2012 American college of cardiology foundation/society for cardiovascular angiography and interventions expert consensus document on cardiac catheterization laboratory standards update: American college of cardiology foundation task force on expert consensus documents society of thoracic surgeons society for vascular medicine

Thomas M. Bashore; Stephen Balter; Ana Barac; John G. Byrne; Jeffrey J. Cavendish; Charles E. Chambers; James Bernard Hermiller; Scott Kinlay; Joel S. Landzberg; Warren K. Laskey; Charles R. McKay; Julie M. Miller; David J. Moliterno; John W.M. Moore; Sandra M. Oliver-Mcneil; Jeffrey J. Popma; And Carl L. Tommaso; Robert A. Harrington; Eric R. Bates; Deepak L. Bhatt; Charles R. Bridges; Mark J. Eisenberg; Victor A. Ferrari; John D. Fisher; Timothy Gardner; Federico Gentile; Michael F. Gilson; Mark A. Hlatky; Alice K. Jacobs; Sanjay Kaul; Debabrata Mukherjee; Robert S. Rosenson; Howard H. Weitz; Deborah J. Wesley

doi:10.1002/ccd.24466

2012 American college of cardiology foundation/society for cardiovascular angiography and interventions expert consensus document on cardiac catheterization laboratory standards update: American college of cardiology foundation task force on expert consensus documents society of thoracic surgeons society for vascular medicine

Thomas M. Bashore, Stephen Balter, Ana Barac, John G. Byrne, Jeffrey J. Cavendish, Charles E. Chambers, James Bernard Hermiller, Scott Kinlay, Joel S. Landzberg, Warren K. Laskey, Charles R. McKay, Julie M. Miller, David J. Moliterno, John W.M. Moore, Sandra M. Oliver-Mcneil, Jeffrey J. Popma, And Carl L. Tommaso, Robert A. Harrington, Eric R. Bates, Deepak L. BhattCharles R. Bridges, Mark J. Eisenberg, Victor A. Ferrari, John D. Fisher, Timothy Gardner, Federico Gentile, Michael F. Gilson, Mark A. Hlatky, Alice K. Jacobs, Sanjay Kaul, Debabrata Mukherjee, Robert S. Rosenson, Howard H. Weitz, Deborah J. Wesley

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

The cardiac catheterization laboratory has undergone major changes in the last decade. It is a much more sophisticated environment where a gradual shift in emphasis from a diagnostic laboratory to a therapeutic environment is occurring. As the risk of both diagnostic and interventional procedures has declined, there has been liberalization in the types of patients who may safely have procedures performed in both outpatient settings and in laboratories without cardiovascular surgical backup. The influence of peripheral vascular and structural heart intervention has also required a change in focus for many laboratories and has given rise to the hybrid cardiac catheterization facility. The advances in percutaneous therapies for structural heart disease are just now beginning to impact both the adult and pediatric catheterization laboratory. Some of the routine practices in many laboratories are being questioned. For instance, the committee no longer suggests a protime be obtained before a procedure, unless an abnormality is anticipated. Overnight NPO orders should be replaced with shorter-term fasting as hydration is important. Acetylcysteine is no longer recommended to reduce contrast nephropathy. QA is a focus of this report, and its importance is mounting as it becomes harder to justify minimum volume requirements for both the operator and the laboratory. The importance of national databases to provide benchmarks is emphasized. Radiation safety has also entered into the discussion more prominently as patients and regulators have expressed concern regarding the amount of medical radiation the public receives. Measures of the amount of radiation exposure should be a routine part of the cardiac catheterization report.

Original language	English (US)
Pages (from-to)	E37-E49
Journal	Catheterization and Cardiovascular Interventions
Volume	80
Issue number	3
DOIs	https://doi.org/10.1002/ccd.24466
State	Published - Sep 1 2012
Externally published	Yes

Keywords

ACCF expert consensus document
catheter-based coronary interventions
quality assurance
registries

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

Access to Document

10.1002/ccd.24466

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Bashore, T. M., Balter, S., Barac, A., Byrne, J. G., Cavendish, J. J., Chambers, C. E., Hermiller, J. B., Kinlay, S., Landzberg, J. S., Laskey, W. K., McKay, C. R., Miller, J. M., Moliterno, D. J., Moore, J. W. M., Oliver-Mcneil, S. M., Popma, J. J., Tommaso, A. C. L., Harrington, R. A., Bates, E. R., ... Wesley, D. J. (2012). 2012 American college of cardiology foundation/society for cardiovascular angiography and interventions expert consensus document on cardiac catheterization laboratory standards update: American college of cardiology foundation task force on expert consensus documents society of thoracic surgeons society for vascular medicine. Catheterization and Cardiovascular Interventions, 80(3), E37-E49. https://doi.org/10.1002/ccd.24466

2012 American college of cardiology foundation/society for cardiovascular angiography and interventions expert consensus document on cardiac catheterization laboratory standards update: American college of cardiology foundation task force on expert consensus documents society of thoracic surgeons society for vascular medicine. / Bashore, Thomas M.; Balter, Stephen; Barac, Ana et al.
In: Catheterization and Cardiovascular Interventions, Vol. 80, No. 3, 01.09.2012, p. E37-E49.

