2012 American College of Cardiology Foundation/Society for Cardiovascular Angiography and Interventions Expert Consensus Document on Cardiac Catheterization Laboratory Standards Update

SCAI expert consensus statement: 2016 best practices in the cardiac catheterization laboratory: (Endorsed by the cardiological society of india, and sociedad Latino Americana de Cardiologia intervencionista; Affirmation of value by the Canadian Association of interventional cardiology–Association canadienne de cardiologie d'intervention)*

“…According to the 2012 ACC/ SCAI Expert Consensus Document on Cardiac Catheterization Standards Update, "the written informed consent may be obtained by trained secondary operators or physician extenders, but the major concerns should be reiterated when the primary operator discusses the procedure with the patient" [17]. The IC should be in the patient's native language, using terms that allow a layperson to understand what the procedure entails; the risks, benefits, and alternatives to the procedure proposed, including no invasive treatment; and potential outcomes and complications that may occur during and after the procedure [18,19].…”

“…Medication review and adjustment is also important for patients with diabetes, and insulin dosing should be adjusted to account for the time that the patient will be NPO. Metformin should be held on the day of the procedure and for 48 hr afterward [17,27].…”

“…A chest x-ray is not required unless vascular congestion or other pulmonary pathology is evident on physical examination. Women of childbearing age should have beta-HCG levels checked within 2 weeks of the procedure [17]. For patients who have had prior catheterization or coronary/peripheral bypass surgery, every effort should be made to review procedural reports and prior cardiovascular angiograms to help guide the operator during the procedure.…”

Caracterização do perfil e complicações intra-hospitalares dos pacientes submetidos ao cateterismo cardíaco em um hospital terciário

“…Além de seu papel na DAC, a cineangiocoronariografia também pode ser utilizada na avaliação de pacientes com valvulopatias, insuficiência cardíaca, cardiomiopatias e doenças do pericárdio. Não existe nenhuma contraindicação absoluta para a realização desse procedimento, com exceção da recusa do paciente [5,6].…”

Contrast-Induced Acute Kidney Injury

“…As of today, minimization of the total amount of contrast by modification of procedure strategies and appropriate preprocedure hydration are mainstays in the prevention of contrast-induced acute kidney injury. [9][10][11] In addition, the use of low-osmolar and iso-osmolar contrast media has been found to be beneficial when compared with high-osmolar contrast media. 12 However, substantial differences also exist within the group of low-osmolar contrast media, where iohexol and ioxaglate seem to be associated with a higher risk of contrast-induced acute kidney injury when compared with other low-osmolar or iso-osmolar contrast media.…”