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Cath Lab Digest

Issue Highlights

STRUCTURAL HEART & EP
A Growing Concern: Patients With CIED Leads and Tricuspid Regurgitation
11/07/2024
"A heart team approach is mandatory, because these patients are very complicated and the leads may or may not be contributing to the tricuspid regurgitation," says Laurence Epstein, MD. Read more from Dr. Epstein and Rebecca Hahn, MD.
"A heart team approach is mandatory, because these patients are very complicated and the leads may or may not be contributing to the tricuspid regurgitation," says Laurence Epstein, MD. Read more from Dr. Epstein and Rebecca Hahn, MD.
"A heart team approach is...
11/07/2024
Cath Lab Digest
THROMBECTOMY
Use of the BD® Aspirex™ Mechanical Aspiration Thrombectomy System for the Treatment of DVT and Thrombosed AV Grafts and Fistulas
11/05/2024
CLD talks with Jeffrey E. Silpe MD, MS-HPEd, about his use of the Aspirex™ Mechanical Aspiration Thrombectomy System. Dr. Silpe notes, "The recent strategy for venous thrombectomy is definitely moving away from pharmaco-mechanical...
CLD talks with Jeffrey E. Silpe MD, MS-HPEd, about his use of the Aspirex™ Mechanical Aspiration Thrombectomy System. Dr. Silpe notes, "The recent strategy for venous thrombectomy is definitely moving away from pharmaco-mechanical...
CLD talks with Jeffrey E. Silpe...
11/05/2024
Cath Lab Digest
cutting edge
A Look at the Future of Structural Intervention: The Rise of the Imaging Specialists and Cardiac Electrosurgery
11/04/2024
Dr. Little discusses the present and future of the structural echocardiographer on the heart team, as well as an evolving addition to the structural field, the application of percutaneous, image-guided electrosurgery.
Dr. Little discusses the present and future of the structural echocardiographer on the heart team, as well as an evolving addition to the structural field, the application of percutaneous, image-guided electrosurgery.
Dr. Little discusses the present...
11/04/2024
Cath Lab Digest
Patient Care
Remote Cardiac Rehab: A Convenient and Effective Option Facing an Uncertain Future
11/04/2024
50% of clinicians surveyed said they are conducting home-based cardiac rehab for post-MI cases — a rise from 37% reported in a similar survey conducted a year prior.
50% of clinicians surveyed said they are conducting home-based cardiac rehab for post-MI cases — a rise from 37% reported in a similar survey conducted a year prior.
50% of clinicians surveyed said...
11/04/2024
Cath Lab Digest
Professional Advice
5 Physician Thought Leaders Share Their Advice for Breaking Into Clinical Research
11/04/2024
"I remember as a young physician that getting involved in research was intimidating," says Dr. Arthur Lee. "Figuring out where to begin is often a challenge in itself. However, I now realize that the barrier to making a meaningful impact...
"I remember as a young physician that getting involved in research was intimidating," says Dr. Arthur Lee. "Figuring out where to begin is often a challenge in itself. However, I now realize that the barrier to making a meaningful impact...
"I remember as a young physician...
11/04/2024
Cath Lab Digest
Case Report
Advanced Radial Access Techniques for Complex Coronary Interventions in Challenging Anatomies
