Trends and Outcomes of Coronary Artery Bypass Grafting in the Netherlands 2005 – 2020: A Netherlands Heart Registration Registry-based Study

F.R. Halfwerk*, Tomasz Plonek, Suzanne Meinema, Maaike M. Roefs, J.G. Grandjean, R.G.H. Speekenbrink, Registratiecommissie Cardiochirurgie

*Corresponding author for this work

Research output: Contribution to conferenceAbstractAcademic

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Abstract

Purpose: 
The aim is to describe trends of isolated coronary artery bypass grafting (CABG) practice in the Netherlands from 2005-2020, with 30-day major adverse cardiac and cerebrovascular events (MACCE) and 5-year survival and freedom from coronary reintervention for 2014-2020.

Methods:
Adult patients receiving isolated CABG between 2005 – 2020 and registered in Netherlands Heart Registration were included. Trends in off-pump (OPCABG), on-pump CABG (ONCABG), and type of graft were analysed with linear regression. Casemix corrected 30-day MACCE (mortality, revascularisation, perioperative myocardial infarction, stroke) was analysed with logistic regression, and 5-year endpoints with Kaplan-Meier and Cox regression. 

Results:
No decrease in OPCABG (14% in 2005, 17% in 2020), p = 0.29, and an increase in total arterial CABG (17% in 2005, 28% in 2020, p = 0.001) with dominant practice for ONCABG with mixed grafting (65%) were found (n=120000). MACCE increased for venous ONCABG (p < 0.001), was reduced for arterial ONCABG (p = 0.002), mixed and venous OPCABG (p < 0.001 and p = 0.02), and not significantly reduced for arterial OPCABG (p = 0.23), n=49775. Longest 5-year survival times were for ONCABG with arterial grafting (95%), and shortest for ONCABG with venous grafting (78%), a significant difference between all CABG subtypes (p < 0.001). A significant increase in revascularisation was observed for all but arterial ONCABG (p = 0.09). 

Conclusion:
This is the first study to analyse Dutch national CABG practice. ONCABG total arterial grafting showed consistent good outcomes, but might be biased by OPCABG practice differences and missing data.
Original languageEnglish
Pages15-16
Number of pages2
Publication statusPublished - 3 Nov 2023
EventNajaarscongres Nederlandse Vereniging voor Cardiologie / Nederlandse Vereniging voor Thoraxchirurgie 2023: Invasief, innovatief of conservatief - Hotel Papendal, Arnhem, Netherlands
Duration: 2 Nov 20233 Nov 2023
https://www.nvvc.nl/Vereniging%20-%20bestuur/congressen

Conference

ConferenceNajaarscongres Nederlandse Vereniging voor Cardiologie / Nederlandse Vereniging voor Thoraxchirurgie 2023
Abbreviated titleNVVC-NVT Najaarscongres 2023
Country/TerritoryNetherlands
CityArnhem
Period2/11/233/11/23
Internet address

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