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Volume 16 - Issue 3 - March, 2008

06/19/2008
Baystate Cardiology's most recent digital lab installation was the Siemens Artis zee digital cath lab. Dr. Schweiger and Dr. Giugliano discuss how the lab makes it easier to visualize the femoral head to help with sheath insertion, as well as...
Baystate Cardiology's most recent digital lab installation was the Siemens Artis zee digital cath lab. Dr. Schweiger and Dr. Giugliano discuss how the lab makes it easier to visualize the femoral head to help with sheath insertion, as well as...
Baystate Cardiology's most...
06/19/2008
Cath Lab Digest
Feature
06/19/2008
Sameer K. Mehta, MD, FACC, MBA
This month’s review of the recently published work from Ottawa, Canada, entitled ‘A Citywide Protocol for Primary PCI in ST-segment Elevation Myocardial Elevation’(NEJM, 2008; 358:231–240, see article abstract on next page), provides an...
This month’s review of the recently published work from Ottawa, Canada, entitled ‘A Citywide Protocol for Primary PCI in ST-segment Elevation Myocardial Elevation’(NEJM, 2008; 358:231–240, see article abstract on next page), provides an...
This month’s review of the...
06/19/2008
Cath Lab Digest
06/19/2008
What are “cardiac perfusion MRI” and “delayed enhancement imaging”? Perfusion imaging with MRI is very similar to perfusion imaging with nuclear tracers (single photon emission computed tomography [SPECT] imaging or positron emission...
What are “cardiac perfusion MRI” and “delayed enhancement imaging”? Perfusion imaging with MRI is very similar to perfusion imaging with nuclear tracers (single photon emission computed tomography [SPECT] imaging or positron emission...
What are “cardiac perfusion MRI”...
06/19/2008
Cath Lab Digest
06/19/2008
Sameer K. Mehta, MD, FACC, MBA
This month’s review of the recently published work from Ottawa, Canada, entitled ‘A Citywide Protocol for Primary PCI in ST-segment Elevation Myocardial Elevation’(NEJM, 2008; 358:231–240, see article abstract on next page), provides an...
This month’s review of the recently published work from Ottawa, Canada, entitled ‘A Citywide Protocol for Primary PCI in ST-segment Elevation Myocardial Elevation’(NEJM, 2008; 358:231–240, see article abstract on next page), provides an...
This month’s review of the...
06/19/2008
Cath Lab Digest
06/19/2008
Thomas H. Maloney, MS, MHA, RCIS, FSICP
IntroductionDuring President Bush’s final State of the Union address January 29, 2008, he stated that Americans’ primary concern is the economic future of the United States. This has been evident in almost every aspect of our home life, from...
IntroductionDuring President Bush’s final State of the Union address January 29, 2008, he stated that Americans’ primary concern is the economic future of the United States. This has been evident in almost every aspect of our home life, from...
IntroductionDuring President...
06/19/2008
Cath Lab Digest
Letter from the Editor
06/19/2008
Morton J. Kern, MD, MSCAI, FACC, FAHA
On a recent visit to a hospital on the mid-California coast, a senior cardiologist and director of the cardiac cath lab at a community hospital asked me, ‘How do I manage it when a doctor seems to be taking an excessively long time to perform...
On a recent visit to a hospital on the mid-California coast, a senior cardiologist and director of the cardiac cath lab at a community hospital asked me, ‘How do I manage it when a doctor seems to be taking an excessively long time to perform...
On a recent visit to a hospital...
06/19/2008
Cath Lab Digest
06/19/2008
Congratulations to Brad Loyd, RCIS, of Olathe Medical Center, Olathe, Kansas, for passing the Registered Cardiovascular Invasive Specialist (RCIS) exam! Alan McPherson, manager of the invasive labs, writes, “We are very proud of his...
Congratulations to Brad Loyd, RCIS, of Olathe Medical Center, Olathe, Kansas, for passing the Registered Cardiovascular Invasive Specialist (RCIS) exam! Alan McPherson, manager of the invasive labs, writes, “We are very proud of his...
Congratulations to Brad Loyd,...
06/19/2008
Cath Lab Digest
Feature
06/19/2008
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06/19/2008
Cath Lab Digest
Feature
06/19/2008
Congratulations to Brad Loyd, RCIS, of Olathe Medical Center, Olathe, Kansas, for passing the Registered Cardiovascular Invasive Specialist (RCIS) exam! Alan McPherson, manager of the invasive labs, writes, “We are very proud of his...