10/01/2024
Drs Qavi and Sengodan share a successful radial access intervention in a retroflexed left circumflex artery lesion with challenging subclavian anatomy. 
Drs Qavi and Sengodan share a successful radial access intervention in a retroflexed left circumflex artery lesion with challenging subclavian anatomy. 
Drs Qavi and Sengodan share a...
10/01/2024
Cath Lab Digest
Quality Improvement
Improving Cardiac Imaging Quality at the Long Beach VA Cardiac Cath Lab: Results of a Nurse-Driven QI Project
10/01/2024
We recently faced a critical challenge: our coronary angiography imaging quality was not meeting the high standards necessary for optimal patient care (and for useful images in the CathWorks FFRangio system). We developed a comprehensive...
We recently faced a critical challenge: our coronary angiography imaging quality was not meeting the high standards necessary for optimal patient care (and for useful images in the CathWorks FFRangio system). We developed a comprehensive...
We recently faced a critical...
10/01/2024
Cath Lab Digest
Editor's Picks
Selected Abstracts From The Journal of Invasive Cardiology
10/01/2024
Selected Abstracts From The Journal of Invasive Cardiology: April 2024 – June 2024
Selected Abstracts From The Journal of Invasive Cardiology: April 2024 – June 2024
Selected Abstracts From The...
10/01/2024
Cath Lab Digest
Interview
The Economic Costs and Patient Consequences of Amputation as a Treatment for Critical Limb Ischemia
09/19/2024
Mary Yost, MBA, president and cofounder of The Yost Group, spoke with VDM about her AMP 2024 presentation on the consequences of amputation as a treatment for patients with CLI.
Mary Yost, MBA, president and cofounder of The Yost Group, spoke with VDM about her AMP 2024 presentation on the consequences of amputation as a treatment for patients with CLI.
Mary Yost, MBA, president and...
09/19/2024
Vascular Disease Management
From Vascular Disease Management
Cath Lab Spotlight
UW Health University Hospital
09/01/2024
UW Health University Hospital is a 505-bed facility affiliated with the University of Wisconsin School of Medicine and Public Health in Madison, Wisconsin, in the south central part of the state. University Hospital has been ranked as the top...
UW Health University Hospital is a 505-bed facility affiliated with the University of Wisconsin School of Medicine and Public Health in Madison, Wisconsin, in the south central part of the state. University Hospital has been ranked as the top...
UW Health University Hospital is...
09/01/2024
Cath Lab Digest
Cutting-edge Perspectives
Proceedings From the 2024 International Andreas Gruentzig Society (IAGS) Clinical Conference
08/31/2024
The International Andreas Gruentzig Society meets biennially to discuss the latest topics in interventional cardiology and related fields. The 17th Biennial IAGS meeting was held from January 30 to February 2, 2024, in Chiang Rai, Thailand.
The International Andreas Gruentzig Society meets biennially to discuss the latest topics in interventional cardiology and related fields. The 17th Biennial IAGS meeting was held from January 30 to February 2, 2024, in Chiang Rai, Thailand.
The International Andreas...
08/31/2024
Cath Lab Digest

