Current Status of cardiovascular surgery in Japan, 2015 and 2016: a report based on the Japan Cardiovascular Surgery Database. 2—Isolated coronary artery bypass grafting surgery

Aya Saito, Norimichi Hirahara, Noboru Motomura, Hiroaki Miyata, Shinichi Takamoto

Research output: Contribution to journalReview article

Abstract

Data on isolated coronary artery bypass grafting (CABG) performed in 2015 and 2016, and registered in the Japan Cardiovascular Surgery Database were reviewed for preoperative characteristics, postoperative outcomes, and choice of graft material for the left anterior descending artery (LAD). Isolated CABG was performed off-pump in 55.0% (n = 16,173) of all CABG cases (n = 29,392), and graft material for the LAD was positioned at the internal thoracic artery in 72.1% and at the right internal thoracic artery in 17.4% of patients. Operative mortality was 1.7% in elective cases, 8.8% in emergency cases, and 3.0% overall, which was similar to our previous report. In elective cases, operative mortality was 1.1% for off-pump CABG compared with 2.5% for on-pump CABG, and all morbidities except for “readmission < 30 days” were significantly better in OPCAB cases.

Original languageEnglish
JournalGeneral thoracic and cardiovascular surgery
DOIs
Publication statusPublished - 2019 Jan 1

Fingerprint

Coronary Artery Bypass
Japan
Databases
Mammary Arteries
Arteries
Off-Pump Coronary Artery Bypass
Transplants
Mortality
Emergencies
Morbidity

Keywords

  • Coronary artery bypass grafting
  • Graft choice
  • Off-pump coronary artery bypass grafting
  • On-pump coronary artery bypass grafting

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

@article{a47b2687287e4e39a30e8ebcd27e5ef4,
title = "Current Status of cardiovascular surgery in Japan, 2015 and 2016: a report based on the Japan Cardiovascular Surgery Database. 2—Isolated coronary artery bypass grafting surgery",
abstract = "Data on isolated coronary artery bypass grafting (CABG) performed in 2015 and 2016, and registered in the Japan Cardiovascular Surgery Database were reviewed for preoperative characteristics, postoperative outcomes, and choice of graft material for the left anterior descending artery (LAD). Isolated CABG was performed off-pump in 55.0{\%} (n = 16,173) of all CABG cases (n = 29,392), and graft material for the LAD was positioned at the internal thoracic artery in 72.1{\%} and at the right internal thoracic artery in 17.4{\%} of patients. Operative mortality was 1.7{\%} in elective cases, 8.8{\%} in emergency cases, and 3.0{\%} overall, which was similar to our previous report. In elective cases, operative mortality was 1.1{\%} for off-pump CABG compared with 2.5{\%} for on-pump CABG, and all morbidities except for “readmission < 30 days” were significantly better in OPCAB cases.",
keywords = "Coronary artery bypass grafting, Graft choice, Off-pump coronary artery bypass grafting, On-pump coronary artery bypass grafting",
author = "Aya Saito and Norimichi Hirahara and Noboru Motomura and Hiroaki Miyata and Shinichi Takamoto",
year = "2019",
month = "1",
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doi = "10.1007/s11748-019-01162-y",
language = "English",
journal = "General Thoracic and Cardiovascular Surgery",
issn = "1863-6705",
publisher = "Springer Japan",

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T2 - a report based on the Japan Cardiovascular Surgery Database. 2—Isolated coronary artery bypass grafting surgery

AU - Saito, Aya

AU - Hirahara, Norimichi

AU - Motomura, Noboru

AU - Miyata, Hiroaki

AU - Takamoto, Shinichi

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Data on isolated coronary artery bypass grafting (CABG) performed in 2015 and 2016, and registered in the Japan Cardiovascular Surgery Database were reviewed for preoperative characteristics, postoperative outcomes, and choice of graft material for the left anterior descending artery (LAD). Isolated CABG was performed off-pump in 55.0% (n = 16,173) of all CABG cases (n = 29,392), and graft material for the LAD was positioned at the internal thoracic artery in 72.1% and at the right internal thoracic artery in 17.4% of patients. Operative mortality was 1.7% in elective cases, 8.8% in emergency cases, and 3.0% overall, which was similar to our previous report. In elective cases, operative mortality was 1.1% for off-pump CABG compared with 2.5% for on-pump CABG, and all morbidities except for “readmission < 30 days” were significantly better in OPCAB cases.

AB - Data on isolated coronary artery bypass grafting (CABG) performed in 2015 and 2016, and registered in the Japan Cardiovascular Surgery Database were reviewed for preoperative characteristics, postoperative outcomes, and choice of graft material for the left anterior descending artery (LAD). Isolated CABG was performed off-pump in 55.0% (n = 16,173) of all CABG cases (n = 29,392), and graft material for the LAD was positioned at the internal thoracic artery in 72.1% and at the right internal thoracic artery in 17.4% of patients. Operative mortality was 1.7% in elective cases, 8.8% in emergency cases, and 3.0% overall, which was similar to our previous report. In elective cases, operative mortality was 1.1% for off-pump CABG compared with 2.5% for on-pump CABG, and all morbidities except for “readmission < 30 days” were significantly better in OPCAB cases.

KW - Coronary artery bypass grafting

KW - Graft choice

KW - Off-pump coronary artery bypass grafting

KW - On-pump coronary artery bypass grafting

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