The results of the Spanish Registry of Hemodynamic and Interventional Cardi
ology in 1999 are presented. The activity of 90 centers representing all th
e cardiac catheterization laboratories in Spain is reported, with 83 center
s performing mainly adult cardiac catheterization and 7 centers exclusively
carrying out pediatric cardiac catheterization.
In 1999, a total of 82,805 diagnostic catheterization procedures, 79% being
coronary angiographies (65,234; 1,637 per million inhabitants), were perfo
rmed, representing a total increase of 11.4% compared to 1998.
Compared to 1998, coronary intervention increased by 14.2%, with a total nu
mber of 23,010 procedures. The ratio of coronary interventions per million
inhabitants was 590. Success rates for coronary interventions (94%) and com
plications (2.246) were similar to those registered in previous years, and
in 12.4% of the cases llb-llla glycoprotein inhibitors were used. Ten point
two per cent of the procedures were performed to treat acute myocardial in
Coronary stenting is the main device for coronary intervention. In 1999, co
ronary stents were used in 17,783 cases (23% increase compared to 1998), re
presenting 77.3% of all coronary revascularization procedures. A total of 2
2,946 prostheses were implanted, 87% electively and 21.4% as a primary sten
ting procedure, with a low rate of complications (0.85% subacute closure, 1
.95% myocardial infarction and 0.9% mortality).
Compared to 1998, both directional coronary atherectomy (52 procedures) and
rotational atherectomy (473 procedures) showed a slight decrease.
A slight increase (11.4% compared to 1998) was reported in adult valvulopla
sties (525 vs 505) while pediatric interventional procedures increased by 2
1% (678 vs 557 procedures) compared to 1998.
In conclusion, we would like to underline the high degree of laboratory par
ticipation in the Registry, and despite the increase in activity, the curre
nt rates remain lower than European figures.