News

White Paper
SG2 Data Highlights Urgency for Increased Cardiovascular Intervention Resources in U.S. Hospitals
11/14/2024
Sg2 recommends health systems focus on short-term care redesign and long-term investment plans for catheterization labs, care teams, resources and patient beds to match forecasted demand. The paper includes multiple short- and long-term...
Sg2 recommends health systems focus on short-term care redesign and long-term investment plans for catheterization labs, care teams, resources and patient beds to match forecasted demand. The paper includes multiple short- and long-term...
Sg2 recommends health systems...
11/14/2024
Cath Lab Digest
First Aid guidelines
AHA/American Red Cross: Updated First Aid Guidelines Enhance Care for Opioid Overdose, Bleeding, Other Emergencies
11/14/2024
These are the first major comprehensive updates to the first aid guidelines since 2010 and address shifts in how the public manages common and critical first aid emergencies.
These are the first major comprehensive updates to the first aid guidelines since 2010 and address shifts in how the public manages common and critical first aid emergencies.
These are the first major...
11/14/2024
Cath Lab Digest
Thrombectomy
Data Show Patients Treated with Penumbra’s Computer Assisted Vacuum Thrombectomy Technology for Pulmonary Embolism Experience Shorter Hospital Stays and Fewer Complications Compared to Other Treatment Options
11/13/2024
Data show patients with intermediate-risk pulmonary embolism (PE) treated with Penumbra’s computer assisted vacuum thrombectomy (CAVT™) technology have a shorter length of hospital stay, shorter post-procedure length of stay, and fewer...
Data show patients with intermediate-risk pulmonary embolism (PE) treated with Penumbra’s computer assisted vacuum thrombectomy (CAVT™) technology have a shorter length of hospital stay, shorter post-procedure length of stay, and fewer...
Data show patients with...
11/13/2024
Cath Lab Digest
Atherosclerosis
Study Identifies Molecule That Simulates Inflammation-Reducing Effects of Low-Fat Diet
11/13/2024
“We have already seen its effectiveness in multiple models of atherosclerosis,” said Andrei Maiseyeu, associate professor at the Cardiovascular Research Institute and Department of Biomedical Engineering at Case Western Reserve’s School of...
“We have already seen its effectiveness in multiple models of atherosclerosis,” said Andrei Maiseyeu, associate professor at the Cardiovascular Research Institute and Department of Biomedical Engineering at Case Western Reserve’s School of...
“We have already seen its...
11/13/2024
Cath Lab Digest
defibrillation
Researchers Discover Far Less Energy Is Needed Than Currently Used in State-of-the-Art Defibrillation Techniques
11/11/2024
"Existing low-energy defibrillation protocols yield only a moderate reduction in tissue damage and pain," author Roman Grigoriev said. "Our study shows these can be completely eliminated. Conventional protocols require substantial power for...
"Existing low-energy defibrillation protocols yield only a moderate reduction in tissue damage and pain," author Roman Grigoriev said. "Our study shows these can be completely eliminated. Conventional protocols require substantial power for...
"Existing low-energy...
11/11/2024
Cath Lab Digest
Heat & CVD
NEJM: Using a Fan and Wetting the Skin Reduces Risk of Deadly Cardiac Strain in Hot and Humid Weather
11/11/2024
"Older adults, especially those with heart disease, are at greater risk due to the strain that hot temperatures put on the heart. Understanding the impacts of different cooling strategies on the heart is important to help vulnerable people...
"Older adults, especially those with heart disease, are at greater risk due to the strain that hot temperatures put on the heart. Understanding the impacts of different cooling strategies on the heart is important to help vulnerable people...
"Older adults, especially those...
11/11/2024
Cath Lab Digest
Endocarditis
New Catheter-Based Approach for Right-Sided Infective Endocarditis
11/11/2024
In a recent study, over 90% of the participants had their infection cleared, and they had lower in-hospital mortality compared to those whose infections remained.
In a recent study, over 90% of the participants had their infection cleared, and they had lower in-hospital mortality compared to those whose infections remained.
In a recent study, over 90% of...
11/11/2024
Cath Lab Digest
Hearts in space
Artificial 'Mini-Hearts' Take Flight to the International Space Station
11/11/2024
The International Space Station research project will examine microgravity’s effect on heart tissue and is designed to better understand how microgravity affects the function of the human heart.
The International Space Station research project will examine microgravity’s effect on heart tissue and is designed to better understand how microgravity affects the function of the human heart.
The International Space Station...
11/11/2024
Cath Lab Digest
Microvascular Disease
Hourglass-Shaped Stent Could Ease Severe Chest Pain From Microvascular Disease
11/08/2024
The different design is thought to increase back pressure, redistributing blood flow more fully through small vessels in the heart that were not working at capacity.
The different design is thought to increase back pressure, redistributing blood flow more fully through small vessels in the heart that were not working at capacity.
The different design is thought...
11/08/2024
Cath Lab Digest
Peripheral IVL
DISRUPT BTK II: Shockwave Medical Further Validates Utility of Intravascular Lithotripsy in Lower Limb Lesions in Late-Breaking Presentation at VIVA 2024
11/08/2024
DISRUPT BTK II's primary effectiveness endpoint of procedural success, defined as ≤50% residual stenosis for all treated target lesions without serious angiographic complications, was met with a rate of 97.9% at 30 days.
DISRUPT BTK II's primary effectiveness endpoint of procedural success, defined as ≤50% residual stenosis for all treated target lesions without serious angiographic complications, was met with a rate of 97.9% at 30 days.
DISRUPT BTK II's primary...
11/08/2024
Cath Lab Digest

