Díaz-Infante Ernesto, Macías Gallego Alfonso, Ferrero de Loma-Osorio Ángel
Sección de Electrofisiología y Arritmias, Sociedad Española de Cardiología, Madrid, España.
Rev Esp Cardiol (Engl Ed). 2012 Oct;65(10):928-36. doi: 10.1016/j.recesp.2012.06.008. Epub 2012 Aug 14.
The findings of the 2011 Spanish Catheter Ablation Registry are presented.
Data were collected in two ways: retrospectively using a standardized questionnaire, and prospectively from a central database. Each participating center selected its own preferred method of data collection.
Sixty-six Spanish centers voluntarily contributed data to the survey. Some 9662 ablation procedures were analyzed, averaging 146 (104) per center. The three main conditions treated were atrioventricular nodal reentrant tachycardia (n=2537; 26%), typical atrial flutter (n=2205; 23%) and accessory pathways (n=1813; 19%). Atrial fibrillation was the fourth most common substrate treated (n=1535; 16%) and showed a slight increase over figures for 2010. Ventricular arrhythmia ablation has increased considerably. The overall success rate was 94%; major complications occurred in 2.2% and overall mortality was 0.04%.
Data from the 2011 registry show a continued increase in the number of ablations performed with a generally high success rate and few complications. The use of complex substrate ablation continues to grow.
本文展示了2011年西班牙导管消融注册研究的结果。
数据通过两种方式收集：一是使用标准化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好的数据收集方法。
66个西班牙中心自愿为该调查提供数据。共分析了约9662例消融手术，每个中心平均146例（104例）。治疗的三种主要病症为房室结折返性心动过速（n = 2537；26%）、典型心房扑动（n = 2205；23%）和旁路（n = 1813；19%）。心房颤动是第四常见的治疗病变（n = 1535；16%），且相较于2010年的数据略有增加。室性心律失常消融术有显著增加。总体成功率为94%；主要并发症发生率为2.2%，总死亡率为0.04%。
2011年注册研究的数据显示，消融手术数量持续增加总体成功率高且并发症少。复杂病变消融术的应用持续增长。
