Hernández José M, Goicolea Javier, Durán Juan M, Augé José M
Sección de Hemodinámica y Cardiología Intervencionista. Sociedad Española de Cardiología. España.
Rev Esp Cardiol. 2002 Nov;55(11):1173-84. doi: 10.1016/s0300-8932(02)76781-x.
The results of the Spanish Registry of the Working Group on cardiac catheterization and Interventional Cardiology of the Spanish Society of Cardiology (years 1990-2001) are presented. One-hundred-and-three centers contributed data, all the cardiac catheterization laboratories in Spain; 97 centers performed mainly adult catheterization and 6 carried out only pediatric procedures. In 2001, 95,430 diagnostic catheterization procedures were performed, with 79,607 coronary angiograms, representing a total increase of 8.4% over 2000. The population-adjusted incidence was 1947 coronary angiograms per 106 inhabitants. Coronary interventions increased by 15.4% compared with 2000, with a total of 31,290 procedures and an incidence of coronary interventions of 761 per 106 inhabitants. Coronary stents were the most frequently used devices with 39,356 implanted in 2001, and increase of 33.4% over 2000. Stenting accounted for 88.2% of procedures. Direct stenting was done in 11,280 procedures (40.9%). IIb-IIIa glycoprotein inhibitors were given in 7,012 procedures (22.4%). Multivessel percutaneous coronary interventions were performed in 8,445 cases (27%) and interventions were performed ad hoc during diagnostic study in 23,144 cases (74 %).A total of 3,845 percutaneous coronary interventions were carried out in patients with acute myocardial infarction, an increase of 22.9% over 2000 and 12.3% of all interventional procedures. Among non-coronary interventions, atrial septal defect closure was performed more often (161 cases, a 60% increase over 2000). Pediatric interventions increased by 15.4% (from 817 to 943 cases).Lastly, we would like to underline the high rate of reporting by laboratories, which allowed the Registry to compile data that are highly representative of hemodynamic interventions in Spain.
本文展示了西班牙心脏病学会心脏导管插入术与介入心脏病学工作组登记处（1990 - 2001年）的结果。103个中心提供了数据，涵盖了西班牙所有的心脏导管插入术实验室；其中97个中心主要进行成人导管插入术，6个中心仅开展儿科手术。2001年，共进行了95,430例诊断性导管插入术，其中冠状动脉造影79,607例，相较于2000年，总数增长了8.4%。按人口调整后的发病率为每106名居民中有1947例冠状动脉造影。冠状动脉介入治疗较2000年增长了15.4%，共进行了31,290例手术，冠状动脉介入治疗的发病率为每106名居民中有761例。冠状动脉支架是最常用的器械，2001年植入了39,356个，较2000年增长了33.4%。支架植入占手术的88.2%。直接支架植入术进行了11,280例（40.9%）。7,012例手术（22.4%）使用了IIb - IIIa糖蛋白抑制剂。8,445例（27%）进行了多支血管经皮冠状动脉介入治疗，23,144例（74%）在诊断性研究期间进行了临时介入治疗。共有3,845例急性心肌梗死患者接受了经皮冠状动脉介入治疗，较2000年增长了22.9%，占所有介入手术的12.3%。在非冠状动脉介入治疗中，房间隔缺损封堵术更为常见（161例，较2000年增加了60%）。儿科介入治疗增长了15.4%（从817例增至943例）。最后，我们想强调各实验室的高报告率，这使得登记处能够汇编出极具代表性的西班牙血流动力学干预数据。