Clinical Editor's Corner

Clinical Editor's Corner
Best Practices Management of STEMI in the Cath Lab: Overview of the 2024 SCAI Consensus Statement
11/07/2024
The consensus document conscientiously reviews the current thinking on the best diagnostic and therapeutic interventions to treat a patient with STEMI in the catheterization laboratory. Addressing some controversial areas to provide a...
The consensus document conscientiously reviews the current thinking on the best diagnostic and therapeutic interventions to treat a patient with STEMI in the catheterization laboratory. Addressing some controversial areas to provide a...
The consensus document...
11/07/2024
Cath Lab Digest
Clinical Editor's Corner
Shared Decision-Making for the Cath Lab
10/01/2024
As I understand it, SDM is an information exchange between the physician and the patient, usually with the family, discussing the underlying problem (eg, aortic stenosis), and current clinical status, followed by recommendations for treatment...
As I understand it, SDM is an information exchange between the physician and the patient, usually with the family, discussing the underlying problem (eg, aortic stenosis), and current clinical status, followed by recommendations for treatment...
As I understand it, SDM is an...
10/01/2024
Cath Lab Digest
Clinical Editor's Corner
Competence, Capacity, Consent – Part of a Successful Pre-Cath Assessment
09/01/2024
We recently had a patient who presented us with a challenge to know whether the informed consent was valid, something I thought we’d address in this editor’s page. 
We recently had a patient who presented us with a challenge to know whether the informed consent was valid, something I thought we’d address in this editor’s page. 
We recently had a patient who...
09/01/2024
Cath Lab Digest
Clinical Editor's Corner
What Makes a Cath Lab Great? Great Leaders and Great Teams
07/22/2024
For teaching centers, July 1st brings new faces to the cath lab, mostly in the form of cardiology trainees. Working with a brand-new cardiology fellow assigned to the cath lab prompted me to review how cath labs become great and how great...
For teaching centers, July 1st brings new faces to the cath lab, mostly in the form of cardiology trainees. Working with a brand-new cardiology fellow assigned to the cath lab prompted me to review how cath labs become great and how great...
For teaching centers, July 1st...
07/22/2024
Cath Lab Digest
Clinical Editor's Corner
Fasting vs Non-Fasting Status: It’s Time to End the NPO Order for Most Patients
07/02/2024
In a 2010 editor’s page, I summarized the opinions of several prominent interventionalists who expressed their interest and belief that the nil per os (NPO) order has outlived its usefulness. In our current environment, NPO does not have to...
In a 2010 editor’s page, I summarized the opinions of several prominent interventionalists who expressed their interest and belief that the nil per os (NPO) order has outlived its usefulness. In our current environment, NPO does not have to...
In a 2010 editor’s page, I...
07/02/2024
Cath Lab Digest
Clinical Editor's Corner
In Transition: Early-Career Interventional Cardiologists
05/29/2024
Morton J. Kern, MD, MSCAI, FACC, FAHA
Every year, we graduate cardiology fellows and introduce them as new interventionalists into our community. It is our fervent hope and desire that they succeed and deliver great care to their patients.   
Every year, we graduate cardiology fellows and introduce them as new interventionalists into our community. It is our fervent hope and desire that they succeed and deliver great care to their patients.   
Every year, we graduate...
05/29/2024
Cath Lab Digest
Clinical Editor's Corner
How Do You Perform Angiography for Your STEMI Patient in the Cath Lab?
04/30/2024

Morton Kern, with contributions from:
Dawn Abbott, Providence, Rhode Island;
James Blankenship, Albuquerque, New Mexico;
David Cohen, Roslyn, New York;
Kirk Garratt, Newark, Delaware; 
Steven L. Goldberg, Monterey, California;
Timothy D. Henry, Cincinnati, Ohio;
Neil Kleiman, Houston, Texas;
Lloyd Klein, Sonoma, California;
Ajay Kirtane, New York, New York; 
Mitchell Krucoff, Durham, North Carolina;
Michael Lim, Poplar Bluff, Missouri;
Jeffrey Moses, Roslyn, New York;
Duane Pinto, Boston, Massachusetts;
Steve Ramee, Baton Rouge, Louisiana;
Jennifer Tremmel, Palo Alto, California;
Fred Welt, Salt Lake City, Utah;
Bonnie Weiner, Worchester, Massachusetts;
Chris White, New Orleans, Louisiana

Morton Kern, with contributions from:...
I read an interesting article by Levi et al(1) that stimulated my curiosity on how our approach to the ST-elevation myocardial infarction (STEMI) patient has changed over the years. I asked my expert colleagues - Question 1: Do you believe...
I read an interesting article by Levi et al(1) that stimulated my curiosity on how our approach to the ST-elevation myocardial infarction (STEMI) patient has changed over the years. I asked my expert colleagues - Question 1: Do you believe...
I read an interesting article by...
04/30/2024
Cath Lab Digest
Clinical Editor's Corner
Conversations in Cardiology: Management of Pericardial Drains
04/03/2024

