Registro español de hemodinámica y cardiología intervencionista. XXIV informe oficial de la sección de hemodinámica y cardiología intervencionista de la Sociedad Española de Cardiología (1990-2014) / Spanish cardiac catheterization and coronary intervention registry. 24th official report of the spanish society of cardiology working Group on Cardiac Catheterization and Interventional Cardiology (1990-2014)

Introducción y objetivos: La Sección de Hemodinámica y Cardiología Intervencionista presenta su informe anual con los datos del registro de actividad correspondientes a 2014. Métodos: Los centros proporcionan sus datos voluntariamente. La información se introduce online y la analiza la Junta Directiva de la Sección de Hemodinámica y Cardiología Intervencionista. Resultados: Enviaron sus datos 106 hospitales. Se realizaron 140.461 estudios diagnósticos (125.484 coronariografías), con una tasa de 3.014 estudios diagnósticos por millón de habitantes. Los procedimientos intervencionistas coronarios aumentaron respecto a 2013 con 67.611, con una tasa de 1.447 intervenciones por millón de habitantes. Se implantaron 94.458 stents, 64.057 farmacoactivos y 2.424 dispositivos reabsorbibles intracoronarios. De ellos, 17.825 procedimientos fueron en el infarto agudo de miocardio, lo cual representa el 26,4% del total de intervenciones coronarias. El acceso radial alcanza al 74% de los procedimientos de diagnóstico y el 70,4% de los intervencionistas. Se detecta un declive en la denervación renal, mientras que el cierre de fugas mitrales supera los 125 cierres en un año. El implante percutáneo de válvula aórtica supera los 1.300 implantes por año, lo que supone un incremento del 27% respecto a 2013. Conclusiones: El año 2014 muestra un ligero incremento de la actividad en enfermedad coronaria pese a no detectarse incremento en el seno del infarto agudo de miocardio con elevación del segmento ST. Los dispositivos intracoronarios farmacoactivos superan ya la barrera del 70%. Solo algunas técnicas de intervencionismo estructural muestran un incremento progresivo, como el implante percutáneo de válvula aórtica y el cierre de fugas perivalvulares (AU)

Introduction and objectives: The Working Group on Cardiac Catheterization and Interventional Cardiology presents its annual report on the data from the registry of the activity in Spain in 2014. Methods: Data were voluntarily provided by participating centers. The information was introduced online and was analyzed by the Steering Committee of the Working Group on Cardiac Catheterization and Interventional Cardiology. Results: Data were reported by 106 hospitals. A total of 140 461 diagnostic procedures (125 484 coronary angiograms) were performed, representing a rate of 3014 diagnostic studies per million population. This year, the number of percutaneous coronary interventions increased to 67 611, giving a rate of 1447 interventions per million population. A total of 94 458 stents were implanted, including 64 057 drug-eluting stents and 2424 biodegradable intracoronary devices. Of the total number of percutaneous coronary interventions, 17 825 were in acute myocardial infarction, representing 26.4% of all coronary interventions. A radial approach was used in 74% of diagnostic procedures and in 70.4% of interventional procedures. The use of renal denervation decreased, whereas over 125 mitral leak closures were performed. Transcatheter aortic valve implantation procedures exceeded 1300 implantations per year, a 27% increase from 2013. Conclusions: The registry for 2014 shows a slight increase in coronary disease activity despite no increase in the management of ST-segment elevation myocardial infarction. Drug-eluting intracoronary devices now comprise over 70% of all intracoronary devices. A continual increase is only seen in certain structural interventional techniques, such as transcatheter aortic valve implantation and perivalvular leak closure (AU)

Spanish Cardiac Catheterization and Coronary Intervention Registry. 24th Official Report of the Spanish Society of Cardiology Working Group on Cardiac Catheterization and Interventional Cardiology (1990-2014).

INTRODUCTION AND OBJECTIVES: The Working Group on Cardiac Catheterization and Interventional Cardiology presents its annual report on the data from the registry of the activity in Spain in 2014. METHODS: Data were voluntarily provided by participating centers. The information was introduced online and was analyzed by the Steering Committee of the Working Group on Cardiac Catheterization and Interventional Cardiology. RESULTS: Data were reported by 106 hospitals. A total of 140 461 diagnostic procedures (125 484 coronary angiograms) were performed, representing a rate of 3014 diagnostic studies per million population. This year, the number of percutaneous coronary interventions increased to 67 611, giving a rate of 1447 interventions per million population. A total of 94 458 stents were implanted, including 64 057 drug-eluting stents and 2424 biodegradable intracoronary devices. Of the total number of percutaneous coronary interventions, 17 825 were in acute myocardial infarction, representing 26.4% of all coronary interventions. A radial approach was used in 74% of diagnostic procedures and in 70.4% of interventional procedures. The use of renal denervation decreased, whereas over 125 mitral leak closures were performed. Transcatheter aortic valve implantation procedures exceeded 1300 implantations per year, a 27% increase from 2013. CONCLUSIONS: The registry for 2014 shows a slight increase in coronary disease activity despite no increase in the management of ST-segment elevation myocardial infarction. Drug-eluting intracoronary devices now comprise over 70% of all intracoronary devices. A continual increase is only seen in certain structural interventional techniques, such as transcatheter aortic valve implantation and perivalvular leak closure.

