The trajectory of Coronary-Artery-Bypass-Grafting patient phenotype through 23 years

Abstract Background Over 6 decades since the first Coronary-Artery-Bypass-Grafting (CABG) and it is considered as most common cardiac surgery with established benefits on mortality morbidity. Purpose Following well-recognized epidemiology of coronary disease, we attempted to capture difference over time parameters such baseline clinical profile, comorbidities, operation characteristics, short-term complications perioperative mortality. Methods In this retrospective study, all adults patients isolated CABG were included. The study period was from January 1st, 1997 until December 31, 2019. statistical analysis referred prespecified time-points (the last enrolled patient). Results 14235 consecutively underwent during period. We reported trajectory their clinical, operative periprocedural outcome's phenotype for 23 years. way captured current holistic profile CABG-patient a timelapse (Table 1). Amongst comorbidities highlight 40% increase hypertension. Regarding in total cross clamping likely attests increasing difficulty performing grafting more diffusely diseased vessels plus time-forfeit increased usage non-saphenous vein grafts. Notwithstanding, did not significantly change time. Cardiac neurological also remained same, whereas renal pulmonary rose. A possible explanation worsen prolongation duration. Conclusion time, complicated are entering room age, decreased ejection fraction (EF) additive comorbidities. Nota bene despite accretion technical difficulties which expressed via clamp establishment arterial grafting. Arterial could be behoof parameter that attenuated trend. To our knowledge one largest series probably lone extended duration beyond two decades. Funding Acknowledgement Type funding sources: None.