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[西班牙心脏导管插入术和冠状动脉介入注册研究。西班牙心脏病学会心脏导管插入术和介入心脏病学工作组第20份官方报告(1990 - 2010年)]

[Spanish cardiac catheterization and coronary intervention registry. 20th official report of the spanish society of cardiology working group on cardiac catheterization and interventional cardiology (1990-2010)].

作者信息

Díaz José F, de la Torre José M, Sabaté Manel, Goicolea Javier

机构信息

Junta Directiva, Sección de Hemodinámica y Cardiología Intervencionista, Sociedad Española de Cardiología, Madrid, España.

出版信息

Rev Esp Cardiol. 2011 Nov;64(11):1012-22. doi: 10.1016/j.recesp.2011.08.001. Epub 2011 Oct 1.

DOI:10.1016/j.recesp.2011.08.001
PMID:21962955
Abstract

INTRODUCTION AND OBJECTIVES

The Working Group on Cardiac Catheterization and Interventional Cardiology presents on a yearly basis a report on the data collected for the national registry. This information displays how procedures are distributed throughout Spain and makes comparisons with other countries feasible.

METHODS

Institutions render their data voluntarily (online) and they are analyzed by the Working Group's steering committee.

RESULTS

Data was sent by 113 hospitals (71 public and 41 private) that treat mainly adults, reporting 135 486 diagnostic procedures, 119 118 of them coronary angiograms, slightly less than the year before, and with a rate of 2945 coronary angiograms per million inhabitants. Percutaneous coronary interventions increased a bit, to 64331 procedures and a rate of 1398 interventions per million. Of 100371 stents implanted, 61.3% were drug-eluting stents. In the acute phase of myocardial infarction, 14248 coronary interventions were carried out, 6% more than in 2009 and 22% of the total number of coronary interventions. The most frequent intervention for adult congenital heart disease was closure of an atrial septal defect (295 procedures). Percutaneous mitral valvuloplasty continues to decrease (326 procedures) and percutaneous aortic valve implantations are growing rapidly, with 655 units implanted in 2010.

CONCLUSIONS

The greatest increase in activity has occurred in the field of myocardial infarction and percutaneous aortic valve implantation. The other procedures, both diagnostic and therapeutic, remain stable.

摘要

引言与目标

心脏导管插入术与介入心脏病学工作组每年都会提交一份关于国家登记处收集数据的报告。这些信息展示了手术在西班牙各地的分布情况,并使得与其他国家进行比较成为可能。

方法

各机构自愿(通过网络)提交数据,由工作组指导委员会进行分析。

结果

113家主要治疗成人的医院(71家公立和41家私立)发送了数据,报告了135486例诊断手术,其中119118例为冠状动脉造影,略少于上一年,每百万居民冠状动脉造影率为2945例。经皮冠状动脉介入治疗略有增加,达到64331例手术,每百万例介入治疗率为1398例。在植入的100371个支架中,61.3%为药物洗脱支架。在心肌梗死急性期,进行了14248例冠状动脉介入治疗,比2009年增加了6%,占冠状动脉介入治疗总数的22%。成人先天性心脏病最常见的介入治疗是房间隔缺损封堵术(295例手术)。经皮二尖瓣球囊成形术持续减少(326例手术),经皮主动脉瓣植入术迅速增加,2010年植入了655个。

结论

活动增加最多的领域是心肌梗死和经皮主动脉瓣植入术。其他诊断和治疗手术保持稳定。

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