Spanish Cardiac Catheterization and Coronary Intervention Registry. 23rd official report of the Spanish Society of Cardiology Working Group on Cardiac Catheterization and Interventional Cardiology (1990-2013).

INTRODUCTION AND OBJECTIVES: The Working Group on Cardiac Catheterization and Interventional Cardiology presents its yearly report on the data from the registry of the activity in Spain corresponding to 2013. METHODS: The centers introduce their data online voluntarily and the information is analyzed by the Steering Committee of the Working Group on Cardiac Catheterization. RESULTS: In 2013, 104 hospitals sent their data (72 public centers and 32 private). In all, 136 715 diagnostic studies were performed (120 358 coronary angiograms), with a slight decrease with respect to 2012, a reduction that was also observed in the rate, which was 2944 diagnostic studies per million population. A total of 65 912 interventional procedures were carried out during a phase of stability, for a rate of 1419 interventions per million population. Other techniques included the implantation of 99 417 stents and 1384 biodegradable intracoronary devices (64% of them drug-eluting devices). There were 18 337 procedures in acute myocardial infarction, for an increase of 7% with respect to 2012 and representing 27.8% of all the percutaneous coronary interventions. Radial access was the approach used in 71% of the diagnostic procedures and in 65% of the interventional procedures. The performance of renal denervation has nearly doubled with respect to 2012. For the first time, more than 1000 transcatheter aortic valve implantation procedures were carried out in 1 year, although the frequency increased only slightly (23%). CONCLUSIONS: There continued to be a slight increase in the activity in cardiac catheterization in association with ST-segment elevation myocardial infarction, whereas, with the exception of recently introduced, highly specific procedures, the use of the remainder of the procedures, among them transcatheter aortic valve implantation, leveled off.

Registro Español de Hemodinámica y Cardiología Intervencionista. XXIII Informe Oficial de la Sección de Hemodinámica y Cardiología Intervencionista de la Sociedad Española de Cardiología (1990-2013) / Spanish cardiac catheterization and coronary intervention registry. 23rd Official Report of the Spanish Society of Cardiology Working Group on Cardiac Catheterization and Interventional Cardiology (1990-2013)

Introducción y objetivos. La Sección de Hemodinámica y Cardiología Intervencionista presenta su informe anual con los datos del registro de actividad nacional correspondientes a 2013. Métodos. Los centros introducen voluntariamente sus datos online y los analiza la Junta Directiva de la Sección de Hemodinámica. Resultados. En 2013 enviaron sus datos 104 hospitales (72 centros públicos y 32 privados). Se realizaron 136.715 estudios diagnósticos (120.358 coronariografías), con una leve disminución respecto a 2012, al igual que la tasa de 2.944 estudios diagnósticos/millón de habitantes. Se realizaron 65.912 procedimientos intervencionistas dentro de una fase de estabilidad, con una tasa de 1.419 intervenciones/millón de habitantes. Se implantaron 99.417 stents y 1.384 dispositivos reabsorbibles intracoronarios (el 64%, dispositivos farmacoactivos). Se llevaron a cabo 18.337 procedimientos en el infarto agudo de miocardio, lo que supone un incremento del 7% respecto a 2012 y el 27,8% del total de intervenciones coronarias percutáneas. El acceso radial alcanza el 71% de los procedimientos de diagnóstico y el 65% de los intervencionistas. La denervación renal casi ha duplicado el número de procedimientos respecto a 2012. El implante percutáneo de válvulas aórticas ha superado por primera vez la cifra de 1.000 implantes en un año pese a haber aumentado solo ligeramente (23%). Conclusiones. Se mantiene un ligero incremento en la actividad en hemodinámica en relación con el infarto con elevación del ST, mientras que, salvo procedimientos muy específicos de reciente aplicación, los demás procedimientos están en una fase de meseta y ello incluye el implante percutáneo de válvulas aórticas (AU)

