Coronary Revascularization in Japan : Part4: Coronary Artery Bypass Surgery During 1997
スポンサーリンク
概要
- 論文の詳細を見る
The Japanese Coronary Intervention Study(JCIS)has revealed that 17, 667 coronary artery bypass grafting(CABG)procedures were performed at 477 facilities during 1997, and this report describes the demographic and clinical characteristics, treatment strategies, and the in-hospital and the long-term outcomes in patients treated with CABG in Japan. A total of l, 862 CABG cases, which corresponded to approximately l0% of the overall CABGs, were selected at random. The mean age was 65 years, and 76% of cases were males. The most prevalent clinical diagnosis was stable angina(54%), followed by myocardial infarction(MI)excluding acute myocardial infarction(AMI)(48%), unstable angina(25%), and AMI(5%). A large proportion of cases had multivessel coronary artery disease: 3-vessel disease(56%)and left main trunk disease(29%). The CABG procedures were emergency in 16%, and 93% of anastomotic sites were patent. In-hospital mortality and MI occurred in 5.1% and 3.5% of cases, respectively. The in-hospital mortality rate for emergency CABG was 12.0%, whereas that for elective CABG was 3.8%. The overall mortality rate during the follow-up period of 2.3 years was 10%. During the follow-up period, MI and angina occurred in 2% and 8% of cases, respectively. Percutaneous coronary intervention(PCI)was performed for 8%, and repeat CABG for 0.8%. In Japan, CABG was performed in patients with multivessel coronary artery disease with extensive risk factors. Angiographically determined success was achieved in 93% and the need for subsequent revascularization was relatively low.
- 社団法人日本循環器学会の論文
- 2001-12-20
著者
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Tsutsui Hiroyuki
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Hokkaido University
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Takeshita Akira
Department of Cardiology, Saiseikai Futsukaichi Hospital
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KONO Suminori
Department of Preventive Medicine, Graduate School of Medical Sciences, Kyushu University
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Kono Suminori
Departments Of Preventive Medicine Graduate School Of Medical Sciences Kyushu University:japanese Co
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Tsuchihashi Miyuki
Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine
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Koike George
The Department Of Cardiovascular Medicine Department Of Medicine And Bioregulatory Science
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Koike George
Department Of Cardiovascular Medicine Kyushu University Graduate School Of Medical Sciences
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Tsutsui Hiroyuki
Department Of Cardiovascular Medicine
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Koike George
Department Of Cardiovascular Medicine Graduate School Of Medical Sciences Kyushu University
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SHIHARA Miwako
Department of Cardiovascular Medicine, Cardiovascular Science, Graduate School of Medical Sciences,
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Shihara Miwako
Departments Of Cardiovascular Medicine Graduate School Of Medical Sciences Kyushu University:japanes
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Shihara Miwako
Department Of Cardiovascular Medicine Cardiovascular Science Graduate School Of Medical Sciences Kyu
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Shigematsu Hideaki
Department of Cardiovascular Medicine
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Yamamoto Shimako
Department of Cardiovascular Medicine
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Yamamoto Shimako
Departments Of Cardiovascular Medicine Graduate School Of Medical Sciences Kyushu University
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Shigematsu Hideaki
Department Of Cardiovascular Medicine Kyushu University Graduate School Of Medical Sciences The Japa
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Takeshita Akira
Department Of Cardiology Faculty Of Medicine Kyushu University
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Makaya Miyuki
Department Of Cardiovasucular Medicine Graduate School Of Medical Sciences Kyushu University
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Kono Suminori
Department Of Preventive Medicine Facculty Of Medical Sciences Kyushu University
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Makaya Miyuki
International Medical Center Of Japan
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Kono Suminori
Department Of Medicine And Bioregulatory Science Graduate School Of Medical Sciences Kyushu Universi
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Tsuchihashi Makaya
Department Of Clinical Research And Informatics Research Institute International Medical Center Of J
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Tsutsui Hiroyuki
Departments Of Cardiovascular Medicine Graduate School Of Medical Sciences Kyushu University:japanese Coronary Intervention Study (jcis) Group
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TSUTSUI Hiroyuki
Department of Cardiology, Iizuka Hospital
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