Volume 22 - Issue 9 - September 2014
09/02/2014
The UPMC East Experience with Accreditation for Cardiovascular Excellence (ACE)
The UPMC East Experience with Accredi...
UPMC East is the first to go through a special application and review process for ACE accreditation after a decision made in January 2014 by the Commonwealth of Pennsylvania. The decision stated that Pennsylvania cardiac catheterization...
UPMC East is the first to go through a special application and review process for ACE accreditation after a decision made in January 2014 by the Commonwealth of Pennsylvania. The decision stated that Pennsylvania cardiac catheterization...
UPMC East is the first to go...
09/02/2014
Cath Lab Digest
Cath Lab Management
09/02/2014
Jean Ackner; Beth Solomon, MSW, MBA
The cath lab department was going through some challenges. Revenues and productivity were deceasing. Overtime costs were increasing, and staff morale was very poor. Most important was that the patient satisfaction had dropped significantly....
The cath lab department was going through some challenges. Revenues and productivity were deceasing. Overtime costs were increasing, and staff morale was very poor. Most important was that the patient satisfaction had dropped significantly....
The cath lab department was...
09/02/2014
Cath Lab Digest
09/02/2014
Hamza Ansari, MD; Azam Hadi
Despite high-risk percutaneous coronary intervention (PCI) with early revascularization, no significant improvement in the rates of cardiogenic shock post-ST-elevation myocardial infarction (STEMI) has been seen.
Despite high-risk percutaneous coronary intervention (PCI) with early revascularization, no significant improvement in the rates of cardiogenic shock post-ST-elevation myocardial infarction (STEMI) has been seen.
Despite high-risk percutaneous...
09/02/2014
Cath Lab Digest
From the Societies
09/02/2014
Tom Cahill; Rodney H. Stables, DM, MA, BM, BCh, FRCP, MD
There are two versions available: a standalone checklist for use in the catheter laboratory starting immediately pre-procedure, and an integrated checklist, which covers patient preparation on the ward areas as well as the procedural phase....
There are two versions available: a standalone checklist for use in the catheter laboratory starting immediately pre-procedure, and an integrated checklist, which covers patient preparation on the ward areas as well as the procedural phase....
There are two versions...
09/02/2014
Cath Lab Digest
09/02/2014
S.K. Chutani, MD, DM, FHRS, CEPS, CCDS, FACC
Spontaneous coronary artery dissection (SCAD) is a very rare cause of acute coronary syndromes in young, otherwise healthy patients, with a striking predilection for the female gender.
Spontaneous coronary artery dissection (SCAD) is a very rare cause of acute coronary syndromes in young, otherwise healthy patients, with a striking predilection for the female gender.
Spontaneous coronary artery...
09/02/2014
Cath Lab Digest
09/02/2014
Amy J. Newell, RT(R)
Certification, especially within the cardiac cath lab, has become a hot topic in the industry. Certification requirements can range from basic life support (BLS) to advanced cardiovascular life support (ACLS). Specific state nursing board and...
Certification, especially within the cardiac cath lab, has become a hot topic in the industry. Certification requirements can range from basic life support (BLS) to advanced cardiovascular life support (ACLS). Specific state nursing board and...
Certification, especially within...
09/02/2014
Cath Lab Digest
09/02/2014
A look at the new Peripheral Vascular Interventions Registry, launched by the American College of Cardiology’s National Cardiovascular Data Registry
A look at the new Peripheral Vascular...
The expanded PVI Registry continues to include both endovascular and open surgical carotid revascularization, adding lower extremity endovascular revascularization procedures. The registry captures patient demographics...
The expanded PVI Registry continues to include both endovascular and open surgical carotid revascularization, adding lower extremity endovascular revascularization procedures. The registry captures patient demographics...
The expanded PVI Registry...
09/02/2014
Cath Lab Digest
Unusual Diagnosis
09/02/2014
Aditya Kapoor, MD, DM, FACC; Sudeep Kumar, MD, DM, FACC; Jugal Sharma, MD
A 35-year-old premenopausal female with no coronary risk factors presented with sudden chest pain and a 12-lead electrocardiogram (ECG) revealed acute anterior ST-elevation MI (Figure 1).
A 35-year-old premenopausal female with no coronary risk factors presented with sudden chest pain and a 12-lead electrocardiogram (ECG) revealed acute anterior ST-elevation MI (Figure 1).
A 35-year-old premenopausal...
09/02/2014
Cath Lab Digest
09/02/2014
Aside from ensuring vendors are properly credentialed during hospital and cath lab visits, there was no easy path for lab administrators, hospital personnel, and the multitude of reps representing their products to verify or get approval for...
Aside from ensuring vendors are properly credentialed during hospital and cath lab visits, there was no easy path for lab administrators, hospital personnel, and the multitude of reps representing their products to verify or get approval for...
Aside from ensuring vendors are...
09/02/2014
Cath Lab Digest
New Devices
09/02/2014
Anas Safadi, MD
Ultrasound-assisted, catheter-directed, low-dose thrombolysis, facilitated by the EkoSonic Endovascular System (EKOS Corporation) has emerged as a much safer, faster, and more efficacious treatment for acute massive and submassive PE than...
Ultrasound-assisted, catheter-directed, low-dose thrombolysis, facilitated by the EkoSonic Endovascular System (EKOS Corporation) has emerged as a much safer, faster, and more efficacious treatment for acute massive and submassive PE than...
Ultrasound-assisted,...
09/02/2014
Cath Lab Digest
09/02/2014
Greta Robb, BSN, RN, CCRC
In the rapidly evolving field of structural heart disease and transcatheter aortic valve replacement (TAVR), great emphasis has been placed on the “heart team” and the TAVR procedure.