Introduction and objectives. The Working Group on Cardiac Catheterization and Interventional Cardiology presents its yearly report on the data from the registry of the activity in Spain corresponding to 2013. Methods. The centers introduce their data online voluntarily and the information is analyzed by the Steering Committee of the Working Group on Cardiac Catheterization. Results. In 2013, 104 hospitals sent their data (72 public centers and 32 private). In all, 136 715 diagnostic studies were performed (120 358 coronary angiograms), with a slight decrease with respect to 2012, a reduction that was also observed in the rate, which was 2944 diagnostic studies per million population. A total of 65 912 interventional procedures were carried out during a phase of stability, for a rate of 1419 interventions per million population. Other techniques included the implantation of 99 417 stents and 1384 biodegradable intracoronary devices (64% of them drug-eluting devices). There were 18 337 procedures in acute myocardial infarction, for an increase of 7% with respect to 2012 and representing 27.8% of all the percutaneous coronary interventions. Radial access was the approach used in 71% of the diagnostic procedures and in 65% of the interventional procedures. The performance of renal denervation has nearly doubled with respect to 2012. For the first time, more than 1000 transcatheter aortic valve implantation procedures were carried out in 1 year, although the frequency increased only slightly (23%). Conclusions. There continued to be a slight increase in the activity in cardiac catheterization in association with ST-segment elevation myocardial infarction, whereas, with the exception of recently introduced, highly specific procedures, the use of the remainder of the procedures, among them transcatheter aortic valve implantation, leveled off (AU)

Update on interventional cardiology 2013.

The present article reviews the most important publications and studies in the field of interventional cardiology in 2013. Coronary interventions for ST-segment elevation myocardial infarction are among the most important, with studies that assess different devices and pharmacologic and mechanical strategies in primary angioplasty. Increasingly large groups of patients (with diabetes, of advanced age) and the best coronary revascularization strategy are also the focus of exhaustive research. Percutaneous procedures in the left main coronary artery continue to give rise to a significant number of publications, both because of the results of using different types of stent and because of the intravascular imaging techniques used to guide procedures and the results of their use. New bioabsorbable polymer-coated drug-eluting stents or bioresorbable drug-eluting scaffolds are being compared with second-generation drug-eluting stents to show their efficacy in preventing restenosis and reducing incidence of late thrombosis. Percutaneous treatment of structural heart disease continues to produce many publications, especially regarding percutaneous aortic prostheses, but also on closure of foramen ovale and of left atrial appendage. Finally, renal denervation continues to arouse much interest in the medical literature.

Actualización en cardiología intervencionista 2013 / Update on Interventional Cardiology 2013

En este artículo se presenta una revisión de las publicaciones y los estudios más relevantes en el ámbito de la cardiología intervencionista en 2013. El intervencionismo coronario en el contexto del infarto de miocardio con elevación del segmento ST ocupa un lugar destacado, con estudios que evalúan diferentes dispositivos y estrategias farmacológicas y mecánicas en la angioplastia primaria. Grupos de pacientes cada vez más numerosos (diabéticos, ancianos) y su mejor estrategia de revascularización coronaria son también objeto de exhaustiva investigación. El intervencionismo percutáneo sobre el tronco izquierdo sigue generando un significativo número de publicaciones, tanto por los resultados del uso de diferentes stents como por las técnicas de imagen intravascular para guiar el procedimiento y su resultado. Los nuevos stents farmacoactivos con polímeros bioabsorbibles o con estructura totalmente reabsorbible se están comparando con los stents farmacoactivos de segunda generación con el objetivo de demostrar su eficacia para prevenir la reestenosis y disminuir las trombosis tardías. El intervencionismo cardiaco estructural continúa generando muchas publicaciones, especialmente las prótesis aórticas percutáneas, pero también los cierres de foramen oval y de orejuela izquierda. Finalmente, la denervación renal continúa suscitando gran atención en la literatura médica (AU)

The present article reviews the most important publications and studies in the field of interventional cardiology in 2013. Coronary interventions for ST-segment elevation myocardial infarction are among the most important, with studies that assess different devices and pharmacologic and mechanical strategies in primary angioplasty. Increasingly large groups of patients (with diabetes, of advanced age) and the best coronary revascularization strategy are also the focus of exhaustive research. Percutaneous procedures in the left main coronary artery continue to give rise to a significant number of publications, both because of the results of using different types of stent and because of the intravascular imaging techniques used to guide procedures and the results of their use. New bioabsorbable polymer-coated drug-eluting stents or bioresorbable drug-eluting scaffolds are being compared with second-generation drug-eluting stents to show their efficacy in preventing restenosis and reducing incidence of late thrombosis. Percutaneous treatment of structural heart disease continues to produce many publications, especially regarding percutaneous aortic prostheses, but also on closure of foramen ovale and of left atrial appendage. Finally, renal denervation continues to arouse much interest in the medical literature (AU)

