• 근관절건강학회지
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• 제30권3호
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• pp.254-262
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• 2023

Purpose: This study was to determine the effect of Individualized education-counseling program on the performance of Health behavior and Cardiovascular risk after discharge inpatients with percutaneous coronary intervention. Methods: This study is a quasi-experimental study of the non-equivalence control group and the subjects of this study were patients who underwent percutaneous coronary intervention for coronary artery disease and had no complications due to severe arrhythmia or heart failure. The purpose of the study was explained to the subjects who met the selection conditions, and written consent was obtained, and 50 randomized experimental groups and 50 control groups were selected and assigned. Results: Compared to the control group, health behaviors were significantly higher after 1 week (F=33.63, p<.001) and 12 weeks (F=23.63, p<.001). The cardiovascular risk score based on Framingham risk score differed significantly depending on the measurement period (F=26.18, p<.001), there was no significant difference in the interaction between the two groups and the measurement period (F=0.72, p=.469). Conclusion: It was confirmed that the Individualized education counseling program provided to patients with Percutaneous coronary intervention was effective in increasing the subject's health behavior, but not in lowering the cardiovascular risk.

• 재활간호학회지
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• 제16권2호
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• pp.100-111
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• 2013

Purpose: The purpose of this study was to identify the effectiveness of back pain prevention intervention program on reducing back pain of patients undergoing percutaneous coronary intervention (PCI). Methods: The patients were divided into two groups as the experimental group and control group. In the experimental group, the participants took bedrest for 4 hours after PCI and then received back pain prevention intervention program (BPPIP). Total of 5 times BPPIP with 1 hour interval for 5-10 minutes per each intervention was administered to the patients taking bedrest for 4 hours after PCI. In the control group, total of 5 times routine nursing care with 1 hour interval was administered to the patients taking bedrest for 4 hours after PCI. The data were collected on admission in the ICU and after the 5 exercise sessions. The collected data were analyzed using SPSS/WIN program. Results: No significant differences in the occurrence of hemorrhage after the BPPIP were observed between the experimental group and the control group. After the BPPIP, back pain outcomes were significantly low in the experimental group. However, urination disorder and cortisol level did not show a statistically significant differences between two groups. Conclusion: It is clear that BPPIP is a useful nursing intervention for reducing back pain of patients undergoing PCI.

• Perspectives in Nursing Science
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• 제12권2호
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• pp.82-93
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• 2015

Purpose: This study aimed to provide a systematic review of the evidence from controlled trials regarding nursing intervention studies on patients undergoing percutaneous coronary intervention, a discussion of the methodological problems that limit current research, and suggestions regarding future directions for research. Methods: Using a predefined protocol, 27 electronic databases were searched, studies selected, relevant data extracted, and the methodological quality of the studies assessed. Results: Twenty-seven studies were found reporting complex, generally heterogeneous interventions. The studies reported positive results, including self-efficacy, knowledge, and self-care. There were 6 randomized controlled trials, 19 quasi-experimental studies, and 2 only research group studies. In addition to support components, the interventions included elements of teaching, counseling, and education. Nursing interventions are still in the developmental and testing phase. Conclusion: The review demonstrated that a great deal is known about nursing intervention, the impact on a range of outcomes, and methodology. Although some useful evidence was reported for all interventions, further research needs to be carried out.

• Journal of Chest Surgery
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• 제50권4호
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• pp.247-254
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• 2017

Background: Hybrid coronary revascularization (HCR) was developed to combine the advantages of coronary artery bypass graft (CABG) with percutaneous coronary intervention (PCI). However, it is still controversial whether it is more optimal to perform CABG or PCI first. The purpose of this study was to compare the clinical outcomes of these 2 approaches. Methods: Eighty patients who underwent HCR from May 2010 to December 2015 were enrolled in this retrospective analysis. The CABG-first group comprised 12 patients and the PCI-first group comprised 68 patients. Outcomes of interest included in-hospital perioperative factors, major adverse cardiac and cerebrovascular events (MACCEs), and the incidence of repeated revascularization, especially for the target vessel lesion. Results: No significant difference was found in the amount of postoperative bleeding (p=0.239). The incidence of MACCEs was similar between the CABG-first and PCI-first groups (1 of 12 [8.3%] vs. 5 of 68 [7.4%], p>0.999). Repeated revascularization was performed on 3 patients (25%) in the CABG-first and 9 patients (13.2%) in the PCI-first group (p=0.376). Conclusion: There were no significant differences in postoperative and medium-term outcomes between the CABG-first and PCI-first groups. Based on these results, it can be inferred that it is safe to opt for either CABG or PCI as the primary procedure in 2-stage HCR.

