Ogawa Takayuki, Sakakura Kenichi, Sumitsuji Satoru, Hyodo Makoto, Yamaguchi Junichi, Hirase Hiroaki, Yamashita Takehiro, Kadota Kazushige, Kobayashi Yoshio, Kozuma Ken
Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.
Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
Cardiovasc Interv Ther. 2025 Jan;40(1):1-32. doi: 10.1007/s12928-024-01044-y. Epub 2024 Dec 3.
The efficacy and safety of percutaneous coronary intervention (PCI) for coronary artery disease has been established, and approximately 250,000 PCI procedures are performed annually in Japan. However, various complications including life-threatening complications can occur during PCI. Although several bailout procedures have been proposed to address complications during PCI, it is critically important for operators to manage each complication in real catheter rooms with confidence even in emergent situations. Standard bailout methods including specific techniques should be clarified as algorithms and shared with inexperienced operators as well as experienced operators. The Task Force of the Japanese Society for Cardiovascular Intervention and Therapeutics (CVIT) has developed the expert consensus document on bailout algorithms for complications in PCI.
经皮冠状动脉介入治疗(PCI)用于冠状动脉疾病的有效性和安全性已得到确立,在日本每年大约进行250,000例PCI手术。然而,PCI过程中可能会出现包括危及生命的并发症在内的各种并发症。尽管已经提出了几种补救措施来处理PCI过程中的并发症,但对于术者来说,即使在紧急情况下,在实际导管室中自信地处理每种并发症也至关重要。应将包括特定技术在内的标准补救方法明确为算法,并与经验不足的术者以及经验丰富的术者共享。日本心血管介入和治疗学会(CVIT)的特别工作组已经制定了关于PCI并发症补救算法的专家共识文件。