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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J Clin Med
January 2025
Department of Cardiology, Saitama Medical University International Medical Center, Saitama 350-1298, Japan.
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Heart Center Hirslanden Zurich, 8008 Zurich, Switzerland.
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Hubei Key Laboratory of Genetics and Molecular Mechanisms of Cardiological Disorders, Wuhan 430074, China.
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1st Cardiology Department, General Hospital of Athens "Hippokration", University of Athens Medical School, 11528 Athens, Greece.
Atrial fibrillation (AF) is the most common cardiac arrhythmia encountered in clinical practice and is associated with significant morbidity and mortality. Even though catheter ablation has emerged as an available and effective treatment for AF, recurrence remains a significant challenge. This review presents the existing evidence on the prognostic role of microRNAs (miRNAs) in the prediction of AF recurrence after catheter ablation.
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Arrhythmia Unit, Central University Hospital of Asturias, 33011 Oviedo, Spain.
: Catheter ablation for atrial fibrillation (AF) is a well-established therapeutic approach for maintaining sinus rhythm, though its efficacy remains suboptimal in certain patients. The left atrium (LA) volume, commonly assessed through transthoracic echocardiography (TTE), is a recognized predictor of AF recurrence after pulmonary vein isolation (PVI). However, the complex three-dimensional structure of the LA makes precise measurement challenging with traditional TTE techniques.
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