Congratulations to Brad Loyd, RCIS, of Olathe Medical Center, Olathe, Kansas, for passing the Registered Cardiovascular Invasive Specialist (RCIS) exam! Alan McPherson, manager of the invasive labs, writes, “We are very proud of his...
Congratulations to Brad Loyd,...
06/19/2008
Cath Lab Digest
06/19/2008
Tammy Sommer, RT
My left arm hurts – I don’t feel well Think I better sit down for a spell Starting to sweat – I know something is wrong Upon my chest feels like King Kong I grabbed the phone to dial 9-1-1 Fumbling with the numbers But I couldn’t...
My left arm hurts – I don’t feel well Think I better sit down for a spell Starting to sweat – I know something is wrong Upon my chest feels like King Kong I grabbed the phone to dial 9-1-1 Fumbling with the numbers But I couldn’t...
My left arm hurts – I don’t feel...
06/19/2008
Cath Lab Digest
Industry Insider
06/19/2008
Bayer HealthCare Affiliate MEDRAD and Possis Medical Sign Definitive Merger Agreement Bayer HealthCare affiliate MEDRAD, Inc., of Warrendale, PA and Possis Medical, Inc., of Minneapolis, MN, have entered into a definitive merger agreement...
Bayer HealthCare Affiliate MEDRAD and Possis Medical Sign Definitive Merger Agreement Bayer HealthCare affiliate MEDRAD, Inc., of Warrendale, PA and Possis Medical, Inc., of Minneapolis, MN, have entered into a definitive merger agreement...
Bayer HealthCare Affiliate...
06/19/2008
Cath Lab Digest
06/19/2008
Sheila C. Ryan, BSc; Phil G. Joseph, MD; Derek Y. F. So, MD; Michel R. Le May, MD; Christopher A. Glover, MD; Andrew Ha, MD; Richard F. Davies, MD; Michael P.V. Froeschl, MD; Jean-Francois Marquis, MD; Edward R. O'Brien, MD; George A. Wells, PhD; Marino Labinaz, MD; Richard Dionne, MD; Heather L. Sherrard, RN; Justin Maloney, MD; John Trickett, RN; Pierre Poirier
Abstract Background. If primary percutaneous coronary intervention (PCI) is performed promptly, the procedure is superior to fibrinolysis in restoring flow to the infarct-related artery in patients with ST-segment elevation myocardial...
Abstract Background. If primary percutaneous coronary intervention (PCI) is performed promptly, the procedure is superior to fibrinolysis in restoring flow to the infarct-related artery in patients with ST-segment elevation myocardial...
Abstract Background. If...
06/19/2008
Cath Lab Digest
06/19/2008
Frank Saltiel, MD
Disclosure: Dr. Saltiel and Dr. Fischell hold a financial interest in Ostial Solutions, Inc., which owns the Ostial Pro. Introduction As the field of interventional cardiology has continued to progress, the need for lesion-specific...
Disclosure: Dr. Saltiel and Dr. Fischell hold a financial interest in Ostial Solutions, Inc., which owns the Ostial Pro. Introduction As the field of interventional cardiology has continued to progress, the need for lesion-specific...
Disclosure: Dr. Saltiel and Dr....
06/19/2008
Cath Lab Digest
06/19/2008
Gerald Lagasse, RCIS
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06/19/2008
Cath Lab Digest
06/19/2008
Mark Bowles, BSN, CCRN
Why did you choose to work in the invasive cardiology field? Critical care nursing is one of the most stable positions when compared to any other nursing job. After 11 years, a change seemed in order. Cardiology was always a favorite subject...
Why did you choose to work in the invasive cardiology field? Critical care nursing is one of the most stable positions when compared to any other nursing job. After 11 years, a change seemed in order. Cardiology was always a favorite subject...
Why did you choose to work in...
06/19/2008
Cath Lab Digest
06/19/2008
James Burns, RN, MBA
There is significantly more peripheral vasculature than cardiac, and often disease in one area indicates disease in another. Furthermore, many of the diagnostic and interventional procedures to treat cardiac and vascular disease are based on...
