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Volume 18 - Issue 9 - September, 2010

Clinical Update
09/27/2010
Gerald Lagasse, RCIS
[Editor's Note: This article was published in the September 2001 issue of Cath Lab Digest, and is being posted under September 2010 as a reader reference only) If we say that someone other than a cardiologist can and should perform a...
[Editor's Note: This article was published in the September 2001 issue of Cath Lab Digest, and is being posted under September 2010 as a reader reference only) If we say that someone other than a cardiologist can and should perform a...
[Editor's Note: This article was...
09/27/2010
Cath Lab Digest
Movers and Shakers!
09/20/2010

Cath Lab Digest accepts notification of promotions, certifications and job changes at cathlabdigest@aol.com

Cath Lab Digest accepts notification ...
Congratulations! Congratulations to Jennifer Dunifon, Daven Remly, Brittany Gibbs, and Toby Austin for passing their RCIS exam! — Sent in by Winter Haven Hospital, Winter Haven, Florida. Spencerian College is proud to announce...
Congratulations! Congratulations to Jennifer Dunifon, Daven Remly, Brittany Gibbs, and Toby Austin for passing their RCIS exam! — Sent in by Winter Haven Hospital, Winter Haven, Florida. Spencerian College is proud to announce...
...
09/20/2010
Cath Lab Digest
Clinical and Industry News
09/20/2010
Physicians performing percutaneous coronary intervention (PCI) frequently encounter a number of challenges during the procedure. Among the complications is retroperitoneal hematoma, a condition associated with high mortality and morbidity....
Physicians performing percutaneous coronary intervention (PCI) frequently encounter a number of challenges during the procedure. Among the complications is retroperitoneal hematoma, a condition associated with high mortality and morbidity....
Physicians performing...
09/20/2010
Cath Lab Digest
Clinical and Industry News
09/20/2010
High-risk patients undergoing a coronary procedure such as placement of a stent who electively received an intra-aortic balloon pump prior to the procedure did not experience a significantly lower overall rate of events such as heart attack,...
High-risk patients undergoing a coronary procedure such as placement of a stent who electively received an intra-aortic balloon pump prior to the procedure did not experience a significantly lower overall rate of events such as heart attack,...
High-risk patients undergoing a...
09/20/2010
Cath Lab Digest
Clinical and Industry News
09/20/2010
The Methodist DeBakey Heart & Vascular Center opened an advanced hybrid, robotic operating room. The new suite integrates advanced robotics, imaging and navigation with surgery to offer patients the least invasive and safest surgical and...
The Methodist DeBakey Heart & Vascular Center opened an advanced hybrid, robotic operating room. The new suite integrates advanced robotics, imaging and navigation with surgery to offer patients the least invasive and safest surgical and...
The Methodist DeBakey Heart &...
09/20/2010
Cath Lab Digest
Clinical and Industry News
09/20/2010
Endovascular and Open Interventions for Recurrent Superficial Femoral Artery Disease Studied Researchers from The Methodist Hospital’s DeBakey Heart and Vascular Center in Houston, Texas have studied outcomes of patients who had endovascular...
Endovascular and Open Interventions for Recurrent Superficial Femoral Artery Disease Studied Researchers from The Methodist Hospital’s DeBakey Heart and Vascular Center in Houston, Texas have studied outcomes of patients who had endovascular...
Endovascular and Open...
09/20/2010
Cath Lab Digest
Clinical and Industry News
09/20/2010
For ST-segment elevation myocardial infarction (STEMI) patients, delay in the time between first contact with emergency medical service to initiation of therapy such as balloon angioplasty is associated with an increased risk of death,...
For ST-segment elevation myocardial infarction (STEMI) patients, delay in the time between first contact with emergency medical service to initiation of therapy such as balloon angioplasty is associated with an increased risk of death,...
For ST-segment elevation...
09/20/2010
Cath Lab Digest
Clinical and Industry News
09/20/2010
Accreditation for Cardiovascular Excellence (ACE) currently accepting applications for accreditation of carotid artery stenting programs The Society for Cardiovascular Angiography and Interventions (SCAI) and the American College of...
Accreditation for Cardiovascular Excellence (ACE) currently accepting applications for accreditation of carotid artery stenting programs The Society for Cardiovascular Angiography and Interventions (SCAI) and the American College of...
Accreditation for Cardiovascular...
