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Volume 27 - Issue 9 - September 2019

NPF Endorsed Features
09/16/2019
Katherine Moody; Bassem Wolley; Peter Sonnenreich
Certain comorbidities—particularly congestive heart failure, tuberculosis, and HIV infection—can affect the type of psoriasis treatment physicians recommend to their patients.
Certain comorbidities—particularly congestive heart failure, tuberculosis, and HIV infection—can affect the type of psoriasis treatment physicians recommend to their patients.
Certain...
09/16/2019
The Dermatologist
Clinical Editor's Corner
09/05/2019
Morton J. Kern, MD, MSCAI, FACC, FAHA
We should be aware of the Big 5 complications of TAVR and do everything possible to avoid these feared events.
We should be aware of the Big 5 complications of TAVR and do everything possible to avoid these feared events.
We should be aware of the Big 5...
09/05/2019
Cath Lab Digest
Case Series
09/05/2019
Saad Ali; Huseyin E. Arman; Jothiharan Mahenthiran, MD; Sandeep Dube, MD
Balloon aortic valvuloplasty (BAV) is a percutaneous procedure that introduces micro-fractures to disintegrate calcified aortic valve deposits via balloon inflation. In so doing, enhanced leaflet compliance leads to a rise in ejection...
Balloon aortic valvuloplasty (BAV) is a percutaneous procedure that introduces micro-fractures to disintegrate calcified aortic valve deposits via balloon inflation. In so doing, enhanced leaflet compliance leads to a rise in ejection...
Balloon aortic valvuloplasty...
09/05/2019
Cath Lab Digest
Case Report
09/05/2019
Abdul Bahro, FACC, MD, FSCAI; Connie Williams, AGACNP-BC; Zsuzsanna Igyarto, PhD; Brad J. Martinsen, PhD
In this report, we present the case of an African-American hemodialysis patient with CHI due to a calcified radial artery who was treated with orbital atherectomy and balloon angioplasty, and underwent follow-up at six weeks post procedure.
In this report, we present the case of an African-American hemodialysis patient with CHI due to a calcified radial artery who was treated with orbital atherectomy and balloon angioplasty, and underwent follow-up at six weeks post procedure.
In this report, we present the...
09/05/2019
Cath Lab Digest
Clinical Update
09/05/2019
Brian Kolski, MD; S. Jay Mathews, MD, MS, FACC, FSCAI; Vasco Marques, MD; Christopher L. Brown, MD; Suhail Dohad, MD
As part of the Indigo Aspiration System, the Indigo CAT RX Aspiration Catheters and Indigo Separator™ 4 are indicated for the removal of fresh, soft emboli and thrombi from vessels in the coronary and peripheral vasculature.
As part of the Indigo Aspiration System, the Indigo CAT RX Aspiration Catheters and Indigo Separator™ 4 are indicated for the removal of fresh, soft emboli and thrombi from vessels in the coronary and peripheral vasculature.
As part of the Indigo Aspiration...
09/05/2019
Cath Lab Digest
Imaging Corner
09/05/2019

Images courtesy UC Davis Medical Center, Sacramento, California.

Images courtesy UC Davis Medical Cent...
This case of left atrial appendage closure (LAAC) demonstrates the advantages of 3D transesophageal echocardiography (TEE) over 2D imaging.
This case of left atrial appendage closure (LAAC) demonstrates the advantages of 3D transesophageal echocardiography (TEE) over 2D imaging.
This case of left atrial...
09/05/2019
Cath Lab Digest
09/05/2019
Joseph Brent Muhlestein, MD, FAHA, FACC
We compared patients with coronary artery disease who underwent PCI having received either scheduled, planned tirofiban with short-term infusion or planned bivalirudin, which most of the time was without any use of a GP IIb/IIIa receptor...
We compared patients with coronary artery disease who underwent PCI having received either scheduled, planned tirofiban with short-term infusion or planned bivalirudin, which most of the time was without any use of a GP IIb/IIIa receptor...
We compared patients with...
09/05/2019
Cath Lab Digest
09/05/2019
John A. Phillips, MD, FACC, FSCAI, RPVI
I probably have 10-12 tibial cases under my belt. According to Corindus, in November 2018, we did the first tibial chronic total occlusion (CTO) with the system.
I probably have 10-12 tibial cases under my belt. According to Corindus, in November 2018, we did the first tibial chronic total occlusion (CTO) with the system.
I probably have 10-12 tibial...
09/05/2019
Cath Lab Digest
Structural Program Spotlight
09/05/2019

