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 transcript:

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

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

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

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

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

Coronary Artery Surgery 2003 Age distribution (total number)

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

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

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

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

Coronary Artery Surgery 2003 Changes in mortality of CABG

Coronary Artery Surgery 2003 Off-pump CABG

Coronary Artery Surgery The number of OPCAB in respective institutions (2003) The number of OPCAB (case)

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

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

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

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 malevs female0.88 vs <70yovs ≥70yo0.79 vs off pumpvs on pump0.81 vs

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

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

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

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

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

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

Coronary Artery Surgery 2003