Total Number of Treatment: 104.7

In 2018, the daily average number of outpatients was 104.7. The daily average number of inpatients was 36.6.

Diagnostic Performance

The majority of the cases consisted of coronary artery disease, peripheral artery disease of the lower limbs, heart failure, and arrhythmia, though our services also covered a wide range of cardiovascular conditions, including renal artery stenosis, cardiomyopathy, pulmonary hypertension, dialysis shunt failure, and secondary hypertension.

Key Statistics for 2018

• 16,839 Cardiac ultrasounds
• 14,446 Peripheral vascular ultrasounds
• 1,337 Coronary CTA scans
• 244 Transesophageal echocardiograms
• 192 Myocardial perfusion scintigraphy tests
• 1,785 Cardiac catheterizations

Treatment outcomes in 2018

• 408 percutaneous coronary interventions (PCI)
• 527 percutaneous peripheral angioplasties (PTA; peripheral vessels, renal arteries, etc.)
• 88 pacemaker implantations
• 7 implantable cardioverter-defibrillator/cardiac resynchronization therapy device (ICD/CRT-D) implantations
• 129 catheter ablations, including 54 cryoablation pulmonary vein isolations for atrial fibrillation.

In addition, our department conducted clinical trials for catheter-based renal denervation in patients with treatment-resistant hypertension requiring three or more antihypertensive medications.

2018 Performance (April 2018 – March 2019)

Total catheter procedures: 1,785

• PCI (percutaneous coronary intervention): 408
• EVT (percutaneous peripheral angioplasty (PTA; peripheral vessels, renal arteries, etc.)): 527
• Pacemaker implantations (including battery replacements): 88
• ICD (implantable cardioverter-defibrillator)/CRTD (cardiac resynchronization therapy device) implantations (including batteryreplacements): 7
• Ablations (including cryoablation): 129
• TAVI (transcatheter aortic valve implantation): 84
• MitraClip: 14

Main Treatment Methods

Here are some of the treatments offered by the Cardiology Department at Kishiwada Tokushukai Hospital.

Treatment Method: Coronary Artery Disease

• Target Conditions: Angina, Myocardial Infarction, Aortic Dissection, Pulmonary Embolism
• Treatment Methods and Details: Our primary approach is medical treatment, but we actively perform catheter-based revascularization and PCI (Percutaneous Coronary Intervention).
• The availability of standby cardiac surgery ensures that these procedures are performed safely, which is a significant factor contributing to the reliability of our coronary artery treatments on a national level.

Treatment Method: Endovascular Lower Limb Revascularization

• Target Conditions: Peripheral Artery Disease, Critical Limb Ischemia
• Treatment Methods and Details: Ischemic symptoms in the lower limbs are common in arteriosclerotic diseases.
• Our hospital plays a pioneering role in catheter treatments for these conditions in Japan.
• We conduct numerous educational courses for physicians and also accept doctors from across Asia for training, establishing our hospital as an educational center in this field.

Treatment Method: Carotid Artery Stenting

• Target Condition: Carotid Artery Stenosis
• Treatment Methods and Details: In collaboration with the Neurosurgery Department, we perform catheter treatments for carotid artery lesions using the latest techniques.
• Our hospital also serves as an educational center in this area.

Features and Specialties

Our hospital has a track record of treating conditions such as acute myocardial infarction, angina pectoris, carotid artery stenosis, renal artery stenosis, peripheral artery disease of the lower limbs, dialysis shunt failure, arrhythmia, and pacemaker implantation.

The former director of our department, Dr. Yokoi, has authored the following books, which may provide a better understanding of our hospital’s treatment methods:

• 2003, Nankodo, Peripheral Interventions
• 2003, Medica Publishing, Cardiac Catheterization: Nursing
• 2004, Medical Sense, Atherosclerotic Renal Artery Stenosis
• 2007, Medical Alpha, Diagnosis and Treatment of Critical Limb Ischemia
• 2008, Nakayama Publishing, Global Vascular Interventions

Through these medical publications, we are striving to promote the treatment methods used at our hospital to other general hospitals as well.