Journal Article Ahead of print
PubMed: 42466523 DOI: 10.1161/JAHA.126.049574
Current Practices and Expectations on the Environmental Impact of Interventional Cardiology: The GREEN-CCF Study.
J Am Heart Assoc
Authors: Antonin Trimaille, Orianne Weizman, Louis Perrard, Charles Fauvel, Thomas de Saint Nicolas, Benjamin Marchandot, Ikram El Marzouki, Xavier Roy, Soundous M'Rabet, Sarah Laroche, Nicolas Cabaye, Guillaume Bonnet, Nabil Bouali, Théo Pezel, Jeremy Florence, Alexandre Gautier, Marine Quillot, Josselin Duchateau, Frédéric Sacher, Hélène Eltchaninoff, Eric Van Belle, Martine Gilard, Bernard Iung
Affiliations
- Department of Cardiovascular Medicine, Nouvel Hôpital Civil Strasbourg University Hospital Strasbourg France.
- UR 3074, Translational Cardiovascular Medicine, CRBS University of Strasbourg Strasbourg France.
- Department of Cardiovascular Medicine Metz Hospital Metz France.
- Department of Cardiovascular Medicine Amiens University Hospital Amiens France.
- Department of Cardiovascular Medicine Rouen University Hospital Rouen France.
- Department of Cardiology University Hospital of Lille Lille France.
- Department of Cardiology University Hospital of Grenoble Grenoble France.
- Department of Cardiology University Hospital of La Réunion La Réunion France.
- Department of Cardiology University Hospital of Dijon Dijon France.
- Department of Cardiology University Hospital of Clermont-Ferrand Clermont-Ferrand France.
- Hôpital Cardiologique Haut-Lévêque, Centre Hospitalier Universitaire de Bordeaux Unité médico-chirurgical de valvulopathies et cardiomyopathies Pessac France.
- Department of Cardiology University Hospital of Poitiers Poitiers France.
- Department of Cardiology, Hôpital Lariboisière, Assistance Publique-Hôpitaux de Paris, Inserm U-942 University Paris Cité (UPC) Paris France.
- CHU Clermont-Ferrand, CNRS, SIGMA Clermont, Institut Pascal, F-63000 Université Clermont Auvergne Clermont-Ferrand France.
- Assistance Publique-Hôpitaux de Paris, Paris Saint-Joseph Hospital Paris France.
- Department of Cardiology Avignon Hospital Avignon France.
- Department of Cardiology University Hospital Brest France.
- Cardiology Department Assistance Publique-Hôpitaux de Paris, Bichat Hospital, INSERM LVTS 1148 Université Paris Cité Paris France.
Abstract
BACKGROUND
While interventional cardiology has a significant environmental footprint, the level of engagement of professionals in mitigating their ecological impact remains unexplored. The GREEN-CCF (Global Review of Environmental Expectations in Cardiac Catheterization in France) study aimed to assess current practices, perceptions, and expectations of interventional cardiology professionals in France about their environmental impact.
METHODS
An online survey was developed and distributed to health care professionals involved in cardiology across France. The target population included senior cardiologists, cardiologists in training, nurses, medical imaging technicians, and research staff. The questionnaire explored participants' knowledge and motivation on environmental issues, current waste management practices in catheterization laboratories, and perceived barriers and potential solutions to reducing their professional environmental footprint.
RESULTS
Among 859 participants who submitted fully completed responses, 367 (43%) were involved in interventional cardiology. Despite a high level of motivation on the environmental issues, the participants reported low levels of knowledge and perceived motivation of their centers. More than 70% of participants reported discarding materials used during procedures, including packaging, plastics, and specific materials. The most frequently cited barrier to reduce the environmental impact of interventional cardiology practices was the difficulty in changing professional behaviors (47%). The most frequently proposed actions to reduce the environmental impact of interventional cardiology were improving the durability of materials (42%), implementing standardized recommendations (33%), reducing product packaging (48%), and adopting incentives or regulatory requirements (34%).
CONCLUSIONS
These findings reinforce the need of addressing environmental sustainability in interventional cardiology. While professionals are motivated and aware of the challenges, structural and institutional changes are needed to support future interventions.
MeSH
Heart Diseases, Cardiology, Motivation, Cardiologists, Environment