coronary artery surgery results 2003
DESCRIPTION
Coronary Artery Surgery Results 2003. The Japanese Association for Coronary Artery Surgery Yukiyasu Sezai. Outcome according to urgency and times of surgery (Isolated CABG in 2003 : 14,947 cases) Operative mortality : 2.14%. Changes in number of grafts in CABG - PowerPoint PPT PresentationTRANSCRIPT
Coronary Artery Surgery 2003Coronary Artery Surgery 2003
Coronary Artery Surgery Results2003
Coronary Artery Surgery Results2003
The Japanese Association for Coronary Artery Surgery
Yukiyasu Sezai
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%
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)
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%)
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%)
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)
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%
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)
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)
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)
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
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
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)
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)
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
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%)
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
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
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
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
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
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
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
Coronary Artery Surgery 2003Coronary Artery Surgery 2003