Research output: Contribution to journal › Article › peer-review

Bashore, TM, Balter, S, Barac, A, Byrne, JG, Cavendish, JJ, Chambers, CE, Hermiller, JB, Kinlay, S, Landzberg, JS, Laskey, WK, McKay, CR, Miller, JM, Moliterno, DJ, Moore, JWM, Oliver-Mcneil, SM, Popma, JJ, Tommaso, ACL, Harrington, RA, Bates, ER, Bhatt, DL, Bridges, CR, Eisenberg, MJ, Ferrari, VA, Fisher, JD, Gardner, T, Gentile, F, Gilson, MF, Hlatky, MA, Jacobs, AK, Kaul, S, Mukherjee, D, Rosenson, RS, Weitz, HH & Wesley, DJ 2012, '2012 American college of cardiology foundation/society for cardiovascular angiography and interventions expert consensus document on cardiac catheterization laboratory standards update: American college of cardiology foundation task force on expert consensus documents society of thoracic surgeons society for vascular medicine', Catheterization and Cardiovascular Interventions, vol. 80, no. 3, pp. E37-E49. https://doi.org/10.1002/ccd.24466

Bashore TM, Balter S, Barac A, Byrne JG, Cavendish JJ, Chambers CE et al. 2012 American college of cardiology foundation/society for cardiovascular angiography and interventions expert consensus document on cardiac catheterization laboratory standards update: American college of cardiology foundation task force on expert consensus documents society of thoracic surgeons society for vascular medicine. Catheterization and Cardiovascular Interventions. 2012 Sep 1;80(3):E37-E49. doi: 10.1002/ccd.24466

Bashore, Thomas M. ; Balter, Stephen ; Barac, Ana et al. / 2012 American college of cardiology foundation/society for cardiovascular angiography and interventions expert consensus document on cardiac catheterization laboratory standards update : American college of cardiology foundation task force on expert consensus documents society of thoracic surgeons society for vascular medicine. In: Catheterization and Cardiovascular Interventions. 2012 ; Vol. 80, No. 3. pp. E37-E49.

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abstract = "The cardiac catheterization laboratory has undergone major changes in the last decade. It is a much more sophisticated environment where a gradual shift in emphasis from a diagnostic laboratory to a therapeutic environment is occurring. As the risk of both diagnostic and interventional procedures has declined, there has been liberalization in the types of patients who may safely have procedures performed in both outpatient settings and in laboratories without cardiovascular surgical backup. The influence of peripheral vascular and structural heart intervention has also required a change in focus for many laboratories and has given rise to the hybrid cardiac catheterization facility. The advances in percutaneous therapies for structural heart disease are just now beginning to impact both the adult and pediatric catheterization laboratory. Some of the routine practices in many laboratories are being questioned. For instance, the committee no longer suggests a protime be obtained before a procedure, unless an abnormality is anticipated. Overnight NPO orders should be replaced with shorter-term fasting as hydration is important. Acetylcysteine is no longer recommended to reduce contrast nephropathy. QA is a focus of this report, and its importance is mounting as it becomes harder to justify minimum volume requirements for both the operator and the laboratory. The importance of national databases to provide benchmarks is emphasized. Radiation safety has also entered into the discussion more prominently as patients and regulators have expressed concern regarding the amount of medical radiation the public receives. Measures of the amount of radiation exposure should be a routine part of the cardiac catheterization report.",

keywords = "ACCF expert consensus document, catheter-based coronary interventions, quality assurance, registries",

author = "Bashore, {Thomas M.} and Stephen Balter and Ana Barac and Byrne, {John G.} and Cavendish, {Jeffrey J.} and Chambers, {Charles E.} and Hermiller, {James Bernard} and Scott Kinlay and Landzberg, {Joel S.} and Laskey, {Warren K.} and McKay, {Charles R.} and Miller, {Julie M.} and Moliterno, {David J.} and Moore, {John W.M.} and Oliver-Mcneil, {Sandra M.} and Popma, {Jeffrey J.} and Tommaso, {And Carl L.} and Harrington, {Robert A.} and Bates, {Eric R.} and Bhatt, {Deepak L.} and Bridges, {Charles R.} and Eisenberg, {Mark J.} and Ferrari, {Victor A.} and Fisher, {John D.} and Timothy Gardner and Federico Gentile and Gilson, {Michael F.} and Hlatky, {Mark A.} and Jacobs, {Alice K.} and Sanjay Kaul and Debabrata Mukherjee and Rosenson, {Robert S.} and Weitz, {Howard H.} and Wesley, {Deborah J.}",

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AU - Barac, Ana

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AU - Cavendish, Jeffrey J.

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AU - Eisenberg, Mark J.

AU - Ferrari, Victor A.

AU - Fisher, John D.

AU - Gardner, Timothy

AU - Gentile, Federico

AU - Gilson, Michael F.

AU - Hlatky, Mark A.

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AU - Kaul, Sanjay

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