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Volume 23 - Issue 3 - March 2015

02/26/2015
Annapoorna S. Kini, MD, MRCP, FACC; Yuliya Vengrenyuk, PhD
The following case is part of a series of optical coherence tomography-focused cases supported by St. Jude Medical.
The following case is part of a series of optical coherence tomography-focused cases supported by St. Jude Medical.
The following case is part of a...
02/26/2015
Cath Lab Digest
Cath Lab Spotlight
02/26/2015
Marri "Nicki" Fryar, RN, MBA, MHA; Sunil V. Rao, MD, FACC, FSCAI
The authors can be contacted via Dr. Sunil Rao at sunil.rao@duke.edu. Tell us about your cath lab.
The authors can be contacted via Dr. Sunil Rao at sunil.rao@duke.edu. Tell us about your cath lab.
The authors can be contacted via...
02/26/2015
Cath Lab Digest
CLI Perspectives
02/26/2015
Jihad A. Mustapha, MD, FACC, FSCAI
This month, Dr. Mustapha interviews: Larry J. Diaz-Sandoval, MD, Metro Health Hospital, Wyoming, Michigan; Fadi Saab, MD, Metro Health Hospital, Wyoming, Michigan; and George Adams, MD, Director of Cardiovascular and Peripheral Vascular...
This month, Dr. Mustapha interviews: Larry J. Diaz-Sandoval, MD, Metro Health Hospital, Wyoming, Michigan; Fadi Saab, MD, Metro Health Hospital, Wyoming, Michigan; and George Adams, MD, Director of Cardiovascular and Peripheral Vascular...
This month, Dr. Mustapha...
02/26/2015
Cath Lab Digest
Economics and Care
02/26/2015
Joseph Brent Muhlestein, MD, FAHA, FACC
An emphasis on consensus and partnership allows Intermountain Health Care to unite under treatment guidelines, establish protocols, and save money, all while providing quality patient care.
An emphasis on consensus and partnership allows Intermountain Health Care to unite under treatment guidelines, establish protocols, and save money, all while providing quality patient care.
An emphasis on consensus and...
02/26/2015
Cath Lab Digest
02/26/2015
Richard J. Merschen, EdS, MS, RT(R)(CV), RCIS
The diagnosis for this patient is…
The diagnosis for this patient is…
The diagnosis for this patient...
02/26/2015
Cath Lab Digest
02/26/2015
Richard J. Merschen, EdS, MS, RT(R)(CV), RCIS
A 51-year-old white male presented to the cardiac cath lab with a recent, progressive history of shortness of breath, chest pain on exertion, and fatigue. 
A 51-year-old white male presented to the cardiac cath lab with a recent, progressive history of shortness of breath, chest pain on exertion, and fatigue. 
A 51-year-old white male...
02/26/2015
Cath Lab Digest
02/26/2015
Zaheed Tai, MD, DO, FACC, FSCAI; Orlando Marrero, RCIS, MBA
Once the catheter engages the coronary ostium, there is very little difference between transradial angioplasty and transfemoral, save some catheter support issues and perhaps guide size. It is the route to the coronary that can often be more...
Once the catheter engages the coronary ostium, there is very little difference between transradial angioplasty and transfemoral, save some catheter support issues and perhaps guide size. It is the route to the coronary that can often be more...
Once the catheter engages the...
02/26/2015
Cath Lab Digest
Tips and Techniques
02/26/2015
Naveen Rajpurohit, MD; Adam T. Stys, MD, FACC; Tomasz P. Stys, MD, FACC, FSCAI; Muhammad Ali Khan, MD
In cases of poor or no flow into an aspiration syringe in spite of negative pressure applied, we advise maintaining a vacuum (negative pressure inside of the thrombectomy catheter), as premature discontinuation of suction can lead to thrombus...
In cases of poor or no flow into an aspiration syringe in spite of negative pressure applied, we advise maintaining a vacuum (negative pressure inside of the thrombectomy catheter), as premature discontinuation of suction can lead to thrombus...
