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Interdepartmental cooperation in access-site management - verifiable persistent benefit for patients

Harald Schuett1,2, Ann-Christin Schäfer1,2, Berthold Stegemann3

  • 1Department of Cardiology, Angiology and Internal Intensive Care Medicine, University Hospital Giessen and Marburg, Marburg, Germany.

VASA. Zeitschrift Fur Gefasskrankheiten
|February 3, 2026
PubMed

Insights

Structured training for interventional staff significantly reduces vascular access complications after coronary interventions. This interdisciplinary approach enhances patient safety and minimizes adverse events during catheterization procedures.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Access

Background:

  • Vascular access-site complications post-catheterization contribute significantly to morbidity and mortality.
  • While patient and procedural risk factors are known, the impact of structured training is less understood.
  • This study investigates the effect of a structured training program on access-site complications following transfemoral coronary interventions.

Purpose of the Study:

  • To evaluate the impact of a structured, interdisciplinary training program on reducing vascular access-site complications.
  • To assess the effectiveness of specific training components, including pre-interventional assessments and sheath removal techniques.
  • To determine if structured training improves patient safety in transfemoral coronary interventions.

Main Methods:

  • A 36-month prospective study of elective transfemoral coronary interventions.
  • Implementation of a structured training program for cardiologists and catheter lab staff after an initial 6-month observation.
  • Training included quarterly sessions, pre-interventional assessments for all patients, and specialized sheath removal training for assistants.

Main Results:

  • Quarterly training and high-risk patient assessments did not significantly alter complication rates.
  • Pre-interventional assessment for all patients and sheath removal training for assistants led to a significant reduction in complications.
  • These findings remained significant after adjusting for patient-specific risk factors.

Conclusions:

  • Structured angiological training for interventional staff is effective in reducing vascular access-site complications.
  • Interdisciplinary collaboration and targeted training enhance patient safety and minimize adverse events.
  • Specific training components, such as universal pre-interventional assessment and sheath removal techniques, are key to improving outcomes.

Keywords:
access site related vascular complicationinterdepartmental cooperationlarge bore vascular accesspercutaneous coronary interventiontraining programtransfemoral approach

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