{"id":1646,"date":"2026-04-11T03:56:06","date_gmt":"2026-04-11T03:56:06","guid":{"rendered":"https:\/\/kishiwada.tokushukai.or.jp\/en\/research\/clinical-research-outcomes\/cardiovascular-clinical-outcomes\/"},"modified":"2026-04-11T03:56:06","modified_gmt":"2026-04-11T03:56:06","slug":"cardiovascular-clinical-outcomes","status":"publish","type":"page","link":"https:\/\/kishiwada.tokushukai.or.jp\/en\/research\/clinical-research-outcomes\/cardiovascular-clinical-outcomes\/","title":{"rendered":"Cardiovascular Clinical Outcomes"},"content":{"rendered":"<p><!-- ============================================================\n     Cardiovascular Clinical Outcomes \u2014 Kishiwada Tokushukai Hospital\n     URL: \/en\/departments\/cardiovascular-center\/clinical-outcomes\/\n     WordPress H1: Cardiovascular Clinical Outcomes\n     AIOSEO Focus Keyword: cardiovascular\n     SEO Title: Cardiovascular Surgery Outcomes | Kishiwada Tokushukai Hospital\n     Meta Description: Cardiovascular surgery outcomes at Kishiwada Tokushukai \u2014 734 surgeries (2023), 310 open-heart, 83% off-pump CABG, robotic MICS. Full procedural data.\n     ============================================================ --><\/p>\n<section class=\"op-section max-container\">\n<p>  <!-- Intro --><\/p>\n<header class=\"page-hero\">\n<p class=\"page-lead\">\n      Procedural volume and key clinical outcomes for the Cardiovascular Surgery Department.<br \/>\n      Latest available year: <strong>2023<\/strong>.\n    <\/p>\n<div class=\"op-alert\" role=\"note\" aria-label=\"Data note\">\n<div class=\"op-alert-icon\" aria-hidden=\"true\">i<\/div>\n<div class=\"op-alert-body\">\n        <strong>Data note:<\/strong> All figures reflect activity within the Cardiovascular Surgery Department (2023),<br \/>\n        unless otherwise specified. Interventional Cardiology outcomes are reported separately.\n      <\/div>\n<\/p><\/div>\n<\/header>\n<p>  <!-- Quick anchors --><\/p>\n<nav class=\"page-nav\" aria-label=\"On this page\">\n<ul class=\"page-nav-list\">\n<li><a href=\"#overview\">Overview<\/a><\/li>\n<li><a href=\"#volume\">Surgical Volume<\/a><\/li>\n<li><a href=\"#mics\">Robotic MICS<\/a><\/li>\n<li><a href=\"#emergency\">Emergency Surgery<\/a><\/li>\n<li><a href=\"#capabilities\">Core Capabilities<\/a><\/li>\n<li><a href=\"#resources\">Resources<\/a><\/li>\n<\/ul>\n<\/nav>\n<p>  <!-- 1) Overview --><\/p>\n<section id=\"overview\" class=\"op-section\">\n<h2>Overview<\/h2>\n<div class=\"dept-when\">\n<div class=\"dept-when__block\">\n<h3 class=\"dept-when__title\">Key Figures (2023)<\/h3>\n<ul class=\"dept-when__list\">\n<li><strong>734<\/strong> total cardiovascular procedures<\/li>\n<li><strong>310<\/strong> open-heart surgeries<\/li>\n<li><strong>94<\/strong> isolated CABG \u2014 off-pump rate <strong>83%<\/strong><\/li>\n<li><strong>40<\/strong> robotic MICS \u2014 all fully endoscopic<\/li>\n<li><strong>65<\/strong> acute aortic dissection (Stanford type A) \u2014 all emergency cases<\/li>\n<li><strong>50<\/strong> TEVAR \/ <strong>47<\/strong> EVAR \u2014 <strong>97<\/strong> total endovascular aortic procedures<\/li>\n<\/ul>\n<p class=\"dept-when__note\">A detailed breakdown by procedure category is provided below.