{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T14:08:13Z","timestamp":1779890893297,"version":"3.53.1"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:00:00Z","timestamp":1779148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:00:00Z","timestamp":1779148800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neth Heart J"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Reducing the environmental impact of healthcare is paramount to achieving zero-emission healthcare services. Considering the increasing amount of waste that is produced by cardiac procedures, we aimed to investigate whether plastic waste from these procedures could be recycled and repurposed into new medical instruments. To facilitate this process, the HartPlastic Foundation was established for research and awareness purposes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Primarily, the non-contaminated materials found in medical packaging were separated, identified, and rated based on suitability for recycling. Glycolized polyethylene terephthalate (PET-G) was found to be the most promising material, which comprised roughly 10% of plastic waste.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In a\u00a0process that involved cleaning, shredding, drying, spooling, and 3D-printing, PET\u2011G was then repurposed into different products, such as bed hooks that could be used in the catheterisation laboratory, and a\u00a0flashlight that could be used by nurses on night shifts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These results could help reduce the environmental impact of procedures in the catheterisation laboratory by providing a\u00a0locally scalable recycling process for medical waste to help reach the goal of zero healthcare-related carbon emissions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s12471-026-02045-7","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T12:53:09Z","timestamp":1779195189000},"page":"200-205","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Taking sustainability of cardiac catheterization to the next level: the Hartplastic showcase"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4939-8179","authenticated-orcid":false,"given":"Steef J.","family":"Sinkeler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariska","family":"van Cronenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sjoerd","family":"van Rietbergen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter A.","family":"Vriesendorp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renicus S.","family":"Hermanides","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Migael","family":"Nieuwenhuis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aukelien C.","family":"Dimitriu-Leen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"Nijveldt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joost D. E.","family":"Haeck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"2045_CR1","volume-title":"The impact of Dutch healthcare on the environment. Environmental footprint method, and examples for a healthy care environment","author":"M Steenmeijer","year":"2022","unstructured":"Steenmeijer\u00a0M, Pieters\u00a0L, Warmenhoven\u00a0N, et\u00a0al. The impact of Dutch healthcare on the environment. Environmental footprint method, and examples for a healthy care environment. RIVM; 2022."},{"key":"2045_CR2","doi-asserted-by":"publisher","first-page":"737","DOI":"10.1016\/j.jcin.2023.01.367","volume":"16","author":"H Doshi","year":"2023","unstructured":"Doshi\u00a0H, Savage\u00a0M, Ruggiero\u00a0N, et\u00a0al. Recyclable waste in the cardiac catherization laboratory: the potential to curb the carbon footprint. JACC Cardiovasc Interv. 2023;16:737\u201341.","journal-title":"JACC Cardiovasc Interv"},{"key":"2045_CR3","unstructured":"European Commission. Communication from the Commission to the European Parliament, the European Council, the Council, the European Economic and Social Committee and the Committee of the Regions: The European Green Deal. 2019."},{"key":"2045_CR4","first-page":"199","volume":"4","author":"B Joseph","year":"2021","unstructured":"Joseph\u00a0B, James\u00a0J, Kalarikkal\u00a0N, et\u00a0al. Recycling of medical plastics. Adv Ind Eng Polym Res. 2021;4:199\u2013208.","journal-title":"Adv Ind Eng Polym Res"},{"key":"2045_CR5","first-page":"14","volume":"33","author":"B Tsung","year":"2013","unstructured":"Tsung\u00a0B. Green team in the cath angio lab. Stanford Nurse. 2013;33:14\u20135.","journal-title":"Stanford Nurse"},{"key":"2045_CR6","volume":"11","author":"H Amin","year":"2024","unstructured":"Amin\u00a0H, Yousif\u00a0N, L\u00fcscher\u00a0T. An Audit of Recyclable and Contaminated Waste From Invasive Cardiac Procedures. J\u00a0Soc Cardiovasc Angiogr Interv. 2024;11:102390.","journal-title":"J Soc Cardiovasc Angiogr Interv"},{"key":"2045_CR7","unstructured":"ARMOR Group. Provide More Sustainable Alternatives. 2023. https:\/\/www.armor-group.com\/en\/actualites\/provide-more-sustainable-alternatives."},{"key":"2045_CR8","unstructured":"Prusa Research. Introducing Prusament PETG recycled with calculated life cycle assessment. 2022. https:\/\/blog.prusa3d.com\/introducing-prusament-petg-recycled-with-calculated-life-cycle-assessment_65806\/."},{"key":"2045_CR9","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.hlc.2022.06.694","volume":"32","author":"R Szirt","year":"2023","unstructured":"Szirt\u00a0R, Monjur\u00a0M, McGovern\u00a0L, et\u00a0al. Environmental Sustainability in the Cardiac Catheter Laboratory. Heart Lung Circ. 2023;32:11\u20135.","journal-title":"Heart Lung Circ"},{"key":"2045_CR10","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2025.1548550","volume":"11","author":"N Mansour","year":"2025","unstructured":"Mansour\u00a0N, Callera\u00a0A, Potere\u00a0F, et\u00a0al. Circular economy and 3D printing in the healthcare sector. Front Bioeng Biotechnol. 2025;11:1548550.","journal-title":"Front Bioeng Biotechnol"}],"container-title":["Netherlands Heart Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12471-026-02045-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s12471-026-02045-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12471-026-02045-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T13:44:23Z","timestamp":1779889463000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s12471-026-02045-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,19]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["2045"],"URL":"https:\/\/doi.org\/10.1007\/s12471-026-02045-7","relation":{},"ISSN":["1568-5888","1876-6250"],"issn-type":[{"value":"1568-5888","type":"print"},{"value":"1876-6250","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,19]]},"assertion":[{"value":"21 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 May 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"R.\u00a0Nijveldt serves as an editor for the Netherlands Heart Journal. S.J.\u00a0Sinkeler, M.\u00a0van Cronenberg, S.\u00a0van Rietbergen, P.A.\u00a0Vriesendorp, R.S.\u00a0Hermanides, M.\u00a0Nieuwenhuis, A.C.\u00a0Dimitriu-Leen and J.D.E.\u00a0Haeck declare that they have no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}