Bijzondere interventies aan het hart - Gezondheidsraad

equirements in this connection are: at least three congenital heart surgeons and
three paediatric interventional cardiologists per centre; at least 125 procedures
per congenital surgeon per annum, of which at least 50 should be performed on
infants; per centre at least 100 operations on children of less than one year of age
per annum; and at least 50 catheter interventions per annum per (paediatric)cardiologist.
Further concentration of the care for patients with congenital cardiac defects
could take place via the process of cluster formation, which is already under way.
This could ultimately result in the creation of the three specialised centres envisaged
in the recommendations. In that vision, a congenital cardiac care centre
would consist of one or more sites. Clear agreements would have to be reached
concerning the allocation of tasks (such as: complex heart operations and procedures
on infants to be carried out at a single site). According to projections, this
process should be completed by about 2010.
It would be useful to set up an advisory committee to assist the Minister of
Health, Welfare and Sport with the restructuring and concentration of care for
patients with congenital cardiac defects.
Executive summary 43