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Published on: June 12, 2021
Clinical expert consensus document on bailout algorithms for complications in percutaneous coronary intervention from
Takayuki Ogawa1, Kenichi Sakakura2, Satoru Sumitsuji3
1Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan. takaog39@jikei.ac.jp.
Insights
Percutaneous coronary intervention (PCI) complications require clear management strategies. This expert consensus document provides bailout algorithms to help operators confidently manage emergent situations during PCI procedures.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Device Technology
Background:
- Percutaneous coronary intervention (PCI) is a common procedure for coronary artery disease, with ~250,000 performed annually in Japan.
- Despite established efficacy, PCI carries risks of serious and life-threatening complications.
- Effective management of these complications is crucial for patient safety.
Abstract:
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.
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