Spain: coronary and structural heart interventions from 2010 to 2015

Area of Science:

• Cardiology
• Interventional Cardiology
• Cardiac Catheterization

Background:

• The Spanish Society of Cardiology Working Group on Cardiac Catheterization and Interventional Cardiology has published annual reports since 1990.
• Data is voluntarily provided by 105-113 hospitals, covering 46.8 million inhabitants in 2015.
• Online data support has been available since 2010.

Purpose of the Study:

• To analyze trends in cardiac catheterization and interventional cardiology procedures in Spain.
• To report on the volume and types of diagnostic and interventional procedures performed.
• To assess the adoption of radial access and structural interventions.

Main Methods:

• Analysis of voluntarily submitted data from a national registry of cardiac catheterization procedures.
• Data collected from 105-113 participating hospitals.
• Statistical analysis of procedure volumes, patient demographics, and access site utilization.

Main Results:

• Diagnostic procedures increased, with coronary angiograms accounting for 86% of 145,836 procedures in 2015.
• Percutaneous coronary interventions reached 67,671 procedures, with 21.7% performed during acute myocardial infarction.
• Radial access utilization was high (73.8% diagnostic, 76.1% interventional).
• Structural interventions showed growth, including 1,586 TAVI and 334 LAA closure procedures in 2015.

Conclusions:

• Cardiac catheterization and interventional cardiology procedures have shown a significant increase in Spain.
• Radial access is the predominant approach for both diagnostic and interventional procedures.
• There is a notable evolution and increase in structural heart interventions.