Spanish catheter ablation registry. 23rd official report of the Heart Rhythm Association of the Spanish Society of Cardiology (2023).
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Bazan Victor, Arana Eduardo, Rubio-Campal José Manuel, Calvo David, collaborators of the Spanish catheter ablation registry, Álvarez Acosta Luis, Hernández Afonso Julio, Ramos Ardanaz Pablo, Peñafiel Verdú Pablo, Cano Calabria Lucas R, Barrera Cordero Alberto, Barrera Cordero Alberto, Barrera Cordero Alberto, Barrera Cordero Alberto, Barrera Cordero Alberto, Díaz Infante Ernesto, Cózar León Rocío, Lozano Granero Vanesa Cristina, Martínez Sande José Luis, Moya Mitjans Àngel, Rodríguez Entem Felipe, Salgado Aranda Ricardo, Salgado Aranda Ricardo, Gil Ortega Ignacio, Cabanas Grandío Pilar, Alcalde Rodriguez Óscar, García Fernández Francisco Javier, Sarquella-Brugada Georgia, Castro Urda Víctor, Fidalgo Andrés María Luisa, Durán Guerrero J Manuel, Mazuelos Bellido Francisco, Rubio Caballero Jose Amador, Pérez Roselló Víctor, Cabrera Ramos Mercedes, Rubio Campal José Manuel, Rubio Campal José Manuel, Porta Sánchez Andreu, Hidalgo Olivares Víctor M, Rubín López José Manuel, Jiménez López Jesús, Grande Morales Carlos Eugenio, Fernández Gómez Juan Manuel, Jiménez Candil Javier, Moreno Garrido Rafael, Moraleda Salas María Teresa, Rodríguez Muñoz Daniel, Vázquez Esmorís Iván, Ibáñez Criado José Luis, Ibáñez Criado Alicia, Arcocha Torres María Fe, Bastos Amador Pablo, Elices Teja Juliana, Pavón Jiménez Ricardo, Álvarez López Miguel, Martín Sánchez Gabriel, Benezet Mazuecos Juan, Gómez Pulido Federico, Arce León Alvaro, Quesada Dorador Aurelio, Mendoza Lemes Haridian, Herreros Guilarte Benito, Osca Asensi Joaquín, Datino Romaniega Tomás, Datino Romaniega Tomás, Sarrias Axel, Ferrer Hita Julio Jesús, Lozano Herrera José Miguel, Ángel Arias Miguel, Rivas Gandara Nuria, Sánchez Borque Pepa, García Cuenca Enrique, Bochard Villanueva Bruno, Alonso Fernández Pau, Valverde André Irene, Moraleda Salas María Teresa, Sandín Fuentes María de Gracia, Pastor Fuentes Agustín, Portales Fernández Javier, Ruiz Hernández Pablo M, Guasch Casany Eduard, Pedrote Alonso, Asso Abadía Antonio, Guerra Ramos Jose Maria, Anguera Ignasi, Cantalapierda Javier, Sainz Godoy Íñigo, Domínguez Mafé Eloy, Rodriguez Font Enrique, Martí Almor Julio, Moreno Arribas José, Merino Llorens José Luis, Merino Llorens José Luis, Merino Llorens José Luis, Bertomeu González Vicente, Benito Martín Eva María, Mosquera Pérez Ignacio, Álvarez López Miguel, Peláez González Antonio, Jiménez Díaz Francisco Javier, Saurí Ortiz Assumpció, Luque Lezcano Antonio Óscar, Segura Villalobos Federico, Almendral Garrote Jesús, Salvador Montañés Óscar, González Ferrer Juan José, Gómez Pulido Federico, Peinado Peinado Rafael, Fabregat Andrés Óscar, Arenal Ángel, Moreno Sara, Del Castillo Álvaro Marco
Аннотация
METHODS: Procedural data were collected and incorporated into the REDCap platform by all participating centers through a specific form.
RESULTS: There were 104 participating centers in 2023 compared with 103 in 2022. In 2023, the total number of ablation procedures was 26 207, indicating a stabilization of the increase observed in 2022 following the pandemic. The increase was mainly due to procedures for atrial fibrillation (AF), with a total of 9942 ablations, representing 38% of all substrates. Notably, pulse-field ablation represented 10.3% of all AF ablation procedures, leading single-shot ablation strategies to outnumber point-by-point AF ablation for the first time in the history of the registry. Cavotricuspid isthmus ablation remained the second most targeted substrate (19% of all substrates, n=5067). The overall acute success rate remained high (97%), with a downward trend in the complication rate (1.6% vs 1.8% in 2022) and mortality rate (0.03%; n=7). Compared with 2022, there was a significant increase in procedures performed using electro-anatomical mapping and zero-fluoroscopy techniques for cavotricuspid isthmus ablation (52% vs 26%), AV node re-entrant tachycardia (48% vs 34%), and accessory pathways (62% vs 22%). We registered 466 ablations in pediatric patients.
CONCLUSIONS: The data indicate a stabilization in the post-pandemic increase in ablation procedures, with an absolute and relative increase in AF as the predominant substrate. Success rates remained stable with a modest reduction in complication and mortality rates.