Key result
Spanish coronary and structural interventions show progressive growth, reaching ~68,000 PCIs in 2015.
Why the study?
The Spanish Society of Cardiology Working Group on Cardiac Catheterization and Interventional Cardiology has collected and analyzed national data on coronary and structural heart interventions to monitor trends and procedural implementation.
Observational
Yes
This national registry report demonstrates a progressive increase in coronary and structural heart interventions in Spain from 2010 to 2015, alongside a high adoption rate of radial access.
Answers are grounded in this paper and cite their sources.
Documents rising Spanish interventional volumes through 2015; leaves open drivers of growth and need for outcome studies.
Since 1990 The Spanish Society of Cardiology Working Group on Cardiac Catheterization and Interventional Cardiology has presented a yearly report on the data collected in the National Registry, with online support since 2010. The Steering Committee has analysed all data provided voluntarily by institutions, which consisted of a total of anywhere between 105 and 113 hospitals. Medical care was provided to a population of 46.8 million inhabitants in 2015. During this period, diagnostic procedures increased progressively from 2010, reaching a maximum of 145,836 in 2015, 86% (125,484) corresponding to coronary angiograms. This means a ratio of 3,127 diagnostic studies per million inhabitants and 2,746 coronary angiograms per million inhabitants. Total percutaneous coronary interventions have increased to 67,671 procedures, with a ratio of 1,466 per million inhabitants where 18,418 were carried out during the acute phase of myocardial infarction (21.7%). Radial access has been successfully implemented in up to 73.8% of diagnostic procedures and 76.1% of percutaneous interventions. Concerning structural interventions such as septal defects, valve interventions and closure of left atrial appendage, these have had a marked evolution over time, with a total of 1,586 TAVI and 334 LAA closure procedures performed in 2015.
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Blanco et al. (2017) conducted an observational in Coronary and structural heart disease. Coronary and structural heart interventions was evaluated on Procedural volume and trends. Between 2010 and 2015, coronary and structural heart interventions in Spain increased progressively, reaching 145,836 diagnostic procedures and 67,671 percutaneous coronary interventions in 2015.
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