09/20/2010
Cath Lab Digest
09/20/2010
Bonnie H. Weiner, MD, MBA, FSCAI, FACC
What’s the purpose of the Accreditation for Cardiovascular Excellence (ACE) organization? The overall purpose is to accredit facilities performing invasive cardiovascular and endovascular procedures. By doing so, we hope to set an objective,...
What’s the purpose of the Accreditation for Cardiovascular Excellence (ACE) organization? The overall purpose is to accredit facilities performing invasive cardiovascular and endovascular procedures. By doing so, we hope to set an objective,...
What’s the purpose of the...
09/20/2010
Cath Lab Digest
Single-Center Experience
09/17/2010
Scott Shurmur, MD; Syed M. Ahmed, MD; Nattapong Sricharoen, MD; Kamran Akram, MD; Keith Weeks, MD
Disclosure: The authors report no conflicts of interest regarding the content herein. The transradial approach has been used more commonly in Europe than the United States. In some invasive laboratories in Europe, the transradial approach is...
Disclosure: The authors report no conflicts of interest regarding the content herein. The transradial approach has been used more commonly in Europe than the United States. In some invasive laboratories in Europe, the transradial approach is...
Disclosure: The authors report...
09/17/2010
Cath Lab Digest
Your Path to Success: Expert Advice
09/17/2010
Marsha L. Knapik, RN, MSN, CCRN
Hospitals nationwide continue to see increased opportunities to expand invasive cardiac services to include PCI (percutaneous coronary intervention) without the requirement of on-site open heart surgery. As this movement continues across the...
Hospitals nationwide continue to see increased opportunities to expand invasive cardiac services to include PCI (percutaneous coronary intervention) without the requirement of on-site open heart surgery. As this movement continues across the...
Hospitals nationwide continue to...
09/17/2010
Cath Lab Digest
Ask the Expert
09/17/2010
Orlando Marrero, RCIS, MBA
I see your hospital does a lot of training courses focusing on laser atherectomy. Do your physicians utilize transradial for chronic total occlusion procedures?
I see your hospital does a lot of training courses focusing on laser atherectomy. Do your physicians utilize transradial for chronic total occlusion procedures?
I see your hospital does a lot...
09/17/2010
Cath Lab Digest
Clinical Images
09/17/2010
Bernhard Meier, MD, FACC, FESC
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09/17/2010
Cath Lab Digest
Ask the Clinical Instructor
09/17/2010
Todd Ginapp, EMT-P, RCIS, FSICP
Why does the physician sometimes use 2 catheters to evaluate a valve, and why sometimes only 1? – Anonymous RCIS Review participant For a more detailed explanation of valve interrogations, please refer to articles written in April...
Why does the physician sometimes use 2 catheters to evaluate a valve, and why sometimes only 1? – Anonymous RCIS Review participant For a more detailed explanation of valve interrogations, please refer to articles written in April...
Why does the physician sometimes...
09/17/2010
Cath Lab Digest
09/17/2010
David L. Brown, MD, FACC, FACP, DO; Todd M. Dewey, MD
Dr. David Brown, an interventional cardiologist, Dr. Todd Dewey, a cardiothoracic surgeon, and colleagues work closely together on hybrid procedures, particularly aortic valve replacement. Dr. Brown and Dr. Dewey share their thoughts on...
Dr. David Brown, an interventional cardiologist, Dr. Todd Dewey, a cardiothoracic surgeon, and colleagues work closely together on hybrid procedures, particularly aortic valve replacement. Dr. Brown and Dr. Dewey share their thoughts on...
Dr. David Brown, an...
09/17/2010
Cath Lab Digest
Clinical Review
09/13/2010
Margaret A. Coburn, RT(R)(CI), RCIS; Richard J. Merschen, EdS, MS, RT(R)(CV), RCIS
Abstract Numerous access and sheath options are available to the interventional cardiologist when performing percutaneous transcatheter procedures. Depending on the procedure, the radial, brachial, or femoral access routes may be used for...
Abstract Numerous access and sheath options are available to the interventional cardiologist when performing percutaneous transcatheter procedures. Depending on the procedure, the radial, brachial, or femoral access routes may be used for...
Abstract Numerous access and...
09/13/2010
Cath Lab Digest
News
09/13/2010
Physician engagement and cooperation of EMS departments are critical to fast door-to-balloon times. In less than one month’s time this summer, two cardiologists at Parma Community General Hospital broke the hospital’s previous record of 15...
