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Clinical Editor'S Corner

Clinical Editor's Corner
Preventing Radiation Injury
09/03/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA
Every year, new operators, mostly trainees, start working in our cath lab. As part of our annual continuing quality improvement programs and required education, we received an update on national guidance for preventing and managing radiation...
Every year, new operators, mostly trainees, start working in our cath lab. As part of our annual continuing quality improvement programs and required education, we received an update on national guidance for preventing and managing radiation...
Every year, new operators,...
09/03/2025
Cath Lab Digest
Clinical Editor's Corner
Air Embolus in the Cardiac Catheterization Laboratory – A Highly Preventable Procedural Complication
08/01/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA
With an addendum addressing air embolism in left atrial appendage occlusion procedures.
With an addendum addressing air embolism in left atrial appendage occlusion procedures.
With an addendum addressing air...
08/01/2025
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
Clinical Editor's Corner
Conversations in Cardiology: The Late-Arriving STEMI Patient
06/04/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA; Eric Bates; Jeffrey Cook, MD; Kirk N. Garratt, MD, MSc; Steven L. Goldberg, MD; Timothy D. Henry, MD; Stephen Jenkins, MD; Lloyd W. Klein, MD; Paul S. Teirstein, MD, FACC; William M. Suh, MD
Dr. Jeffrey Cook shares a concerning patient profile with Dr. Kern and expert colleagues, and asks for their suggestions. "Everything seems perfectly routine," Dr. Cook notes. "The patient is brought to the cath lab, the infarct-related...
Dr. Jeffrey Cook shares a concerning patient profile with Dr. Kern and expert colleagues, and asks for their suggestions. "Everything seems perfectly routine," Dr. Cook notes. "The patient is brought to the cath lab, the infarct-related...
Dr. Jeffrey Cook shares a...
06/04/2025
Cath Lab Digest
Clinical Editor's Corner
Should You Treat a Family Member?
05/06/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA; Larry S. Dean, MD, FACC, FAHA, FSCAI; Kirk N. Garratt, MD, MSc; Steven L. Goldberg, MD; Mitchell W. Krucoff, MD; J. Jeffrey Marshall, MD; Jeffrey W. Moses, MD; Augusto D. Pichard, MD, FACC, FSCAI; Charanjit S. Rihal, MD, MBA, FSCAI; Arnold H. Seto, MD, MPA, CCDS, FACC, FSCAI; Paul S. Teirstein, MD, FACC; Bonnie H. Weiner, MD, MBA, FSCAI, FACC
Dr. Arnold Seto and I were discussing a thorny problem. If you needed medical care, would you like a family member to be your physician of record? What about a very close personal friend performing a heart cath on you? Is it unethical to...
Dr. Arnold Seto and I were discussing a thorny problem. If you needed medical care, would you like a family member to be your physician of record? What about a very close personal friend performing a heart cath on you? Is it unethical to...
Dr. Arnold Seto and I were...
05/06/2025
Cath Lab Digest
Clinical Editor's Corner
Chest X-Ray Interpretation Made Easy: Understanding the Cardiac Silhouette
04/04/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA
A critical part of a cardiology consultation and review in preparation for a cardiac catheterization should include the chest x-ray (CXR). How should we approach reading the CXR?
A critical part of a cardiology consultation and review in preparation for a cardiac catheterization should include the chest x-ray (CXR). How should we approach reading the CXR?
A critical part of a cardiology...
04/04/2025
Cath Lab Digest
Clinical Editor's Corner
Stenting Across Coronary Aneurysms – What’s the Best Way?
03/05/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA; David A. Cox, MD; Stephen Jenkins, MD; Dean J. Kereiakes, MD, FACC, MSCAI; Gary S. Mintz, MD; Jeffrey W. Moses, MD; Stephen R. Ramee, MD; Kenneth Rosenfield, MD, MHCDS; Barry F. Uretsky, MD
Stenting across a coronary aneurysm invariably leaves free-floating struts which remain of concern to the operators despite good antiplatelet regiments after the procedure. Most of the time, this is a benign percutaneous coronary intervention...
Stenting across a coronary aneurysm invariably leaves free-floating struts which remain of concern to the operators despite good antiplatelet regiments after the procedure. Most of the time, this is a benign percutaneous coronary intervention...
Stenting across a coronary...
03/05/2025
Cath Lab Digest
Clinical Editor's Corner
Easy PCI – Some Tips on the Little Things
02/05/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA; Paul S. Teirstein, MD, FACC
"I hope this brief collection of tips and tricks for easy PCI in 2025 is helpful," says Dr. Kern. "If you identify a tip or trick that makes PCI or intervention or cardiac cath easier in your lab, please consider sending it along to me."
"I hope this brief collection of tips and tricks for easy PCI in 2025 is helpful," says Dr. Kern. "If you identify a tip or trick that makes PCI or intervention or cardiac cath easier in your lab, please consider sending it along to me."
"I hope this brief collection of...
02/05/2025
Cath Lab Digest
Clinical Editor's Corner
Better Radiation Protection Through the Care and “Feeding” of Your Lead Apron
01/08/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA
"A good apron is a critical element of our profession and we should make every effort to maintain them for our safety," says Dr. Kern. "Because I was surprised by my own lack of knowledge on the care and ‘feeding’ of our PPA, I thought I...
"A good apron is a critical element of our profession and we should make every effort to maintain them for our safety," says Dr. Kern. "Because I was surprised by my own lack of knowledge on the care and ‘feeding’ of our PPA, I thought I...
"A good apron is a critical...
01/08/2025
Cath Lab Digest
Clinical Editor's Corner
Conversations in Cardiology: Avoiding Catastrophe – Managing an Errant Inferior Epigastric Artery Puncture
12/06/2024
Morton J. Kern, MD, MSCAI, FACC, FAHA; Phillip Mumford, MHA, MBA, RCIS; Duane S. Pinto, MD, MPH; Stephen R. Ramee, MD; Kenneth Rosenfield, MD, MHCDS; Curtiss P. Stinis, MD; Zoltan G. Turi, MD
I received a query about hemostasis after inadvertent entry into the inferior epigastric artery. A percutaneous coronary intervention (PCI) was completed without a problem.
I received a query about hemostasis after inadvertent entry into the inferior epigastric artery. A percutaneous coronary intervention (PCI) was completed without a problem.
I received a query about...
12/06/2024
Cath Lab Digest

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