Dr. Morton Kern with contributions from Drs. Richard Bach, Washington University, St. Louis, Missouri; David Cohen, St. Francis Hospital, Roslyn, New York; Douglas Drachman, Massachusetts General Hospital, Boston, Massachusetts; Kirk Garratt, ChristianaCare, Wilmington, Delaware; Ajay Kirtane, Columbia University, New York, New York; Steve Ramee, LSU Health Science Center, New Orleans, Louisiana; Barry Uretsky, University of Arkansas, Little Rock, Arkansas

Dr. Morton Kern with contributions fr...
After working to secure the pericardial drain in a patient after pericardiocentesis, Dr. Douglas Drachman shares an issue around the management of pericardial drains with Dr. Kern and his expert colleagues. They discuss what should be...
After working to secure the pericardial drain in a patient after pericardiocentesis, Dr. Douglas Drachman shares an issue around the management of pericardial drains with Dr. Kern and his expert colleagues. They discuss what should be...
After working to secure the...
04/03/2024
Cath Lab Digest
Clinical Editor's Corner
Think SCAD (Spontaneous Coronary Artery Dissection) for MINOCA (Myocardial Infarction in Patients With Unobstructed Coronary Arteries)
03/05/2024

Dr. Morton Kern with contributions from Drs. Steve Ramee, New Orleans, Louisiana; Jacqueline Saw, Vancouver, British Columbia; Jon Tobis, Los Angeles, California; Barry Uretsky, Little Rock, Arkansas.

Dr. Morton Kern with contributions fr...
Although some of the causes of myocardial infarction with no coronary artery obstruction (MINOCA) are often unknown, spontaneous coronary artery dissection (SCAD) in MINOCA should always be considered early on as one of the major etiologies...
Although some of the causes of myocardial infarction with no coronary artery obstruction (MINOCA) are often unknown, spontaneous coronary artery dissection (SCAD) in MINOCA should always be considered early on as one of the major etiologies...
Although some of the causes of...
03/05/2024
Cath Lab Digest
Clinical Editor's Corner
Do We Need to Withhold the New Medications Jardiance (SGLT2 Inhibitors) or Ozempic (GLP-1 Agonists) Before Cardiac Catheterization?
02/04/2024

Dr. Morton J. Kern with contributions from Drs.:

  • David J. Cohen, St. Francis Hospital, Roslyn, New York;
  • Kirk Garratt, Christiana Medical Center, Newark, Delaware;
  • Spencer King, Atlanta, Georgia;
  • Neal S. Kleiman, Methodist DeBakey Heart and Vascular Center, Houston, Texas;
  • Srihari S. Naidu, Westchester Medical Center, Valhalla, New York;
  • Matthew J. Price, Scripps Clinic, La Jolla, California;
  • Steve Ramee, Ochsner Clinic, New Orleans, Louisiana;
  • Chet Rihal, Mayo Clinic, Rochester, Minnesota;
  • Bonnie Weiner, Worcester, Massachusetts.
Dr. Morton J. Kern with contributions...
While the SGLT2 inhibitors and GLP-1 agonists were new to me in terms of their potential impact on our procedures, we will likely hold these medications before elective invasive and interventional cardiac procedures.
While the SGLT2 inhibitors and GLP-1 agonists were new to me in terms of their potential impact on our procedures, we will likely hold these medications before elective invasive and interventional cardiac procedures.
While the SGLT2 inhibitors and...
02/04/2024
Cath Lab Digest

