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Considerations for Cardiac Catheterization Laboratory Procedures During the COVID‐19 Pandemic

Position Statement Cath Lab Administration Health Equity Occupational Health Quality

Perspectives from the Society for Cardiovascular Angiography and Interventions Emerging Leader Mentorship (SCAI ELM) Members and Graduates

The novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2), is highly infectious, carries significant morbidity and mortality, and has rapidly resulted in strained health care system and hospital resources. In addition to patient‐related care concerns in infected individuals, focus must also relate to diminishing community spread, protection of staff, case selection, and concentration of resources. The current document based on available data and consensus opinion addresses appropriate catheterization laboratory preparedness for treating these patients, including procedure‐room readiness to minimize external contamination, safe donning and doffing of personal protective equipment (PPE) to eliminate risk to staff, and staffing algorithms to minimize exposure and maximize team availability. Case selection and management of both emergent and urgent procedures are discussed in detail, including procedures that may be safely deferred or performed bedside.

All authors: Molly Szerlip, MD, FSCAI; Saif Anwaruddin, MD, FSCAI; Herbert D. Aronow MD, MPH, FSCAI; Mauricio G. Cohen, MD, FSCAI; Matthew J. Daniels MD, PhD, BSc, MA, MRCP, FSCAI; Payam Dehghani, MD, FSCAI; Douglas E. Drachman, MD, FSCAI; Sammy Elmariah MD, MPH, FSCAI; Dmitriy N. Feldman, MD, FSCAI; Santiago Garcia, MD, FSCAI; Jay Giri, MPH, FSCAI; Prashant Kaul, MD, FSCAI; Navin K. Kapur MD, FSCAI; Dharam J. Kumbhani MD, SM, FSCAI; Perwaiz M. Meraj, MD, FSCAI; Brian Morray, MD;  Keshav R. Nayak, MD, FSCAI; Sahil A. Parikh, MD, FSCAI; Rahul Sakhuja MD, MPP, MSc; Jeffrey M. Schussler; Arnold Seto, MD, MPA, FSCAI; Binita Shah, MD, FSCAI; Rajesh V. Swaminathan, MD, FSCAI; David A. Zidar MD, PhD, FSCAI; and Srihari S. Naidu, MD, FSCAI.

Other Guidance Documents

Evidence-based recommendations that promote optimal patient care based on current state-of-the-art science in interventional cardiology.