<\/p>\n<\/p><\/div>\n<div class=\"dept-when__block dept-when__block--er\">\n<h3 class=\"dept-when__title\">What this means for patients<\/h3>\n<ul class=\"dept-when__list\">\n<li>No waiting list \u2014 treatment typically begins <strong>within one week<\/strong><\/li>\n<li>24\/7 availability for emergency cardiovascular surgery<\/li>\n<li>Robotic MICS available as a self-funded option for international patients<\/li>\n<li>Second opinions are always welcome<\/li>\n<\/ul>\n<p class=\"dept-when__note\">Located approximately 20 minutes from Kansai International Airport (KIX)<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p>  <!-- 1b) Volume trend chart --><\/p>\n<section class=\"op-section\">\n<div class=\"chart-grid chart-grid--single\">\n<div class=\"chart-card\">\n<h3 class=\"chart-title\">Total Cardiovascular Surgeries \u2014 Annual Trend (2016\u20132023)<\/h3>\n<div class=\"chart-wrap\" style=\"height:280px;\">\n          <canvas id=\"chartCvsTotalVolume\"\n                  aria-label=\"Total cardiovascular surgery volume 2016 to 2023\"\n                  role=\"img\"><\/canvas>\n        <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p>  <!-- 2) Surgical Volume --><\/p>\n<section id=\"volume\" class=\"op-section\">\n<h2>Surgical Volume (2023)<\/h2>\n<p class=\"section-lead\">\n      All figures reflect procedures performed by the Cardiovascular Surgery Department in 2023.\n    <\/p>\n<p class=\"kth-table-caption\">Open-Heart Surgery<\/p>\n<table class=\"kth-table\">\n<thead>\n<tr>\n<th scope=\"col\">Procedure<\/th>\n<th scope=\"col\">Cases<\/th>\n<th scope=\"col\">Notes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Open-heart surgeries (total)<\/td>\n<td><strong>310<\/strong><\/td>\n<td>Emergency \/ urgent: 128 cases (41.2%)<\/td>\n<\/tr>\n<tr>\n<td>Isolated CABG<\/td>\n<td><strong>94<\/strong><\/td>\n<td>Off-pump rate: <strong>83%<\/strong> (78\/94)<\/td>\n<\/tr>\n<tr>\n<td>Isolated valve surgery<\/td>\n<td><strong>62<\/strong><\/td>\n<td>Including MAZE and left atrial appendage ligation where combined<\/td>\n<\/tr>\n<tr>\n<td>&nbsp;&nbsp;\u2014 Aortic valve replacement<\/td>\n<td>23<\/td>\n<td>MICS: 16 cases (73% of primary AVR)<\/td>\n<\/tr>\n<tr>\n<td>&nbsp;&nbsp;\u2014 Mitral valve repair<\/td>\n<td>19<\/td>\n<td>MICS: 18 cases (95% of primary mitral valve repair)<\/td>\n<\/tr>\n<tr>\n<td>&nbsp;&nbsp;\u2014 Mitral valve replacement<\/td>\n<td>10<\/td>\n<td>MICS: 4 cases (50% of primary mitral valve replacement)<\/td>\n<\/tr>\n<tr>\n<td>&nbsp;&nbsp;\u2014 Combined valve (\u22652 valves)<\/td>\n<td>10<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>Isolated aortic surgery (open)<\/td>\n<td><strong>90<\/strong><\/td>\n<td>Emergency \/ urgent: 62 cases (68.9%)<\/td>\n<\/tr>\n<tr>\n<td>Combined procedures<\/td>\n<td><strong>48<\/strong><\/td>\n<td>CABG + valve, valve + aorta, CABG + aorta, etc.<\/td>\n<\/tr>\n<tr>\n<td>Other cardiac surgery<\/td>\n<td><strong>16<\/strong><\/td>\n<td>ASD, LV rupture, pulmonary thrombectomy, LV thrombus, etc.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"kth-table-caption\" style=\"margin-top:2rem;\">Endovascular &#038; Other Procedures<\/p>\n<table class=\"kth-table\">\n<thead>\n<tr>\n<th scope=\"col\">Procedure<\/th>\n<th scope=\"col\">Cases<\/th>\n<th scope=\"col\">Notes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>TEVAR<\/td>\n<td><strong>50<\/strong><\/td>\n<td>Emergency \/ urgent: 15 cases (30.0%)<\/td>\n<\/tr>\n<tr>\n<td>EVAR<\/td>\n<td><strong>47<\/strong><\/td>\n<td>Emergency \/ urgent: 10 cases (21.3%)<\/td>\n<\/tr>\n<tr>\n<td>Abdominal aortic aneurysm (open repair)<\/td>\n<td><strong>49<\/strong><\/td>\n<td>Including common iliac aneurysm; emergency: 6 cases<\/td>\n<\/tr>\n<tr>\n<td>Peripheral vascular surgery<\/td>\n<td><strong>46<\/strong><\/td>\n<td>Bypass, thrombectomy, and other procedures; emergency: 21 cases (45.7%)<\/td>\n<\/tr>\n<tr>\n<td>Other (shunt creation, etc.)