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January 10, 2021Asian Cardiovascular and Thoracic Annals

Status of cardiovascular surgery in Japan between 2017 and 2018: A report based on the Japan Cardiovascular Surgery Database. 3. Valvular heart surgery

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Key result

In the Japan Cardiovascular Surgery Database (2017-2018), overall mortality rates were 1.5% after transcatheter aortic valve replacement and 1.8% after surgical aortic valve replacement.

Why the study?

The study aimed to present data on the current status and trends of valvular heart surgeries in Japan from the Japan Cardiovascular Surgery Database for 2017-2018.

Population

Patients undergoing cardiac valve surgeries in 2017 and 2018 in Japan

Design

Registry-based observational study

Authors

TATomonobu AbeGunma UniversityHKHiraku KumamaruCross-Cutting CardiologyKNKiyoharu NakanoThe Japanese Society of Gastroenterological Surgery

Discussion

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Member takes

Overview

Japanese valve surgery benchmarks update national trends and mortality; leaves open global applicability or practice changes.

Study Design

Type

Observational

Multicenter

Yes

Structured PICO

P
Population
Patients undergoing cardiac valve surgeries in Japan between 2017 and 2018, with data extracted from a national cardiovascular surgery database.
E
Exposure
Valvular heart surgeries including surgical aortic valve replacement (SAVR), transcatheter aortic valve replacement (TAVR), and mitral valve procedures.
O
Outcome
Operative mortality rates and trends in procedure volume.hard clinical

Main Result

Absolute Event Rate: 1.5% vs 1.8%

This national registry report demonstrates low operative mortality rates for both surgical and transcatheter valve procedures in Japan between 2017 and 2018, alongside a dramatic increase in TAVR volume.

Limitations

  • Patients who underwent surgery by a right thoracotomy had lower operative risk profiles, indicating selection bias in observational comparisons.

Cite This Study

Abe et al. (2021) conducted an observational in Valvular heart disease. Transcatheter aortic valve replacement vs. Surgical aortic valve replacement was evaluated on Overall mortality rate. In the Japan Cardiovascular Surgery Database (2017-2018), overall mortality rates were 1.5% after transcatheter aortic valve replacement and 1.8% after surgical aortic valve replacement.

synapsesocial.com/papers/6a6e97a6febe604dd7080355https://doi.org/10.1177/0218492320981459
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