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Cardiovascular Intervention and Therapeutics

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Open Access 01-04-2018 | Expert Consensus Document

CVIT expert consensus document on primary percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) in 2018

Authors: Yukio Ozaki, Yuki Katagiri, Yoshinobu Onuma, Tetsuya Amano, Takashi Muramatsu, Ken Kozuma, Satoru Otsuji, Takafumi Ueno, Nobuo Shiode, Kazuya Kawai, Nobuhiro Tanaka, Kinzo Ueda, Takashi Akasaka, Keiichi Igarashi Hanaoka, Shiro Uemura, Hirotaka Oda, Yoshiaki Katahira, Kazushige Kadota, Eisho Kyo, Katsuhiko Sato, Tadaya Sato, Junya Shite, Koichi Nakao, Masami Nishino, Yutaka Hikichi, Junko Honye, Tetsuo Matsubara, Sumio Mizuno, Toshiya Muramatsu, Taku Inohara, Shun Kohsaka, Ichiro Michishita, Hiroyoshi Yokoi, Patrick W. Serruys, Yuji Ikari, Masato Nakamura, The Task Force on Primary Percutaneous Coronary Intervention (PCI) of the Japanese Cardiovascular Interventional Therapeutics (CVIT)

Published in: Cardiovascular Intervention and Therapeutics | Issue 2/2018

Abstract

While primary percutaneous coronary intervention (PCI) has significantly contributed to improve the mortality in patients with ST segment elevation myocardial infarction even in cardiogenic shock, primary PCI is a standard of care in most of Japanese institutions. Whereas there are high numbers of available facilities providing primary PCI in Japan, there are no clear guidelines focusing on procedural aspect of the standardized care. Whilst updated guidelines for the management of acute myocardial infarction were recently published by European Society of Cardiology, the following major changes are indicated; (1) radial access and drug-eluting stent over bare metal stent were recommended as Class I indication, and (2) complete revascularization before hospital discharge (either immediate or staged) is now considered as Class IIa recommendation. Although the primary PCI is consistently recommended in recent and previous guidelines, the device lag from Europe, the frequent usage of coronary imaging modalities in Japan, and the difference in available medical therapy or mechanical support may prevent direct application of European guidelines to Japanese population. The Task Force on Primary Percutaneous Coronary Intervention of the Japanese Association of Cardiovascular Intervention and Therapeutics (CVIT) has now proposed the expert consensus document for the management of acute myocardial infarction focusing on procedural aspect of primary PCI.

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Title: CVIT expert consensus document on primary percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) in 2018
Authors: Yukio Ozaki
Yuki Katagiri
Yoshinobu Onuma
Tetsuya Amano
Takashi Muramatsu
Ken Kozuma
Satoru Otsuji
Takafumi Ueno
Nobuo Shiode
Kazuya Kawai
Nobuhiro Tanaka
Kinzo Ueda
Takashi Akasaka
Keiichi Igarashi Hanaoka
Shiro Uemura
Hirotaka Oda
Yoshiaki Katahira
Kazushige Kadota
Eisho Kyo
Katsuhiko Sato
Tadaya Sato
Junya Shite
Koichi Nakao
Masami Nishino
Yutaka Hikichi
Junko Honye
Tetsuo Matsubara
Sumio Mizuno
Toshiya Muramatsu
Taku Inohara
Shun Kohsaka
Ichiro Michishita
Hiroyoshi Yokoi
Patrick W. Serruys
Yuji Ikari
Masato Nakamura
The Task Force on Primary Percutaneous Coronary Intervention (PCI) of the Japanese Cardiovascular Interventional Therapeutics (CVIT)
Publication date: 01-04-2018
Publisher: Springer Japan
Published in: Cardiovascular Intervention and Therapeutics / Issue 2/2018
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI: https://doi.org/10.1007/s12928-018-0516-y

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