ABSTRACT
Introduction and objectives The Interventional Cardiology Association of the Spanish Society of Cardiology (ACI-SEC) presents its annual activity report for 2020, the year of the coronavirus disease (COVID-19) pandemic. Methods All Spanish centers with catheterization laboratories were invited to participate. Data were collected online and were analyzed by an external company, together with the members of the ACI-SEC. Results A total of 123 centers participated (4 more than 2019), of which 83 were public and 40 were private. Diagnostic coronary angiograms decreased by 9.4%, percutaneous coronary interventions by 10.1%, primary percutaneous coronary interventions by 4.1%, transcatheter aortic valve replacements by 0.9%, and left atrial appendage closure by 8.3%. The only procedures that increased with respect to previous years were edge-to-edge mitral valve repair (13.8%) and patent foramen ovale closure (19.4%). The use of pressure wire (5.5%), intravascular imaging devices and plaque preparation devices decreased (with the exception of lithotripsy, which increased by 62%). Conclusions In the year of the COVID-19 pandemic, the registry showed a marked drop in activity in all procedures except for percutaneous mitral valve repair and patent foramen ovale closure. This decrease was less marked than previously described, suggesting a rebound in interventional activity after the first wave. Full English text available from: www.revespcardiol.org/en
ABSTRACT
Resumen Introducción y objetivos La Asociación de Cardiología Intervencionista de la Sociedad Española de Cardiología (ACI-SEC) presenta su informe anual de actividad de 2020, año de la pandemia de la COVID-19. Métodos Se invitó a participar a todos los centros españoles con sala de hemodinámica. La recogida de datos se realizó por vía telemática y una empresa externa, junto con los miembros de la ACI-SEC, llevó a cabo su análisis. Resultados Participaron 123 centros (4 más que el año previo), 83 públicos y 40 privados. Se observó una reducción del 9,4% de coronariografías, el 10,1% de intervenciones coronarias percutáneas, el 4,1% de angioplastias primarias, el 0,9% de válvulas aórticas transcatéter y el 8,3% de cierre de orejuelas. Los únicos procedimientos que se incrementaron con respecto a años previos fueron la reparación mitral con clips (13,8%) y el cierre del foramen oval permeable (19,4%). En cuanto a los dispositivos, disminuyeron las guías de presión (5,5%), la imagen intravascular y los dispositivos de preparación de placa (a excepción de la litotricia, que aumentó un 62%). Conclusiones El registro en el año de la pandemia de la COVID-19 demuestra una marcada caída en la actividad de todos los procedimientos a excepción de la reparación percutánea de la válvula mitral con clips y el cierre del foramen oval permeable. Dicha caída es menor que lo descrito previamente, lo cual indica un rebote de la actividad intervencionista tras la primera ola. Introduction and objectives The Interventional Cardiology Association of the Spanish Society of Cardiology (ACI-SEC) presents its annual activity report for 2020, the year of the coronavirus disease (COVID-19) pandemic. Methods All Spanish centers with catheterization laboratories were invited to participate. Data were collected online and were analyzed by an external company, together with the members of the ACI-SEC. Results A total of 123 centers participated (4 more than 2019), of which 83 were public and 40 were private. Diagnostic coronary angiograms decreased by 9.4%, percutaneous coronary interventions by 10.1%, primary percutaneous coronary interventions by 4.1%, transcatheter aortic valve replacements by 0.9%, and left atrial appendage closure by 8.3%. The only procedures that increased with respect to previous years were edge-to-edge mitral valve repair (13.8%) and patent foramen ovale closure (19.4%). The use of pressure wire (5.5%), intravascular imaging devices and plaque preparation devices decreased (with the exception of lithotripsy, which increased by 62%). Conclusions In the year of the COVID-19 pandemic, the registry showed a marked drop in activity in all procedures except for percutaneous mitral valve repair and patent foramen ovale closure. This decrease was less marked than previously described, suggesting a rebound in interventional activity after the first wave. Full English text available from:www.revespcardiol.org/en