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1. Subcutaneos Implantable Cardioverter: Defibrillator: Is the Conventional Pre-Implant Screening Enough to Assess Eligibility?

Author

Victoria Galizia Brito, Teresa Falcó Martinez, Aina Bibiloni Cladera, Diego Lozano Medina, Vicente Peral Disdier, María del Carmen Expósito Pineda, and Carlos Grande Morales

Subjects
General Medicine
Abstract

Aims: The subcutaneous implantable cardioverter-defibrillator (S-ICD) requires screening prior to implantation. Surface anatomical landmarks (SAL) guide the screening. The heart silhouette shows variations, therefore, these landmarks may differ. We aimed to determine the concordance between SAL and fluoroscopy guided screening, and analyze discordance predicting factors. Methods: We performed a conventional SAL guided screening (CS) in left and right parasternal electrode position (LPP/RPP) to candidates for S-ICD. Subsequently, we performed a fluoroscopy guided screening (FGS) according to cardiac silhouette. Screenings in which at least the result of one sensing vector did not coincide were considered “discordant”. A comparison was done between discordant vs. concordant cases. A simple binary logistic regression analysis was performed to assess the risk of being discordant individually for each of the variables. Results: The results of CS and FGS were compared in 110 patients (220 comparisons: 110 LPP and 110 RPP). 90 (40.91%) were discordant in at least one sensing vector (46 in LPP and 44 in RPP). In 3 patients (2.73%) the indication of which type of defibrillator was implanted changed according to the FGS. There were no significant differences between the discordant and concordant screening patients. Conclusion: There is a level of discordance between CS and FGS. There were no analyzed factors that were able to predict discordance between these two screening methods. It might be reasonable to perform FGS before implant.

Published
2023
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2. Spanish Catheter Ablation Registry. 18th Official Report of the Spanish Society of Cardiology Working Group on Electrophysiology and Arrhythmias (2018)

Author

José Luis Ibáñez Criado, Aurelio Quesada, Rocío Cózar, Jesús Almendral-Garrote, Pau Alonso-Fernández, Concepción Alonso-Martín, Nelson María Alvarenga-Recalde, Luis Álvarez-Acosta, Miguel Álvarez-López, Ignasi Anguera-Camos, Eduardo Arana-Rueda, María Fe Arcocha-Torres, Miguel Ángel Arias-Palomares, Antonio Asso-Abadía, Gabriel Alejandro Ballesteros-Derbenti, Alberto Barrera-Cordero, Juan Benezet-Mazuecos, Andrés I. Bodegas-Cañas, Josep Brugada-Terradellas, Claudia Cabadés-Rumbeu, María del Pilar Cabanas-Grandío, Sandra Cabrera-Gómez, Lucas R. Cano-Calabria, Silvia del Castillo-Arrojo, Víctor Castro-Urda, Rocío Cózar-León, Ernesto Díaz-Infante, Juan Manuel Durán-Guerrero, Juliana Elices-Teja, María del Carmen Expósito-Pineda, Juan Manuel Fernández-Gómez, Julio Jesús Ferrer-Hita, María Luisa Fidalgo-Andrés, Adolfo Fontenla-Cerezuela, Arcadio García-Alberola, J. Ignacio García-Bolao, Enrique García-Cuenca, Francisco Javier García-Fernández, Ignacio Gil-Ortega, Federico Gómez-Pulido, Juan Manuel Grande-Ingelmo, Eduard Guasch-i-Casany, José M. Guerra-Ramos, Santiago Heras-Herreros, Julio Hernández-Afonso, Benito Herreros-Guilarte, Víctor Manuel Hidalgo-Olivares, Alicia Ibáñez-Criado, José Luis Ibáñez-Criado, Sonia Ibars-Campaña, Miguel Eduardo Jáuregui-Abularach, F. Javier Jiménez-Candil, Javier Jiménez-Díaz, Jesús I. Jiménez-López, Carla Lázaro-Rivera, José Miguel Lozano-Herrera, Alfonso Macías-Gallego, Santiago Magnani-Ragamato, Javier Martínez-Basterra, Ángel Martínez-Brotons, José Luis Martínez-Sande, Gabriel Martín-Sánchez, Roberto Matías-Francés, José Luis Merino-Llorens, Josep Lluis Mont-Girbau, José Moreno-Arribas, Javier Moreno-Planas, Ángel Moya-i-Mitjans, Marta Ortega-Molina, Joaquín Osca-Asensi, Agustín Pastor-Fuentes, Ricardo Pavón-Jiménez, Rafael Peinado-Peinado, Luisa Pérez-Álvarez, Nicasio Pérez-Castellano, Rosa Porro-Fernández, Andreu Porta-Sánchez, Jordi Punti-Sala, Aurelio Quesada-Dorador, Nuria Rivas-Gándara, Gonzalo Rodrigo-Trallero, Felipe José Rodríguez-Entem, Juan Carlos Rodríguez-Pérez, Rafael Romero-Garrido, José Manuel Rubín-López, José Amador Rubio-Caballero, José Manuel Rubio-Campal, Jerónimo Rubio-Sanz, Pablo M. Ruiz-Hernández, Ricardo Salgado-Aranda, Juan Miguel Sánchez-Gómez, Georgia Sarquella-Brugada, Axel Sarrias-Mercé, Jose María Segura-Saint-Gerons, Federico Segura-Villalobos, and Irene Valverde-André

