Division of Cardiovascular Surgery, Department of General Surgical Science, Graduate School of Medicine, Gunma University, Maebashi, Japan.
Department of Healthcare Quality Assessment, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Asian Cardiovasc Thorac Ann. 2021 May;29(4):300-309. doi: 10.1177/0218492320981459. Epub 2021 Jan 10.
We aimed to present data regarding the current status and trends of valvular heart surgeries in Japan from the Japan Cardiovascular Surgery Database for the 2017-2018.
We extracted data on cardiac valve surgeries performed in 2017 and 2018 from the Japan Cardiovascular Surgery Database. We determined the trend in the number of aortic valve replacement procedures from 2013 to 2018. The operative mortality rates were calculated for representative valve procedures stratified by age group. Data regarding minimally invasive procedures and transcatheter aortic valve replacement in the Japan Cardiovascular Surgery Database are also presented.
In conjunction with the dramatic increase in the number of transcatheter aortic valve replacements in 2017 and 2018, surgical aortic valve replacement also increased from 26,054 to 28,202. The operative mortality rate in first-time valve procedures was 1.8% in isolated aortic valve replacement, 0.9% in isolated mitral valve repair, and 8.2% and 4.6% in mitral valve replacement with biological prostheses and with mechanical prostheses, respectively. Regarding minimally invasive procedures, 30.8% of first-time isolated mitral valve plasty procedures were performed by a right thoracotomy. Although patients who underwent surgery by a right thoracotomy had better clinical outcomes, it was also apparent that patients who underwent surgery by a right thoracotomy had lower operative risk profiles. The overall mortality rates after transcatheter aortic valve replacement and surgical aortic valve replacement were 1.5% and 1.8%, respectively.
We have reported benchmark data on heart valve surgery in 2017 and 2018 from the Japan Cardiovascular Surgery Database.
本研究旨在从日本心血管外科学会数据库中呈现 2017-2018 年日本心脏瓣膜手术的现状和趋势数据。
我们从日本心血管外科学会数据库中提取了 2017 年和 2018 年心脏瓣膜手术的数据。我们确定了 2013 年至 2018 年主动脉瓣置换术数量的趋势。按年龄组分层，计算了有代表性的瓣膜手术的手术死亡率。还介绍了日本心血管外科学会数据库中微创和经导管主动脉瓣置换的数据。
随着 2017 年和 2018 年经导管主动脉瓣置换数量的急剧增加，外科主动脉瓣置换也从 26054 例增加到 28202 例。首次瓣膜手术的手术死亡率在单纯主动脉瓣置换中为 1.8%，单纯二尖瓣修复中为 0.9%，二尖瓣置换中使用生物假体为 8.2%，使用机械假体为 4.6%。关于微创手术，首次单纯二尖瓣成形术的 30.8%通过右开胸术进行。尽管通过右开胸术进行手术的患者具有更好的临床结局，但也明显看出通过右开胸术进行手术的患者具有较低的手术风险特征。经导管主动脉瓣置换和外科主动脉瓣置换后的总死亡率分别为 1.5%和 1.8%。
我们从日本心血管外科学会数据库报告了 2017 年和 2018 年心脏瓣膜手术的基准数据。
