24-Hour Response to Myocardial Infarction 　
Minimally Invasive Catheter Treatment

At our hospital, we provide 24-hour rapid diagnosis and PCI treatment for acute myocardial infarction and angina. We prioritize minimally invasive procedures, with a standard approach of single-night hospitalization. Experienced physicians ensure high-quality care.

Providing Medical Institution

Kishiwada Tokushukai Hospital

〒596-0042
4-27-1 Kamoricho, Kishiwada City

https://kishiwada.tokushukai.or.jp/en/

Specialty

**Cardiovascular Surgery:**
1. Coronary Artery Disease
2. Heart Valve Disease
3. Aortic Aneurysm
4. Aortic Dissection
5. Arteriosclerosis Obliterans
6. Arterial Thrombosis
7. Complications of Myocardial Infarction
- Ischemic Cardiomyopathy
- Left Ventricular Rupture
- Left Ventricular Aneurysm
- Ventricular Septal Rupture
- Papillary Muscle Dysfunction (Mitral Regurgitation)
8. Infective Endocarditis
9. Intracardiac Tumors

**Cardiology:**
1. Ischemic Heart Disease (e.g., Angina, Myocardial Infarction)
2. Lower Limb Arteriosclerosis Obliterans
3. Arrhythmia
4. Heart Valve Disease
5. Aortic Stenosis
6. Mitral Regurgitation

**Lower Gastrointestinal Surgery**
*Da Vinci Si - Robot-Assisted Surgery*
1. Malignant Diseases
2. Surgical Treatment of Small and Large Intestine Diseases
3. Primarily Surgical and Medical Treatments for Colon and Rectal Cancer
4. Robot-Assisted Surgery
5. Laparoscopic Surgery
6. Multimodal Therapy Combining Surgery, Chemotherapy, and Radiation Therapy
7. Systemic Chemotherapy for Unresectable Colorectal Cancer

**Breast Surgery:**
1. Breast-Conserving Surgery
2. Mastectomy
3. Sentinel Lymph Node Biopsy
4. Lymph Node Dissection
5. Breast Reconstruction Using Autologous Tissue

**Neurosurgery:**
1. Stroke
2. Cerebral Hemorrhage
3. Subarachnoid Hemorrhage
4. Cerebral Infarction
5. Head Trauma
6. Traumatic Intracranial Hematoma
7. Skull Fracture
8. Chronic Subdural Hematoma
9. Brain and Spinal Cord Tumors
10. Acoustic Neuroma
11. Pituitary Tumor
12. Meningioma
13. Metastatic Brain Tumors
14. Functional Neurological Disorders
15. Facial Spasm
16. Trigeminal Neuralgia
17. Epilepsy
18. Normal Pressure Hydrocephalus

**Urology**
*Da Vinci Si - Robot-Assisted Surgery*
1. Robot-Assisted Laparoscopic Radical Prostatectomy
2. Prostate Cancer
3. Renal Cancer
4. Upper Urinary Tract Cancer
5. Urolithiasis (Urinary Stones)

**Radiology:**
1. Comprehensive Imaging Diagnosis (X-ray, Ultrasound, CT, MRI, Angiography, PET)
2. Liver Tumors
3. Gastrointestinal Hemorrhage
4. Arterial Embolization for Hemoptysis and Traumatic Hemorrhage
5. Transcatheter Venous Embolization for Gastric Varices
6. Intra-Arterial Chemotherapy for Cancer
7. Reservoir Placement
8. CT-Guided Biopsy (Interventional Radiology - IVR)
9. TomoTherapy - Radixact

**Dialysis**
*Travel Hemodialysis* (Available for Individual Travelers Only, Not for Groups)

**Other**
*Second Opinion* (In-person Only, Online Not Available)

Eligibility Criteria/Exclusions for Treatment

1. Medical Information: - Diagnosis (e.g., angina pectoris, acute myocardial infarction, coronary artery disease) - Details of symptoms (e.g., chest pain, shortness of breath, discomfort during exertion) - Test results from other facilities (e.g., ECG, echocardiography, coronary CT, blood tests) - Other comorbidities (e.g., diabetes, hypertension, chronic kidney disease) 2. History of Treatment: - History of cardiac treatment (e.g., PCI, CABG, stent placement, medication therapy) - Current medications (e.g., anticoagulants, antiplatelet drugs) - Presence of allergies or side effects 3. Age and Physical Condition: - Consider surgical tolerance for elderly patients or those with underlying conditions - Confirm whether cardiac function and overall condition can withstand surgery or catheter-based treatments 4. Treatment Duration, Days, and Time: - Estimated days and hospitalization period required for coronary angiography or PCI (percutaneous coronary intervention) - Standard treatment involves 1-night, 2-day hospitalization, but this may vary depending on the patient’s condition 5. Urgency: - Determine whether emergency care is required, such as for acute myocardial infarction - Assess suitability for emergency catheter-based treatments or coronary artery bypass surgery 6. Other Conditions: - Confirm whether special care is needed for patients undergoing chronic dialysis or with specific complications - Adjust treatment plans according to the patient’s preferences and lifestyle background

Precautions / Contraindications

[Precautions and Contraindications]

1. Cases Not Suitable for Surgery or Treatment:
- Patients with severe comorbidities (e.g., advanced renal failure, untreated infections, terminal cancer) may be excluded due to high surgical risk.
- Catheter-based treatments or stent placement may be challenging if vascular structure or condition is unsuitable.
- Patients unable to discontinue anticoagulants (e.g., warfarin) may face an increased risk of bleeding, rendering treatment contraindicated.

2. Specific Treatment Contraindications:
- PCI (Percutaneous Coronary Intervention) may not be applicable in cases of complex or extensive coronary artery lesions.
- Even if coronary artery bypass surgery is indicated, severely impaired cardiac function can significantly increase surgical risks.

3. Precautions Related to Medication Therapy:
- Patients taking anticoagulants or antiplatelet drugs must discontinue use before surgery, following specific guidelines.
- Patients with a history of allergies require careful evaluation of medication use, which must be confirmed in advance.

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[Preoperative Instructions]

1. Preoperative Preparation:
- Essential tests (e.g., blood tests, echocardiography, coronary CT) must be completed to ensure accurate diagnosis and treatment planning.
- Patients on anticoagulants or antiplatelet drugs should follow instructions to discontinue use before surgery, with alternative therapies provided if necessary.
- Fasting may be required on the day of the surgery or catheter examination, and adherence to the physician's instructions is crucial.

2. Postoperative Complication Risks:
- Explain the risks of postoperative complications, including bleeding, thrombosis, and infections. Extra caution is necessary when resuming anticoagulants to mitigate bleeding risks.
- There is a risk of restenosis or thrombosis after stent placement, making postoperative follow-up essential. Patients must contact the hospital promptly if abnormalities occur.

3. Hospital Stay and Postoperative Life:
- Hospitalization typically lasts one to several days post-surgery for close monitoring.
- Post-discharge, patients must follow restrictions (e.g., no heavy lifting or driving) for a specified period.
- Regular follow-up appointments (e.g., blood tests, echocardiography) are necessary to monitor recovery and treatment outcomes.

4. Cost-Related Precautions:
- Confirm estimated costs for surgery and treatment in advance.

5. Emergency Response:
- Prepare contact information for healthcare providers or attending physicians in case of abnormalities such as chest pain, shortness of breath, fever, or palpitations after discharge.
- In case of emergencies requiring urgent care, a 24-hour response system is available.