Subjects
Male, Tachycardia, medicine.medical_specialty, Cavotricuspid isthmus, medicine.medical_treatment, Ablation of atrial fibrillation, Cardiology, Catheter ablation, 030204 cardiovascular system & hematology, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, Registries, Major complication, Societies, Medical, Retrospective Studies, business.industry, Data Collection, Mortality rate, Arrhythmias, Cardiac, Atrial fibrillation, General Medicine, medicine.disease, Ablation, Surgery, Spain, Catheter Ablation, Female, medicine.symptom, Electrophysiologic Techniques, Cardiac, business
Abstract

Introduction and objectives: This report presents the findings of the 2018 Spanish Catheter Ablation Registry. Methods: Data collection was retrospective. A standardized questionnaire was completed by each of the participating centers. Results: Data sent by 100 centers were analyzed, with a total number of 16,566 ablation procedures performed (the highest historically reported in this registry) for a mean of 165.5 ± 127.9 and a median of 119 procedures per center. The ablation targets most frequently treated were atrial fibrillation (n = 4234; 25.6%), atrioventricular nodal re-entrant tachycardia (n = 3525; 21.3%) and cavotricuspid isthmus (n = 3425; 20.7%). A new peak was observed in the ablation of atrial fibrillation, increasing the distance from the other substrates. The overall success rate was 91%. The rate of major complications was 2.2%, and the mortality rate was 0.04%. A total of 2.1% of the ablations were performed in pediatric patients. Conclusions: The Spanish Catheter Ablation Registry systematically and continuously enrolls the ablation procedures performed in Spain, showing a progressive increase in the number of ablations over the years, with a high success rate and low percentage of complications.

Published
2019
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3. Registro Español de Ablación con Catéter. XVII Informe Oficial de la Sección de Electrofisiología y Arritmias de la Sociedad Española de Cardiología (2017)

