Program details
Coronary Artery Disease - Coronary Artery Bypass Surgery【Kishiwada Tokushukai Hospital】
surgery
Kishiwada Tokushukai Hospital（Kinki/Osaka）
Reliable Treatment to Save Lives with Coronary Artery Bypass Surgery
At our hospital, we perform coronary artery bypass surgery for coronary artery disease based on extensive experience and global evidence. We offer the most suitable surgical methods tailored to each patient’s condition, including arterial grafts and off-pump coronary artery bypass (OPCAB).
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- Department
- Disease
- Examination Items/Treatments/Surgical method
- Region/Organ
- Program Summary
- Target Diseases: Coronary Artery Disease - Ischemic Heart Disease
We perform coronary artery bypass surgery as a treatment for ischemic heart disease, which occurs when atherosclerosis develops in the coronary arteries that supply blood to the heart muscle, leading to myocardial ischemia. The grafts used for bypass surgery combine the internal thoracic artery, radial artery, and great saphenous vein.
There are ongoing discussions regarding the significance of arterial grafts and off-pump coronary artery bypass surgery (OPCAB) that avoids the use of a heart-lung machine. At our department, we base our approach on global evidence and extensive clinical experience. For younger patients, we actively promote the use of arterial grafts, while for patients with comorbidities or those of advanced age, we implement OPCAB. We carefully select the most appropriate surgical method tailored to each patient’s condition.
- Medical Institutions
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Kishiwada Tokushukai Hospital
〒596-0042
4-27-1 Kamoricho, Kishiwada City
- Examination Items
- Setup Date
- Excluded days
- Required Days/Hours
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- Eligibility Criteria/Exclusions for Treatment
- 1. Medical Information:
- Diagnosis (e.g., coronary artery disease, ischemic heart disease)
- Detailed symptoms and progression
- History of treatment and test results from other hospitals (e.g., echocardiography, CT, catheter examination)
- Past medical history and comorbidities** (e.g., diabetes, hypertension)
2. Treatment History:
- History of coronary artery treatments (e.g., PCI, stent placement, bypass surgery)
- Details of medication treatment, including effectiveness and any side effects
- Allergies and current medications
3. Age:
- Age restrictions apply (pediatric cases)
4. Treatment Period, Duration, and Time:
- Expected hospital stay duration (e.g., typical hospitalization days for bypass surgery)
- Surgery time and postoperative care period
- Frequency of outpatient visits and follow-up schedule
5. Other Conditions:
- Urgency (e.g., whether emergency treatment is required for acute myocardial infarction)
- Feasibility of treatment based on the patient’s physical strength and overall condition
Based on the above information, we assess the feasibility of treatment acceptance and develop an appropriate treatment plan.
- Precautions / Contraindications
- 1. Explanation of Treatment Methods:
- Provide detailed information on coronary artery bypass surgery and alternative treatment options (e.g., catheter intervention, stent placement), including the risks and benefits of each.
- Explain the use of arterial and venous grafts, the possible use of a heart-lung machine, and the feasibility of minimally invasive surgery (OPCAB).
2. Surgery and Hospitalization:
- Inform about the surgery time and the expected length of hospitalization (typically 1–2 weeks).
- Discuss postoperative pain management and the need for rehabilitation.
- Explain potential postoperative complications, such as infections, bleeding, or blood clots.
3. Preoperative Preparation:
- Highlight the importance of preoperative tests (e.g., blood tests, electrocardiograms, CT scans).
- Review medications that need to be stopped before surgery (e.g., anticoagulants, antiplatelet agents) and the required discontinuation period.
- Discuss dietary restrictions and fasting requirements before surgery.
4. Post-Discharge Follow-Up:
- Explain lifestyle restrictions after discharge (e.g., limitations on physical activities, carrying heavy items) and the timeline for returning to work.
- Emphasize the necessity of regular outpatient follow-ups and their schedule.
- Provide information on symptoms to monitor post-surgery (e.g., chest pain, shortness of breath, fever) and how to respond if they occur.
5. Cost Considerations:
- Provide an estimate of treatment costs.
6. Emergency Contact Information:
- Share the contact information for medical facilities or attending physicians to be reached promptly in case of sudden health issues after surgery or discharge.
