ACC/AHA guidelines for cardiac catheterization and cardiac catheterization laboratories. American College of Cardiology/American Heart Association Ad Hoc Task Force on Cardiac Catheterization.

摘要: It is evident that the practice of cardiac catheterization has undergone, and continues to undergo, marked change. Most prominent are recent very rapid proliferation laboratories in general development newer types laboratory. No uniform definitions exist for these laboratories, so meaningful communication difficult. The new settings particular concern because their location, mobility, organization, ownership raise questions about quality patient care. difficult address safety physician conflict interest. There no objective data peer-reviewed literature support reported cost savings settings. Through deliberations, surveys, interviews, correspondence with cardiology community embraced by ACC AHA, task force generally found freestanding access emergency hospitalization may be delayed, appropriate oversight lacking. Additionally, opportunities self-referral fostered perception commercialism entrepreneurial excess created. All problems must avoided. growth some facilities, particularly mobile do not seem have been driven an increased need remote communities or temporary but rather almost exclusively a desire capture market share. Accordingly, series definitions, guidelines, recommendations as well selection developed. consensus was restrictive cautious attitude at this time. justification expansion services need. Documentation based on estimates number patients known suspected disease who meet accepted indications laboratory study. Concerns lack from prospective clinical trials such group necessitate toward any services, those without in-house surgical support. In view appropriately controlled hospital-based, mobile, operating on-site (accessible gurney) surgery reaffirms position further cannot endorsed addition, there reason major contribute increasing costs troubling ethical questions.