Author

F. Javier García-Fernández, José Luis Ibáñez Criado, Aurelio Quesada Dorador, Miguel Álvarez-López, Jesús Almendral, Concepción Alonso, Pau Alonso-Fernández, Nelson Alvaralenga, Luis Álvarez-Acosta, Ignasi Anguera, María Fe Arcocha, Miguel Ángel Arias, Antonio Asso, Alberto Barrera-Cordero, Gabriel Ballesteros, Juan Benezet-Mazuecos, Andrés Bodegas-Cañas, Josep Brugada, Claudia Cabadés Lucas Cano-Calabria, Eduardo Caballero-Dorta, Pilar Cabanas-Grandío, Sandra Cabrera, Víctor Castro, Rocío Cózar, Ernesto Díaz-Infante, Manuel Doblado, Juliana Elices, María del Carmen Expósito-Pineda, Juan Manuel Fernández-Gómez, María Luisa Fidalgo, Adolfo Fontenla, Arcadio García-Alberola, Ignacio Gil-Ortega, Federico Gómez-Pulido, Mar González-Vasserot, Ángel Grande, José M. Guerra-Ramos, Julio Hernández-Afonso, Santiago Heras-Herreros, Víctor Manuel Hidalgo-Olivares, José Luis Ibáñez-Criado, Alicia Ibáñez-Criado, Sonia Ibars, Miguel Jauregui, Jesús Jiménez, Javier Jiménez-Díaz, Javier Jiménez-Candil, Carla Lázaro-Rivera, Francisco Mazuelos, Santiago Magnani, Javier Martínez-Basterra, Alfonso Macías, Ángel Martínez-Brotons, José Luis Martínez-Sande, Roberto Matía-Francés, Pablo Moriña, Ángel Moya, Lluis Mont, José Moreno-Arribas, Javier Moreno-Planas, Josep Navarro-Manchón, Marta Ortega-Molina, Joaquín Osca, Agustín Pastor, Ricardo Pavón-Jiménez, Alonso Pedrote, Rafael Peinado, Luisa Pérez-Álvarez, Nicasio Pérez-Castellano, Javier Pindado, Rosa Porro-Fernández, Jordi Punti-Sala, Aurelio Quesada, Nuria Rivas-Gándara, Gonzalo Rodrigo-Trallero, Ivo Roca, Felipe Rodríguez-Entem, Juan Carlos Rodríguez-Pérez, Enrique Rodríguez-Font, Pablo Ruiz-Hernández, José Manuel Rubín, José Manuel Rubio-Campal, Amador Rubio-Caballero, Jerónimo Rubio-Sanz, Ricardo Salgado-Aranda, Axel Sarrias, Georgia Sarquella-Brugada, Elena Esteban-Paul, and Federico Segura

Subjects
03 medical and health sciences, 0302 clinical medicine, business.industry, Medicine, 030212 general & internal medicine, 030204 cardiovascular system & hematology, Cardiology and Cardiovascular Medicine, business, Humanities
Abstract

Resumen Introduccion y objetivos Se describen los resultados del Registro Espanol de Ablacion con Cateter correspondientes al ano 2017. Metodos La recogida de datos se llevo a cabo de forma retrospectiva con la cumplimentacion de un formulario de recogida de datos de cada uno de los centros participantes. Resultados El numero total de procedimientos de ablacion fue de 15.284 realizados en 98 centros (mayor numero de centros y de procedimientos de ablacion comunicados historicamente en este registro) con una media de 156 ± 126 y una mediana de 136 procedimientos. El sustrato abordado con mas frecuencia ha sido por primera vez en el registro la fibrilacion auricular (n = 3.457; 22,6%), seguida del istmo cavotricuspideo (n = 3.449; 22,5%) y la taquicardia intranodular (n = 3.429; 22,4%). La tasa total de exito fue del 87%; la de complicaciones mayores, del 2,6% y la mortalidad, del 0,09%. Se ha producido un aumento de los procedimientos realizados sin apoyo de fluoroscopia hasta suponer un 6% del total de las ablaciones. Un 2,3% de las ablaciones se realizo en pacientes pediatricos. Conclusiones El Registro Espanol de Ablacion con Cateter recoge sistematica e ininterrumpidamente los procedimientos de ablacion realizados en Espana, y esto nos ha permitido observar un aumento progresivo del numero de ablaciones y de centros que las realizan manteniendo una tasa de exito elevada y unos porcentajes de complicaciones bajos.

