Saito Aya, Hirahara Norimichi, Motomura Noboru, Miyata Hiroaki, Takamoto Shinichi
Japan Cardiovascular Surgery Database (JCVSD), C/O The Japan Society for Cardiovascular Surgery, 2-26-9 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
Department of Cardiovascular Surgery, Toho University Sakura Medical Center, Tokyo, Japan.
Gen Thorac Cardiovasc Surg. 2018 Jan;66(1):8-12. doi: 10.1007/s11748-017-0848-z. Epub 2017 Nov 13.
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).
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.
Clinical results of our isolated CABG were reasonable and acceptable.
回顾2013年和2014年在日本心血管外科数据库中登记的单纯冠状动脉旁路移植术（CABG）的数据，以了解术前特征、术后结果以及左前降支（LAD）移植材料的选择。
54.7%的病例在非体外循环下进行单纯CABG，LAD的移植材料中74.3%为左胸廓内动脉，15.6%为右胸廓内动脉。择期手术死亡率为2.0%，急诊手术死亡率为8.2%，总体死亡率为3.0%。在择期病例中，非体外循环CABG的手术死亡率为1.1%，而体外循环CABG为3.0%。
我们单纯CABG的临床结果是合理且可接受的。
