Experience and perspective with intravascular imaging and invasive coronary physiology: Insights from allied health professionals

IF 2.1 3区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Catheterization and Cardiovascular Interventions Pub Date : 2024-09-02 DOI:10.1002/ccd.31175

Waiel Abusnina MD, Ilan Merdler MD, MHA, Regina Deible RN, BSN, Bailey Estes, Bailey G. Salimes BA, Gary S. Mintz MD, Itsik Ben-Dor MD, Lowell F. Satler MD, Ron Waksman MD, Brian C. Case MD, Hayder D. Hashim MD

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Abstract

Background

Although intravascular imaging (IVI) and invasive coronary physiology (ICP) are utilized in percutaneous coronary intervention (PCI) with robust positive clinical evidence, their adoption in cardiac catheterization laboratories (CCLs) is still limited.

Aims

The aim of our survey was to assess the perspectives on the experiences of allied health professionals in CCLs’ utility of IVI and ICP.

Methods

An anonymous online survey was conducted through multiple channels, including the Cardiovascular Research Technologies (CRT) 2023 Nurses and Technologists Symposium, social media, Cath Lab Digest link, and field requests, leading to diverse representation of allied health professionals.

Results

A total of 101 CCL members participated in the survey. First, 59% of responders noted an increased use of IVI in their institutions over recent years. For those experiencing an increase, 49% credited training, 45% emerging evidence, and 34% attributed new CCL members. Barriers to IVI usage were perceived increased procedure time (58%), staff resistance (56%), procedural cost (48%), and difficulty interpreting findings (44%). Regarding ICP, 61% reported using it in approximately 25% to 75% of cases, while 10% utilized it in 75% to 100% of CCL procedures. Interpreting ICP results was mixed, with 56% confident in interpreting all ICP results and 6% unable to interpret any ICP results.

Conclusion

Our findings highlight opportunities for increasing routine utilization of IVI and ICP in the CCL through allied health professionals. By providing education and training, we can elevate familiarity with the equipment and subsequently build a CCL culture that advocates for both IVI and ICP.

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血管内成像和有创冠状动脉生理学的经验和观点：专职医疗人员的见解。

背景：尽管血管内成像（IVI）和有创冠状动脉生理学（ICP）在经皮冠状动脉介入治疗（PCI）中的应用有可靠的积极临床证据，但它们在心导管实验室（CCL）中的应用仍然有限：我们通过多种渠道进行了匿名在线调查，包括心血管研究技术（CRT）2023 年护士和技术人员研讨会、社交媒体、《阴式实验室文摘》链接和现场请求，从而获得了专职医疗人员的不同代表性：共有 101 名 CCL 成员参与了调查。首先，59% 的受访者指出，近年来他们所在的机构增加了 IVI 的使用。其中，49%的人认为是培训的结果，45%的人认为是新证据的结果，34%的人认为是新的 CCL 成员的结果。使用静脉输液的障碍是认为手术时间增加（58%）、员工抵制（56%）、手术成本（48%）和解释结果困难（44%）。关于 ICP，61% 的人称在约 25% 至 75% 的病例中使用了 ICP，10% 的人称在 75% 至 100% 的 CCL 手术中使用了 ICP。对 ICP 结果的解释参差不齐，56% 的人有信心解释所有 ICP 结果，6% 的人无法解释任何 ICP 结果：我们的研究结果凸显了通过专职医疗人员在 CCL 中提高 IVI 和 ICP 常规使用率的机会。通过提供教育和培训，我们可以提高对设备的熟悉程度，进而建立一种倡导 IVI 和 ICP 的 CCL 文化。

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来源期刊

Catheterization and Cardiovascular Interventions 医学-心血管系统

CiteScore

5.40

自引率

8.70%

发文量

419

审稿时长

2 months

期刊介绍： Catheterization and Cardiovascular Interventions is an international journal covering the broad field of cardiovascular diseases. Subject material includes basic and clinical information that is derived from or related to invasive and interventional coronary or peripheral vascular techniques. The journal focuses on material that will be of immediate practical value to physicians providing patient care in the clinical laboratory setting. To accomplish this, the journal publishes Preliminary Reports and Work In Progress articles that complement the traditional Original Studies, Case Reports, and Comprehensive Reviews. Perspective and insight concerning controversial subjects and evolving technologies are provided regularly through Editorial Commentaries furnished by members of the Editorial Board and other experts. Articles are subject to double-blind peer review and complete editorial evaluation prior to any decision regarding acceptability.