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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
Coronary Artery Surgery Results2003
Coronary Artery Surgery Results2003
The Japanese Association for Coronary Artery Surgery
Yukiyasu Sezai
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
00 2020 100%100%4040 6060 8080
Initial SurgeryInitial Surgery Re-do SurgeryRe-do Surgeryelective1.20%elective1.20%
emergency7.36%emergency7.36%
elective3.82%elective3.82%emergency13.85%emergency13.85%
1010
MortalityMortality%%
00
Outcome according to urgency and times of surgery(Isolated CABG in 2003 : 14,947 cases)
Operative mortality : 2.14%
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
%%
-'80-'80 '81-'85'81-'85 '86-'90'86-'90 '91-'95'91-'9500
2020
4040
6060
8080
100100
'96-'00'96-'00singlesingle
doubledouble
tripletriple
≥quad-ruple
≥quad-ruple
'01'01 '02'02 '03'03
Changes in number of grafts in CABG(mean number of grafts : 2.72)
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
00 2020 100%100%4040 6060 8080
22
MortalityMortality
%%
00
11 1VD(0.52%)
1VD(0.52%)
2VD(0.82%)
2VD(0.82%)
3VD(1.32%)
3VD(1.32%)
LMT+1VD(1.43%)
LMT+1VD(1.43%)
LMT+2VD(1.22%)
LMT+2VD(1.22%)
LMT+3VD(1.90%)
LMT+3VD(1.90%)
LMT only(0.89%)
LMT only(0.89%)
Outcome according to number of diseased vessels(12,505 initial elective surgery : 1.20%)
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
00 2020 100%100%4040 6060 8080
1010
MortalityMortality
%%
00
55
1VD(6.43%)
1VD(6.43%) 2VD
(7.64%)
2VD(7.64%)
3VD(7.31%)
3VD(7.31%)
LMT+1VD(7.87%)
LMT+1VD(7.87%) LMT+2VD
(7.66%)
LMT+2VD(7.66%) LMT+3VD
(7.28%)
LMT+3VD(7.28%)
LMT only(7.14%)
LMT only(7.14%)
Outcome according to number of diseased vessels(1,984 initial emergency surgery : 7.36%)
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
4040 6060 80805050 7070 yearsyears
%%
2020
1010
3030
4040
00
'97 - '00'97 - '00
'01'01
'02'02
'03'03
3030
Age distribution (total number)
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
Age distribution according to gender (total number)
male : 75.6% female : 24.4%
50
60
70
80
40
0 1,0001,0002,0003,000 04,000
mortality : 1.72% motality : 2.79%
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
male : 76.4% female : 23.6%
50
60
70
80
40
0 1,0001,0002,0003,000 04,000
mortality : 0.88% motality : 1.58%
Age distribution according to gender (initial elective surgery)
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
'97 - '00'97 - '00
'01 '01
'02 '02
55
MortalityMortality
00
%%
4040 6060 80805050 7070 yearsyears3030
'03 '03
Mortality according to age (initial elective surgery)
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
'97 - '00'97 - '00
'01 '01
'02 '02
55
MortalityMortality
00
%%
4040 6060 80805050 7070 yearsyears3030
'03 '03
Mortality according to age (total number)
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
'96'96 '98'98 '00'00 '01'0100
33
MortalityMortality%%
initial elective CABGinitial elective CABG
total CABGtotal CABG
'02'02'97'97 '99'99
11
22
44
'03'03
Changes in mortality of CABG
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
'96'96
'97'97
'98'98
'99'99
'00'00
'01'01
'02'02
'03'03
50%50%Off-pumpOff-pump On-pumpOn-pump
Off-pump CABG
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
00
01-20
21-40
41-60
61-80
81-100
101-
The number of OPCAB in respective institutions (2003)
159159159159
19191919
66666666
27272727
19191919
3333 9999The number of OPCAB
(case)
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
1VD1VD
2VD2VD
3VD3VD
LMT onlyLMT only
LMT+1VDLMT+1VD
LMT+2VDLMT+2VD
LMT+3VDLMT+3VD
50%50%Off-pumpOff-pump On-pumpOn-pump
TotalTotal
Off-pump CABG according to number of diseased vessels(7,030 initial elective OPCAB)
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
singlesingle
doubledouble
tripletriple
≥quadruple≥quadruple
00 1,0001,000500500 2,0002,0001,5001,500
The number of grafts (initial elective surgery)
meanmean off pump : 2.55off pump : 2.55 on pump : 3.02on pump : 3.02
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
1VD1VD 2VD2VD LMTonly
LMTonly
3VD3VD LMT+ 1VDLMT+ 1VD
LMT+ 2VDLMT+ 2VD
LMT+ 3VDLMT+ 3VD
33
00
%%MortalityMortality
22
11
TotalTotal
Operative mortality by number of diseased vessels(initial elective surgery)
Off pump (0.81%)
On pump (1.70%)
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
Relationship between (pre)operative factors and mortality(initial elective surgery)
(Pre)operative factors mortality(%) p
LMT(-) vs LMT(+) 1.08 vs 1.54 0.037
male vs female 0.88 vs 1.58 0.0012
<70yovs ≥70yo 0.79 vs 1.37 0.0014
off pump vs on pump 0.81 vs 1.70 0.000006
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
-'80-'80 '81-'85'81-'85 '86-'90'86-'90 '91-'95'91-'9500
55
1010
1515
2020%%
'96-'00'96-'00
MortalityMortality
'03'03
Survival 239Survival 239Survival 239Survival 239
Death 9Death 9
Changes in mortality for left ventricular aneurysm
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
Changes in mortality for ventricular septal perforation
-'80-'80 '81-'85'81-'85 '86-'90'86-'90 '91-'95'91-'9500
1010
2020
%%
'96-'00'96-'00
MortalityMortality
3030
4040
5050
'03'03
Survival 128Survival 128Survival 128Survival 128
Death 35Death 35
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
-'80-'80 '81-'85'81-'85 '86-'90'86-'90 '91-'95'91-'9500
1010
2020
%%
'96-'00'96-'00
MortalityMortality
3030
4040
5050
'03'03
Changes in mortality for left ventricular papillary muscle rupture
Survival 34Survival 34Survival 34Survival 34
Death 12Death 12
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
Changes in mortality for cardiac rupture
-'80-'80 '81-'85'81-'85 '86-'90'86-'90 '91-'95'91-'9500
2020
4040
%%
'96-'00'96-'00
MortalityMortality
6060
8080
100100
'03'03
Survival 73Survival 73Survival 73Survival 73
Death 35Death 35
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
Total CABG : 14,947
Isolated CABG : 12,505
Off Pump CABG : 7,853
Off Pump : On Pump = 52.5 : 47.5
Conclusions 1
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003
Mortality of initial elective surgery : 1.20%
Off pump CABG(56.2%)mortality:0.57%
On pump CABG (43.8%)mortality: 1.70%
Conclusions 2
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Coronary Artery Surgery 2003Coronary Artery Surgery 2003