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Volume 33 - Issue 7 - July 2025

Quiz
Myocardial “Milking” in a Diagonal Branch Artery
07/03/2025
Richard Casazza, MAS, RT(R)(CI)
07/03/2025
Cath Lab Digest
Case Report
Rare Case of Myocardial “Milking” in a Diagonal Branch Artery (Expanded)
07/03/2025
Richard Casazza, MAS, RT(R)(CI); Arsalan Hashmi, MD; Nicole DeLeon, MD; Enrico Montagna, RT(R)(CI); David J. Epstein, MD
Angiographically, there are various degrees of myocardial bridging; however, when a vessel completely obliterates during cardiac catheterization, it is referred to as a “milking” phenomenon.
Angiographically, there are various degrees of myocardial bridging; however, when a vessel completely obliterates during cardiac catheterization, it is referred to as a “milking” phenomenon.
Angiographically, there are...
07/03/2025
Cath Lab Digest
Reimbursement
Aligning Innovation with Access: A Physician’s Guide to Agent Drug-Coated Balloon Reimbursement
07/03/2025
Partha Sardar, MD
The drug-coated balloon (DCB) marks a pivotal advancement in the treatment of in-stent restenosis. This guide is intended to help physicians understand appropriate patient selection, reimbursement pathways, documentation requirements, and...
The drug-coated balloon (DCB) marks a pivotal advancement in the treatment of in-stent restenosis. This guide is intended to help physicians understand appropriate patient selection, reimbursement pathways, documentation requirements, and...
The drug-coated balloon (DCB)...
07/03/2025
Cath Lab Digest
CORONARY ARTERY CALCIUM
Cracking Calcium With the C2+ Lithotripsy Balloon
07/03/2025
Jonathan Hinton, MD; Gao Ong, MD; Mae Bethell, MD; Jennifer Barraclough, MD; Ganeev Malhotra, MD; Thomas W. Johnson, MD; Simon J. Wilson, MD; James C. Spratt, MD, FRCP, BSc, MBChB; Julian Strange, MBChB, MRCP, MD; Peter O'Kane, MD, MRCP
This is a retrospective analysis of consecutive patients treated with IVL for coronary calcification using the C2+ Shockwave balloon from its implementation in November 2022 through December 2023, with comparison to consecutive patients in...
This is a retrospective analysis of consecutive patients treated with IVL for coronary calcification using the C2+ Shockwave balloon from its implementation in November 2022 through December 2023, with comparison to consecutive patients in...
This is a retrospective analysis...
07/03/2025
Cath Lab Digest
Professional Life
Starting Strong in the Cath Lab: What New Nurses and Techs Should Expect in Their First Days, Weeks, and Months
07/03/2025
Bailey Ann Estes MSN, AGNP-C, RN-BC, RNFA, CNOR, RCIS; Derek Pineda, FNP, CCRN, RCIS; Srihari S. Naidu MD, MSCAI
Knowing what to expect in your first days, weeks, and months will help you build confidence, connect with your team, and start a rewarding career in one of the most dynamic areas of healthcare.
Knowing what to expect in your first days, weeks, and months will help you build confidence, connect with your team, and start a rewarding career in one of the most dynamic areas of healthcare.
Knowing what to expect in your...
07/03/2025
Cath Lab Digest
Single-Center Study
Comparison of Internal Jugular Versus Femoral Vein Access for CardioMEMS Implantation: A Single-Center Experience
07/03/2025
Arif Albulushi, MD; Duaa Alsinani, MD; Saud A. Almarbuii, MD; Ammar M. Al-Abedi, MD; Malak A. Alkulaibi, MD; Zahra Hosseini, MD
This single-center, retrospective study compares the feasibility and outcomes of internal jugular (IJ) versus femoral vein (FV) access for CardioMEMS Heart Failure System implantation (Abbott).
This single-center, retrospective study compares the feasibility and outcomes of internal jugular (IJ) versus femoral vein (FV) access for CardioMEMS Heart Failure System implantation (Abbott).
This single-center,...
07/03/2025
Cath Lab Digest
Cath Lab Management
The Skills That Separate Good Physicians from Great Leaders
07/03/2025
Arthur C. Lee, MD, FACC, FSCAI; Anahita Dua, MD, MS, MBA, FACS; Lorenzo Azzalini, MD, PhD, MSc; Alexander G. Truesdell, MD, FACC, FSCAI, FSVM; Adnan K. Chhatriwalla, MD
Finishing fellowship marks a major transition in a physician’s career. You’re no longer the trainee — you’re the one others look to for guidance, leadership, and expertise. This shift is exciting, but it also comes with a new level of...
Finishing fellowship marks a major transition in a physician’s career. You’re no longer the trainee — you’re the one others look to for guidance, leadership, and expertise. This shift is exciting, but it also comes with a new level of...
Finishing fellowship marks a...
07/03/2025
Cath Lab Digest
Clinical Editor's Corner
A Vagal Response Is Not Always Benign: A Case of Transient ST Elevation and Hypotension in a Patient With Normal Coronary Angiography During Cardiac Catheterization
07/03/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA
Vagal responses, while mostly benign, should never be neglected or overlooked as unimportant, or worse, ignored until a real disaster is present. Such could have been the case with the patient we worked with recently.
Vagal responses, while mostly benign, should never be neglected or overlooked as unimportant, or worse, ignored until a real disaster is present. Such could have been the case with the patient we worked with recently.
Vagal responses, while mostly...
07/03/2025
Cath Lab Digest

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July 2025 Volume 33 Issue 7

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Editorial Staff

<p><strong>Clinical Editor</strong><br />
Morton J. Kern, MD, MSCAI, FAHA, FACC&nbsp;<br />
<br />
<strong>Managing Editor</strong><br />
Rebecca Kapur, rkapur@hmpglobal.com<br />
<br />
<strong>Senior Manager, Production &amp; Audience Development</strong><br />
Elizabeth Vasil</p>

Editorial Correspondence

<p>Rebecca Kapur, Managing Editor, Cath Lab Digest<br />
HMP Global, 70 E. Swedesford Rd<br />
Suite 100, Malvern PA 19355<br />
Telephone: (440) 717-0418<br />
Fax: (866) 896-8762<br />
Email: rkapur@hmpglobal.com</p>

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