Urasawa Kazushi, Tsutsui Hiroyuki
Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine.
Nihon Rinsho. 2006 Apr;64(4):709-14.
Numerous clinical trials have been conducted to compare therapeutic efficacy of thrombolysis and that of primary percutaneous coronary intervention (PCI) in the patients with acute coronary syndrome (ACS). Several recent meta-analyses revealed that primary PCI provides better short-term and long-term clinical results for ACS patients than thrombolysis does. However, in order to obtain such benefit of primary-PCI, PCI procedure has to be done by the team of well-trained angioplasters and para-medical staffs with on-site surgical back-up, as indicated by the JCS guideline for ACS treatment.
已经进行了大量临床试验，以比较急性冠状动脉综合征（ACS）患者溶栓治疗与直接经皮冠状动脉介入治疗（PCI）的疗效。最近的几项荟萃分析表明，对于ACS患者，直接PCI比溶栓治疗能提供更好的短期和长期临床结果。然而，为了获得直接PCI的这种益处，根据日本循环学会（JCS）的ACS治疗指南，PCI手术必须由训练有素的血管成形术医生和辅助医务人员团队在有现场手术支持的情况下进行。
