CVIT expert consensus document on primary percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) in 2018
File(s)
Published version
Author(s)
Type
Journal Article
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.
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.
Date Issued
2018-04-01
Date Acceptance
2018-02-27
Citation
Cardiovascular Intervention and Therapeutics, 2018, 33 (2), pp.178-203
ISSN
1868-4300
Publisher
Springer Verlag
Start Page
178
End Page
203
Journal / Book Title
Cardiovascular Intervention and Therapeutics
Volume
33
Issue
2
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000429034200013&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Cardiac & Cardiovascular Systems
Cardiovascular System & Cardiology
ST elevation acute myocardial infarction
Acute coronary syndrome
Plaque rupture
Plaque erosion
Percutaneous ventricular assist devices
Guideline
ST-SEGMENT-ELEVATION
OPTICAL COHERENCE TOMOGRAPHY
DUAL ANTIPLATELET THERAPY
DRUG-ELUTING STENTS
RANDOMIZED CONTROLLED-TRIAL
INTRAAORTIC BALLOON PUMP
FRACTIONAL FLOW RESERVE
BARE-METAL STENTS
INTRAVASCULAR ULTRASOUND ANALYSIS
MECHANICAL CIRCULATORY SUPPORT
Publication Status
Published
Date Publish Online
2018-03-29