García-Fernández F Javier, Ibáñez Criado José Luis, Quesada Dorador Aurelio
Unidad de Arritmias, Hospital Universitario de Burgos, Burgos, Spain.
Unidad de Arritmias, Hospital General Universitario de Alicante, Alicante, Spain.
Rev Esp Cardiol (Engl Ed). 2018 Nov;71(11):941-951. doi: 10.1016/j.rec.2018.07.014. Epub 2018 Sep 27.
This report describes the findings of the 2017 Spanish Catheter Ablation Registry.
Data collection was retrospective. A standardized questionnaire was completed by each of the participating centers.
A total of 15 284 ablation procedures were performed by 98 institutions (the highest number of ablations and institutions historically reported in this registry), with a mean of 156±126 and a median of 136 procedures per center. For the first time, the most frequently treated ablation target was atrial fibrillation (n=3457; 22.6%), followed by cavotricuspid isthmus (n=3449; 22.5%) and atrioventricular nodal re-entrant tachycardia (n=3429; 22.4%). The overall success rate was 87%. The rate of major complications was 2.6%, and the mortality rate was 0.09%. The percentage of procedures performed without fluoroscopic support increased to 6% of all ablations, and 2.3% of all ablations were performed in pediatric patients.
The Spanish Ablation Catheter Registry systematically and uninterruptedly collects data on the ablation procedures performed in Spain, revealing that both the number of ablations and the number of centers performing them has progressively increased, while maintaining a high success rate and a low percentage of complications.
本报告描述了2017年西班牙导管消融注册研究的结果。
数据收集为回顾性的。每个参与中心填写一份标准化问卷。
98家机构共进行了15284例消融手术（该注册研究历史上报告的消融手术和机构数量最多），每个中心的平均手术例数为156±126例，中位数为136例。首次出现最常治疗的消融靶点是心房颤动（n = 3457；22.6%），其次是腔静脉峡部（n = 3449；22.5%）和房室结折返性心动过速（n = 3429；22.4%）。总体成功率为87%。主要并发症发生率为2.6%，死亡率为0.09%。无透视支持下进行的手术比例增至所有消融手术的6%，所有消融手术中有2.3%是在儿科患者中进行的。
西班牙消融导管注册研究系统且不间断地收集了西班牙进行的消融手术数据，表明消融手术数量和开展手术的中心数量均逐步增加，同时保持了高成功率和低并发症发生率。
