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Volume 21 - Issue 10 - October 2013

Featured Article

Clinical Editor's Corner
10/01/2013
Morton J. Kern, MD, MSCAI, FACC, FAHA
While well aware of the improved safety of radial cath, we also recognize the critical need to teach and perform excellent femoral catheterization.
While well aware of the improved safety of radial cath, we also recognize the critical need to teach and perform excellent femoral catheterization.
While well aware of the improved...
10/01/2013
Cath Lab Digest
Conferences
10/01/2013
Kintur Sanghvi, MD, FACC, FSCAI
Over the past four years, the science of renal sympathetic denervation (RDN) for the treatment of resistant hypertension patients has quickly advanced. As RDN moves forward, Dr. Kintur Sanghvi saw the need for a comprehensive educational...
Over the past four years, the science of renal sympathetic denervation (RDN) for the treatment of resistant hypertension patients has quickly advanced. As RDN moves forward, Dr. Kintur Sanghvi saw the need for a comprehensive educational...
Over the past four years, the...
10/01/2013
Cath Lab Digest
Conferences
10/01/2013
Phil G. Regas, RCIS, RRT, CPFT, FSICP, MSM, FACHE
Intended to provide an all-inclusive day of clinical information, the September 6, 2013, “Heart of a Sooner” symposium featured presentations from all aspects of cardiovascular care. CMEs and CEUs were offered, and the program was free to...
Intended to provide an all-inclusive day of clinical information, the September 6, 2013, “Heart of a Sooner” symposium featured presentations from all aspects of cardiovascular care. CMEs and CEUs were offered, and the program was free to...
Intended to provide an...
10/01/2013
Cath Lab Digest
New Devices
10/01/2013
Researchers say transradial procedures could help U.S. hospitals realize nearly $50 million in annual cost savings with only a modest 10% increase in transradial procedures.
Researchers say transradial procedures could help U.S. hospitals realize nearly $50 million in annual cost savings with only a modest 10% increase in transradial procedures.
Researchers say transradial...
10/01/2013
Cath Lab Digest
10/01/2013
Complied by Cath Lab Digest
Complied by Cath Lab Digest
Email notice of credentialing, job changes, promotions, etc., to us at cathlabdigest@aol.com. This month, Cath Lab Digest would like to congratulate….
Email notice of credentialing, job changes, promotions, etc., to us at cathlabdigest@aol.com. This month, Cath Lab Digest would like to congratulate….
Email notice of credentialing,...
10/01/2013
Cath Lab Digest
10/01/2013
All staff at Geisinger Medical Center’s Cath Lab in Danville, Pennsylvania, holds the RCIS credential.
All staff at Geisinger Medical Center’s Cath Lab in Danville, Pennsylvania, holds the RCIS credential.
All staff at Geisinger Medical...
10/01/2013
Cath Lab Digest
Cath Lab Management
10/01/2013
Kristin Powers, MHA
The 2010 Patient Protection and Affordable Care Act (PPACA) introduced new payment revisions, such as the hospital Value-Based Purchasing program and penalties for specific condition readmissions.
The 2010 Patient Protection and Affordable Care Act (PPACA) introduced new payment revisions, such as the hospital Value-Based Purchasing program and penalties for specific condition readmissions.
The 2010 Patient Protection and...
10/01/2013
Cath Lab Digest
10/01/2013
Hayrullah Alp, MD; Tamer Baysal, MD; Sevim Karaarslan, MD
This report describes a newborn girl with an unusual form of the supracardiac type of total anomalous pulmonary venous connection, where all pulmonary veins drained into the right-sided systemic veins with a common inlet left ventricle.
This report describes a newborn girl with an unusual form of the supracardiac type of total anomalous pulmonary venous connection, where all pulmonary veins drained into the right-sided systemic veins with a common inlet left ventricle.
This report describes a newborn...
10/01/2013
Cath Lab Digest
10/01/2013
Ryan D. Madder, MD, FACC
Dr. Madder discusses a study evaluating lipid core plaque presence and amount at the culprit lesion site of ST-segment elevation myocardial infarction (STEMI) patients.
Dr. Madder discusses a study evaluating lipid core plaque presence and amount at the culprit lesion site of ST-segment elevation myocardial infarction (STEMI) patients.
Dr. Madder discusses a study...
10/01/2013
Cath Lab Digest
10/01/2013
Nay T. Tun, MD; Swarnalatha Kanneganti, MD; Thein Tun Aung, MD; Koroush Khalighi, MD, FACC, FACP, FCCP, FHRS, MS
Lack of knowledge of a persistent left superior vena cava can bring serious, adverse complications, if the team does not become aware of it in a timely fashion.
Lack of knowledge of a persistent left superior vena cava can bring serious, adverse complications, if the team does not become aware of it in a timely fashion.
Lack of knowledge of a...
10/01/2013
Cath Lab Digest
Cath Lab Management
10/01/2013
Sharon Coram, RN; Seth D. Bilazarian, MD, FACC, FAHA, FASNC, RPVI; Kathy A. Caredeo, RN, BSN, MM
As the first hospital in New England to achieve ACE accreditation, not only does Lawrence General Hospital hold distinction amongst its peers, but this hospital is also the first nationally to voluntarily validate and offer transparency of...
As the first hospital in New England to achieve ACE accreditation, not only does Lawrence General Hospital hold distinction amongst its peers, but this hospital is also the first nationally to voluntarily validate and offer transparency of...
As the first hospital in New...
10/01/2013
Cath Lab Digest
10/01/2013
Koroush Khalighi, MD, FACC, FACP, FCCP, FHRS, MS; Yanfang Guan, MD; Suman B. Thapamagar, MD
While coronary artery spasm (CAS) is not an uncommon event and spontaneous spams might occur in young patients as well as during percutaneous coronary intervention in elderly patients, extensive multivessel spasm rarely occurs.
