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

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Title: CVIT expert consensus document on primary percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) in 2018
Authors: Ozaki, Y
Katagiri, Y
Onuma, Y
Amano, T
Muramatsu, T
Kozuma, K
Otsuji, S
Ueno, T
Shiode, N
Kawai, K
Tanaka, N
Ueda, K
Akasaka, T
Hanaoka, KI
Uemura, S
Oda, H
Katahira, Y
Kadota, K
Kyo, E
Sato, K
Sato, T
Shite, J
Nakao, K
Nishino, M
Hikichi, Y
Honye, J
Matsubara, T
Mizuno, S
Muramatsu, T
Inohara, T
Kohsaka, S
Michishita, I
Yokoi, H
Serruys, PW
Ikari, Y
Nakamura, M
Item 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.
Issue Date: 1-Apr-2018
Date of Acceptance: 27-Feb-2018
URI: http://hdl.handle.net/10044/1/60942
DOI: 10.1007/s12928-018-0516-y
ISSN: 1868-4300
Publisher: Springer Verlag
Start Page: 178
End Page: 203
Journal / Book Title: Cardiovascular Intervention and Therapeutics
Volume: 33
Issue: 2
Keywords: 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
Online Publication Date: 2018-03-29
Appears in Collections:Faculty of Medicine



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