ABC | Volume 114, Nº1, January 2019

Statement Position Statement of the Brazilian Cardiology Society and the Brazilian Society of Hemodynamics and Interventional Cardiology on Training Centers and Professional Certification in Hemodynamics and Interventional Cardiology – 2020 Arq Bras Cardiol. 2020; 114(1):137-193 6.3.2.6. Venous Diseases .........................................................................157 6.3.2.6.1. Basic Knowledge .......................................................................157 6.3.2.6.2. Interventional Cardiologists’ Abilities .........................................157 7. Final Considerations ........................................................................157 Annex 1. Radiation Protection ...........................................................158 Annex 2. Free and Informed Consent and Authorization Form for Performance of the Exam/Procedure of Coronary Cineangiography with Left Ventriculography, FFR, or IFR and Assessment of Myocardial Bridging .............................................................................160 Annex 3. Free and Informed Consent and Authorization Form for Performance of the Procedure of Coronary Angioplasty with or without Stent Implantations ..............................................................162 Annex 4. Free and Informed Consent and Authorization Form for Performance of the Procedure of Balloon Mitral Valvuloplasty ...164 Annex 5. Free and Informed Consent and Authorization Form for Performance of the Procedure of Transcatheter Mitral Valve Repair ....................................................................................................166 Annex 6. Free and Informed Consent and Authorization Form for Performance of the Procedure of Percutaneous Left Atrial Appendage Closure .............................................................................168 Annex 7. Free and Informed Consent and Authorization Form for Performance of the Procedure of Transcatheter Aortic Valve Replacement (TAVR) ............................................................................170 Annex 8. Free and Informed Consent and Authorization Form for Performance of the Procedure of Alcohol Septal Ablation ...........172 Annex 9. Free and Informed Consent and Authorization Form for Performance of the Procedure of Patent Foramen Ovale Occlusion Or Closure ..............................................................................................174 Annex 10. Free and Informed Consent and Authorization Form for Performance of the Procedure of Interatrial Communication Closure or Occlusion ............................................................................176 Annex 11. Free and Informed Consent and Authorization Form for Performance of the Procedure of Transcatheter Interventricular Communication Closure or Occlusion ..............................................178 Annex 12. Free and Informed Consent and Authorization Form for Performance of the Procedure of Patent Ductus Arteriosus Closure or Occlusion ............................................................................180 Annex 13. Free and Informed Consent and Authorization Form for Performance of the Procedure of Angioplasty with Carotid Stent Implantation .........................................................................................182 Annex 14. Free and Informed Consent and Authorization Form for Performance of the Procedure of Angioplasty With Renal Artery Stent Implantation ...............................................................................184 Annex 15. Free and Informed Consent and Authorization Form for Performance of the Procedure of Angioplasty with Lower Limb Artery Stent Implantation ...................................................................186 Annex 16. Recommendations for Writing Reports in Hemodynamics and Interventional Cardiology (Minimum Requirements) ......................................................................................188 Annex 17. Structured Form | Trainee ...............................................189 References ............................................................................................190 1. Introduction The first coronary angioplasty, performed by Gruntzig 1 in 1977, marked the beginning of a revolution in cardiovascular disease treatment. Coronary angioplasty was initially considered an alternative to myocardial revascularization. With the passing of the years, accompanied by great technical-scientific advancement, percutaneous coronary intervention (PCI) has gone on to become the modality of choice when opting for mechanistic treatment of obstructive coronary disease. In this manner, coronary obstructions, with their diverse scenarios of complexity and forms of clinical presentation, are currently preferably treated by means of percutaneous techniques. Great advances in scientific knowledge and the development of increasingly less invasive techniques have also made it possible to overcome the limits of the territory of coronary circulation. The range of interventional treatments for cardiovascular and structural heart diseases is increasingly broad, and it represents a new branch of PCI, encompassing congenital and acquired heart diseases which were previously treated by traditional surgery or not even addressed. All of these enormous advances witnessed over the past decades have expanded not only the capacity but also the responsibility of interventional cardiologists within this newmodel of percutaneous treatments for cardiovascular diseases. The competences attributed to interventional cardiologists have gone on to include percutaneous treatment of structural heart diseases and extracardiac arterial and venous vascular territories, which, in addition to treatment of coronary obstructions, requires a broad and sophisticated process of training and certification. As the realm of diseases that may be treated by means of percutaneous techniques expands, the processes for training, certifying, and keeping abilities up-to-date undergo a true metamorphosis for interventional cardiologists. It is thus necessary for the Brazilian Society of Hemodynamics and Interventional Cardiology (Sociedade Brasileira de Hemodinâmica e Cardiologia Intervencionista – SBHCI) to revise the stages adopted in this complex process, with the objective of guaranteeing civil society’s access to professionals with the abilities, competences, and responsibility to carry out percutaneous treatment of the diverse diseases included in this vast scenario in a proper and safe manner. 2. Objectives This Position Paper is an update to the second chapter of the previous edition of the Guidelines on Quality and Professional Certification, 2 and its objective is to offer a guide to orient professionals, training centers, and institutions acting in the area of cardiovascular intervention (Hemodynamics and Interventional Cardiology) in relation to PCI, congenital and structural heart diseases, and intervention in the extracardiac arterial and venous vascular bed. The recommendations contained in this document are in following with the standards established by the Brazilian Cardiology Society (Sociedade Brasileira de Cardiologia – SBC) for the elaboration of position papers, guidelines, and normalizations and they comprise recommended actions that are, generally, individualized for each specific topic covered in this document. 141