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Current Practices and Expectations on the Environmental Impact of Interventional Cardiology: The GREEN-CCF Study
Antonin Trimaille1,2, Orianne Weizman3, Louis Perrard4
1Department of Cardiovascular Medicine, Nouvel Hôpital Civil Strasbourg University Hospital Strasbourg France.
Journal of the American Heart Association
|July 17, 2026
Summary
Interventional cardiology professionals are motivated to reduce environmental impact but face barriers. Structural changes are needed to support sustainability in cardiac catheterization practices.
Area of Science:
- Environmental sustainability in healthcare
- Interventional cardiology practices
- Ecological impact of medical procedures
Background:
- Interventional cardiology contributes significantly to environmental pollution.
- Professional engagement in mitigating this impact is largely unknown.
- The GREEN-CCF study addresses this gap by examining environmental expectations in French cardiac catheterization.
Purpose of the Study:
- To assess current practices and perceptions of interventional cardiology professionals in France regarding their environmental impact.
- To explore knowledge, motivation, and barriers related to environmental sustainability in cardiac catheterization laboratories.
- To identify potential solutions for reducing the ecological footprint of interventional cardiology.
Main Methods:
- An online survey was distributed to French healthcare professionals in cardiology.
- Participants included senior cardiologists, trainees, nurses, technicians, and research staff.
- The survey covered environmental knowledge, waste management, barriers, and solutions.
Main Results:
- Out of 859 respondents, 43% worked in interventional cardiology.
- Professionals showed high motivation but low knowledge and perceived center motivation.
- Over 70% discarded procedure materials; difficulty in changing behaviors (47%) was the main barrier.
Conclusions:
- Interventional cardiology must prioritize environmental sustainability.
- While professionals are aware and motivated, systemic and institutional support is crucial.
- Future interventions require structural changes to foster sustainability in practice.
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