Abstract
ObjectiveTo describe the health-care activities carried out by the Services/Units of Angiology and Vascular Surgery in Spain in 2013. Patients and methodsCross-sectional study with a survey of 92 centres on surgical procedures and vascular examinations performed in 2013. Descriptive analysis was performed on the results and a comparison was made on the ratio of activity/100,000 population with 2012. ResultsResponses were received from 69 services (34 teaching services), corresponding to 75 centres. In 2013 there were 49,206 admissions, of which 36.8% were emergencies and 63.2% were elective, with a mean stay of 7.2 days. As of 31 December 2013, the waiting list showed a predominance of venous over arterial pathology (12,410 vs. 2,199). Arterial surgery in 2013 was lower than in 2012, with the following ratios/100,000 population: 10.3 vs. 12.1 in the supra-aortic trunk, 1.5 vs. 1.4 in the thoracic aorta, 0.31 vs. 0.33 in the thoracic-abdominal aorta, 1.4 vs. 1.9 in visceral arteries, 9.4 vs. 9.7 in the abdominal aorta, 11.4 vs. 23.1 in the aorto-iliac segment, 21.4 vs. 20.9 in the femoro-popliteal segment, and 9.4 vs. 13.7 in the distal segment. For all of these, the ratio of conventional surgical procedures was lower, whereas that of endovascular surgery increased in some cases. In 2013 fewer haemodialysis access procedures were performed (19.9 vs. 24.0). Procedures involving major and minor amputations and diabetic foot debridement were similar (7.6 vs. 7.3, 11.3 vs. 11.4 and 5.6 vs. 5.6, respectively). Varicose vein procedures in 2013 were the same as in 2012 (both with a ratio of 66.1/100,000 population), although there were more procedures using conventional surgery and fewer with endovascular surgery. The ratio/100,000 population of vascular examinations was higher in 2013 (764.1 vs. 697.8). ConclusionAs compared to 2012, arterial surgery has decreased overall, and endovascular procedures have increased in some areas. Overall, venous surgery has remained the same, with a reduction in endovascular procedures. Vascular examinations have increased.
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