Unidad de Electrofisiología y Arritmias, Servicio de Cardiología, Hospital Universitario Virgen Macarena, Seville, Spain.
Unidad de Arritmias y Electrofisiología, Servicio de Cardiología, Hospital Universitario de Bellvitge, Institut d'Investigació Biomèdica de Bellvitge-IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain.
Rev Esp Cardiol (Engl Ed). 2021 Dec;74(12):1072-1083. doi: 10.1016/j.rec.2021.07.021. Epub 2021 Oct 12.
This article reports the results of the 2020 Spanish Catheter Ablation Registry, a year marked by the SARS-CoV-2 pandemic.
Data were collected retrospectively through completion and return of a specific form by the participating centers.
Data from 97 centers (67 public, 30 private) were analyzed. A total of 15 169 ablation procedures were reported with a mean of 155±117 and a median [interquartile range] of 115 [62-227]. Because of the SARS-CoV-2 pandemic, both procedures and participating centers markedly decreased (-3380 procedures,-18%) and there were 5 centers less than in 2019. The most common procedure continued to be atrial fibrillation ablation (4513; 30%), well ahead of the remaining substrates, followed by ablation of the cavotricuspid isthmus (3188; 21%), and intranodal re-entry tachycardia (2808; 18%). Ablation of these 3 substrates continued to form the bulk of the procedures. The total success rate was slightly lower than in previous years (88%) with a similar complication rate (n=309; 2%) and mortality (n=7; 0.04%). A total of 243 procedures were performed in pediatric patients (1.6%).
The Spanish Catheter Ablation Registry systematically and continuously reflects the national trajectory, which, in 2020, was markedly affected by the SARS-CoV-2 pandemic. Although slightly lower than in previous years, the success rate remained high, with a low complication rate.
本文报告了 2020 年西班牙导管消融登记处的结果，这一年受到了 SARS-CoV-2 大流行的影响。
通过参与中心填写和返回特定表格来回顾性收集数据。
分析了 97 个中心（67 个公立，30 个私立）的数据。共报告了 15169 例消融手术，平均（标准差）为 155±117，中位数（四分位间距）为 115 [62-227]。由于 SARS-CoV-2 大流行，手术数量和参与中心明显减少（-3380 例，-18%），比 2019 年减少了 5 个中心。最常见的手术仍然是心房颤动消融（4513 例，30%），远远领先于其他剩余的消融靶点，其次是三尖瓣峡部消融（3188 例，21%）和心内折返性心动过速消融（2808 例，18%）。这 3 种消融靶点继续构成大部分手术。总成功率略低于前几年（88%），并发症发生率相似（n=309，2%），死亡率（n=7，0.04%）。共有 243 例儿科患者（1.6%）接受了手术。
西班牙导管消融登记处系统且持续地反映了全国的轨迹，2020 年受到了 SARS-CoV-2 大流行的显著影响。尽管略低于前几年，但成功率仍然很高，并发症发生率低。
