1. Spanish catheter ablation registry. 23rd official report of the Heart Rhythm Association of the Spanish Society of Cardiology (2023).
- Author
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Bazan V, Arana E, Rubio-Campal JM, Calvo D, Álvarez Acosta L, Hernández Afonso J, Ramos Ardanaz P, Peñafiel Verdú P, Cano Calabria LR, Barrera Cordero A, Barrera Cordero A, Barrera Cordero A, Barrera Cordero A, Barrera Cordero A, Díaz Infante E, Cózar León R, Lozano Granero VC, Martínez Sande JL, Moya Mitjans À, Rodríguez Entem F, Salgado Aranda R, Salgado Aranda R, Gil Ortega I, Cabanas Grandío P, Alcalde Rodriguez Ó, García Fernández FJ, Sarquella-Brugada G, Castro Urda V, Fidalgo Andrés ML, Durán Guerrero JM, Mazuelos Bellido F, Rubio Caballero JA, Pérez Roselló V, Cabrera Ramos M, Rubio Campal JM, Rubio Campal JM, Porta Sánchez A, Hidalgo Olivares VM, Rubín López JM, Jiménez López J, Grande Morales CE, Fernández Gómez JM, Jiménez Candil J, Moreno Garrido R, Moraleda Salas MT, Rodríguez Muñoz D, Vázquez Esmorís I, Ibáñez Criado JL, Ibáñez Criado A, Arcocha Torres MF, Bastos Amador P, Elices Teja J, Pavón Jiménez R, Álvarez López M, Martín Sánchez G, Benezet Mazuecos J, Gómez Pulido F, Arce León A, Quesada Dorador A, Mendoza Lemes H, Herreros Guilarte B, Osca Asensi J, Datino Romaniega T, Datino Romaniega T, Sarrias A, Ferrer Hita JJ, Lozano Herrera JM, Ángel Arias M, Rivas Gandara N, Sánchez Borque P, García Cuenca E, Bochard Villanueva B, Alonso Fernández P, Valverde André I, Moraleda Salas MT, Sandín Fuentes MG, Pastor Fuentes A, Portales Fernández J, Ruiz Hernández PM, Guasch Casany E, Pedrote A, Asso Abadía A, Guerra Ramos JM, Anguera I, Cantalapierda J, Sainz Godoy Í, Domínguez Mafé E, Rodriguez Font E, Martí Almor J, Moreno Arribas J, Merino Llorens JL, Merino Llorens JL, Merino Llorens JL, Bertomeu González V, Benito Martín EM, Mosquera Pérez I, Álvarez López M, Peláez González A, Jiménez Díaz FJ, Saurí Ortiz A, Luque Lezcano AÓ, Segura Villalobos F, Almendral Garrote J, Salvador Montañés Ó, González Ferrer JJ, Gómez Pulido F, Peinado Peinado R, Fabregat Andrés Ó, Arenal Á, Moreno S, and Del Castillo ÁM
- Subjects
- Adult, Aged, Female, Humans, Male, Middle Aged, Arrhythmias, Cardiac surgery, Arrhythmias, Cardiac epidemiology, Atrial Fibrillation surgery, COVID-19 epidemiology, Registries, Societies, Medical, Spain epidemiology, Cardiology, Catheter Ablation methods
- Abstract
Introduction and Objectives: We report the results of the 2023 Spanish catheter ablation registry., 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., (Copyright © 2024 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.)
- Published
- 2024
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