. Moreover, we used Medical Care STATION, which is one of social networking service, as a communication tool after discharge between hospital and home medical care.It is necessary to construct specialized models of care in cooperation with local clinics in the era of LVAD.