Adolfo Fontenla1, Javier García-Fernández2, José Luis Ibáñez3. 1. Unidad de Arritmias, Hospital Universitario 12 de Octubre, Madrid, Spain. Electronic address: drfontenla@gmail.com. 2. Unidad de Arritmias, Hospital Universitario de Burgos, Burgos, Spain. 3. Unidad de Arritmias, Hospital Universitario de Alicante, Alicante, Spain.
Abstract
INTRODUCTION AND OBJECTIVES: This report describes the findings of the 2016 Spanish Catheter Ablation Registry. METHODS: Data were retrospectively collected by means of a standardized questionnaire completed by each of the participating centers. RESULTS: Data were collected from 83 centers. A total of 13 482 ablation procedures were performed (the highest historically reported in this registry), with a mean of 162.4 ± 116 and a median of 136 procedures per center. The most frequently treated ablation targets were atrioventricular nodal re-entrant tachycardia (n = 3058; 22.7%), atrial fibrillation (n = 2953; 21.9%), and cavotricuspid isthmus (n = 2892; 21.4%). There was a peak in ablation procedures for atrial fibrillation, which, for the first time in this registry, became the second most treated substrate. After exclusion of atrial fibrillation and ventricular tachycardia with underlying heart disease, the overall success rate was 86%. The rate of major complications was 2.3%, and the mortality rate was 0.05%. In all, 2.7% of the ablations were performed in pediatric patients. CONCLUSIONS: The Spanish Catheter Ablation Registry systematically and uninterruptedly records the ablation procedures performed in Spain, showing a progressive rise in the number of ablations performed, with a high success rate and a low percentage of complications.
INTRODUCTION AND OBJECTIVES: This report describes the findings of the 2016 Spanish Catheter Ablation Registry. METHODS: Data were retrospectively collected by means of a standardized questionnaire completed by each of the participating centers. RESULTS: Data were collected from 83 centers. A total of 13 482 ablation procedures were performed (the highest historically reported in this registry), with a mean of 162.4 ± 116 and a median of 136 procedures per center. The most frequently treated ablation targets were atrioventricular nodal re-entrant tachycardia (n = 3058; 22.7%), atrial fibrillation (n = 2953; 21.9%), and cavotricuspid isthmus (n = 2892; 21.4%). There was a peak in ablation procedures for atrial fibrillation, which, for the first time in this registry, became the second most treated substrate. After exclusion of atrial fibrillation and ventricular tachycardia with underlying heart disease, the overall success rate was 86%. The rate of major complications was 2.3%, and the mortality rate was 0.05%. In all, 2.7% of the ablations were performed in pediatric patients. CONCLUSIONS: The Spanish Catheter Ablation Registry systematically and uninterruptedly records the ablation procedures performed in Spain, showing a progressive rise in the number of ablations performed, with a high success rate and a low percentage of complications.
Authors: José Manuel Alfonso-Almazán; Jorge G Quintanilla; María Jesús García-Torrent; Santiago Laguna-Castro; Cruz Rodríguez-Bobada; Pablo González; Juan José González-Ferrer; Pablo Salinas; Victoria Cañadas-Godoy; Javier Moreno; Luis Borrego-Bernabé; Nicasio Pérez-Castellano; José Jalife; Julián Perez-Villacastín; David Filgueiras-Rama Journal: Circ Arrhythm Electrophysiol Date: 2019-03