Coronary Artery Bypass Surgery in Brazil: Analysis of the National Reality Through the BYPASS Registry
Abstract 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 Regis...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
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| Series: | Brazilian Journal of Cardiovascular Surgery |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000200142&lng=en&tlng=en |
| _version_ | 1828815738832420864 |
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| author | Rodrigo Pereira Paez Nelson Américo Hossne Junior José Amalth do Espírito Santo Otavio Berwanger Renato Hideo Nakagawa Santos Renato Abdala Karam Kalil Fabio B. Jatene Alexandre Biasi Cavalcanti Alexandre Cabral Zilli Luiz Carlos Bettiati Jr Fernando Augusto Marinho dos Santos Figueira Stephanie Steremberg Pires D'Azevedo Marcelo José Ferreira Soares Marcio Pimentel Fernandes Roberto Vito Ardito Renata Andrea Barberio Bogdan Valquíria Pelisser Campagnucci Diana Nakasako Clarissa Garcia Rodrigues Anilton Bezerra Rodrigues Junior Marcelo Matos Cascudo Fernando Antibas Atik Elson Borges Lima Vinicius José da Silva Nina Renato Albuquerque Heluy Lisandro Gonçalves Azeredo Odilon Silva Henrique Junior José Teles de Mendonça Katharina Kelly de Oliveira Gama Silva Marcelo Pandolfo José Dantas de Lima Júnior Renato Max Faria Jonas Gonçalves dos Santos Guilherme Henrique Biachi Coelho Sergio Nunes Pereira Roberta Senger Enio Buffolo Guido Marco Caputi Juliana Aparecida Borges de Oliveira Walter J. Gomes |
| author_facet | Rodrigo Pereira Paez Nelson Américo Hossne Junior José Amalth do Espírito Santo Otavio Berwanger Renato Hideo Nakagawa Santos Renato Abdala Karam Kalil Fabio B. Jatene Alexandre Biasi Cavalcanti Alexandre Cabral Zilli Luiz Carlos Bettiati Jr Fernando Augusto Marinho dos Santos Figueira Stephanie Steremberg Pires D'Azevedo Marcelo José Ferreira Soares Marcio Pimentel Fernandes Roberto Vito Ardito Renata Andrea Barberio Bogdan Valquíria Pelisser Campagnucci Diana Nakasako Clarissa Garcia Rodrigues Anilton Bezerra Rodrigues Junior Marcelo Matos Cascudo Fernando Antibas Atik Elson Borges Lima Vinicius José da Silva Nina Renato Albuquerque Heluy Lisandro Gonçalves Azeredo Odilon Silva Henrique Junior José Teles de Mendonça Katharina Kelly de Oliveira Gama Silva Marcelo Pandolfo José Dantas de Lima Júnior Renato Max Faria Jonas Gonçalves dos Santos Guilherme Henrique Biachi Coelho Sergio Nunes Pereira Roberta Senger Enio Buffolo Guido Marco Caputi Juliana Aparecida Borges de Oliveira Walter J. Gomes |
| author_sort | Rodrigo Pereira Paez |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-12T10:50:22Z |
| format | Article |
| id | doaj.art-2140514bc87d4b66829d6a04e07f092f |
| institution | Directory Open Access Journal |
| issn | 1678-9741 |
| language | English |
| last_indexed | 2024-12-12T10:50:22Z |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-2140514bc87d4b66829d6a04e07f092f2022-12-22T00:26:47ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-974134214214810.21470/1678-9741-2018-0313S0102-76382019000200142Coronary Artery Bypass Surgery in Brazil: Analysis of the National Reality Through the BYPASS RegistryRodrigo Pereira PaezNelson Américo Hossne JuniorJosé Amalth do Espírito SantoOtavio BerwangerRenato Hideo Nakagawa SantosRenato Abdala Karam KalilFabio B. JateneAlexandre