Serra A, Zueco J, Elizaga J, García E
Sección de Hemodinámica y Cardiología Intervencionista, Sociedad Española de Cardiología.
Rev Esp Cardiol. 1997 Dec;50(12):833-42. doi: 10.1016/s0300-8932(97)74690-6.
The results of the Spanish Registry of Hemodynamic and Interventional Cardiology in 1996 are presented. The Registry collects the activity of 81 centers which constitutes all of the cardiac catheterization laboratories in Spain. The main activity was adult cardiac catheterization in 73 centers and exclusively pediatric cardiac catheterization in 8. A total of 63,961 diagnostic catheterization procedures were performed, which represents a 10.7% increase compared to 1995. This was mainly due to the increase in coronary angiographies. Coronary interventions increased by 21.4%, for a total number of 15,009 procedures. The ratio of coronary interventions per million inhabitants was 375. Success rates of coronary interventions (94%) and complications (2.9%) were similar to those registered in preceding years. In the specific field of revascularization devices, there has been a sustained and spectacular increase in the use of intracoronary stents in the last 3 years. In 1996, coronary stents were employed in 7,104 cases (47.3% of all coronary revascularization procedures) and 8,873 prosthesis were implanted, increasing two-fold the activity in that field when compared to 1995. Stent implantation was elective in 58% cases, and the complication rate was very low (1% subacute closure; 1.8% myocardial infarction and 0.9% mortality). Directional coronary atherectomy decreased by 47% in the last year whereas rotational atherectomy increased by 10% despite a reduction in the number of centers performing this technique. As in previous years, a slight decrease in adult valvuloplasties was noted. Pediatric interventional procedures (607) increased by 30% compared to the 1995 Registry.
本文展示了1996年西班牙血流动力学与介入心脏病学注册研究的结果。该注册研究收集了西班牙所有81个心脏导管实验室的活动数据。主要活动包括73个中心的成人心脏导管插入术以及8个中心专门进行的儿科心脏导管插入术。共进行了63,961例诊断性导管插入术，与1995年相比增长了10.7%。这主要归因于冠状动脉造影术数量的增加。冠状动脉介入手术增加了21.4%，总数达到15,009例。每百万居民的冠状动脉介入手术比例为375。冠状动脉介入手术的成功率（94%）和并发症发生率（2.9%）与前几年记录的情况相似。在血管重建装置的特定领域，过去三年冠状动脉内支架的使用持续显著增加。1996年，7104例（占所有冠状动脉血运重建手术的47.3%）使用了冠状动脉支架，植入了8873个假体，与1995年相比该领域的活动增加了两倍。58%的病例中支架植入是选择性的，并发症发生率非常低（亚急性闭塞1%；心肌梗死1.8%；死亡率0.9%）。去年定向冠状动脉斑块旋切术减少了47%，而旋磨术增加了10%，尽管开展该技术的中心数量有所减少。与前几年一样，成人瓣膜成形术略有下降。儿科介入手术（607例）与1995年的注册研究相比增加了30%。
