In:
Catheterization and Cardiovascular Interventions, Wiley, Vol. 100, No. 7 ( 2022-12), p. 1173-1181
Abstract:
Kawasaki disease (KD) induces coronary arteritis, which causes subsequent coronary aneurysms, and contributes to acute myocardial infarction (AMI). However, the differences regarding real‐world treatment selection and mortality between AMI‐complicated KD and AMI due to typical atherosclerosis (AMI‐non KD) are unknown. Aim The aim of the present study was to examine the current treatment strategy and prognosis of AMI‐complicated KD compared with AMI due to typical atherosclerosis. Method We used data from 2012 to 2019 from a nationwide claim database, the Japanese Registry of All Cardiac and Vascular Diseases—Diagnosis Procedure Combination. Results Compared to the AMI‐non KD patients ( n = 70,227), the AMI‐complicated KD patients ( n = 73): (1) underwent percutaneous coronary intervention (PCI) less often and more coronary artery bypass grafting, intracoronary thrombolysis or intravenous coronary thrombolysis more often; (2) underwent stentless PCI using old balloon angioplasty or rotablator, when they underwent PCI; and (3) needed in‐hospital cardiopulmonary resuscitation and intensive mechanical therapy such as intra‐aortic balloon pump, percutaneous cardiopulmonary support or a respirator. Both the AMI‐non KD and AMI‐complicated KD patients had similar in‐hospital mortality rates. Conclusions Compared with AMI‐non KD patients, AMI‐complicated KD patients underwent non‐PCI strategies such as bypass surgery or thrombolysis, and required intensive therapy with mechanical supports more often, but presented similar in‐hospital mortality. When the AMI‐complicated KD patients underwent PCI, stentless PCI using balloon angioplasty or rotablator was performed more often compared with the AMI‐non KD patients.
Type of Medium:
Online Resource
ISSN:
1522-1946
,
1522-726X
Language:
English
Publisher:
Wiley
Publication Date:
2022
detail.hit.zdb_id:
2001555-0