Physician engagement and cooperation of EMS departments are critical to fast door-to-balloon times. In less than one month’s time this summer, two cardiologists at Parma Community General Hospital broke the hospital’s previous record of 15...
Physician engagement and...
09/13/2010
Cath Lab Digest
Meeting Update
09/13/2010
With a special focus on calcified, bifurcation and total occlusion lesions Samin K. Sharma, MD, Director, and Annapoorna S. Kini, MD, Associate Director, of the Cardiac Catheterization Laboratory at Mount Sinai Hospital, lead the way in this...
With a special focus on calcified, bifurcation and total occlusion lesions Samin K. Sharma, MD, Director, and Annapoorna S. Kini, MD, Associate Director, of the Cardiac Catheterization Laboratory at Mount Sinai Hospital, lead the way in this...
With a special focus on...
09/13/2010
Cath Lab Digest
Cath Lab Spotlight
09/13/2010
Kymberlee Manni, RCIS, PhD; Chris Sheffield, RN; George Benelli, RT(R), RA; Mauricio G. Cohen, MD, FACC
Tell us about your cath lab. The University of Miami Hospital (UMH) has 5 total procedure rooms, including 1 hybrid room, 2 electrophysiology procedure (EP) rooms, and 2 cath labs. We performed 3,409 procedures in 2009. In 2010, we are...
Tell us about your cath lab. The University of Miami Hospital (UMH) has 5 total procedure rooms, including 1 hybrid room, 2 electrophysiology procedure (EP) rooms, and 2 cath labs. We performed 3,409 procedures in 2009. In 2010, we are...
Tell us about your cath lab. The...
09/13/2010
Cath Lab Digest
Clinical Editor's Corner
09/13/2010
Morton J. Kern, MD, MSCAI, FACC, FAHA
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09/13/2010
Cath Lab Digest
Clinical Update
09/13/2010
Michael S. Lee, MD, DPM, FACFAS, FACC, FSCAI
The standard of care for patients with unprotected left main coronary artery (ULMCA) disease is coronary artery bypass grafting (CABG) based largely on older, outdated data which demonstrate improved survival as compared with medical therapy...
The standard of care for patients with unprotected left main coronary artery (ULMCA) disease is coronary artery bypass grafting (CABG) based largely on older, outdated data which demonstrate improved survival as compared with medical therapy...
The standard of care for...
09/13/2010
Cath Lab Digest
09/10/2010
Benjamin M. Manacop, Jr., BS , RCIS
Anaheim Regional Medical Center is a small community hospital in the city of Anaheim, California, just a few miles away from Disneyland. We find it ironic that the happiest place on earth can be located next to a war zone. Yes, that’s right —...
Anaheim Regional Medical Center is a small community hospital in the city of Anaheim, California, just a few miles away from Disneyland. We find it ironic that the happiest place on earth can be located next to a war zone. Yes, that’s right —...
Anaheim Regional Medical Center...
09/10/2010
Cath Lab Digest
Technology Pulse
09/10/2010
Augusto D. Pichard, MD, FACC, FSCAI
Can you share some of your long history with OCT and describe this technology?
Can you share some of your long history with OCT and describe this technology?
Can you share some of your long...
09/10/2010
Cath Lab Digest
Ask the Expert
09/10/2010
James Park, MD
Can you tell us about the cath labs at Texas Health Presbyterian Hospital Dallas? We have 4 labs, and do all types of coronary and peripheral endovascular procedures. We also work on structural heart disease, such as patent foramen ovale...
Can you tell us about the cath labs at Texas Health Presbyterian Hospital Dallas? We have 4 labs, and do all types of coronary and peripheral endovascular procedures. We also work on structural heart disease, such as patent foramen ovale...
Can you tell us about the cath...
09/10/2010
Cath Lab Digest
Case Study
09/10/2010
Rajesh M. Dave, MD, FACC, FSCAI
New percutaneous left ventricular assist support technology has created new hope for the patient population presenting with acute coronary syndrome (ACS) and cardiogenic shock as well as in need of high-risk percutaneous coronary intervention...
New percutaneous left ventricular assist support technology has created new hope for the patient population presenting with acute coronary syndrome (ACS) and cardiogenic shock as well as in need of high-risk percutaneous coronary intervention...
New percutaneous left...
09/10/2010
Cath Lab Digest