Seung-Yun Cho, MD
Professor of Internal Medicine (Cardiology)
Division of Cardiology
Yonsei University College of Medicine
We established the Cardiovascular Research Foundation (CVRF)
four years ago and will hold the 11th session of the annual Angioplasty
Summit this year. The field of cardiology has made remarkable progress
in this country since I succeeded in PTCA through the use of the fixed
guide wire balloon in December 1983. At present, more than 20,000 patients
suffering from coronary artery diseases are receiving the PCI operation
in Korea. Such remarkable progress could not have been made without the
painstaking efforts of many domestic researchers and the warmhearted support
from world-famous interventional cardiologists in foreign countries. In
my opinion, the Angioplasty Summit led by Professors Seung-Jung Park and
Seong-Wook Park, in particular, has provided the most valuable opportunities
for education and training of the nation’s young talented interventional
cardiologists.
The progress made in PCI has been aided by the development of many devices
such as balloons, guide wires, and stent; as well as advancements in radiology
and thienopyridine-series medication, the use of intravascular ultrasound
technology and the lectures and live demonstrations of many expert interventional
cardiologists. Restenosis, which has posed the most serious obstacle to
PCI, appears to have been mostly settled, thanks to the drug eluting stent—a
true gift to interventional cardiologists. With the appearance of stent,
researches on restenosis will no longer attract any attention.
It should be pointed out that, despite the remarkable progress made in
interventional cardiology, in comparison to the situation in foreign countries
PCI cases in Korea far outnumber those of CABG. This leads one to believe
that the nation’s cardiologists may be too heavily dependent on
PCI in their treatment of patients. The trend may have arisen from live
demonstration sessions that emphasize the technological aspects over informing
commonly accepted methods of patient selection. My concern is that such
meetings continue to be held one after the other at a very high expense,
despite the existence of such prestigious events as the Angioplasty Summit.
It is high time that we begin efforts to make adjustments between interventional
meetings in reflection of realistic situations, and use the budget thus
saved for worthwhile ventures, such as joint research through close cooperation
between the Korean Society of CardioVascular Intervention and the CVRF.
We should also strive to find ways to reduce the cost of materials used
in PCI, such as stent and balloons, for patients. Finally, I wish the
CVRF the best of luck in the future. |