Introduction: This article details the findings (i.e., success and complication rates) of the 2004 Spanish Catheter Ablation Registry, which was established by the Spanish Society of Cardiology Working Group on Electrophysiology and Arrhythmias. This is the fourth consecutive annual report.

Material And Method: Similar to last year, data were collected in two ways: retrospectively using a standard questionnaire, and prospectively using a central database containing details of each ablation procedure. Each center was asked to participate by selecting one of these methods.

Results: Thirty-six centers contributed voluntarily to the registry. Overall, 4147 ablation procedures were reported, giving a mean of 115 [66] procedures per center. The three main conditions treated were AV node reentry tachycardia (32%), the presence of accessory pathways (25%), and common atrial flutter (23%). Success rates were 98%, 89% and 91%, respectively. The overall success rate was 90%, with a major complication rate of 1.4% and a mortality rate of 0.07%.

Conclusions: Although the participation rate was slightly lower than in previous years, the comparability of data collected on a substantial number of ablation procedures (more than 4000) with earlier registry data confirm the validity and consistency of the register.

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