Watch/Listen

Dr. Morton Kern, Dr. Jacqueline Tamis-Holland, and Dr. Arnold Seto
KERN LIVE
SCAI Expert Consensus Statement on STEMI in the Cath Lab: Drs. Kern, Tamis-Holland, and Seto Discuss
11/12/2024
Listen in as Jacqueline E. Tamis-Holland, MD, FSCAI, of the Cleveland Clinic Heart, Vascular & Thoracic Institute and chair of the consensus statement working group, joins Morton Kern, MD, and Arnold H. Seto, MD, to discuss the 2024 Society...
Listen in as Jacqueline E. Tamis-Holland, MD, FSCAI, of the Cleveland Clinic Heart, Vascular & Thoracic Institute and chair of the consensus statement working group, joins Morton Kern, MD, and Arnold H. Seto, MD, to discuss the 2024 Society...
Listen in as Jacqueline E....
11/12/2024
Cath Lab Digest
Bailey Estes, NP
Nurse & Technologist Education
Highlights From the 2024 TCT Nurse and Technologist Symposium With Bailey Estes, NP
11/05/2024
Bailey Estes, AGNP-C, MSN, RN-BC, RCIS, RNFA, one of the program directors for the 2024 TCT Nurse and Technologist Symposium, shares her perspective on the day's presentations.
Bailey Estes, AGNP-C, MSN, RN-BC, RCIS, RNFA, one of the program directors for the 2024 TCT Nurse and Technologist Symposium, shares her perspective on the day's presentations.
Bailey Estes, AGNP-C, MSN,...
11/05/2024
Cath Lab Digest
Dr. David Rizik, Dr. Morton Kern, Dr. Jennifer Rymer, and Dr. Pinak Shah
Kern, Rizik, Shah, & Rymer
A Discussion on the Early-Career Interventionalist
06/19/2024

Morton Kern, MD, in a discussion with David Rizik, MD, Pinak Shah, MD, and Jennifer Rymer, MD

Morton Kern, MD, in a discussion with...
Drs Kern and Rizik talk with Dr. Jennifer Rymer, who published a study on cath lab procedure volumes and outcomes among early-career interventional cardiologists, and Dr. Pinak Shah, who wrote an accompanying editorial, "Is There an...
Drs Kern and Rizik talk with Dr. Jennifer Rymer, who published a study on cath lab procedure volumes and outcomes among early-career interventional cardiologists, and Dr. Pinak Shah, who wrote an accompanying editorial, "Is There an...
Drs Kern and Rizik talk with Dr....
06/19/2024
Cath Lab Digest
Emily S. Lau, MD, MPH, FACC
Chest Pain in women
Horses and Zebras: Multimodality Imaging in the Evaluation of Chest Pain in Women
04/12/2024

Emily S. Lau, MD, MPH, FACC

Director, Cardiometabolic Health & Hormones Clinic; Corrigan Women’s Heart Health Program, Massachusetts General Hospital; Assistant Professor of Medicine, Harvard Medical School, Boston, Massachusetts

@emilyswlau

Emily S. Lau, MD, MPH, FACC Director...
"Even in 2024, we are continuing to see pretty striking gender disparities in health outcomes between men and women, especially with ischemic heart disease," says Dr. Lau. "And there remains, I think, still a lack of understanding or...
"Even in 2024, we are continuing to see pretty striking gender disparities in health outcomes between men and women, especially with ischemic heart disease," says Dr. Lau. "And there remains, I think, still a lack of understanding or...
"Even in 2024, we are continuing...
04/12/2024
Cath Lab Digest
Kern Drachman Seto
Live with Dr. Kern
Kern, Drachman, Seto: Upsizing a Radial Sheath? Methods and Cautionary Notes
12/20/2023
Drs Kern, Seto, and Drachman discuss their experience with upsizing radial sheaths and the current status of radial access in the United States.
Drs Kern, Seto, and Drachman discuss their experience with upsizing radial sheaths and the current status of radial access in the United States.
Drs Kern, Seto, and Drachman...
12/20/2023
Cath Lab Digest

