講演情報
[III-PPD3-2]未来を切り拓く：小児心臓カテーテルインターベンションの革新と展望
○小林 大介 (Department of Pediatrics, Washington University in St. Louis)
キーワード：
Pediatric Interventional Cardiology、Innovation、Japan
Pediatric interventional cardiology in Japan has long been distinguished by a high level of technical expertise and procedural innovation, particularly among experienced operators who have adapted available devices to address unique anatomical and clinical challenges. However, systemic hurdles - such as delayed introduction of new devices, restrictions on off-label use, and a decentralized structure with low procedural volumes per center - have limited further advancement. In addition, there is reduced exposure to global trends and scientific exchange, partly due to fewer opportunities for international training and conference participation. Despite these challenges, Japan’s strengths - including its universal health coverage, highly skilled physicians, and growing collaborative networks - provide a strong foundation for future growth. As a Japanese interventional cardiologist practicing in the U.S., I propose a forward-looking strategy that includes expanding international exchange, developing a centralized database to support evidence generation, fostering early-career specialization through structured fellowships, and accelerating regulatory harmonization for novel devices. This presentation will highlight global trends and innovative practices in interventional cardiology to help envision a brighter, more globally connected future for pediatric cardiology in Japan.