• 한국방사선학회논문지
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• 제17권4호
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• pp.551-556
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• 2023

관상동맥 질환을 평가하고 치료하기 위해 사용하는 혈관조영장비는 방사선을 사용한다는 공통점이 존재하여 회사별 선량 저감화를 위한 기능 개발 등이 지속적으로 이루어지고 있다. 따라서 단일 혈관 중재술 중 혈관조영장비에 탑재되어 있는 동적 관상동맥 로드맵 기능 유무의 차이에 따른 방사선학적 관계를 평가하여 로드맵을 이용한 피폭 절감 효과를 입증하고자 한다. 2021년 03월부터 2023년 02월까지 관상동맥 중재술을 시행한 431명 중 후향적 데이터가 확보된 250명을 대상으로 진행하였다. 확보한 250명의 대상 중 단일 혈관 중재술 시 심혈관 로드맵 기능을 이용한 환자는 91명이었고, 로드맵을 이용하지 않고 시술한 환자는 159명이었다. 동적 심혈관 로드맵 기능을 이용한 군이 이용하지 않은 군보다 총 흡수선량 (34.57 uGy/m² : 69.15 uGy/m²), 총 공기 중 선량 (688.47 mGy : 1640.4 mGy), 투시 조영 선량 (23.87 uGy/m² : 49.91 uGy/m²), 투시 조영 시간 (723.55 s : 366.03 s), 촬영된 총 시리즈 수 (17 : 26)에서 더 낮은 값들을 나타냈으며 통계적으로 유의했다. 동적 심혈관 로드맵을 사용한 단일 혈관 관상동맥 중재술이 로드맵을 사용하지 않고 진행한 시술보다 더 적은 투시 시간 및 투시 선량 등을 나타냈다. 따라서 단일 혈관 관상동맥 중재술에서 는 심혈관 로드맵 기능사용이 시술자와 환자 모두에게 피폭 저감화 효과를 나타낼 수 있으므로 심혈관 로드맵 사용에 대해 적극적으로 권장할 수 있을 것으로 사료된다.

• 대한간호학회지
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• 제38권2호
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• pp.217-228
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• 2008

Purpose: This study was conducted to develop and to determine the effects of an integrated symptom management program for prevention of recurrent cardiac events after percutaneous coronary intervention. Methods: Subjects consisted of 58 CAD patients (experimental group: 30, control group: 28). The experimental group participated in an integrated symptom management program for 6 months which was composed of tailored education, stress management, exercise, diet, deep breathing, music therapy, periodical telephone monitoring and a daily log. The control group received the usual care. Results: The experimental group significantly decreased symptom experiences and the level of LDL compared to the control group. The experimental group significantly increased self care activity and quality of life compared to the control group. Although no significant difference was found in cardiac recurrence, the experimental group had fewer recurrences. Conclusion: These results suggest that an integrated symptom management program for prevention of recurrent cardiac events after percutaneous coronary intervention can improve symptom aggravation, recurrent rate, self care activity and quality of life. Nursing interventions are needed to maintain and further enhance the quality of life of these patients and the interventions should be implemented in the overall transition period.

• Journal of Chest Surgery
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• 제39권8호
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• pp.640-642
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• 2006

경피적 관상동맥 중재술 시 사용되는 가이드 와이어의 골절은 드문 합병증이다. 골절로 인하여 관상동맥내에 위치하는 가이드 와이어는 혈관 내막 손상과 혈소판의 응집을 촉발하여 혈전 생성을 야기할 수 있다. 좌전하행지에 위치하여 안정 시 흉통을 유발한 가이드 와이어를 성공적으로 제거하고 관상동맥 우회술을 시행하였기에 보고하는 바이다.

