Spanish Registry of Hemodynamic and Interventional Cardiology Activity in 1998

Citation
J. Soriano et al., Spanish Registry of Hemodynamic and Interventional Cardiology Activity in 1998, REV ESP CAR, 52(12), 1999, pp. 1105-1120
Citations number
9
Language
SPAGNOLO
art.tipo
Article
Categorie Soggetti
Cardiovascular & Respiratory Systems
Journal title
REVISTA ESPANOLA DE CARDIOLOGIA
ISSN journal
0300-8932 → ACNP
Volume
52
Issue
12
Year of publication
1999
Pages
1105 - 1120
Database
ISI
SICI code
0300-8932(199912)52:12<1105:SROHAI>2.0.ZU;2-S
Abstract
The results of the Spanish Registry of Hemodynamic and Interventional Cardi ology of the Spanish Society of Cardiology in 1998 are hereby presented. Th e Registry collects the activity of 82 centers, which constitutes all the c ardiac catheterization laboratories in Spain. The main activity was adult c ardiac catheterization in 75 centers, and exclusively pediatric cardiac cat heterization in 7. A total of 74,364 diagnostic catheterization procedures, 80% coronary angio graphies (59,321; 1,498 per million inhabitants), were performed, which rep resents a 2.8% total increase compared to 1997. Coronary intervention increased by 8.6% compared to 1997, for a total numbe r of 20,146 procedures. The ratio of coronary interventions per million inh abitants was 509. Success rates of coronary interventions (94%) and complic ations (2.3%) are similar to those registered in previous years, and in 9.7 % of the cases, IIb-IIIa glicoprotein inhibitors were used. A 8.6% of the p rocedures were performed in order to treat an acute myocardial infarction. Coronary stenting is, continues to be the main device for coronary interven tion. In 1998, coronary stents were employed in 14,497 cases (a 27% increas e compared to 1997) which represents the 72% of all coronary revascularizat ions procedures. A total of 19,378 prosthesis were implanted, 83% in a elec tive way and 12.9% primary stenting, with a low rate of complications (1.5% subacute closure, 1.5% myocardial infarction and 0.94% mortality). Compared to 1997, directional coronary atherectomy (83 procedures) showed a slight decrease, whereas rotational atherectomy (549 procedures) has stabi lized the number of procedures and centers performing this technique. As in previous years, a slight decrease (9% compared to 1997) in adult valv uloplasties (505 vs 559) were noted. Pediatric interventional procedures in creased by 20% (557 vs 465 procedures) compared to the 1997 Registry.