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The Current Status of Percutaneous Coronary Intervention in Korea: Based on Year 2014 & 2016 Cohort of Korean Percutaneous Coronary Intervention (K-PCI) Registry

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Author(s)
Dong-Ho ShinHyun-Jae KangJae-Sik JangKeon-Woong MoonYoung Bin SongDuk-Woo ParkJang-Whan BaeJuhan KimSeung-Ho HurByung Ok KimDong Woon JeonDonghoon ChoiKyoo-Rok Han
Keimyung Author(s)
Hur, Seung Ho
Department
Dept. of Internal Medicine (내과학)
Journal Title
Korean Circulation Journal
Issued Date
2019
Volume
49
Issue
12
Keyword
Percutaneous coronary interventionCoronary artery disease
Abstract
Background and objectives:
In this second report from Korean percutaneous coronary intervention (K-PCI) registry, we sought to describe the updated information of PCI practices and Korean practice pattern of PCI (KP3).

Methods:
In addition to K-PCI registry of 2014, new cohort of 2016 from 92 participating centers was appended. Demographic and procedural information, as well as in-hospital outcomes, of PCI was collected using a web-based reporting system. KP3 class C was defined as any strategy with less evidence from randomized trials and more aggressive for PCI than medical therapy or bypass-surgery.

Results:
In 2016, total 48,823 PCI procedures were performed at 92 participating centers. Mean age of the patients was 65.7±11.6 years, and 71.7% were males. Overall patient characteristics and PCI practices in 2016 were similar to those in 2014. The biggest change was the decrease in the in-hospital occurrence of myocardial infarction (MI;1.6%→0.7%, p<0.001). Many associations between PCI volumes and demographic/procedural characteristics observed in 2014 have disappeared. The median of door-to-balloon time was 62 minutes, and 83.3% of ST-elevation MI patients received primary PCI within 90 minutes, while the median of total ischemic time was 168 minutes and patients who had total ischemic time within 120 and 180 minutes were 29.1% and 54.1%, respectively. The proportion of KP3 class C cases in non-acute coronary syndrome patients decreased from 13.5% in 2014 to 12.1% in 2016 (p<0.001).

Conclusions:
In this second report from K-PCI registry, we described the current practices of PCI and changes from 2014 to 2016 in Korea.
Keimyung Author(s)(Kor)
허승호
Publisher
School of Medicine (의과대학)
Citation
Dong-Ho Shin et al. (2019). The Current Status of Percutaneous Coronary Intervention in Korea: Based on Year 2014 & 2016 Cohort of Korean Percutaneous Coronary Intervention (K-PCI) Registry. Korean Circulation Journal, 49(12), e96–e96. doi: 10.4070/kcj.2018.0413
Type
Article
ISSN
1738-5555
Source
https://e-kcj.org/DOIx.php?id=10.4070/kcj.2018.0413
DOI
10.4070/kcj.2018.0413
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42055
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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