{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:16:21Z","timestamp":1788135381552,"version":"build-2803163510"},"reference-count":30,"publisher":"Hogrefe Publishing Group","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vasa"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>Summary: Background: Vascular access\u2013site complications after catheterization remain a significant cause of morbidity and mortality. While patient- and procedure-related risk factors are well described, the impact of structured, interdisciplinary training programs is less well established. We evaluated the effect of a structured training program for cardiologists and interventional staff on access-site\u2013related complications after transfemoral coronary interventions. Patients and methods: Over 36 months, we tracked all elective transfemoral coronary interventions at our institution. After an initial 6-month observational phase, we implemented a structured training program for cardiologists and catheter lab staff, using initial complication rates as the baseline. The training included quarterly sessions, pre-interventional angiological assessment for high-risk patients, pre-interventional assessment for all patients, and sheath removal by assistants. We prospectively assessed all access-site related complications using a standardized protocol and analysed incidence changes with a regression model, adjusting for patient-specific risk factors over time. Results: Quarterly training and pre-interventional angiological assessment for high-risk patients did not significantly impact complication rates. However, pre-interventional angiographical assessment for all patients and sheath removal training for assistants significantly reduced complication rates. The results remained consistent after adjusting for patient-specific risk factors. Conclusions: Structured angiological training for interventional staff significantly reduces access-site related complications. Interdisciplinary collaboration enhances patient safety and minimizes adverse events.<\/jats:p>","DOI":"10.1024\/0301-1526\/a001260","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T06:14:42Z","timestamp":1770099282000},"page":"371-377","source":"Crossref","is-referenced-by-count":0,"title":["Interdepartmental cooperation in access-site management \u2013 verifiable persistent benefit for patients"],"prefix":"10.1024","volume":"55","author":[{"given":"Harald","family":"Schuett","sequence":"first","affiliation":[{"name":"Department of Cardiology, Angiology and Internal Intensive Care Medicine, University Hospital Giessen and Marburg, Marburg, Germany"},{"name":"Department of Cardiology, Angiology, and Internal Intensive Care Medicine, Faculty of Medicine, Philipps University of Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann-Christin","family":"Sch\u00e4fer","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology and Internal Intensive Care Medicine, University Hospital Giessen and Marburg, Marburg, Germany"},{"name":"Department of Cardiology, Angiology, and Internal Intensive Care Medicine, Faculty of Medicine, Philipps University of Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2841-8022","authenticated-orcid":true,"given":"Berthold","family":"Stegemann","sequence":"additional","affiliation":[{"name":"Centre for Clinical Research Kassel, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard","family":"Schieffer","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology and Internal Intensive Care Medicine, University Hospital Giessen and Marburg, Marburg, Germany"},{"name":"Department of Cardiology, Angiology, and Internal Intensive Care Medicine, Faculty of Medicine, Philipps University of Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2407-2837","authenticated-orcid":true,"given":"Emilia","family":"Stegemann","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Angiology and Internal Intensive Care Medicine, University Hospital Giessen and Marburg, Marburg, Germany"},{"name":"Clinic for General Internal Medicine, Diabetology and Angiology, Agaplesion Diakonie Clinics, Kassel, Germany"},{"name":"Department of Cardiology, Angiology, and Internal Intensive Care Medicine, Faculty of Medicine, Philipps University of Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt-2013-000021"},{"key":"c2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2016.04.014"},{"key":"c3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2024.03.395"},{"key":"c4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2015.07.029"},{"key":"c5","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.3.350"},{"key":"c6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2022.08.041"},{"key":"c7","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2015.01.012"},{"key":"c8","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2005.06.056"},{"key":"c9","unstructured":"R Core Team. 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