powerpoint プレゼンテーション - cvit.jp · pdf filepci施行年別症例数の推移...

Download PowerPoint プレゼンテーション - cvit.jp · PDF filepci施行年別症例数の推移 2,470 3,645 38,271 104,823 148,543 49,344 209 0 20,000 40,000 60,000 80,000 100,000 120,000

If you can't read please download the document

Upload: dinhcong

Post on 06-Feb-2018

227 views

Category:

Documents


7 download

TRANSCRIPT

  • J-PCI 2011

  • J-PCI 2011

  • 28,017

    79,537

    135,965

    103,786

    0

    20,000

    40,000

    60,000

    80,000

    100,000

    120,000

    140,000

    2009 2010 2011 2012

    2012615 : 347,305 : 699

  • PCI

    2,470 3,645

    38,271

    104,823

    148,543

    49,344

    209 0

    20,000

    40,000

    60,000

    80,000

    100,000

    120,000

    140,000

    2012615 : 347,305 : 699

  • J-PCI registry (2011) (2010)

    PCI 148,543 248,330 59.8%

    Elective PCI 110,662 183,747 60.2%

    Emergent PCI 37,609 64,583 58.2%

    AMI 31,048 48,197 64.4%

    Unknown 272

    PCI 621 1170 53.0%

    1-99 154 385 40.0%

    100-199 166 313 53.0%

    200-399 210 329 63.8%

    400 91 143 63.6%

    2010 (JCRAC ) http://www.poppy.ac/circ-res/

  • 0 1000 2000 3000 4000 50000

    10

    20

    30

    40

    50

    60

    70

    80

    90

    100

    110 Female

    Male

    MeanSD 68.110.9 74.29.6

    Median (IQR) 69 (61-76) 75 (68-81)

  • ()

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    90%

    100%

    Unknown

    Absent

    Present

    N = 130,104

  • ACS

    0%10%20%30%40%50%60%70%80%90%

    100%

    Mal

    e g

    ende

    r

    Prior

    PC

    I

    Prior

    CA

    BG

    OM

    I

    DM HT

    Dys

    lipid

    emia

    Sm

    oki

    ng

    Ren

    al fai

    lure

    Dia

    lysi

    s

    0%10%20%30%40%50%60%70%80%90%

    100%

    Mal

    e g

    ende

    r

    Prior

    PC

    I

    Prior

    CA

    BG

    OM

    I

    DM HT

    Dys

    lipid

    emia

    Sm

    oki

    ng

    Ren

    al fai

    lure

    Dia

    lysi

    s

    N = 130,104 N = 60,666

    Unknown Absent Present

  • (43.5%)

    (6.4%)

    (7.1%)

    (0.2%)

    (2.2%) (1.3%)

    (15.5%)

    STEMI (18.6%)

    NSTEMI (3.5%)

    (1.7%)

    (23.9%)

  • ()

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    90%

    100%

    10 20 30 40 50 60 70 80 90

    ()

  • ()

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    90%

    100%

    ()

  • 0, 300, 0% 1, 69563,

    56%

    2, 33169, 26% 3,

    17458, 14%

    0, 897, 1% 1, 994,

    1%

    2, 1264, 1%

    3, 1232, 1% ,

    4387, 4%

    5,227

    N= 130,104

  • PCI

    94% 95% 96% 97% 98% 99% 100%

    N=148,271(PCI 272)

  • ()

    0 1 2 3 4

    Q

    Q

    (%)

    N=148,271(PCI 272)

  • , 194,752,

    89%

    , 21,853, 10%

    , 2,819, 1%

    219,424 lesions

  • RCA (33.2%)

    LAD (42.2%)

    LCx (20.9%)

    LMT (3.1%) SVG (0.3%) AG (0.1%) Others (0.2%)

    RCA (33.2%)

    LAD (42.2%)

    LCx (20.9%)

    LMT (3.1%)

    SVG (0.3%)

    AG (0.1%)

    Others (0.2%)

    219,424 lesions

  • 0% 20% 40% 60% 80% 100%

    Others

    Distal protection

    Rotablator

    Aspiration

    Balloon

    BMS

    DES

    Present

    Absent

    Unknown

    N = 219,424

  • (PCI)

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    90%

    100%

    DES and BMS (1.18%)

    DES (65.24%)

    BMS (24.24%)

    Balloon only (8.88%)

    Aspiration only (0.42%)

    Rotablator only (0.04%)

    121675 procedures

  • (ACS)

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    90%

    100%

    DES and BMS (1.19%)

    DES (48.08%)

    BMS (41.99%)

    Balloon only (7.76%)

    Aspiration only (0.96%)

    Rotablator only (0.01%)

    48266 procedures

  • (LMTD)

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    90%

    100%

    DES and BMS (2.29%)

    DES (76.62%)

    BMS (12.71%)

    Balloon only (7.88%)

    Aspiration only (0.40%)

    Rotablator only (0.10%)

    9261 procedures

  • 0%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    90%

    100%

    1 2 3 4 5 6 7 8 9 10 11 12

    DES and BMS

    DES

    BMS

    Balloon only

    Aspiration only

    Rotablator only

    145,425 procedures

  • (ACS)

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    90%

    100%

    1 2 3 4 5 6 7 8 9 10 11 12

    DES and BMS

    DES

    BMS

    Balloon only

    Aspiration only

    Rotablator only

    59,704 procedures

    2011/7/20

  • (AMI)

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    90%

    100%

    1 2 3 4 5 6 7 8 9 10 11 12

    DES and BMS

    DES

    BMS

    Balloon only

    Aspiration only

    Rotablator only

    36,587 procedures

    2011/7/20

  • 1CVIT

    743

    2209

    3531

    14999

    16533

    17353

    20400

    13870

    691

    1927

    2800

    8426

    10985

    11747

    12195

    9115

    0% 20% 40% 60% 80% 100%

  • 1CVIT

    116

    69363

    20940

    156

    41299

    16669

    0% 20% 40% 60% 80% 100%

  • PCI

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    90%

    100%

    PCI (n=147,524) (n=128,057,352)

    22 http://www.stat.go.jp/data/kokusei/2010/index.htm

  • 10PCI

    0

    50

    100

    150

    200

    250

    300

    0 100 200 3000

    10

    20

    30

    40

    50

    60

    70

    80

    90

    0 100 200 300

    http://www.mhlw.go.jp/toukei/saikin/hw/jinkou/other/10sibou

    10 10

    10PCI (All) 10PCI (ACS)

    http://www.stat.go.jp/data/kokusei/2010/index.htm 22

  • PCI

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    90%

    100%

    1 2 3 4 5 6 7 8 9 10 11 12

  • PCI

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    90%

    100%

    1 2 3 4 5 6 7 8 9 10 11 12

  • 80

    85

    90

    95

    100

    105

    110

    115

    120

    1 3 5 7 9 11

    80

    85

    90

    95

    100

    105

    110

    115

    120

    1 3 5 7 9 11