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. 2021 Dec;74(12):1095-1105.
doi: 10.1016/j.rec.2021.10.008. Epub 2021 Oct 28.

Spanish Cardiac Catheterization and Coronary Intervention Registry. 30th Official Report of the Interventional Cardiology Association of the Spanish Society of Cardiology (1990-2020) in the year of the COVID-19 pandemic

[Article in English, Spanish]
Rafael Romaguera  1 , Soledad Ojeda  2 , Ignacio Cruz-González  3 , Raúl Moreno  4 ; ACI-SEC; REGISTRY COLLABORATORS
Collaborators, Affiliations

Spanish Cardiac Catheterization and Coronary Intervention Registry. 30th Official Report of the Interventional Cardiology Association of the Spanish Society of Cardiology (1990-2020) in the year of the COVID-19 pandemic

[Article in English, Spanish]
Rafael Romaguera et al. Rev Esp Cardiol (Engl Ed). 2021 Dec.

Abstract
in English, Spanish

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.

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.

Keywords: Cardiovascular disease; Coronavirus; Drug-eluting stent; Enfermedad cardiovascular; Infarto de miocardio; Myocardial infarction; Stent farmacoactivo.

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Figures

Figure 1
Figure 1
Changes over time in the numbers of the various intracoronary diagnostic techniques. OCT, optical coherence tomography.
Figure 2
Figure 2
Intracoronary diagnostic techniques for every 100 PCIs in each autonomous community. IVUS, intravascular ultrasound; OCT, optical coherence tomography; PCI, percutaneous coronary intervention.
Figure 3
Figure 3
Percutaneous coronary interventions (PCIs) per million population in 2019 and 2020. Spanish average and total by autonomous community.
Figure 4
Figure 4
Numbers of complex percutaneous coronary interventions in 2019 and 2020. CA, coronary artery.
Figure 5
Figure 5
Primary angioplasties per million population in 2019 and 2020. Spanish average and total by autonomous community.
Figure 6
Figure 6
Transcatheter aortic valve implantations (TAVIs) per million population in 2019 and 2020. Spanish average and total by autonomous community.
Figure 7
Figure 7
Number of procedures in adult congenital heart diseases in 2018, 2019, and 2020. ASD, atrial septal defect; VSD, ventricular septal defect.
Figure 8
Figure 8
Overview of the relative increase or decrease in each procedure in 2020 vs 2019. IVUS, intravascular ultrasound; OCT, optical coherence tomography; PCI, percutaneous coronary intervention; PFOC, patent foramen ovale closure; TAVI, transcatheter aortic valve implantation.
See this image and copyright information in PMC

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