There is significantly more peripheral vasculature than cardiac, and often disease in one area indicates disease in another. Furthermore, many of the diagnostic and interventional procedures to treat cardiac and vascular disease are based on...
There is significantly more...
06/19/2008
Cath Lab Digest
Letter from the Editor
06/19/2008
Susan Heilman; John Rader; Jennifer Williams
As the range of today’s cardiovascular procedures continues to expand and their sites of service shift, familiarity with coding and reimbursement changes is critically important to assure compliance with CMS’s regulations and appropriate...
As the range of today’s cardiovascular procedures continues to expand and their sites of service shift, familiarity with coding and reimbursement changes is critically important to assure compliance with CMS’s regulations and appropriate...
As the range of today’s...
06/19/2008
Cath Lab Digest
Feature
06/19/2008
James Burns, RN, MBA
There is significantly more peripheral vasculature than cardiac, and often disease in one area indicates disease in another. Furthermore, many of the diagnostic and interventional procedures to treat cardiac and vascular disease are based on...
There is significantly more peripheral vasculature than cardiac, and often disease in one area indicates disease in another. Furthermore, many of the diagnostic and interventional procedures to treat cardiac and vascular disease are based on...
There is significantly more...
06/19/2008
Cath Lab Digest
Letter from the Editor
06/19/2008
Phyllis C. Williams, RCSA, RN, CEN, TCCN, ASN, CVT; Pattie Freschett, RCSA, RN, BSN, BBA, CVT; Charles Ody Williams, BS , RCIS, CPFT, CCT, FSICP, BSRS; Neil E. Holtz, BS , RCIS, EMT-P, CVT
Pegasus Lectures, Inc. presented an extensive board review courses for the Cardiovascular Credentialing International (CCI) Basic Science Review, Echocardiography, and American Registry of Diagnostic Medical Stenographers (ARDMS) Ultrasound...
Pegasus Lectures, Inc. presented an extensive board review courses for the Cardiovascular Credentialing International (CCI) Basic Science Review, Echocardiography, and American Registry of Diagnostic Medical Stenographers (ARDMS) Ultrasound...
Pegasus Lectures, Inc. presented...
06/19/2008
Cath Lab Digest
Letter from the Editor
06/19/2008
Todd Ginapp, EMT-P, RCIS, FSICP
Amyloidosis (am’i – loy- doh’sis) is a disease characterized by extracellular accumulation of amyloid in various organs of the body.1 The cause of this disease is the deposit of amyloid, a type of protein, that when abnormally present in the...
Amyloidosis (am’i – loy- doh’sis) is a disease characterized by extracellular accumulation of amyloid in various organs of the body.1 The cause of this disease is the deposit of amyloid, a type of protein, that when abnormally present in the...
Amyloidosis (am’i – loy-...
06/19/2008
Cath Lab Digest
06/19/2008
Answer or pose a question at cathlabdigest@aol.com. New Questions Cross-Training Duties In a cross-trained lab, do RTs and CVTs document equipment only and the RN separately handles the moderate sedation and patient care documentation?...
Answer or pose a question at cathlabdigest@aol.com. New Questions Cross-Training Duties In a cross-trained lab, do RTs and CVTs document equipment only and the RN separately handles the moderate sedation and patient care documentation?...
Answer or pose a question at...
06/19/2008
Cath Lab Digest
06/19/2008
Samin K. Sharma, MD, FACC, FSCAI
Can you tell us about the cath lab at Mount Sinai? Mount Sinai has a very busy cath lab. In 2003, we did 2,750 interventional procedures (with a total cath volume of 9400). In 2006, we crossed the 5,000 mark (5,174 interventional procedures...
Can you tell us about the cath lab at Mount Sinai? Mount Sinai has a very busy cath lab. In 2003, we did 2,750 interventional procedures (with a total cath volume of 9400). In 2006, we crossed the 5,000 mark (5,174 interventional procedures...
Can you tell us about the cath...
06/19/2008
Cath Lab Digest
Feature
06/19/2008
Adhir R. Shroff, MD, MPH, FACC, FSCAI; Peter T. Kondos, BS, RT
Dr. Adhir R. Shroff is an Assistant Professor of Medicine at the University of Illinois – Chicago Medical School; Director of the Cardiovascular Catheterization Laboratory at the University of Illinois – Chicago Medical Center; and Attending...
