SCAI expert consensus statement: Evaluation, management, and special considerations of cardio-oncology patients in the cardiac catheterization laboratory (Endorsed by the Cardiological Society of India, and Sociedad Latino Americana de Cardiologıa Intervencionista)

Catheter Cardiovasc Interv. 2016 Apr;87(5):895-9. doi: 10.1002/ccd.26375. Epub 2015 Dec 23.

Abstract

In the United States alone, there are currently approximately 14.5 million cancer survivors, and this number is expected to increase to 20 million by 2020. Cancer therapies can cause significant injury to the vasculature, resulting in angina, acute coronary syndromes (ACS), stroke, critical limb ischemia, arrhythmias, and heart failure, independently from the direct myocardial or pericardial damage from the malignancy itself. Consequently, the need for invasive evaluation and management in the cardiac catheterization laboratory (CCL) for such patients has been increasing. In recognition of the need for a document on special considerations for cancer patients in the CCL, the Society for Cardiovascular Angiography and Interventions (SCAI) commissioned a consensus group to provide recommendations based on the published medical literature and on the expertise of operators with accumulated experience in the cardiac catheterization of cancer patients.

Keywords: catheterization; complex PCI; diagnostic; percutaneous coronary intervention; right heart catheterization; stent restenosis; stent thrombosis.

Publication types

  • Practice Guideline

MeSH terms

  • Antineoplastic Agents / adverse effects*
  • Cardiac Catheterization / adverse effects
  • Cardiac Catheterization / standards*
  • Cardiology / standards*
  • Cardiotoxicity
  • Consensus
  • Coronary Angiography / adverse effects
  • Coronary Angiography / standards*
  • Heart Diseases / diagnostic imaging
  • Heart Diseases / etiology
  • Heart Diseases / therapy*
  • Humans
  • Medical Oncology / standards*
  • Neoplasms / complications
  • Neoplasms / therapy*
  • Percutaneous Coronary Intervention / adverse effects
  • Percutaneous Coronary Intervention / standards*
  • Predictive Value of Tests
  • Radiation Injuries / diagnostic imaging
  • Radiation Injuries / etiology
  • Radiation Injuries / therapy*
  • Radiotherapy / adverse effects
  • Risk Factors
  • Survivors*
  • Treatment Outcome

Substances

  • Antineoplastic Agents