Registro Español de Hemodinámica y Cardiología Intervencionista. XXVII Informe Oficial de la Sección de Hemodinámica y Cardiología Intervencionista de la Sociedad Española de Cardiología (1990-2017)

espanolIntroduccion y objetivos La Seccion de Hemodinamica y Cardiologia Intervencionista presenta su informe anual con los datos del registro de actividad de 2017. Metodos Los centros espanoles con laboratorio de hemodinamica proporcionan sus datos voluntariamente. La informacion se introduce online y la analiza la Junta Directiva de la Seccion de Hemodinamica y Cardiologia Intervencionista. Resultados Han participado en el registro nacional 107 centros, 82 de ellos, publicos. Se realizaron 154.218 estudios diagnosticos, entre ellos 138.448 coronariografias, un 2,2% mas que en 2016. Se registro un incremento significativo en la utilizacion de tecnicas de diagnostico intracoronarias, especialmente en la guia de presion (el 23,2% mas que en 2016, n = 7.003). Los procedimientos intervencionistas coronarios aumentaron un 3,2%, y se registraron 70.928. De ellos, 21.395 fueron en el infarto agudo de miocardio. Se implantaron 105.529 stents (el 90,3% farmacoactivos, un 6% mas que en 2016). El acceso radial alcanzo el 85,7% de los procedimientos diagnosticos y el 88,4% de los intervencionistas. En intervencionismo estructural, destaca un aumento del 28,2% (n = 2.821) en implante transcateter de valvula aortica, del 14,1% (n = 270) en reparacion percutanea de la valvula mitral y del 14,8% (n = 582) en cierre de orejuela izquierda. Conclusiones En 2017 se ha registrado un incremento en los procedimientos diagnosticos y terapeuticos en intervencionismo coronario, a expensas de un aumento de intervenciones en el infarto agudo de miocardio. Destaca el alto porcentaje de abordaje radial y el mayor uso de stents farmacoactivos. El intervencionismo estructural presenta un aumento significativo con respecto a anos anteriores. EnglishIntroduction and objectives To present the annual report of the Working Group on Cardiac Catheterization and Interventional Cardiology on the activity data for 2017. Methods Data were voluntarily provided by Spanish centers with a catheterization laboratory. The information was introduced online and was analyzed by the Steering Committee of the Working Group on Cardiac Catheterization and Interventional Cardiology. Results In 2017, data were reported by 107 hospitals, of which 82 are public. A total of 154 218 diagnostic procedures (138 448 coronary angiograms) were performed (2.2% increase vs 2016). The use of intracoronary diagnostic techniques significantly increased, especially that of pressure wire (23.2% vs 2016, n = 7003). In 2017, the number of percutaneous coronary interventions rose to 70 928 (3.2% increase), of which 21 395 interventional procedures were performed in the acute myocardial infarction setting. A total of 105 529 stents were implanted, of which 90.3% were drug-eluting stents (6% increase). Radial access was used in 85.7% of diagnostic procedures and in 88.4% of interventional procedures. The number of transcatheter aortic valve implantations continued to increase (28.2% increase, n = 2821), as did the number of left atrial appendage closures (14.8% increase, n = 582) and percutaneous mitral valve repair procedures (14.1% increase, n = 270). Conclusions Diagnostic and therapeutic procedures in acute myocardial infarction increased in 2017. The use of the radial approach and drug-eluting stents also increased in therapeutic procedures. The number of structural procedures rose significantly compared with previous years.