Detachment
Institution National University Heart Center

National University Heart Center
Fu-Wai Hospital

Fu-Wai Hospital
ACT Program Asan Medical Center

ACT Program Asan Medical Center
Site Singapore China Korea
Period For 4 days in the last week of May. For 5 days in the last week of October. For 4 days.
Content Observership Observership Lecture
Live Demonstration
Trainer Prof. Tan Dr. Lian Experts from around the world.
Application Starts from March Starts from June At least a month before the program
starts.
Qualification
And
Requirements
*Under 100 experiences of PCI.
*Under 40 years old.
*CV, Recommendation Letter.
*Submit the report and photos after the training.
TMT will cover your round-trip and accommodation.
See ACT web.
http://www.cvrf.org/act/
Apply ―Preparing― ―Preparing― ―Preparing―
Reports NUH Reports Fu-wai Reports ACT Reports
Program Reports National University Hospital in Singapore
One week training at National University Hospital

I had a one week observer ship at National University Hospital in Singapore.
Singapore is a multiethnic nation that Chinese, Malay, India. It is very different from each prevalence rate and lesion distributions. It was valuable for me because I rarely confront that kinds of genetic level of epidemiological difference in Japan.
Doctors and paramedics were also multiethnic, and NUH invited many fellows from other countries like Chinese, Hong-Kong, Malay. I was stimulated their enthusiasms. They were not only kind but welcomed me to join discussions and exchanging ideas about PCI.
In Singapore, introduction of new devices are faster than in Japan. It was very interesting that the Bioabsorvable Vascular Scaffold (BVS) takes a main role of their clinical treatment. I would like to pay attention to their data of non-approved device in Japan at international conference.
Japan tends to delay approving of new devices. However, we can assess indications and advantages and disadvantages according to their data, and we have responsibilities of taking advantage of their former data for our clinical practices.

Masakazu Tsutsumi
Saiseikai Yokohama City Eastern Hospital
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Five days visiting to National University Hospital in Singapore

In the program of Train Medical Trainers (TMT) of PCI Institute, I visited National University Hospital (NUH) in Singapore for five days May 26 to 31.
I learned directly a lot about Singapore style, about not only catheter styles but also cultures such as nationality and foods (chicken rice, Kopi, half boiled eggs…).
Since NUH fulfilled central roles in Asia, there are many fellows from surrounding country, and many patients come from surrounding country. It is not rare case to come to NUH using by an airplane from other country. One of fellows, Dr Hein taught me many things politely. He had already written 5 papers during his stay in NUH. Professor Tan guided me to hospitals and clinics personally. He taught me that there are private/public clinic and classified ward depended on the health insurance. I visited his private clinic. I felt that complains of patients are similar to Japan. Professor TAN saw patients politely, and spent enough time one patient by one. The difference of government license system between in Singapore and in Japan, new devices have already been used such as BVS, I got to know these of characteristics. This Program was precious experience for me.I realized the needs to study English more, and I would like to speak English fluently.I can’t thank you enough to TMT (Dr. Muramastu) of PCI Institute and Professor Tan.

Takuro Takama
Saiseikai Yokohama-City Eastern Hospital
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NUH

I visited the national university hospital (NUH) in Singapore for three days in June 2012. In this hospital, about 1500 cases of PCI have been performed per year and almost always ad-hoc PCI was done unlike Japanese hospitals. I felt medical services were well Americanized in Singapore because diagnostic catheterization, PCI and inpatient medical care were performed by different doctors respectively. In NUH, new devices such as bioresorbable vascular scaffold and drug eluting stents of 2.25 mm in diameter have been already used, but still not be available in Japan. In this respect, Singapore is ahead of Japan. When I visited NUH, Dr Ochiai who is famous Japanese cardiologist was invited for the treatment of CTO and treated 2 cases of CTO without any trouble. I realized that the treatment of CTO was worldwide problem and I have to practice a lot to improve my PCI skills.
Although this was my first time to visit overseas catheterization laboratory, I could learn many things about intervention thanks to assistant of all staffs in NUH. I’d like to apply what I learned to the future.

Norihiro Kobayashi
Saiseikai Yokohama-city Eastern Hospital
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NUH Visiting

On July, I visited the cath labo in NUH Singapore, with the part of exchanging program of TMT programs. We, Saiseikai Yokohama-city Eastern Hospital, annually hosting oversea’s interventioalist to have trained PCI in our hospital. They satisfied with not only learning the PCI skills, especially in CTO technique, tips for using Imaging modalities, but also taching Japanese cultures.

My trip in NUH was also fruitful one for me. In NUH, according to the staff, there are about over 1,200 PCI cases annually. There is few interventional fellows form Indonesia, China, etc. I follow them in cath labo. All doctors, nurses and staffs were so kind to me.

It didn’t take long time to find the difference between Singapore and Japan, for instance, the lower usage of IVUS. In Japan, talking about our institution, over 60% of PCI cases were done with IVUS. In NUH, smaller size of pre dilation balloon was selected because they rarely used IVUS. The diagnostic approach is also different from my country as well. Of course it is quite standard in the world. They do not routinely perform follow up CAG after PCI which might be the reasons of progressive multi vessels diseases. Nevertheless no data, I think the rate to refer for CABG is higher than that in Japan. I find and feel many other differences, some is good and some is not. However, these findings were really good experience for me and it no doughty useful for my career as an interventinalist.

I really thank all of NUH staffs to giving me this wonderful opportunity.