In cases of poor or no flow into...
02/26/2015
Cath Lab Digest
02/26/2015
Lloyd W. Klein, MD; Morton J. Kern, MD, MSCAI, FACC, FAHA; Bonnie H. Weiner, MD, MBA, FSCAI, FACC; Charles E. Chambers, MD; David J. Cohen, MD, MPH, MSc; Peter Ver Lee, MD; Mitchell W. Krucoff, MD; Jeffrey Marshall; Gurpreet S. Sandhu, MD, PhD; Malcolm R. Bell, MD; William J. French
Jeff Marshall: I have a question about who should scrub the groin or wrist before a cardiac cath or peripheral procedure. 
Jeff Marshall: I have a question about who should scrub the groin or wrist before a cardiac cath or peripheral procedure. 
Jeff Marshall: I have a question...
02/26/2015
Cath Lab Digest
Structured Reporting
02/26/2015
Janet E. Strain, MD, FACC, FAHA, FSCAI; Cathy Ilardi, RN, BSN, CNML; Randy Sturm, RT(R)
The ProVation system is really very user-friendly. It also does a very reasonable job of generating a billing report, which I use on every case and then give to my billing staff, which makes billing much easier.
The ProVation system is really very user-friendly. It also does a very reasonable job of generating a billing report, which I use on every case and then give to my billing staff, which makes billing much easier.
The ProVation system is really...
02/26/2015
Cath Lab Digest
Anomalies
02/26/2015
Ioannis Parastatidis, MD, PhD
A 61-year-old man with multiple risk factors underwent cardiac catheterization for evaluation of chest pain and a small reversible anterior/anterolateral wall defect on an exercise myocardial perfusion imaging.
A 61-year-old man with multiple risk factors underwent cardiac catheterization for evaluation of chest pain and a small reversible anterior/anterolateral wall defect on an exercise myocardial perfusion imaging.
A 61-year-old man with multiple...
02/26/2015
Cath Lab Digest
Case Files by Dr. George
02/26/2015
Jon C. George, MD, MBA; Frank Amico, DO; Vincent Varghese, DO
A 48-year-old male with paroxysmal atrial fibrillation presented for a left atrial appendage closure secondary to contraindication to oral anticoagulation. The closure was performed successfully using the Lariat suture-based closure system...
A 48-year-old male with paroxysmal atrial fibrillation presented for a left atrial appendage closure secondary to contraindication to oral anticoagulation. The closure was performed successfully using the Lariat suture-based closure system...
A 48-year-old male with...
02/26/2015
Cath Lab Digest
Case Report
02/26/2015
John K. Forrest, MD; Abeel A. Mangi, MD; Michael Cleman, MD
The CoreValve is the first transcatheter valve to have shown superiority to surgical aortic valve replacement for in patients with increased surgical risk. The following case study illustrates the effective use of this valve in a high-risk...
The CoreValve is the first transcatheter valve to have shown superiority to surgical aortic valve replacement for in patients with increased surgical risk. The following case study illustrates the effective use of this valve in a high-risk...
The CoreValve is the first...
02/26/2015
Cath Lab Digest
02/26/2015
This month, Cath Lab Digest would like to congratulate…
This month, Cath Lab Digest would like to congratulate…
This month, Cath Lab Digest...
02/26/2015
Cath Lab Digest
Your Path to Success: Expert Advice
02/26/2015
Susan N. Heck
For cardiovascular (CV) program administrators, there are three particular areas of regulatory change that may significantly impact program performance and overall organizational success: value-based purchasing, 30-day readmission penalties,...
For cardiovascular (CV) program administrators, there are three particular areas of regulatory change that may significantly impact program performance and overall organizational success: value-based purchasing, 30-day readmission penalties,...
For cardiovascular (CV) program...
02/26/2015
Cath Lab Digest