<\/td>\n<td><strong>72<\/strong><\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>Other thoracic surgery<\/td>\n<td><strong>29<\/strong><\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr style=\"border-top:2px solid #c8a4ab;\">\n<td><strong>Total cardiovascular surgeries<\/strong><\/td>\n<td><strong>734<\/strong><\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n<p>  <!-- 3) Robotic MICS --><\/p>\n<section id=\"mics\" class=\"op-section\">\n<h2>Robotic MICS \u2014 Annual Volume (2016\u20132023)<\/h2>\n<p class=\"section-lead\">\n      Minimally invasive cardiac surgery using the da Vinci surgical system,<br \/>\n      performed fully endoscopically without sternotomy.<br \/>\n      The robotic MICS programme was established in 2018, with procedural volume increasing steadily thereafter.\n    <\/p>\n<div class=\"chart-grid chart-grid--single\" style=\"margin-bottom:2rem;\">\n<div class=\"chart-card\">\n<h3 class=\"chart-title\">Robotic MICS \u2014 Annual Volume (2016\u20132023)<\/h3>\n<div class=\"chart-wrap\" style=\"height:260px;\">\n          <canvas id=\"chartMicsGrowth\"\n                  aria-label=\"Robotic MICS annual volume 2016 to 2023\"\n                  role=\"img\"><\/canvas>\n        <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"dept-when\">\n<div class=\"dept-when__block\">\n<h3 class=\"dept-when__title\">2023 MICS Volume<\/h3>\n<ul class=\"dept-when__list\">\n<li><strong>40<\/strong> total robotic MICS procedures<\/li>\n<li>AVR: 16 cases \u2014 <strong>73%<\/strong> of primary AVR performed as MICS<\/li>\n<li>Mitral repair: 18 cases \u2014 <strong>95%<\/strong> MICS rate<\/li>\n<li>MVR: 4 cases \u2014 <strong>50%<\/strong> of primary MVR performed as MICS<\/li>\n<li>ASD closure: 2 cases \u2014 all performed as MICS<\/li>\n<\/ul><\/div>\n<div class=\"dept-when__block dept-when__block--er\">\n<h3 class=\"dept-when__title\">For international patients<\/h3>\n<ul class=\"dept-when__list\">\n<li>Robotic MICS is available as a <strong>self-funded (private pay) option<\/strong><\/li>\n<li>No sternotomy \u2014 smaller incisions and faster recovery<\/li>\n<li>Performed by Dr. Kuroyanagi \u2014 all procedures fully endoscopic<\/li>\n<li>Surgery can typically be scheduled within one week of consultation<\/li>\n<\/ul>\n<p class=\"dept-when__note\">\n          <a href=\"\/en\/about\/leadership\/satoshi-kuroyanagi\/\">Dr. Kuroyanagi&#8217;s profile \u2192<\/a>\n        <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p>  <!-- 4) Emergency Surgery --><\/p>\n<section id=\"emergency\" class=\"op-section\">\n<h2>Emergency Surgery<\/h2>\n<p class=\"section-lead\">\n      A significant proportion of cardiovascular surgery at this hospital is performed under emergency or urgent conditions.<br \/>\n      24\/7 surgical readiness is maintained throughout the year.\n    <\/p>\n<p class=\"kth-table-caption\">Emergency \/ Urgent Cases by Category (2023)<\/p>\n<table class=\"kth-table\">\n<thead>\n<tr>\n<th scope=\"col\">Category<\/th>\n<th scope=\"col\">Emergency \/ Urgent<\/th>\n<th scope=\"col\">Rate<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Open-heart surgery (total)<\/td>\n<td><strong>128<\/strong><\/td>\n<td>41.2%<\/td>\n<\/tr>\n<tr>\n<td>Isolated CABG<\/td>\n<td>42<\/td>\n<td>42.6%<\/td>\n<\/tr>\n<tr>\n<td>Isolated valve surgery<\/td>\n<td>4<\/td>\n<td>6.5%<\/td>\n<\/tr>\n<tr>\n<td>Isolated aortic surgery (open)<\/td>\n<td>62<\/td>\n<td>68.9%<\/td>\n<\/tr>\n<tr>\n<td>&nbsp;&nbsp;\u2014 Acute aortic dissection (Stanford type A)<\/td>\n<td><strong>65<\/strong><\/td>\n<td>100% \u2014 all emergency cases<\/td>\n<\/tr>\n<tr>\n<td>Combined procedures<\/td>\n<td>11<\/td>\n<td>22.9%<\/td>\n<\/tr>\n<tr>\n<td>TEVAR<\/td>\n<td>15<\/td>\n<td>30.0%<\/td>\n<\/tr>\n<tr>\n<td>EVAR<\/td>\n<td>10<\/td>\n<td>21.3%<\/td>\n<\/tr>\n<tr>\n<td>Peripheral vascular surgery<\/td>\n<td>21<\/td>\n<td>45.7%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n<p>  <!-- 5) Core Capabilities --><\/p>\n<section id=\"capabilities\" class=\"op-section\">\n<h2>Core Capabilities<\/h2>\n<div class=\"three-col\">\n<div class=\"cap-card\">\n<h3>Robotic &amp; Minimally Invasive<\/h3>\n<ul class=\"bullet\">\n<li>Fully endoscopic MICS (da Vinci) \u2014 no sternotomy<\/li>\n<li>AVR, mitral repair\/replacement, and ASD closure via MICS<\/li>\n<li>Growing programme since 2018<\/li>\n<\/ul><\/div>\n<div class=\"cap-card\">\n<h3>Complex &amp; Emergency<\/h3>\n<ul class=\"bullet\">\n<li>Acute aortic dissection (Stanford type A) \u2014 24\/7 response<\/li>\n<li>Emergency CABG, valve, and aortic surgery<\/li>\n<li>Off-pump CABG rate 83%<\/li>\n<\/ul><\/div>\n<div class=\"cap-card\">\n<h3>Endovascular Aortic<\/h3>\n<ul class=\"bullet\">\n<li>TEVAR \u2014 thoracic aortic aneurysm and dissection<\/li>\n<li>EVAR \u2014 abdominal aortic aneurysm<\/li>\n<li>Open aortic repair for complex anatomy<\/li>\n<\/ul><\/div>\n<\/p><\/div>\n<\/section>\n<p>  <!-- 6) Resources --><\/p>\n<section id=\"resources\" class=\"op-section\">\n<h2>Resources<\/h2>\n<p class=\"section-lead\">\n      Surgical video resources from the Cardiovascular Surgery team are available on YouTube.\n    <\/p>\n<div style=\"margin-top:14px;\">\n      <a href=\"https:\/\/www.youtube.com\/@KishiwadaCVS\"\n         class=\"btn-primary yt-btn\"\n         target=\"_blank\" rel=\"noopener\"><br \/>\n        <svg viewBox=\"0 0 24 24\">\n          <path fill=\"#ff0000\"\n            d=\"M23.5 6.2s-.2-1.6-.8-2.3c-.8-.8-1.7-.8-2.1-.9C17.6 2.7 12 2.7 12 2.7h0s-5.6 0-8.6.3c-.4 0-1.3.1-2.1.9C.7 4.6.5 6.2.5 6.2S.2 8 .2 9.8v1.7C.2 13.3.5 15 .5 15s.2 1.6.8 2.3c.8.8 1.9.8 2.4.9 1.7.2 7.3.3 7.3.3s5.6 0 8.6-.3c.4 0 1.3-.1 2.1-.9.6-.7.8-2.3.8-2.3s.3-1.7.3-3.5V9.8c0-1.8-.3-3.6-.3-3.6zM9.8 14.5V7.9l6.2 3.3-6.2 3.3z\"\/>\n        <\/svg><br \/>\n        <span>Watch surgical videos on YouTube \u2014 Kishiwada CVS<\/span><br \/>\n      <\/a>\n    <\/div>\n<\/section>\n<p>  <!-- Minimal CSS --><\/p>\n<style>\n    .page-lead { margin: 0 0 18px; 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Latest available year: 2023. i Data note: All figures reflect activity within the Cardiovascular Surgery Department (2023), unless otherwise specified. Interventional Cardiology outcomes are reported separately. Overview Surgical Volume Robotic MICS Emergency Surgery Core Capabilities Resources Overview Key Figures (2023) 734 total cardiovascular procedures [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":933,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1646","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/1646","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/comments?post=1646"}],"version-history":[{"count":0,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/1646\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/933"}],"wp:attachment":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/media?parent=1646"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}