Ikki Komatsu
Saiseikai Yokohama-city Eastern Hospital
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Program Reports Fu-Wai Hospital in China
Fu-wai hospital

I visited Fu wai hospital in China for five days. Fu wai hospital is one of the high- volumed center all over the world. Doctors continue doing PCI from morning to midnight every day. And the annual number of cases is more than 10,000 cases at Fu wai hospital. I spent exciting time and I learned 4 things there.
(1)I should learn more about English in order to discuss the treatment policy with foreign doctors. (2)Chinese doctors are limitted using imaging devices such as IVUS and OCT freely because of insurance issue. (3) So, they try to obtain information from the angiography as much as possible. I need to learn from them.
(4)Chinese food is very very delicious!

I would like to apply what I have learned at fu wai hospital to my PCI life from now on. I thank Dr. Zhou, Dr. Yang, Dr. Qian and co-medical staff for their coaching and kindness.
Shinsuke Mori
Saiseikai Yokohama City Eastern Hospital
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A week visiting to Fu-Wai Hospital

I visited one of the high-volume institution; Fu-wai hospital; from October 21 to 24 in 2013.
It was very stimulating for me to visit such a high-volume institution. I spent fruitful time, seeing the differences of Chinese and Japanese culture with my own eyes.
In Fu-wai hospital, it has as many as 10,000 cases in a year therefore they treat their patients from 9 a.m. to 12 p.m. every day. They have 11 cath labs, and new one is now constructed. Cases will be increase in the future.
I observe PCI, attend conference about the cases, and meeting about the strategies. For they do not have health insurance in China, it was the main difference that they are limited to use imaging equipments such as IVUS and OCT. Even though, they read any kinds of information from angiography. I came to know how poor my findings are, and how many possible findings are indicated. Moreover, I realized that my necessity to study English to set the strategies and indications with them. It was also interactive for me that they have ample research with a number of cases.
Finally, I would like to express my gratitude to the staffs in Fu-wai hospital and Dr. Muramatsu giving me the opportunity, and Ms. Akatsu from TMT, Mr. Kageyama, Mr. Nomura, Emily from Terumo helping out everything.

Saiseikai Yokohama City Eastern Hospital Takahiro Tokuda.
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Fu-Wai Hospital Visiting

In the program of Train Medical Trainers (TMT) of PCI (Percutaneous Coronary Intervention) institute, I went to Fu-wai cardiovascular hospital in China for three days from October 25 to October 27.
There are 11 catheter laboratories at Fu-wai cardiovascular hospital. I heard that a number of PCI would exceed 10000 in this hospital. I felt a greatcapacity and momentum of this hospital.I was inspired by such a famous and high volume center’s activity.
Main contents of the trainingcourse were to look at PCI and discuss the strategies of PCI. I watched approximately 14 PCIs in a day. All catheter laboratories were used for PCI and EVT, and I could watch those cases. During the cases, I discussed a case of ACS withDr. Moo who was admitted to the hospital on the previous night. Because I often had to explain my strategies for cases, I wasvery much concentrated to every case which was one of the good aspects of this training course.In Fu-wai hospital, PCI cases increased from 7000 to 10000 this year. Same as in China, a number of PCI cases dramatically increased. Also manyscientific meetings have been held these days, soI felt Chinese doctors are highly motivated. Many co-medical staff in the catheter laboratory worked efficiently to help the doctors.
I thank Dr.Yang, Dr.Qiao, Dr.Moo, and co-medical staff for their kindness. In addition, I’m glad to see staff of TMT and Terumo. I had a great opportunity to experience unusual environment at TMT program.

Takeshi Ijichi
Tokai University School of Medicine, Dept. of Cardiology
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Impression of the trainee:

Short-term training at Coronary Heart Disease Center, Cardiovascular Institute and Fuwai Hospital in Beijing.
I experienced 3 days short-term hospital training of TMT program in the Coronary Heart Center, Department of Cardiology, Cardiovascular institute and Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College in Beijing, China from 27th to 29th October, 2010.
The Coronary Heart Center in Fuwai Hospital has 11 angiography rooms for coronary catheter intervention, and performing PCI for 7000 cases a year. (The highest number of case is 70 per day) I was fortunately given the opportunity to have training in worldwide famous, high volume center.
Concrete content of training are taking part in PCI procedure with professor, assistant professor and fellows of PCI course and learning, discussing about the cases. I experienced about average 15 cases per day during the training course (including emergent ACS cases). PCI cases were always conducted in other rooms, and it was possible to enter and have discussion with.
In China, the number of PCI had increased explosively now. Many conferences are held and a lot of doctors are participating. There were 4 or 5 fellows in the team of PCI course and the case was done one after another alternatively. The Cardiovascular institute and Fuwai Hospital especially Dr. Yang, Dr. Xu, Dr. Qiao, Dr. Wo, Dr. Moo and the chief nurse, also Dr. Muramatsu the president of TMT of PCI Intitute, everyone in the hospital were very gentle and kind, I could learn many things, it was a great experience for me which may last forever in my live, “fei chang gan xie!”.

Yasunari Sakamoto
Saiseikai Yokohama-City Eastern Hospital
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Reports From Asan Medical Center in Korea
Four days visiting to Asan Medical Center

I participated in ACT program at Asan Medical Center in Korea during Feb 13, 2017’to 16. I discussed the strategy and indication of vascular intervention based on the result of the large-scale studies. In addition, I observed intervention therapy for complex lesion livetransmission from cathe. labo. I had a great time to learn many things because of many staffs who had kindness and eagerness. I really appreciated to Prof Park and any other stuff.

Dr. Takayuki Yabe from Japan
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