Evidence map›Paper›PMID 41835674›Full record

ReviewCureus2026

The Green Cath Lab Challenge: Environmental Sustainability in Interventional Cardiology.

Despoina Pappa, Maria Bourazani, Maria S Chrysi, Anna Giga, Panoraia Rammou

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Despoina PappaNursing, Henry Dunant Hospital Center, Athens, GRC.
Maria BourazaniAnesthesiology, Agios Savvas Hospital, Athens, GRC.
Maria S ChrysiSurgical Nursing, Agios Savvas Hospital, Athens, GRC.
Anna GigaNursing, 3rd Vocational High School, Athens, GRC.
Panoraia RammouNursing Services and Patient Safety Consultant, Henry Dunant Hospital Center, Athens, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Healthcare systems are responsible for a significant share of global greenhouse gas emissions, and cardiac catheterization laboratories (CCLs) are among the most resource-intensive hospital units due to their reliance on single-use materials, high-energy imaging systems, and strict infection-control protocols. Understanding and mitigating their environmental impact is essential for achieving sustainable cardiovascular care. The aim of this review was to summarize and analyze available quantitative evidence on waste generation, recycling potential, and carbon emissions in interventional cardiology, and to identify practical strategies for transitioning toward a "green cath lab." A structured literature search was conducted across PubMed, Scopus, and Web of Science for the period 2015-2025, supplemented by Google Scholar and the cardiovascular society websites. Studies were eligible if they provided quantitative data on waste output, recycling rates, or carbon footprint in CCLs. Out of 357 retrieved records, only four met all inclusion criteria. Diagnostic coronary angiography produced an average carbon footprint of 12.5 kg CO₂-equivalent per case, with single-use disposables (40%) and imaging energy (25%) as the largest contributors. Waste audits showed 1.5-3 kg of waste per procedure, 36%-40% of which was recyclable. Optimizing procedural packs, improving heating, ventilation, and air conditioning or HVAC efficiency, and structured waste segregation achieved 20%-30% reductions in waste and emissions without affecting safety. Evidence indicates that interventional cardiology generates measurable and avoidable environmental burdens. Implementing targeted, low-cost interventions can markedly reduce both waste and carbon footprint. These findings establish a quantitative foundation for sustainability frameworks, carbon auditing, and policy initiatives toward a net-zero cath lab.

Indexed as

carbon footprintcardiac catheterization laboratorylife cycle analysisrecyclingwaste management

Identifiers

PMID41835674
PMCPMC12988686

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.