Coronary Artery Bypass Surgery in Brazil: Analysis of the National Reality Through the BYPASS Registry
| Autor: | Katharina Kelly de Oliveira Gama Silva, Stephanie Steremberg Pires D'Azevedo, Lisandro Gonçalves Azeredo, Renata Andrea Barberio Bogdan, José Amalth do Espírito Santo, Fernando Antibas Atik, Marcelo Pandolfo, Odilon Silva Henrique Junior, Valquiria Pelisser Campagnucci, Renato A. K. Kalil, Renato Albuquerque Heluy, Diana Nakasako, Nelson Américo Hossne Junior, Alexandre Biasi Cavalcanti, Guilherme Henrique Biachi Coelho, Jonas Gonçalves dos Santos, Renato Max Faria, Guido Caputi, Luiz Carlos Bettiati Jr, Sérgio Nunes Pereira, Alexandre Cabral Zilli, Enio Buffolo, Otavio Berwanger, Walter J. Gomes, Anilton Bezerra Rodrigues Junior, Marcio Pimentel Fernandes, Elson Borges Lima, Vinicius José da Silva Nina, Renato Hideo Nakagawa Santos, Rodrigo Pereira Paez, Marcelo Matos Cascudo, José Teles de Mendonça, Roberta Senger, José Dantas de Lima Júnior, Roberto Vito Ardito, Clarissa Garcia Rodrigues, Juliana Aparecida Borges de Oliveira, Marcelo José Ferreira Soares, Fabio Biscegli Jatene, Fernando Augusto Marinho dos Santos Figueira |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty lcsh:Diseases of the circulatory (Cardiovascular) system Cross-sectional study lcsh:Surgery 030204 cardiovascular system & hematology law.invention 03 medical and health sciences Coronary artery bypass surgery 0302 clinical medicine law medicine.artery medicine Cardiopulmonary bypass Myocardial Revascularization Humans Myocardial infarction Hospital Mortality Registries Radial artery Cardiac Surgical Procedures Coronary Artery Bypass Intraoperative Complications Letter to the Editor Aged Answer Ejection fraction business.industry Incidence (epidemiology) Database Cardiovascular Surgical Procedures General Medicine lcsh:RD1-811 Middle Aged medicine.disease Coronary Artery Bypass Grafts Surgery medicine.anatomical_structure Cross-Sectional Studies Treatment Outcome lcsh:RC666-701 Female Cardiology and Cardiovascular Medicine business Brazil Artery |
| Zdroj: | Brazilian Journal of Cardiovascular Surgery Brazilian Journal of Cardiovascular Surgery, Vol 34, Iss 2, Pp 142-148 Brazilian Journal of Cardiovascular Surgery, Volume: 34, Issue: 2, Pages: 142-148, Published: APR 2019 Brazilian Journal of Cardiovascular Surgery v.34 n.2 2019 Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV |
| ISSN: | 1678-9741 |
| Popis: | Introduction: Coronary artery bypass grafting (CABG) is the most frequently performed heart surgery in Brazil. Recent international guidelines recommend that national societies establish a database on the practice and results of CABG. In anticipation of the recommendation, the BYPASS Registry was introduced in 2015. Objective: To analyze the profile, risk factors and outcomes of patients undergoing CABG in Brazil, as well as to examine the predominant surgical strategy, based on the data included in the BYPASS Registry. Methods: A cross-sectional study of 2292 patients undergoing CABG surgery and cataloged in the BYPASS Registry up to November 2018. Demographic data, clinical presentation, operative variables, and postoperative hospital outcomes were analyzed. Results: Patients referred to CABG in Brazil are predominantly male (71%), with prior myocardial infarction in 41.1% of cases, diabetes in 42.5%, and ejection fraction lower than 40% in 9.7%. The Heart Team indicated surgery in 32.9% of the cases. Most of the patients underwent cardiopulmonary bypass (87%), and cardioplegia was the strategy of myocardial protection chosen in 95.2% of the cases. The left internal thoracic artery was used as a graft in 91% of the cases; the right internal thoracic artery, in 5.6%; and the radial artery in 1.1%. The saphenous vein graft was used in 84.1% of the patients, being the only graft employed in 7.7% of the patients. The median number of coronary vessels treated was 3. Operative mortality was 2.8%, and the incidence of cerebrovascular accident was 1.2%. Conclusion: CABG data in Brazil provided by the BYPASS Registry analysis are representative of our national reality and practice. This database constitutes an important reference for indications and comparisons of therapeutic procedures, as well as to propose subsequent models to improve patient safety and the quality of surgical practice in the country. |
| Databáze: | OpenAIRE |
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