In the rapidly evolving field of structural heart disease and transcatheter aortic valve replacement (TAVR), great emphasis has been placed on the “heart team” and the TAVR procedure.
In the rapidly evolving field of...
09/02/2014
Cath Lab Digest
09/02/2014
Ibrahim Khormi, MS, RT(R)(T)(CT)(MR); Richard J. Merschen, EdS, MS, RT(R)(CV), RCIS; Lamis Jada, MS, RT(MR); Tamara Kobakhidze, MS, RT(R); Jennifer Robinson, MS, RT(R)
The elderly represent the fastest-growing group of patients referred for cardiac surgery and are also becoming an increasingly large segment of the patients in the cath lab.
The elderly represent the fastest-growing group of patients referred for cardiac surgery and are also becoming an increasingly large segment of the patients in the cath lab.
The elderly represent the...
09/02/2014
Cath Lab Digest
09/02/2014
Michael C. McDaniel, MD
Can you tell us about the creation of the acute coronary syndromes algorithm at Emory University?
The Emory ACS algorithm(1) is the result of an ongoing effort that began a few years ago, and is, at its heart, an attempt to maximize quality...
Can you tell us about the creation of the acute coronary syndromes algorithm at Emory University?
The Emory ACS algorithm(1) is the result of an ongoing effort that began a few years ago, and is, at its heart, an attempt to maximize quality...
Can you tell us about the...
09/02/2014
Cath Lab Digest
09/02/2014
Zaheed Tai, MD, DO, FACC, FSCAI; Orlando Marrero, RCIS, MBA
Q: What approach do you use when the case requires mechanical support?
A: We will still use the radial approach for the intervention with femoral access for the support device (Impella [Abiomed] or an intra-aortic balloon pump [IABP]),...
Q: What approach do you use when the case requires mechanical support?
A: We will still use the radial approach for the intervention with femoral access for the support device (Impella [Abiomed] or an intra-aortic balloon pump [IABP]),...
Q: What approach do you use when...
09/02/2014
Cath Lab Digest
09/02/2014
Morton J. Kern, MD, MSCAI, FACC, FAHA
We were called to the intensive care unit to see a 52-year-old man with end-stage renal disease on weekly hemodialysis who had a large pericardial effusion and increasing dyspnea with activity.
We were called to the intensive care unit to see a 52-year-old man with end-stage renal disease on weekly hemodialysis who had a large pericardial effusion and increasing dyspnea with activity.
We were called to the intensive...
09/02/2014
Cath Lab Digest
09/02/2014
Christian Hengstenberg, MD
In the current case, the Trinity heart valve system was implanted in a 74-year-old patient with severe and symptomatic aortic valve stenosis and severe calcification.
In the current case, the Trinity heart valve system was implanted in a 74-year-old patient with severe and symptomatic aortic valve stenosis and severe calcification.
In the current case, the Trinity...
09/02/2014
Cath Lab Digest
09/02/2014
Christian Hengstenberg, MD
Trinity’s major advance is that the operator can evaluate the positioning and functioning of the valve during the procedure. If you are happy, then fine. If you are not happy, it is very easy to correct the valve position.
Trinity’s major advance is that the operator can evaluate the positioning and functioning of the valve during the procedure. If you are happy, then fine. If you are not happy, it is very easy to correct the valve position.
Trinity’s major advance is that...
09/02/2014
Cath Lab Digest
09/02/2014
Harit Desai, DO; Jon C. George, MD, MBA; Vincent Varghese, DO; Frank Amico, DO
A 53-year old female with a past medical history of hypertension, dyslipidemia, asthma, and previous transient ischemic attack (TIA) was transferred to our institution following an embolic cerebrovascular accident (CVA) requiring systemic...
A 53-year old female with a past medical history of hypertension, dyslipidemia, asthma, and previous transient ischemic attack (TIA) was transferred to our institution following an embolic cerebrovascular accident (CVA) requiring systemic...
A 53-year old female with a past...
09/02/2014
Cath Lab Digest
New Devices
09/02/2014
Vladimira Tichà, MD; Gianluigi Patelli, MD; Roberto Bolis, RT; Bruno Damascelli, MD
The Oscor Destino Twist TD is a steerable sheath for arterial or venous use, with special pre-shaping suitable for abdominal vascular catheterization or for catheterization of the vena cava and its branches. The pre-shaping consists of a...
The Oscor Destino Twist TD is a steerable sheath for arterial or venous use, with special pre-shaping suitable for abdominal vascular catheterization or for catheterization of the vena cava and its branches. The pre-shaping consists of a...
The Oscor Destino Twist TD is a...
09/02/2014
Cath Lab Digest
09/02/2014
Marsha Stevens, MBA, MHA
Houston Methodist San Jacinto Hospital’s Cardiovascular Catheterization Lab has three procedure labs. Two of the labs are diagnostic/interventional labs and one is dedicated to electrophysiology (EP).
Houston Methodist San Jacinto Hospital’s Cardiovascular Catheterization Lab has three procedure labs. Two of the labs are diagnostic/interventional labs and one is dedicated to electrophysiology (EP).
Houston Methodist San Jacinto...
09/02/2014
Cath Lab Digest
09/02/2014
Dana Triplett, RN; Mark A. Groh, MD; Joshua P. Leitner, MD
It’s refreshing to see physicians from different specialty areas communicate and have the patient at the center. The goal is to make sure we are doing what is necessary for that specific patient. Communication and the multidisciplinary...
It’s refreshing to see physicians from different specialty areas communicate and have the patient at the center. The goal is to make sure we are doing what is necessary for that specific patient. Communication and the multidisciplinary...
It’s refreshing to see...
09/02/2014
Cath Lab Digest
