Journal of JCIC

Online edition: ISSN 2432–2342
JCIC学会事務局 JCIC学会事務局
〒162-0801東京都新宿区山吹町358-5アカデミーセンター Academy Center, 358-5 Yamabuki-cho, Shinju-ku, Tokyo 162-0801, Japan
Journal of JPIC 3(2): 43-55 (2018)

原著Original Article

2017年における先天性心疾患および小児期頻拍性不整脈に対するカテーテルインターベンション・アブレーション全国集計日本Pediatric Interventional Cardiology学会データベース(JPIC-DB)からの年次報告Pediatric and congenital catheter interventions and ablations in Japan during 2017: Annual report from Japanese Pediatric Interventional Society Database (JPIC-DB)

1日本Pediatric Interventional Cardiology(JPIC)学会調査委員会JPICデータベースワーキンググループJPIC Database Working Group, Investigational Committee

2日本Pediatric Interventional Cardiology(JPIC)学会理事会Executive Board of the Japanese Society of Pediatric Interventional Cardiology (JPIC)

3静岡県立こども病院循環器科Department of Cardiology, Shizuoka Children’s Hospital ◇ Shizuoka, Japan

4東京大学医学部附属病院小児科Department of Pediatrics, Tokyo University Hospital ◇ Tokyo, Japan

5東京大学大学院医学系研究科医療品質学講座Department of Healthcare Quality Assessment Graduate School of Medicine, Tokyo University ◇ Tokyo, Japan

6久留米大学医学部小児科学講座Department of Pediatrics, Kurume University School of medicine ◇ Kurume, Japan

7東京女子医科大学循環器小児科Department of Pediatric Cardiology, Tokyo Women’s Medical University ◇ Tokyo, Japan

8昭和大学横浜市北部病院循環器センターCardiovascular Center, Showa University Northern Yokohama Hospital ◇ Kanagawa, Japan

9榊原記念病院小児循環器科Department of Pediatric Cardiology, Sakakibara Heart Institute ◇ Tokyo, Japan

10埼玉医科大学国際医療センター小児心臓科Department of Pediatric Cardiology, Saitama Medical University International Medical Center ◇ Saitama, Japan

11岡山大学病院小児循環器科Department of Pediatric Cardiology, Okayama University Hospital ◇ Okayama, Japan


These authors equally contributed.


These authors equally contributed.


These authors equally contributed.


These authors equally contributed.

受付日:2019年1月29日Received: January 29, 2019
受理日:2019年1月30日Accepted: January 30, 2019
発行日:2018年12月31日Published: December 31, 2018

日本Pediatric Interventional Cardiology(JPIC)学会では,1993年よりカテーテル治療(アブレーションを含む)の手技・件数・有害事象に関する全国アンケート集計が継続されてきた.2013年よりNational Clinical Database(NCD)へのオンライン登録によるJPICデータベース(JPIC-DB)の実運用を開始し,3年の移行期間を経て,2016年に施行された症例から,すべてJPIC-DBに登録されている.このデータベースは先天性心疾患および正常心構造を含む小児期頻拍性不整脈に対するあらゆるカテーテル治療手技と有害事象を包括的に登録対象としている.また新規のデバイスについても年々アップデートしており,緻密な情報が蓄積されてきている.本稿では2017年のデータを集計し,総計4804件のデータについて結果を報告する.有害事象率は3.8%,死亡率は0.1%であった.データベースのクオリティマネージメントを進め,今後も引き続き本邦におけるカテーテル治療のベンチマークとして患者さんおよび家族への説明や,有害事象へのリスク管理,臨床研究,新規医療機器導入など幅広い利用に資するべくアップデートを重ねてゆく.

The Japanese Society of Pediatric Interventional Cardiology (JPIC) had conducted the annual questionnaire surveillance regarding catheter-based interventional procedures (including ablation) and adverse events since 1993. The online registry system named JPIC Database (JPIC-DB) based on the National Clinical Database (NCD) eventually went into operation with the initial enrollment of the actual cases since January 2013. After three years of transition period, the entire interventional and ablation cases during 2016 in Japan registered to the JPIC-DB. The striking feature of the annual surveillance so far has been comprehensive involvement of any form of pediatric and congenital interventional procedures and adverse events. Also, we updated the database to include newly introduced devices. In this paper, we report 2017 annual data of JPIC-DB. Total number of procedures was 4804, adverse event rate was 3.8%, mortality rate was 0.1%, and procedure completion rate was 96.9%. We are going to build quality assurance system and update the JPIC-DB to serve as a benchmark. We hope that it continuously be helpful for explanation to the patients and their family, risk management, clinical investigation, and introduction of new device and technology.

Key words: catheter intervention; catheter ablation; database; registry; the Japanese Society of Pediatric Interventional Cardiology (JPIC)

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