Biasi CavalcantiAlexandre Cabral ZilliLuiz Carlos Bettiati JrFernando Augusto Marinho dos Santos FigueiraStephanie Steremberg Pires D'AzevedoMarcelo José Ferreira SoaresMarcio Pimentel FernandesRoberto Vito ArditoRenata Andrea Barberio BogdanValquíria Pelisser CampagnucciDiana NakasakoClarissa Garcia RodriguesAnilton Bezerra Rodrigues JuniorMarcelo Matos CascudoFernando Antibas AtikElson Borges LimaVinicius José da Silva NinaRenato Albuquerque HeluyLisandro Gonçalves AzeredoOdilon Silva Henrique JuniorJosé Teles de MendonçaKatharina Kelly de Oliveira Gama SilvaMarcelo PandolfoJosé Dantas de Lima JúniorRenato Max FariaJonas Gonçalves dos SantosGuilherme Henrique Biachi CoelhoSergio Nunes PereiraRoberta SengerEnio BuffoloGuido Marco CaputiJuliana Aparecida Borges de OliveiraWalter J. GomesAbstract 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000200142&lng=en&tlng=enRegistriesDatabase, Cardiovascular Surgical ProceduresCardiac Surgical ProceduresCoronary Artery Bypass GraftsMyocardial Revascularization |
| spellingShingle | Rodrigo Pereira Paez Nelson Américo Hossne Junior José Amalth do Espírito Santo Otavio Berwanger Renato Hideo Nakagawa Santos Renato Abdala Karam Kalil Fabio B. Jatene Alexandre Biasi Cavalcanti Alexandre Cabral Zilli Luiz Carlos Bettiati Jr Fernando Augusto Marinho dos Santos Figueira Stephanie Steremberg Pires D'Azevedo Marcelo José Ferreira Soares Marcio Pimentel Fernandes Roberto Vito Ardito Renata Andrea Barberio Bogdan Valquíria Pelisser Campagnucci Diana Nakasako Clarissa Garcia Rodrigues Anilton Bezerra Rodrigues Junior Marcelo Matos Cascudo Fernando Antibas Atik Elson Borges Lima Vinicius José da Silva Nina Renato Albuquerque Heluy Lisandro Gonçalves Azeredo Odilon Silva Henrique Junior José Teles de Mendonça Katharina Kelly de Oliveira Gama Silva Marcelo Pandolfo José Dantas de Lima Júnior Renato Max Faria Jonas Gonçalves dos Santos Guilherme Henrique Biachi Coelho Sergio Nunes Pereira Roberta Senger Enio Buffolo Guido Marco Caputi Juliana Aparecida Borges de Oliveira Walter J. Gomes Coronary Artery Bypass Surgery in Brazil: Analysis of the National Reality Through the BYPASS Registry Brazilian Journal of Cardiovascular Surgery Registries Database, Cardiovascular Surgical Procedures Cardiac Surgical Procedures Coronary Artery Bypass Grafts Myocardial Revascularization |
| title | Coronary Artery Bypass Surgery in Brazil: Analysis of the National Reality Through the BYPASS Registry |
| title_full | Coronary Artery Bypass Surgery in Brazil: Analysis of the National Reality Through the BYPASS Registry |
| title_fullStr | Coronary Artery Bypass Surgery in Brazil: Analysis of the National Reality Through the BYPASS Registry |
| title_full_unstemmed | Coronary Artery Bypass Surgery in Brazil: Analysis of the National Reality Through the BYPASS Registry |
| title_short | Coronary Artery Bypass Surgery in Brazil: Analysis of the National Reality Through the BYPASS Registry |
| title_sort | coronary artery bypass surgery in brazil analysis of the national reality through the bypass registry |
| topic | Registries Database, Cardiovascular Surgical Procedures Cardiac Surgical Procedures Coronary Artery Bypass Grafts Myocardial Revascularization |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000200142&lng=en&tlng=en |
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