Birmingham, Alabama

Birmingham, Alabama
We perform the majority of our structural procedures in our new state-of-the-art hybrid OR suite, but we are also able to utilize our cardiac cath labs for structural procedures, including TAVR when necessary.
We perform the majority of our structural procedures in our new state-of-the-art hybrid OR suite, but we are also able to utilize our cardiac cath labs for structural procedures, including TAVR when necessary.
We perform the majority of our...
09/05/2019
Cath Lab Digest
09/05/2019
Robert J. Widmer, MD, PhD; Morton J. Kern, MD, MSCAI, FACC, FAHA
Now with the wide availability of both hyperemic (FFR) and non-hyperemic translesional pressure ratios (NHPRs), the question becomes, how to select which ratio to use and when to use it? In addition, what does the lab do when it does not have...
Now with the wide availability of both hyperemic (FFR) and non-hyperemic translesional pressure ratios (NHPRs), the question becomes, how to select which ratio to use and when to use it? In addition, what does the lab do when it does not have...
Now with the wide availability...
09/05/2019
Cath Lab Digest
09/05/2019
Jeffrey B. Ai, EMT; Zhaowei Ai, MD, PhD, FACC
It is estimated that 65% of extra-small vessels are located in critical locations of the heart.8
It is estimated that 65% of extra-small vessels are located in critical locations of the heart.8
It is estimated that 65% of...
09/05/2019
Cath Lab Digest
Quality Improvement
09/05/2019
Barry D. Bertolet, MD; Carla Durham, RN
At North Mississippi Medical Center, we use 1.5x GFR to determine the maximum contrast threshold.
At North Mississippi Medical Center, we use 1.5x GFR to determine the maximum contrast threshold.
At North Mississippi Medical...
09/05/2019
Cath Lab Digest
Your Path to Success: Expert Advice
09/05/2019
I invited and had participation from all cardiologists in designing the same-day discharge process. This allowed us to grow a same-day discharge pathway for PCI and devices. The Heart Team Mexico used the SCAI guidelines to create and support...
I invited and had participation from all cardiologists in designing the same-day discharge process. This allowed us to grow a same-day discharge pathway for PCI and devices. The Heart Team Mexico used the SCAI guidelines to create and support...
I invited and had participation...
09/05/2019
Cath Lab Digest
09/05/2019
David G. Rizik, MD, FACC, FSCAI; Robert F. Burke, MD, FSCAI
The fusion overlay is done in real time. It does facilitate a certain degree of comfort for the interventionalist to be able to see what is going on not only on fluoroscopy, but on echo.
The fusion overlay is done in real time. It does facilitate a certain degree of comfort for the interventionalist to be able to see what is going on not only on fluoroscopy, but on echo.
The fusion overlay is done in...
09/05/2019
Cath Lab Digest
09/05/2019
Erik G. Stilp, MD, FACC, RPVI
I hesitate to stent in the P2 and P3 segments of the popliteal, but the LifeStent Vascular Stent System (BD) is a nice option in those places, based off the level 1, rigorous ETAP trial data(1) (Endovascular Treatment of Atherosclerotic...
I hesitate to stent in the P2 and P3 segments of the popliteal, but the LifeStent Vascular Stent System (BD) is a nice option in those places, based off the level 1, rigorous ETAP trial data(1) (Endovascular Treatment of Atherosclerotic...
I hesitate to stent in the P2...
09/05/2019
Cath Lab Digest
Your Path to Success: Expert Advice
09/05/2019
Shane Recker
Moving forward, all ECMO cases, no matter what type or where cannulation occurs, will result in the assignment of DRG 003.
Moving forward, all ECMO cases, no matter what type or where cannulation occurs, will result in the assignment of DRG 003.
Moving forward, all ECMO cases,...
09/05/2019
Cath Lab Digest
Looking Ahead
09/04/2019
Marc Toth
CMS has proposed adding 6 cardiac interventional procedures to the approved list for 2020.
CMS has proposed adding 6 cardiac interventional procedures to the approved list for 2020.
CMS has proposed adding 6...
09/04/2019
Cath Lab Digest
09/03/2019
CCI has performed a Job Task Analysis (JTA) to update the RCIS exam.
CCI has performed a Job Task Analysis (JTA) to update the RCIS exam.
CCI has performed a Job Task...
09/03/2019
Cath Lab Digest
News
09/03/2019
Single instance of vaping by non-smokers immediately leads to reduced vascular function.
Single instance of vaping by non-smokers immediately leads to reduced vascular function.
Single instance of vaping by...
09/03/2019
Cath Lab Digest
09/03/2019
Email CLD with your notice: Rebecca Kapur at rkapur@hmpglobal.com
Email CLD with your notice: Rebecca Kapur at rkapur@hmpglobal.com
Email CLD with your notice:...
09/03/2019
Cath Lab Digest