While coronary artery spasm (CAS) is not an uncommon event and spontaneous spams might occur in young patients as well as during percutaneous coronary intervention in elderly patients, extensive multivessel spasm rarely occurs.
While coronary artery spasm...
10/01/2013
Cath Lab Digest
10/01/2013
Jay S. Giri, MD, MPH; Jon C. George, MD, MBA; David E. Ghods, DO; Michael N. Hakimi, DO
Herein, we present a case of chronic upper extremity venous occlusion with debilitating symptoms that was treated successfully with venoplasty and stenting.
Herein, we present a case of chronic upper extremity venous occlusion with debilitating symptoms that was treated successfully with venoplasty and stenting.
Herein, we present a case of...
10/01/2013
Cath Lab Digest
10/01/2013
Aleks Degirmencioglu, MD; Ertugrul Zencirci, MD; Gultekin Karakus, MD
Pleating artifact” is a benign pathology rarely seen during coronary interventions. It can occur when a curved artery is straightened by a stiff guide wire.
Pleating artifact” is a benign pathology rarely seen during coronary interventions. It can occur when a curved artery is straightened by a stiff guide wire.
Pleating artifact” is a benign...
10/01/2013
Cath Lab Digest
10/01/2013
Zaheed Tai, MD, DO, FACC, FSCAI; Orlando Marrero, RCIS, MBA
Do you always do transradial PCI through a 6 Fr sheath or can you go smaller, and is there any advantage to doing so?
Do you always do transradial PCI through a 6 Fr sheath or can you go smaller, and is there any advantage to doing so?
Do you always do transradial PCI...
10/01/2013
Cath Lab Digest
10/01/2013
Nkemakolam Iroegbu, MD, MPH, FACP; Seth Tanenbaum, MD, FACC, FACP; Hazem Alhawasli, MD
Coronary angiography revealed significant myocardial bridging of the middle segment of the left anterior descending coronary artery, with no other abnormalities. This finding is the cause of the patient’s symptoms.
Coronary angiography revealed significant myocardial bridging of the middle segment of the left anterior descending coronary artery, with no other abnormalities. This finding is the cause of the patient’s symptoms.
Coronary angiography revealed...
10/01/2013
Cath Lab Digest
10/01/2013
Charles C. Cummings, MD, FACP
There is no product left behind: no collagen, no string, nothing. We could consider this an “organic” approach to access and closure.
There is no product left behind: no collagen, no string, nothing. We could consider this an “organic” approach to access and closure.
There is no product left behind:...
10/01/2013
Cath Lab Digest
10/01/2013
Debbie Doll, RN; Rebecca Turner, NP; Arthur Andrada, Jr., RN
We developed our own protocol and kept track of all of our patients, doing our own research that was based on our population. It was worth it to trial the AXERA, to get our head wrapped around the theory of this device, and that it really...
We developed our own protocol and kept track of all of our patients, doing our own research that was based on our population. It was worth it to trial the AXERA, to get our head wrapped around the theory of this device, and that it really...
We developed our own protocol...
10/01/2013
Cath Lab Digest
10/01/2013
Kymberlee Manni, RCIS, PhD; George Benelli, RT(R), RA; Mauricio G. Cohen, MD, FACC
Within the University of Miami’s 560-bed hospital, the cardiac catheterization laboratory holds four hybrid angio suites: one equipped with a computerized magnetic guidance system (Stereotaxis), one regular cath lab, and two interventional...
Within the University of Miami’s 560-bed hospital, the cardiac catheterization laboratory holds four hybrid angio suites: one equipped with a computerized magnetic guidance system (Stereotaxis), one regular cath lab, and two interventional...
Within the University of Miami’s...
10/01/2013
Cath Lab Digest
10/01/2013
Reynaldo "Rey" M. Grullon, BSN, RN; Robert C. Byrd; Vijaykumar S. Kasi, MD, PhD; Aravinda Nanjundappa, MD, RVT, MBA
Critical limb ischemia (CLI) management has been dominated by endovascular advances in the last decade. The latest paradigm change in preventing amputation in CLI patients is utilization of pedal artery access.
Critical limb ischemia (CLI) management has been dominated by endovascular advances in the last decade. The latest paradigm change in preventing amputation in CLI patients is utilization of pedal artery access.
Critical limb ischemia (CLI)...
10/01/2013
Cath Lab Digest
New Techniques
10/01/2013
Ashesh Parikh, DO; Farhan Ali, MD, MA, MPH, FSCAI, FACC, RPVI
The GuideLiner catheter is a monorail “mother and child” guiding catheter extension that serves to facilitate stent delivery and is approved for providing extra support and coaxial guide engagement. While this device was primarily designed to...
The GuideLiner catheter is a monorail “mother and child” guiding catheter extension that serves to facilitate stent delivery and is approved for providing extra support and coaxial guide engagement. While this device was primarily designed to...
The GuideLiner catheter is a...
10/01/2013
Cath Lab Digest
10/01/2013
Manesh R. Patel, MD, FACC, FAHA, FSCAI
Dr. Patel, along with Drs. Divaka Perera, Matthew Lumley, and Nico Pijls, recently wrote an editorial in Circulation: Cardiovascular Interventions(1) that discussed the impact of clinical trials IABP-SHOCK II, BCIS-1, and CRISP-AMI on...
Dr. Patel, along with Drs. Divaka Perera, Matthew Lumley, and Nico Pijls, recently wrote an editorial in Circulation: Cardiovascular Interventions(1) that discussed the impact of clinical trials IABP-SHOCK II, BCIS-1, and CRISP-AMI on...
Dr. Patel, along with Drs....
10/01/2013
Cath Lab Digest