Current Status of Cardiovascular Surgery in Japan : Analysis of Data from Japan Cardiovascular Surgery Database in 2015, 2016

Tomonobu Abe; Kiyoharu Nakano; Norimichi Hirahara; Noboru Motomura; Hiroaki Miyata; Shinichi Takamoto

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Current Status of Cardiovascular Surgery in Japan : Analysis of Data from Japan Cardiovascular Surgery Database in 2015, 2016

VernacularTitle:本邦における心臓血管外科手術の現状：2015年，2016年の日本心臓血管外科手術データベースの検討
Author: Tomonobu ABE ¹ ; Kiyoharu NAKANO ² ; Norimichi HIRAHARA ¹ ; Noboru MOTOMURA ³ ; Hiroaki MIYATA ¹ ; Shinichi TAKAMOTO ⁴
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1. The Japan Cardiovascular Surgery Database (JCVSD) , the Japanese Society for Cardiovascular Surgery
2. Division of Cardiovascular Surgery, Department of General Surgical Science, Graduate School of Medicine, Gunma University
3. Harajuku Rehabilitation Hospital
4. Department of Health Policy and Management, School of Medicine, Keio University
Keywords: prosthetic valve selection; mechanical valve; bioprosthesis; hemodialysis; surgery
From:Japanese Journal of Cardiovascular Surgery 2019;48(1):11-17
CountryJapan
Language:Japanese
Abstract: Objectives : Data of valvular heart surgeries from the Japan Cardiovascular Surgery Database in 2015 and 2016 were analyzed to demonstrate the associated mortality and morbidity rates and choice of surgical procedures. Methods : We used the Japan Cardiovascular Surgery Database to extract data of cardiac valve replacement procedures performed in 2015 and 2016. The cases were further evaluated depending upon the type of procedure, and prosthesis used at each site. The rate of bio-prosthesis usage was derived for each valve position and age groups. The rates of operative mortality and morbidity were calculated for each valve position and type of procedures. Results : In total, 26,054 aortic valve replacements were performed in 2015 and 2016, showing a slight increase in number since the last report(2013-2014). A total of 3,305 transcatheter aortic valve replacements, 5,652 mitral valve replacements, and 12,024 mitral valve repair procedures were performed. The rate of bio-prosthesis usage in aortic valve replacement was 96.5%, 92.7% and 63.5% for patients in their 80s, 70s and 60s, respectively, demonstrating an increase in usage since 2013-2014. Mechanical valves were preferred in patients on chronic hemodialysis. The mortality rates of aortic valve replacement, mitral valve replacement, mitral valve repair, and tricuspid valve replacement procedures were 4.1%, 7.1%, 2.2%, and 10.5%, respectively. Conclusion : We evaluated recent trends in valvular heart surgery in Japan with respect to the type of procedure and prosthesis preferred and the postoperative outcomes. We found that bio-prosthesis usage was the most common.