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Coronary Artery Surgery 2003 Coronary Artery Surgery Results 2003 Coronary Artery Surgery Results 2003 The Japanese Association for Coronary Artery Surgery.

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Presentation on theme: "Coronary Artery Surgery 2003 Coronary Artery Surgery Results 2003 Coronary Artery Surgery Results 2003 The Japanese Association for Coronary Artery Surgery."— Presentation transcript:

1 Coronary Artery Surgery 2003 Coronary Artery Surgery Results 2003 Coronary Artery Surgery Results 2003 The Japanese Association for Coronary Artery Surgery Yukiyasu Sezai

2 Coronary Artery Surgery 2003 Outcome according to urgency and times of surgery (Isolated CABG in 2003 : 14,947 cases) Operative mortality : 2.14%

3 Coronary Artery Surgery 2003 Changes in number of grafts in CABG (mean number of grafts : 2.72)

4 Coronary Artery Surgery 2003 Outcome according to number of diseased vessels (12,505 initial elective surgery : 1.20%)

5 Coronary Artery Surgery 2003 Outcome according to number of diseased vessels (1,984 initial emergency surgery : 7.36%)

6 Coronary Artery Surgery 2003 Age distribution (total number)

7 Coronary Artery Surgery 2003 Age distribution according to gender (total number)

8 Coronary Artery Surgery 2003 Age distribution according to gender (initial elective surgery)

9 Coronary Artery Surgery 2003 Mortality according to age (initial elective surgery)

10 Coronary Artery Surgery 2003 Mortality according to age (total number)

11 Coronary Artery Surgery 2003 Changes in mortality of CABG

12 Coronary Artery Surgery 2003 Off-pump CABG

13 Coronary Artery Surgery 2003 0 01-20 21-40 41-60 61-80 81-100 101- The number of OPCAB in respective institutions (2003) 159159 1919 6666 2727 1919 33 99 The number of OPCAB (case)

14 Coronary Artery Surgery 2003 Off-pump CABG according to number of diseased vessels (7,030 initial elective OPCAB)

15 Coronary Artery Surgery 2003 The number of grafts (initial elective surgery)

16 Coronary Artery Surgery 2003 Operative mortality by number of diseased vessels (initial elective surgery) Off pump (0.81%) On pump (1.70%)

17 Coronary 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 malevs female0.88 vs 1.58 0.0012 <70yovs ≥70yo0.79 vs 1.37 0.0014 off pumpvs on pump0.81 vs 1.70 0.000006

18 Coronary Artery Surgery 2003 Survival 239 Death 9 Changes in mortality for left ventricular aneurysm

19 Coronary Artery Surgery 2003 Changes in mortality for ventricular septal perforation Survival 128 Death 35

20 Coronary Artery Surgery 2003 Changes in mortality for left ventricular papillary muscle rupture Survival 34 Death 12

21 Coronary Artery Surgery 2003 Changes in mortality for cardiac rupture Survival 73 Death 35

22 Coronary 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

23 Coronary 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

24 Coronary Artery Surgery 2003


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