García-Bolao Ignacio, Díaz-Infante Ernesto, Gallego Alfonso Macías
Sección de Electrofisiología y Arritmias, Sociedad Española de Cardiología, Madrid, Spain.
Rev Esp Cardiol. 2008 Dec;61(12):1287-97. doi: 10.1016/s1885-5857(09)60056-6.
This article reports the findings of the 2007 Spanish Catheter Ablation Registry, as compiled by the Spanish Society of Cardiology Working Group on Electrophysiology and Arrhythmias.
As in previous years, data were collected in two ways: retrospectively using a standard questionnaire sent to electrophysiology laboratories by the Working Group on Electrophysiology and Arrhythmias, and prospectively from a central database. Each participating center selected its own preferred method of data collection.
Fifty Spanish centers contributed data voluntarily. In total, 7062 ablations were analyzed, averaging 141 (82) per center. The three most frequently treated conditions were atrioventricular nodal reentrant tachycardia (n=2068, 30%), typical atrial flutter (n=1701, 24%) and accessory pathways (n=1624, 23%). A steady increase in both the absolute number of cavotricuspid isthmus ablations for typical atrial flutter and in the relative frequency of this procedure was observed, such that it has overtaken accessory pathway ablation to became the second most common form of treatment. The fourth most common condition was atrial fibrillation (n=659, 9%), which accounted for 22% more procedures than in 2006. Overall, the success rate was 92%, major complications occurred in 1.7%, and the mortality rate was 0.04%.
Registry data for 2007 show that the number of ablations carried out continues to increase, and has exceeded 7000 for the first time. In general, the success rate was high and there were few complications. Typical atrial flutter, requiring cavotricuspid isthmus ablation, has become the second most frequently treated condition. A moderate steady increase in the number of ablations for atrial fibrillation was also observed.
本文报告了由西班牙心脏病学会电生理与心律失常工作组汇编的2007年西班牙导管消融注册研究结果。
与往年一样，数据通过两种方式收集：一是由电生理与心律失常工作组向电生理实验室发送标准问卷进行回顾性收集，二是从中央数据库进行前瞻性收集。每个参与中心选择自己偏爱的数据收集方法。
五十个西班牙中心自愿提供了数据。总共分析了7062例消融手术，每个中心平均141（82）例。治疗最频繁的三种疾病是房室结折返性心动过速（n = 2068，30%）、典型心房扑动（n = 1701，24%）和旁路（n = 1624，23%）。观察到典型心房扑动的三尖瓣峡部消融绝对数量及其相对频率均稳步增加，以至于它已超过旁路消融成为第二常见的治疗形式。第四常见的疾病是心房颤动（n = 659，9%），其手术例数比2006年多22%。总体而言，成功率为92%，主要并发症发生率为1.7%，死亡率为0.04%。
2007年的注册研究数据表明，进行的消融手术数量持续增加，首次超过7000例。总体而言，成功率高且并发症少。需要进行三尖瓣峡部消融的典型心房扑动已成为第二常见的治疗疾病。心房颤动的消融手术数量也有适度稳步增加。