Published
2018
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4. Spanish Catheter Ablation Registry. 17th Official Report of the Spanish Society of Cardiology Working Group on Electrophysiology and Arrhythmias (2017)

Author

F. Javier García-Fernández, José Luis Ibáñez Criado, Aurelio Quesada Dorador, Miguel Álvarez-López, Jesús Almendral, Concepción Alonso, Pau Alonso-Fernández, Nelson Alvaralenga, Luis Álvarez-Acosta, Ignasi Anguera, María Fe Arcocha, Miguel Ángel Arias, Antonio Asso, Alberto Barrera-Cordero, Gabriel Ballesteros, Juan Benezet-Mazuecos, Andrés Bodegas-Cañas, Josep Brugada, Claudia Cabadés Lucas Cano-Calabria, Eduardo Caballero-Dorta, Pilar Cabanas-Grandío, Sandra Cabrera, Víctor Castro, Rocío Cózar, Ernesto Díaz-Infante, Manuel Doblado, Juliana Elices, María del Carmen Expósito-Pineda, Juan Manuel Fernández-Gómez, María Luisa Fidalgo, Adolfo Fontenla, Arcadio García-Alberola, Ignacio Gil-Ortega, Federico Gómez-Pulido, Mar González-Vasserot, Ángel Grande, José M. Guerra-Ramos, Julio Hernández-Afonso, Santiago Heras-Herreros, Víctor Manuel Hidalgo-Olivares, José Luis Ibáñez-Criado, Alicia Ibáñez-Criado, Sonia Ibars, Miguel Jauregui, Jesús Jiménez, Javier Jiménez-Díaz, Javier Jiménez-Candil, Carla Lázaro-Rivera, Francisco Mazuelos, Santiago Magnani, Javier Martínez-Basterra, Alfonso Macías, Ángel Martínez-Brotons, José Luis Martínez-Sande, Roberto Matía-Francés, Pablo Moriña, Ángel Moya, Lluis Mont, José Moreno-Arribas, Javier Moreno-Planas, Josep Navarro-Manchón, Marta Ortega-Molina, Joaquín Osca, Agustín Pastor, Ricardo Pavón-Jiménez, Alonso Pedrote, Rafael Peinado, Luisa Pérez-Álvarez, Nicasio Pérez-Castellano, Javier Pindado, Rosa Porro-Fernández, Jordi Punti-Sala, Aurelio Quesada, Nuria Rivas-Gándara, Gonzalo Rodrigo-Trallero, Ivo Roca, Felipe Rodríguez-Entem, Juan Carlos Rodríguez-Pérez, Enrique Rodríguez-Font, Pablo Ruiz-Hernández, José Manuel Rubín, José Manuel Rubio-Campal, Amador Rubio-Caballero, Jerónimo Rubio-Sanz, Ricardo Salgado-Aranda, Axel Sarrias, Georgia Sarquella-Brugada, Elena Esteban-Paul, and Federico Segura

Subjects
Tachycardia, Cavotricuspid isthmus, medicine.medical_specialty, medicine.medical_treatment, Cardiology, Catheter ablation, 030204 cardiovascular system & hematology, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, 030212 general & internal medicine, Major complication, Registries, Societies, Medical, Retrospective Studies, business.industry, Mortality rate, Atrial fibrillation, Arrhythmias, Cardiac, General Medicine, Ablation, medicine.disease, Surgery, Catheter, Spain, Catheter Ablation, medicine.symptom, Morbidity, business, Electrophysiologic Techniques, Cardiac
Abstract

Introduction and objectives: This report describes the findings of the 2017 Spanish Catheter Ablation Registry. Methods: Data collection was retrospective. A standardized questionnaire was completed by each of the participating centers. Results: A total of 15 284 ablation procedures were performed by 98 institutions (the highest number of ablations and institutions historically reported in this registry), with a mean of 156 ± 126 and a median of 136 procedures per center. For the first time, the most frequently treated ablation target was atrial fibrillation (n = 3457; 22.6%), followed by cavotricuspid isthmus (n = 3449; 22.5%) and atrioventricular nodal re-entrant tachycardia (n = 3429; 22.4%). The overall success rate was 87%. The rate of major complications was 2.6%, and the mortality rate was 0.09%. The percentage of procedures performed without fluoroscopic support increased to 6% of all ablations, and 2.3% of all ablations were performed in pediatric patients. Conclusions: The Spanish Ablation Catheter Registry systematically and uninterruptedly collects data on the ablation procedures performed in Spain, revealing that both the number of ablations and the number of centers performing them has progressively increased, while maintaining a high success rate and a low percentage of complications.

Published
2018

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