The Current Status of Percutaneous Coronary Intervention in Korea: Based on Year 2014 Cohort of Korean Percutaneous Coronary Intervention (K-PCI) Registry.
- Author:
Jae Sik JANG
1
;
Kyoo Rok HAN
;
Keon Woong MOON
;
Dong Woon JEON
;
Dong Ho SHIN
;
Jung Sun KIM
;
Duk Woo PARK
;
Hyun Jae KANG
;
Juhan KIM
;
Jang Whan BAE
;
Seung Ho HUR
;
Byung Ok KIM
;
Donghoon CHOI
;
Hyeon Cheol GWON
;
Hyo Soo KIM
Author Information
- Publication Type:Multicenter Study ; Original Article
- Keywords: Percutaneous coronary intervention; Registry
- MeSH: Angiography; Angioplasty, Balloon; Cohort Studies*; Data Collection; Drug-Eluting Stents; Emergencies; Exercise Test; Humans; Incidence; Korea*; Length of Stay; Male; Myocardial Infarction; Percutaneous Coronary Intervention*; Radial Artery; Registries; Stents; Stroke
- From:Korean Circulation Journal 2017;47(3):328-340
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND AND OBJECTIVES: Although several multicenter registries have evaluated percutaneous coronary intervention (PCI) procedures in Korea, those databases have been limited by non-standardized data collection and lack of uniform reporting methods. We aimed to collect and report data from a standardized database to analyze PCI procedures throughout the country. MATERIALS AND METHODS: Both clinical and procedural data, as well as clinical outcomes data during hospital stay, were collected based on case report forms that used a standard set of 54 data elements. This report is based on 2014 Korean PCI registry cohort data. RESULTS: A total of 92 hospitals offered data on 44967 PCI procedures. The median age was 66.0 interquartile range 57.0-74.0 years, and 70.3% were men. Thirty-eight percent of patients presented with acute myocardial infarction and one-third of all PCI procedures were performed in an urgent or emergency setting. Non-invasive stress tests were performed in 13.9% of cases, while coronary computed tomography angiography was used in 13.7% of cases prior to PCI. Radial artery access was used in 56.1% of all PCI procedures. Devices that used PCI included drug-eluting stent, plain old balloon angioplasty, drug-eluting balloon, and bare-metal stent (around 91%, 19%, 6%, and 1% of all procedures, respectively). The incidences of in-hospital death, non-fatal myocardial infarction, and stroke were 2.3%, 1.6%, and 0.2%, respectively. CONCLUSION: These data may provide an overview of the current PCI practices and in-hospital outcomes in Korea and could be used as a foundation for developing treatment guidelines and nationwide clinical research.
