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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 1/2018

01-01-2018 | Current Topics Review Article

Current status of cardiovascular surgery in Japan, 2013 and 2014: A report based on the Japan Cardiovascular Surgery Database 3. Coronary artery bypass surgery

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

Published in: General Thoracic and Cardiovascular Surgery | Issue 1/2018

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Abstract

Objective and methods

Data on isolated coronary artery bypass grafting (CABG) performed in 2013 and 2014, 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).

Results

Isolated CABG was performed off-pump in 54.7% of cases, and graft material for the LAD was left internal thoracic artery in 74.3% and right internal thoracic artery in 15.6%. Operative mortality was 2.0% in elective cases, 8.2% in emergency cases, and 3.0% overall. In elective cases, operative mortality was 1.1% for off-pump CABG compared with 3.0% for on-pump CABG.

Conclusions

Clinical results of our isolated CABG were reasonable and acceptable.
Literature
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Jacobs JP, Shahian DM, Prager RL, Edwards FH, McDonald D, Han JM, et al. The Society of Thoracic Surgeons National Database 2016 annual report. Ann Thorac Surg. 2016;102(6):1790–7.CrossRefPubMed
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Beckmann A, Funkat AK, Lewandowski J, Frie M, Ernst M, Hekmat K, et al. Cardiac surgery in Germany during 2014: a report on behalf of the German Society for Thoracic and Cardiovascular Surgery. Thorac Cardiovasc Surg. 2015;63(4):258–69.CrossRefPubMed
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Dhurandhar V, Saxena A, Parikh R, et al. Comparison of the safety and efficacy of on-pump (ONCAB) versus off-pump (OPCAB) coronary artery bypass graft surgery in the elderly: a review of the ANZSCTS Database. Heart Lung Circ. 2015;24:1225–32.CrossRefPubMed
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Committee for Scientific Affairs, The Japanese Association for Thoracic Surgery, Masuda M, Okumura M, Doki Y, Endo S, Hirata Y, et al. Thoracic and cardiovascular surgery in Japan during 2014: annual report by The Japanese Association for Thoracic Surgery. Gen Thorac Cardiovasc Surg. 2016;64(11):665–97.
Metadata
Title
Current status of cardiovascular surgery in Japan, 2013 and 2014: A report based on the Japan Cardiovascular Surgery Database 3. Coronary artery bypass surgery
Authors
Aya Saito
Norimichi Hirahara
Noboru Motomura
Hiroaki Miyata
Shinichi Takamoto
Publication date
01-01-2018
Publisher
Springer Japan
Published in
General Thoracic and Cardiovascular Surgery / Issue 1/2018
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-017-0848-z

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