Internal Medicine

Catheter Intervention (PCI) Therapy【Kishiwada Tokushukai Hospital】

implementation facility

Kishiwada Tokushukai Hospital

Facility Details

program name: Catheter Intervention (PCI) Therapy【Kishiwada Tokushukai Hospital】

genre

Internal Medicine：Internal Medicine

program details: 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.

requirement, condition for apply: 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

precaution, contraindication: [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.