• Journal of Medicine and Life Science
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• 제20권3호
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• pp.131-134
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• 2023

Here, we present a case of a 56-year-old man with acute myocardial infarction. The patient underwent percutaneous coronary intervention (PCI) at the left main bifurcation and mid-left anterior descending artery using drugeluting stents. Four months after the PCI, the patient was readmitted for cardiac arrest. Coronary angiography (CAG) revealed stent thrombosis in the left main-to-proximal left anterior descending artery and in-stent restenosis in the left main-to-proximal left circumflex artery. We performed balloon angioplasty at the left main to mid-left anterior descending artery and left main to proximal left circumflex artery stents; subsequently, blood flow was fully restored. However, contrast agent extravasation was observed outside the mid-portion of the left main artery to the proximal left anterior descending artery stent, indicating the presence of a coronary artery aneurysm (CAA) outside the stent. After guideline-directed medical therapy with dual antiplatelet agents and high-intensity statins, follow-up CAG revealed near-resolution of the CAA, absence of stenotic lesions, and good blood flow.

• Journal of Preventive Medicine and Public Health
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• 제42권4호
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• pp.267-273
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• 2009

Objectives : To compare the performance of three comorbidity measurements (Charlson comorbidity index, Elixhauser s comorbidity and comorbidity selection) with the effect of different comorbidity lookback periods when predicting in-hospital mortality for patients who underwent percutaneous coronary intervention. Methods : This was a retrospective study on patients aged 40 years and older who underwent percutaneous coronary intervention. To distinguish comorbidity from complications, the records of diagnosis were drawn from the National Health Insurance Database excluding diagnosis that admitted to the hospital. C-statistic values were used as measures for in comparing the predictability of comorbidity measures with lookback period, and a bootstrapping procedure with 1,000 replications was done to determine approximate 95% confidence interval. Results : Of the 61,815 patients included in this study, the mean age was 63.3 years (standard deviation: ${\pm}$10.2) and 64.8% of the population was male. Among them, 1,598 2.6%) had died in hospital. While the predictive ability of the Elixhauser's comorbidity and comorbidity selection was better than that of the Charlson comorbidity index, there was no significant difference among the three comorbidity measurements. Although the prevalence of comorbidity increased in 3 years of lookback periods, there was no significant improvement compared to 1 year of a lookback period. Conclusions : In a health outcome study for patients who underwent percutaneous coronary intervention using National Health Insurance Database, the Charlson comorbidity index was easy to apply without significant difference in predictability compared to the other methods. The one year of observation period was adequate to adjust the comorbidity. Further work to select adequate comorbidity measurements and lookback periods on other diseases and procedures are needed.

• 디지털융복합연구
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• 제19권12호
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• pp.661-673
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• 2021

본 연구는 관상동맥중재술을 받은 남성의 건강행위 이행에 미치는 영향을 경과기간을 중심으로 파악하기 위한 서술적 상관관계 연구이다. 연구 대상자는 일개 대학병원에서 관상동맥중재술을 받은 남성 249명이며, 2017년 9월 1일부터 2018년 4월 30일까지 자료수집이 이루어졌다. 자료는 Stepwise multiple regression을 사용하여 분석하였다. 연구결과 건강행위 이행에 영향을 미치는 요인은 자기조절 중 자율적 동기(β=.35, p<.001), 교육요구도 중 위험요소(β=-.26, p<.001), 질병의 경과기간(β=.19, p<.001), 결혼 여부(β=.15, p=.001), 최종 학력(β=-.12, p=.035)이며, 총 설명력은 29.1%였다. 관상동맥 중재술을 받은 남성 환자의 건강행위 이행을 높이기 위해서는 중증도가 높고 경과시간이 1년 미만인 대상자의 자율적 동기를 강화할 수 있는 프로그램 개발이 필요하다.