Dr. Adhir R. Shroff is an Assistant Professor of Medicine at the University of Illinois – Chicago Medical School; Director of the Cardiovascular Catheterization Laboratory at the University of Illinois – Chicago Medical Center; and Attending...
Dr. Adhir R. Shroff is an...
06/19/2008
Cath Lab Digest
Letter from the Editor
06/19/2008
Marshall W. Ritchey, MS, MBA, RCIS
You’ve heard about the spring cleaning. You have heard about organization. But have you heard about cleaning up your act? In the cardiac catheterization laboratory, a great deal of clutter seems to accumulate. Unnecessary items, duplicate,...
You’ve heard about the spring cleaning. You have heard about organization. But have you heard about cleaning up your act? In the cardiac catheterization laboratory, a great deal of clutter seems to accumulate. Unnecessary items, duplicate,...
You’ve heard about the spring...
06/19/2008
Cath Lab Digest
Feature
06/19/2008
Answer or pose a question at cathlabdigest@aol.com. New Questions Cross-Training Duties In a cross-trained lab, do RTs and CVTs document equipment only and the RN separately handles the moderate sedation and patient care documentation?...
Answer or pose a question at cathlabdigest@aol.com. New Questions Cross-Training Duties In a cross-trained lab, do RTs and CVTs document equipment only and the RN separately handles the moderate sedation and patient care documentation?...
Answer or pose a question at...
06/19/2008
Cath Lab Digest
06/19/2008
Adhir R. Shroff, MD, MPH, FACC, FSCAI; Peter T. Kondos, BS, RT
Dr. Adhir R. Shroff is an Assistant Professor of Medicine at the University of Illinois – Chicago Medical School; Director of the Cardiovascular Catheterization Laboratory at the University of Illinois – Chicago Medical Center; and Attending...
Dr. Adhir R. Shroff is an Assistant Professor of Medicine at the University of Illinois – Chicago Medical School; Director of the Cardiovascular Catheterization Laboratory at the University of Illinois – Chicago Medical Center; and Attending...
Dr. Adhir R. Shroff is an...
06/19/2008
Cath Lab Digest
Clinical Review
06/19/2008
Jackson L. Thatcher, MD
Hemorrhagic complications of cardiac catheterization remain one of the most common adverse outcomes of the procedure. Along with cerebrovascular events and contrast-induced nephropathy, bleeding complications far outweigh the cardiovascular...
Hemorrhagic complications of cardiac catheterization remain one of the most common adverse outcomes of the procedure. Along with cerebrovascular events and contrast-induced nephropathy, bleeding complications far outweigh the cardiovascular...
Hemorrhagic complications of...
06/19/2008
Cath Lab Digest
Feature
06/19/2008
Stephan Achenbach, MD, FESC, FACC
You have seen cardiac CT evolve over time. With the advent of CTs offering faster rotation speeds and better coverage, where do you feel CT fits into a cardiologist’s arsenal of medical equipment today? I think CT has become sufficiently...
You have seen cardiac CT evolve over time. With the advent of CTs offering faster rotation speeds and better coverage, where do you feel CT fits into a cardiologist’s arsenal of medical equipment today? I think CT has become sufficiently...
You have seen cardiac CT evolve...
06/19/2008
Cath Lab Digest
Feature
06/19/2008
Michael C. Foster, MD, FACC
Is there enough awareness in the interventional community about intravascular ultrasound (IVUS)? From my perspective, the answer is clearly no. IVUS is a powerful tool that is not being properly utilized. It is under-considered and too many...
Is there enough awareness in the interventional community about intravascular ultrasound (IVUS)? From my perspective, the answer is clearly no. IVUS is a powerful tool that is not being properly utilized. It is under-considered and too many...
Is there enough awareness in the...
06/19/2008
Cath Lab Digest
Cath Lab Spotlight
06/19/2008
Deryck Yarde, RN, BSN, CCRN; Haleh Eskandari, RN, MSN, CCRN, RCIS
What is the size of your cath lab facility and number of staff members? Our cath lab consists of seven cath lab suites, including one peripheral lab, two dedicated electrophysiology (EP) labs and one electrophysiology (EP)/cath lab, and...
What is the size of your cath lab facility and number of staff members? Our cath lab consists of seven cath lab suites, including one peripheral lab, two dedicated electrophysiology (EP) labs and one electrophysiology (EP)/cath lab, and...
