Spanish catheter ablation registry. 23rd official report of the Heart Rhythm Association of the Spanish Society of Cardiology (2023).
Rev Esp Cardiol (Engl Ed)
; 2024 Sep 21.
Article
en En, Es
| MEDLINE
| ID: mdl-39313188
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.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Idioma:
En
/
Es
Revista:
Rev Esp Cardiol (Engl Ed)
/
Rev. esp. de cardiol. (Internet. Engl. ed.)
/
Revista espanola de cardiologia (Internet. English ed.)
Año:
2024
Tipo del documento:
Article