Cirugía cardiovascular en España en el año 2016. Registro de intervenciones de la Sociedad Española de Cirugía Torácica-Cardiovascular

Abstract

The Spanish Society of Thoracic and Cardiovascular surgery (SECTCV) reports the results of the 2016 registry of the surgical activity performed in Spain. This register is based on the analysis of the information gathered by the anonymous and voluntary participation of centres with activity in cardiovascular surgery in Spain, and with the confidentiality of the individual data of each centre being guaranteed. Once again, we have obtained the highest number of participant centres, since the beginning of the publication of this registry in 1984, with the participation of 64 centres.During 2016, a total of 35,576 cardiovascular surgery procedures were performed, within these, 22,201 were major cardiac surgeries; 19,772 (89.1%) were performed with the support of the extracorporeal circulation (ECC).The overall activity is divided into 28,072 procedures (78.9%) of adult cardiac surgery, 2,074 procedures (5.8%) of congenital cardiac surgery, and 5,430 procedures (15.3%) of peripheral vascular surgery.Among the cardiac surgery of acquired adult disease, isolated heart valve procedures were the most frequent (9,401 procedures), followed by coronary artery bypass graft surgery (5,021 procedures), combined heart valve and revascularisation procedures (2,124 procedures), surgery of the thoracic aorta (2,063 procedures), and surgery of mechanical complications of myocardial infarction (130 procedures). Moreover, there were other mixed procedures using ECC (796 procedures) and without ECC (8,533 procedures). This year, the results of the activity in congenital heart surgery are presented separately in another specific report.A high percentage of centres have reported mortality data and preoperative surgical risk data, and the risk-adjusted results in terms of mortality are excellent in most of the groups of pathologies that were analysed.The information derived from this national register helps to determine the state of the art of the surgical specialty in our country, which is a keystone for an adequate evaluation of the quality of the health care that we deliver to the patients affected with cardiovascular diseases.