Coronary Revascularization in Japan : Part3: Percutaneous Coronary Intervention During 1997
スポンサーリンク
概要
- 論文の詳細を見る
A survey by the Japanese Coronary Intervention Study(JCIS)group revealed that 109, 788 percutaneous coronary intervention(PCI)procedures were Performed at 1, 023 laboratories during 1997. The present study aimed to describe the demographic and clinical characteristics, treatment strategies, in-hospital outcomes, and longterm outcomes of these patients. A total of 10, 642 PCIs performed in 8, 814 patients, which corresponded to approximately l0% of the overall PCIs, were selected at random. The mean patient age was 65 years, and 75% were males. The patients often had extensive coronary risk factors. The most prevalent clinical diagnosis was stable angina(36%), followed by myocardial infarction(MI)excluding acute myocardial infarction(AMI ; 28%)and AMI(25%). Plain old balloon angioplasty was used as the sole procedure in 58% of lesions for which an attempt to heal was made, and coronary stent placement in 38%. Angiographic success was achieved in 92% of attempted lesions. Mortality, MI and emergency coronary artery bypass grafting(CABG)rates during the hospitalization were 2.6%, 2.0% and 0.7%, respectively. In-hospital mortality rate for AMI was 7.6%, whereas that for elective PCI in cases without AMI was 0.6%. The overall mortality for 1.8 years was 8%. Repeat PCI was Performed for 35% and CABG for 6% during the follow-up period. In Japan, PCI was performed in patients with coronary artery disease and extensive risk factors, but a high rate of angiographic success was achieved. The rates of in-hospital mortality and emergency CABG were low in non-AMI patients, but the 1-year rate of repeat PCI was as high as 32%.
- 社団法人日本循環器学会の論文
- 2001-12-20
著者
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Tsutsui Hiroyuki
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Hokkaido University
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Takeshita Akira
Department of Cardiology, Saiseikai Futsukaichi Hospital
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Kono Suminori
Departments Of Preventive Medicine Graduate School Of Medical Sciences Kyushu University:japanese Co
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Tsuchihashi Miyuki
Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine
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Koike George
The Department Of Cardiovascular Medicine Department Of Medicine And Bioregulatory Science
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Koike George
Department Of Cardiovascular Medicine Kyushu University Graduate School Of Medical Sciences
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Tsutsui Hiroyuki
Department Of Cardiovascular Medicine
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Koike George
Department Of Cardiovascular Medicine Graduate School Of Medical Sciences Kyushu University
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SHIHARA Miwako
Department of Cardiovascular Medicine, Cardiovascular Science, Graduate School of Medical Sciences,
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Shihara Miwako
Departments Of Cardiovascular Medicine Graduate School Of Medical Sciences Kyushu University:japanes
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Shihara Miwako
Department Of Cardiovascular Medicine Cardiovascular Science Graduate School Of Medical Sciences Kyu
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Shigematsu Hideaki
Department of Cardiovascular Medicine
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Yamamoto Shimoko
Departments of Cardiovascular Medicine
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Kono Suminori
Preventive Medicine, Graduate School of Medical Sciences, Kyushu University
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Yamamoto Shimako
Departments Of Cardiovascular Medicine Graduate School Of Medical Sciences Kyushu University
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Shigematsu Hideaki
Department Of Cardiovascular Medicine Kyushu University Graduate School Of Medical Sciences The Japa
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Takeshita Akira
Department Of Cardiology Faculty Of Medicine Kyushu University
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Makaya Miyuki
Department Of Cardiovasucular Medicine Graduate School Of Medical Sciences Kyushu University
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Makaya Miyuki
International Medical Center Of Japan
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Tsuchihashi Makaya
Department Of Clinical Research And Informatics Research Institute International Medical Center Of J
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Tsutsui Hiroyuki
Departments Of Cardiovascular Medicine Graduate School Of Medical Sciences Kyushu University:japanese Coronary Intervention Study (jcis) Group
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TSUTSUI Hiroyuki
Department of Cardiology, Iizuka Hospital
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