Registro Español de Hemodinámica y Cardiología Intervencionista. XXII Informe Oficial de la Sección de Hemodinámica y Cardiología Intervencionista de la Sociedad Española de Cardiología (1990-2012) / Spanish Cardiac Catheterization and Coronary Intervention Registry. 22nd Official Report of the Spanish Society of Cardiology Working Group on Cardiac Catheterization and Interventional Cardiology (1990-2012)

Introducción y objetivos. La Sección de Hemodinámica y Cardiología Intervencionista presenta su informe anual con los datos del registro de actividad nacional correspondientes a 2012. Métodos. Los centros proporcionan sus datos voluntariamente. La información se introduce online y la analiza la Junta Directiva de la Sección de Hemodinámica. Resultados. Enviaron datos 109 hospitales (71 centros públicos y 38 privados), que realizan su actividad predominantemente en adultos. Se realizaron 136.912 estudios diagnósticos (120.441 coronariografías), con una leve disminución respecto al año anterior, al igual que la tasa de 2.979 estudios diagnósticos por millón de habitantes. Los procedimientos intervencionistas coronarios mostraron un ascenso progresivo hasta 65.909 tras una ligera reducción en 2011, con una tasa de 1.434 intervenciones por millón de habitantes. Se implantaron 99.110 stents (el 62% farmacoactivos). Se llevaron a cabo 17.125 procedimientos en el infarto agudo de miocardio, lo que supone un incremento del 10,5% respecto a 2011 y representa el 25,9% del total de intervenciones coronarias percutáneas. El intervencionismo más frecuente en las cardiopatías congénitas del adulto fue el cierre de la comunicación interauricular, con 292 procedimientos. La valvuloplastia mitral sigue en descenso, con 258 casos. El implante percutáneo de válvulas aórticas ha moderado su crecimiento de años previos hasta un escaso 10%. Conclusiones. El único aumento importante en la actividad en hemodinámica sigue teniendo relación con el infarto de miocardio con elevación de ST, mientras que el implante percutáneo de válvulas y otros procedimientos estructurales frenaron su crecimiento durante 2012 (AU)

Introduction and objectives. The Working Group on Cardiac Catheterization and Interventional Cardiology presents the yearly report on the data collected for the Spanish registry. Methods. Institutions provided their data voluntarily (online) and the information was analyzed by the Working Group's Steering Committee. Results. Data were provided by 109 hospitals (71 public and 38 private) that mainly treat adults. There were 136 912 diagnostic procedures, 120 441 of which were coronary angiograms, slightly fewer than the year before, with a rate of 2979 diagnostic studies per million population. Percutaneous coronary interventions increased slightly to 65 909 procedures, for a rate of 1434 interventions per million population. Of the 99 110 stents implanted, 62% were drug-eluting stents. In all, 17 125 coronary interventions were carried out during the acute phase of myocardial infarction, 10.5% more than in 2011, representing 25.9% of the total number of coronary interventions. The most frequently performed intervention for adult congenital heart disease was atrial septal defect closure (292 procedures). The use of percutaneous mitral valvuloplasty continued to decline (258 procedures) and percutaneous aortic valve implantations increased by only 10% in 2012. Conclusions. In 2012, the only increase in hemodynamic activity occurred in the field of ST-elevation myocardial infarction, and the increasing trend had slowed for percutaneous aortic valve implantation and other procedures affecting structure (AU)

Spanish cardiac catheterization and coronary intervention registry. 22nd official report of the Spanish Society of Cardiology Working Group on Cardiac Catheterization and Interventional Cardiology (1990-2012).

INTRODUCTION AND OBJECTIVES: The Working Group on Cardiac Catheterization and Interventional Cardiology presents the yearly report on the data collected for the Spanish registry. METHODS: Institutions provided their data voluntarily (online) and the information was analyzed by the Working Group's Steering Committee. RESULTS: Data were provided by 109 hospitals (71 public and 38 private) that mainly treat adults. There were 136,912 diagnostic procedures, 120, 441 of which were coronary angiograms, slightly fewer than the year before, with a rate of 2979 diagnostic studies per million population. Percutaneous coronary interventions increased slightly to 65,909 procedures, for a rate of 1434 interventions per million population. Of the 99,110 stents implanted, 62% were drug-eluting stents. In all, 17,125 coronary interventions were carried out during the acute phase of myocardial infarction, 10.5% more than in 2011, representing 25.9% of the total number of coronary interventions. The most frequently performed intervention for adult congenital heart disease was atrial septal defect closure (292 procedures). The use of percutaneous mitral valvuloplasty continued to decline (258 procedures) and percutaneous aortic valve implantations increased by only 10% in 2012. CONCLUSIONS: In 2012, the only increase in hemodynamic activity occurred in the field of ST-elevation myocardial infarction, and the increasing trend had slowed for percutaneous aortic valve implantation and other procedures affecting structure.