title: [SICI-GISE position paper on standards and guidelines for diagnostic and catheterization laboratories].
abstract: In the last few years, the activity of cath labs has undergone some notable changes, at present largely focusing on diagnosis and invasive therapy of a broad spectrum of cardiovascular diseases. Technological and pharmacological advances have allowed for procedures to be performed in patients who are increasingly complex, and cath labs have become the preferred venue for endovascular treatment of coronary artery disease, in particular acute coronary syndrome, as well as the treatment of structural heart disease and peripheral vascular disease. This position paper is an update of the 1996 and 2008 versions, given the present level of experience and the situation in Italy. It aims to provide the quality standards required to maintain adequate conditions of know-how and safety, as well as the structural and organizational requirements that are fundamental to obtain the best possible use of human and technological resources. Position papers should be a stimulus and guide for operators in the field as well as for those who govern health policies. This should allow for an improved and more rational allocation of cath labs in Italy, based on the real need for procedures and an optimal distribution and organization of the cardiovascular emergency networks while respecting the minimum standards of care.
authors.affiliation: Cardiologia 1-Emodinamica, A.O. Ospedale Niguarda Ca' Granda, Milano.
authors.forename: Emanuela
authors.initials: E
authors.lastname: Piccaluga
authors.affiliation: U.O. Cardiologia Interventistica, Anthea Hospital, GVM Care & Research, Bari.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Marchese
authors.affiliation: Dipartimento di Cardiologia, Ospedale degli Infermi, Rivoli (TO).
authors.forename: Ferdinando
authors.initials: F
authors.lastname: Varbella
authors.affiliation: Dipartimento di Scienze Cardiovascolari, Respiratorie, Nefrologiche, Anestesiologiche e Geriatriche, Sapienza Università di Roma, Roma.
authors.forename: Gennaro
authors.initials: G
authors.lastname: Sardella
authors.affiliation: U.O. Cardiologia, Ospedale Santa Corona, Pietra Ligure (SV).
authors.forename: Gian Battista
authors.initials: GB
authors.lastname: Danzi
authors.affiliation: Emodinamica Diagnostica e Interventistica, Azienda Ospedaliero-Universitaria "Ospedali Riuniti", Trieste.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Salvi
authors.affiliation: Laboratorio di Cardio-Angiologia Diagnostica ed Interventistica, Maria Cecilia Hospital, GVM Care & Research, Cotignola (RA).
authors.forename: Alberto
authors.initials: A
authors.lastname: Cremonesi
authors.affiliation: U.O. Cardiologia 2, Azienda Ospedaliero-Universitaria Pisana, Pisa.
authors.forename: Antonella
authors.initials: A
authors.lastname: Merelli
authors.affiliation: U.O. Emodinamica, Policlinico S. Orsola-Malpighi, Bologna.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Ciarma
authors.affiliation: UOSD Diagnostica ed Interventistica Cardiovascolare Endoluminale, Ospedale Civile "S. Maria della Misericordia", ULSS 18, Rovigo.
authors.forename: Beatrice
authors.initials: B
authors.lastname: Magro
authors.affiliation: Dipartimento di Cardiologia, IRCCS Policlinico San Donato, San Donato Milanese (MI).
authors.forename: Francesco
authors.initials: F
authors.lastname: Bedogni
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis* / Q000628:therapy; D006328:Cardiac Catheterization / Q000379:methods* / Q000592:standards; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000628:therapy; D057510:Endovascular Procedures / Q000379:methods / Q000592:standards; D006801:Humans; D007558:Italy; D059039:Standard of Care