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Coronary Artery Surgery Results 2004

Coronary Artery Surgery Results 2004. The Japanese Association for Coronary Artery Surgery Yukiyasu Sezai. CABG in 2004. Total CABG : 13,633 Isolated CABG : 11,939 Initial elective CABG : 10,116 Off Pump CABG : 6,276 On Pump CABG : 3,840. Off pump CABG vs on pump CABG.

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Coronary Artery Surgery Results 2004

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  1. Coronary Artery Surgery Results 2004 The Japanese Association for Coronary Artery Surgery Yukiyasu Sezai

  2. CABG in 2004 Total CABG : 13,633 Isolated CABG : 11,939 Initial elective CABG : 10,116 Off Pump CABG : 6,276 On Pump CABG : 3,840

  3. Off pump CABG vs on pump CABG

  4. On pump (arrest) 3,392 (33.5%) On pump (beating) 448 ( 4.4%) Off pump (total) 6,276 (62.0%) Off pump (complete) 6,039 (59.6%) Conversion (off → on) 237 ( 2.3%) 3.8% Total 10,116 Initial elective CABG On pump (arrest) 3,392 (33.5%) On pump (beating) 448 ( 4.4%) Off pump 6,276 (62.0%) Total 10,116

  5. On pump (arrest) 0.97% On pump (beating) 2.46% Off pump (total) 0.97% Off pump (complete) 0.88% Conversion (off → on) 3.38% Total 1.04% Mortality of initial elective CABG On pump (arrest) 0.97% On pump (beating) 2.46% Off pump 0.97% Total 1.04%

  6. Outcome according to number of diseased vessels (10,116 initial elective CABG : mortality 1.04%)

  7. Outcome according to number of diseased vessels (3,392 on pump CABG (arrest): mortality 0.97%)

  8. Outcome according to number of diseased vessels (448 on pump CABG (beating): mortality 2.46%)

  9. Outcome according to number of diseased vessels (6,039 off pump CABG (complete) : mortality 0.88%)

  10. Outcome according to number of diseased vessels (237 conversion CABG : mortality 3.38%)

  11. Arrest 3.10 Beating 2.86 Conversion 2.74 Off pump 2.64 Number of grafts in initial elective CABG (mean number of grafts : 2.81)

  12. Off pump CABG vs on-pump CABG

  13. CABG according to number of diseased vessels

  14. Off pump (total) On pump (cardiac arrest) Operative mortality by number of diseased vessels (Off pump CABG vs On-pump CABG)

  15. Outcome according to number of diseased vessels (237 conversion CABG : mortality 3.38%)

  16. Conversion (from off pump to on pump)

  17. RCA LAD LCX On pump CABG vs off pump CABG

  18. Conversion RCA(+) 3,484 4.3% LAD(+) 6,134 3.5% LCX(+) 3,966 4.1% 3.1% RCA(-) 2,792 14.8% LAD(-) 142 LCX(-) 2,310 3.2% 0 50 100 Conversion (from off pump to on pump)

  19. (1.58% last year) (0.88% last year) Age distribution according to gender (initial elective CABG)

  20. Mortality according to age (initial elective CABG)

  21. Changes in mortality of CABG

  22. Outcome according to number of diseased vessels (1,823 CABG except initial elective CABG : 7.02%)

  23. Outcome according to the operation method (1,823 CABG except initial elective CABG : 7.02%) Outcome according to the operation method (1,823 CABG except initial elective CABG : 7.02%)

  24. Others SVG LITA Radial a RITA RGEA Graft selection LITA 10,971 (37.5%) RITA 4,248 (14.5%) RGEA 2,676 ( 9.1%) Radial a 4316 (14.7%) SVG 7,036 (24.0%) Others 31 ( 0.1%)

  25. Off pump CABG 154 On pump (arrest) 107 On pump (beating) 6 Case Patient: 70 y.o. male Diagnosis: Effort angina C A G: RCA( 1) 90%stenosis LAD( 6) 90%stenosis LCX(11) 90%stenosis LVEF: 0.7 CABG(3) RCA(4PD), LAD(7), LCX(12)

  26. RCA (4PD) LAD (7) OM(12) RGEA RITA LITA 30 RGEA LITA RITA 20 RGEA LITA Radial 26 Radial RITA LITA 14 Off pump CABG (154 institutions) RCA (4PD) LAD (7) OM(12) LITA 58 Radial 50 RITA 34 SVG 7 RGEA 5 LITA 95 RITA 57 RGEA 83 SVG 39 Radial 23 RITA 8 LITA 1

  27. RCA (4PD) LAD (7) OM(12) SVG LITA SVG 27 SVG LITA Radial 19 SVG LITA RITA 10 Radial RITA LITA 6 On pump (arrest) CABG (107 institutions) RCA (4PD) LAD (7) OM(12) SVG 37 Radial 34 RITA 19 LITA 17 LITA 91 RITA 16 SVG 60 RGEA 25 Radial 16 RITA 6

  28. On pump (beating) CABG (6 institutions) RCA (4PD) LAD (7) OM(12) Radial 3 SVG 2 RITA 1 LITA 6 SVG 3 RGEA 2 Radial 1

  29. Death 45 Mortality 24.7% Survival 137 Changes in mortality for ventricular septal perforation

  30. CABG(-) Mortality 23.4% Total (death) 71(19) 111(26) CABG(+) Mortality 26.8% Ventricular septal perforation Mortality 24.7%

  31. Patch closure (Dagget) Mortality 17.4% Total (death) 23(4) 105(26) Infarction exclusion (Komeda-David) Mortality 24.8% Operative method for anterior VSP Mortality 23.4%

  32. Patch closure (Dagget) Mortality 16.7% Total (death) 24(10) 30(5) Infarction exclusion (Komeda-David) Mortality 41.7% Operative method for posterior VSP Mortality 27.8%

  33. Survival 51 Death 10 Mortality 16.4% Changes in mortality for LV papillary muscle rupture

  34. CABG(-) Mortality 28.6% Total (death) 14(4) 47(6) CABG(+) Mortality 12.8% Left ventricular papillary muscle rupture Mortality 16.4%

  35. Death 30 Mortality 31.3% Survival 66 Changes in mortality for cardiac rupture

  36. CABG(+) Mortality 29.4% 17(5) 79(25) CABG(-) Mortality 31.7% Total (death) Cardiac rupture Mortality 31.3%

  37. Ischemic MR LV aneurysm Left ventricular aneurysm & ischemic MR 184(14) 202(4) 77(8)

  38. Death 12 Mortality 4.3% Survival 267 Changes in mortality for left ventricular aneurysm

  39. CABG(-) Mortality 4.9% Total (death) 41(2) 161(2) CABG(+) Mortality 1.2% Left ventricular aneurysm Mortality 2.0%

  40. CABG(-) Mortality 0.0% Total (death) 2(0) 182(14) CABG(+) Mortality 7.7% Ischemic mitral regurgitation Mortality 7.6%

  41. CABG(-) Mortality 10.0% Total (death) 10(1) 67(7) CABG(+) Mortality 10.5% LV aneurysm & ischemic MR Mortality 10.4%

  42. ご協力有り難うございました

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