Qualitätskriterien für die Erbringung kardialer CT-Leistungen

Die Kardiologie - Tập 17 - Trang 81-94 - 2023
Andreas Rolf1, Axel Schmermund2, Michaela M. Hell3, Ramona Schmitt4, Peter Bernhardt5, Sebastian Kelle6, Christian Perings7, Stephan Achenbach8, Holger Thiele9
1Abteilung Kardiologie, Kerckhoff-Klinik, Bad Nauheim, Deutschland
2Cardioangiologisches Centrum Bethanien – CCB, Frankfurt, Deutschland
3Zentrum für Kardiologie – Kardiologie 1, Universitätsmedizin Mainz, Mainz, Deutschland
4Department Universitäts-Herzzentrum Freiburg – Bad Krozingen, Universitätsklinikum Freiburg, Freiburg, Deutschland
5Herzklinik Ulm, Ulm, Deutschland
6Klinik für Kardiologie, Angiologie und Intensivmedizin, Deutsches Herzzentrum der Charité, Berlin, Deutschland
7Abteilung Kardiologie, Elektrophysiologie, Pneumologie, St. Marien Hospital, Lünen, Deutschland
8Medizinische Klinik 2, Universitätsklinikum Erlangen, Erlangen, Deutschland
9Herzzentrum Leipzig, Universitätsklinik für Kardiologie, Leipzig, Deutschland

Tóm tắt

Die kardiale CT bietet großes Potenzial zur Optimierung der Patientenversorgung insbesondere bei Patienten und Patientinnen mit chronischem Koronarsyndrom und zur Planung von kathetergestützter Therapie bei struktureller Herzerkrankung. Ein Blick in das Vereinigte Königreich (UK), wo die CT basierte Koronardiagnostik mittlerweile Standard und das diagnostische Verfahren der ersten Wahl geworden ist, zeigt, dass die Indikation zur invasiven Koronardiagnostik mit hoher Patientensicherheit, kosteneffizient und ressourcenschonend eingesetzt werden kann. Dieses Ziel zu erreichen, erfordert klare Qualitätskriterien zur Indikationsstellung, Durchführung, Befundung und Therapieempfehlung. Ein kooperatives Heart-Team-Modell mit gemeinsamer Erbringung der Leistung durch Radiologen und Kardiologen ist am besten geeignet, diese Qualitätsziele zu erreichen und eine nicht evidenzbasierte, Zusatzleistungen provozierende und damit das Gesundheitssystem zusätzlich signifikant belastende Leistungsausweitung zu vermeiden.

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