What is the size of your cath...
06/19/2008
Cath Lab Digest
06/19/2008
Can you tell us about the cath lab at Children’s Hospital of Michigan? Children’s Hospital of Michigan is a part of the Detroit Medical Center. We have two Siemens bi-plane cath labs and 8 staff: 4 technologists and 4 nurses, with 13...
Can you tell us about the cath lab at Children’s Hospital of Michigan? Children’s Hospital of Michigan is a part of the Detroit Medical Center. We have two Siemens bi-plane cath labs and 8 staff: 4 technologists and 4 nurses, with 13...
Can you tell us about the cath...
06/19/2008
Cath Lab Digest
06/19/2008
Stephan Achenbach, MD, FESC, FACC
You have seen cardiac CT evolve over time. With the advent of CTs offering faster rotation speeds and better coverage, where do you feel CT fits into a cardiologist’s arsenal of medical equipment today? I think CT has become sufficiently...
You have seen cardiac CT evolve over time. With the advent of CTs offering faster rotation speeds and better coverage, where do you feel CT fits into a cardiologist’s arsenal of medical equipment today? I think CT has become sufficiently...
You have seen cardiac CT evolve...
06/19/2008
Cath Lab Digest
06/19/2008
Dongming Hou, MD, PhD; Lakshmana Pendyala, MD; Radhika Gadesam, MD; Ioana Ghiu, MD; Nicolas A.F. Chronos, MD
Heart failure (HF) is a major and growing public health problem in the United States. Approximately 5 million patients have HF, and over 550,000 patients are diagnosed with HF for the first time each year.1 The number of HF deaths has...
Heart failure (HF) is a major and growing public health problem in the United States. Approximately 5 million patients have HF, and over 550,000 patients are diagnosed with HF for the first time each year.1 The number of HF deaths has...
Heart failure (HF) is a major...
06/19/2008
Cath Lab Digest
Letter from the Editor
06/19/2008
Habib Samady, MD; Michael C. McDaniel, MD
By significantly reducing restenosis rates, drug-eluting stents (DES) have allowed interventional cardiologists to approach longer and more complex lesions, as well as multi-vessel disease patients. This dramatic reduction in restenosis has...
By significantly reducing restenosis rates, drug-eluting stents (DES) have allowed interventional cardiologists to approach longer and more complex lesions, as well as multi-vessel disease patients. This dramatic reduction in restenosis has...
By significantly reducing...
06/19/2008
Cath Lab Digest
06/19/2008
Michael C. Foster, MD, FACC
Is there enough awareness in the interventional community about intravascular ultrasound (IVUS)? From my perspective, the answer is clearly no. IVUS is a powerful tool that is not being properly utilized. It is under-considered and too many...
Is there enough awareness in the interventional community about intravascular ultrasound (IVUS)? From my perspective, the answer is clearly no. IVUS is a powerful tool that is not being properly utilized. It is under-considered and too many...
Is there enough awareness in the...
06/19/2008
Cath Lab Digest
Cath Lab Spotlight
06/19/2008
Deryck Yarde, RN, BSN, CCRN; Haleh Eskandari, RN, MSN, CCRN, RCIS
What is the size of your cath lab facility and number of staff members? Our cath lab consists of seven cath lab suites, including one peripheral lab, two dedicated electrophysiology (EP) labs and one electrophysiology (EP)/cath lab, and...
What is the size of your cath lab facility and number of staff members? Our cath lab consists of seven cath lab suites, including one peripheral lab, two dedicated electrophysiology (EP) labs and one electrophysiology (EP)/cath lab, and...
What is the size of your cath...
06/19/2008
Cath Lab Digest
Feature
06/19/2008
Can you tell us about the cath lab at Children’s Hospital of Michigan? Children’s Hospital of Michigan is a part of the Detroit Medical Center. We have two Siemens bi-plane cath labs and 8 staff: 4 technologists and 4 nurses, with 13...
Can you tell us about the cath lab at Children’s Hospital of Michigan? Children’s Hospital of Michigan is a part of the Detroit Medical Center. We have two Siemens bi-plane cath labs and 8 staff: 4 technologists and 4 nurses, with 13...
Can you tell us about the cath...
06/19/2008
Cath Lab Digest