背景:尽管在经皮冠状动脉介入治疗(PCI)中使用了血管内成像(IVI)和侵入性冠状动脉生理学(ICP),并获得了积极的临床证据,它们在心导管实验室(CCL)中的应用仍然有限.
目的:我们调查的目的是评估有关医疗专业人员在CCL中IVI和ICP效用的经验的观点。
方法:通过多个渠道进行了匿名在线调查,包括心血管研究技术(CRT)2023护士和技术人员研讨会,社交媒体,CathLabDigest链接,和字段请求,导致专职医疗专业人员的不同代表。
结果:共有101名CCL成员参加了调查。首先,59%的受访者指出,近年来,他们的机构中使用IVI的人数有所增加。对于那些经历增长的人来说,49%的培训,45%的新证据,34%归因于新的CCL成员。IVI使用的障碍被认为增加了手术时间(58%),员工抵制(56%),程序成本(48%),难以解释调查结果(44%)。关于ICP,61%的人报告在大约25%到75%的病例中使用了它,而10%的人在75%到100%的CCL程序中使用了它。解释ICP结果好坏参半,56%的人有信心解释所有ICP结果,6%的人不能解释任何ICP结果。
结论:我们的发现强调了通过专职医疗专业人员增加CCL中IVI和ICP常规利用的机会。通过提供教育和培训,我们可以提高对设备的熟悉程度,并随后建立一种倡导IVI和ICP的CCL文化。
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.
OBJECTIVE: 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.
CONCLUSIONS: 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.