Cutting-Edge Arrhythmia Treatment
Safe and Rapid Response

At our hospital, we utilize advanced techniques such as pacemaker therapy and catheter ablation to effectively treat arrhythmias. We perform safe and efficient procedures in a short time and provide a rapid response to life-threatening arrhythmias.

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

[Acceptance Criteria] 1. Medical Information: - Diagnosis (type of arrhythmia: tachycardia, bradycardia, atrial fibrillation, etc.) - Details of symptoms (presence of palpitations, shortness of breath, fainting, dizziness, etc.) - Test results from other facilities (e.g., ECG, Holter ECG, cardiac ultrasound, electrophysiological studies) - Presence of comorbidities (e.g., heart failure, coronary artery disease, hypertension) 2. History of Treatment: - Previous arrhythmia treatments (e.g., pacemaker implantation, catheter ablation, medication therapy) - Current medications (e.g., antiarrhythmic drugs, anticoagulants) - History of allergies or drug reactions 3. Age and Physical Condition: - Confirm if elderly patients or those with underlying conditions have the physical capacity to undergo surgery or treatment. - Evaluate overall health and cardiac function to determine if the patient can tolerate catheter-based treatment or surgery. 4. Treatment Duration, Days, and Time: - Treatment schedule (hospitalization period for catheter ablation or pacemaker surgery, postoperative follow-up period) - Estimate hospitalization duration and rehabilitation period after surgery. 5. Urgency: - Determine if emergency care is required (e.g., life-threatening arrhythmia, need for implantable cardioverter defibrillator). - Confirm cases requiring 24-hour emergency response. 6. Other Conditions: - Suitability for specialized treatments such as cardiac resynchronization therapy (CRT) for heart failure patients. - Adjust treatment plans based on the patient’s lifestyle and preferences.

Precautions / Contraindications

[Precautions and Contraindications]

1. Cases Not Suitable for Surgery or Treatment:
- Patients with severe comorbidities (e.g., untreated infections, advanced renal failure, cancer) may have limited indications for pacemaker implantation or catheter ablation.
- Catheter-based treatment may be challenging due to vascular conditions or anatomical characteristics of the heart.
- Patients unable to discontinue anticoagulants (e.g., those with high thrombosis risk) may face increased bleeding risks during treatment, requiring careful management.

2. Precautions Related to Medication Therapy:
- Patients taking anticoagulants or antiarrhythmic drugs must adhere to the prescribed discontinuation period before treatment. Following medical instructions is crucial.
- Patients with allergies or hypersensitivity to medications require special attention in drug selection and administration.

3. Contraindications for Pacemakers and Defibrillators:
- Strong electromagnetic fields (e.g., MRI) are contraindicated for pacemakers and defibrillators. Patients must avoid such environments after implantation.
- Mobile phones and electronic devices may interfere with the operation of pacemakers and defibrillators. Maintaining an appropriate distance during use is necessary.

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[Important Pre-Treatment Information]

1. Preoperative Preparation:
- Preoperative tests (e.g., ECG, Holter ECG, electrophysiological studies) are essential for accurate diagnosis and treatment planning and must be completed.
- Follow the physician’s instructions regarding the discontinuation period for anticoagulants or antiarrhythmic drugs and manage appropriately.

2. Postoperative Complication Risks:
- Risks such as bleeding, infection, and thrombosis require adherence to postoperative instructions and immediate reporting of any abnormalities.
- Regular follow-ups and lifestyle management are crucial to address risks of recurrence or restenosis.

3. Lifestyle Precautions:
- After pacemaker implantation, avoid environments with strong electromagnetic fields (e.g., MRI machines, industrial equipment).
- Maintain a safe distance when using mobile phones and other electronic devices, as they may affect pacemaker or defibrillator function.

4. Hospitalization and Postoperative Schedule:
- Confirm the duration of hospitalization and rehabilitation before surgery and plan the postoperative lifestyle schedule accordingly.
- Follow instructions on activity and lifestyle restrictions after discharge.

5. Emergency Response:
- Contact a medical facility immediately if symptoms such as palpitations, shortness of breath, dizziness, or fainting occur after discharge.
- Confirm emergency medical facilities and contact information in advance.