Online Exclusives

Perspectives
My Mom is An Interventional Cardiologist: A Tribute and Challenge
08/05/2024
Life as a daughter of interventional cardiologist mom means knowing she won’t be there for day-to-day activities. Our priorities and expectations were well explained and often repeated at home, which made us feel as if it was a norm.
Life as a daughter of interventional cardiologist mom means knowing she won’t be there for day-to-day activities. Our priorities and expectations were well explained and often repeated at home, which made us feel as if it was a norm.
Life as a daughter of...
08/05/2024
Cath Lab Digest
Clinical Images
Rate-Related Complete Left Bundle Branch Block: A Rare Phenomenon With Exercise Stress
05/28/2024
Pradnya Brijmohan Bhattad, MD
Amir Joshi, MD
Richard Wholey, MD
A 55-year-old nonsmoker male with a prior history of hypertension and obstructive sleep apnea presented for an exercise stress test to evaluate for palpitations. During his exercise treadmill stress test, he had a rate-related left bundle...
A 55-year-old nonsmoker male with a prior history of hypertension and obstructive sleep apnea presented for an exercise stress test to evaluate for palpitations. During his exercise treadmill stress test, he had a rate-related left bundle...
A 55-year-old nonsmoker male...
05/28/2024
Cath Lab Digest
Kusum Lata, MD, at SCAI 2023
Career Perspectives
Don’t Give Up: Notes From My Journey to the SCAI Board of Trustees
02/15/2024
By sharing my own journey, I hope to inspire others to create their own transformative arena and collectively make a difference.
By sharing my own journey, I hope to inspire others to create their own transformative arena and collectively make a difference.
By sharing my own journey, I...
02/15/2024
Cath Lab Digest
CLD Corazon Figure 1
Out-of-Hospital Care
A Shift in Cardiovascular Care: Ambulatory Surgery Centers (ASCs), Peripheral Arterial Disease (PAD), and Peripheral Vascular Interventions (PVI)
02/12/2024
Providers must develop and integrate an ambulatory strategy into their overarching cardiovascular strategic plan, whether through joint ventures, acquisition, or other alignment structures with existing ASCs, or through investment into their...
Providers must develop and integrate an ambulatory strategy into their overarching cardiovascular strategic plan, whether through joint ventures, acquisition, or other alignment structures with existing ASCs, or through investment into their...
Providers must develop and...
02/12/2024
Cath Lab Digest
Bhattad Coronary Arteriovenous Fistula: A Rare Coronary Anomaly
ANOMALIES
Coronary Arteriovenous Fistula: A Rare Coronary Anomaly
12/05/2023
The authors share a coronary angiogram showing a coronary arteriovenous fistula arising from the right marginal artery, draining into coronary sinus, and ultimately draining into a great cardiac vein.
The authors share a coronary angiogram showing a coronary arteriovenous fistula arising from the right marginal artery, draining into coronary sinus, and ultimately draining into a great cardiac vein.
The authors share a coronary...
12/05/2023
Cath Lab Digest

Webinars

Reduce Acute Kidney Injury in the Cath Lab: Clinical Guideline-based Kidney Care Protocols with the DyeVert System
Presenter: Barry D. Bertolet, MD, FACP, FACC
The Need for Longer-Lasting PAD Solutions With DCB Technology | Chapter II
  This program outlines the essential need for longer-lasting peripheral arterial disease (PAD) solutions for complex lesions using drug-coated balloon therapy. Join us for this live, 60-minute panel discussion with leading physician experts describing the latest safety data and t...
Baroreflex Activation Therapy: Autonomic Neuromodulation for Heart Failure
Join a renowned panel of heart failure specialists and electrophysiologists to learn more about Barostim™ Baroreflex Activation Therapy (BAT), a simple implantable device that electrically stimulates the carotid baroreflex to improve symptoms of HFrEF.
On-Demand Webinar: Incorporating Local Impedance Into Your RF Ablation Practice
    Objectives
Building Success in CTO PCI Pt. 4

Case Reports

Case Report
Advanced Radial Access Techniques for Complex Coronary Interventions in Challenging Anatomies
10/01/2024
Drs Qavi and Sengodan share a successful radial access intervention in a retroflexed left circumflex artery lesion with challenging subclavian anatomy. 
Drs Qavi and Sengodan share a successful radial access intervention in a retroflexed left circumflex artery lesion with challenging subclavian anatomy. 
Drs Qavi and Sengodan share a...
10/01/2024
Cath Lab Digest
Chronic Limb-Threatening Ischemia (CLTI)
Treating a CTO of the SFA Using Auryon Laser Atherectomy in a CLTI Patient
08/31/2024
The patient is a 77-year-old man with diabetes mellitus, congestive heart failure, and abdominal aortic aneurysm status post repair with stent graft placement, who has been suffering from bilateral foot wounds that have been nonhealing. The...
The patient is a 77-year-old man with diabetes mellitus, congestive heart failure, and abdominal aortic aneurysm status post repair with stent graft placement, who has been suffering from bilateral foot wounds that have been nonhealing. The...
The patient is a 77-year-old man...
08/31/2024
Cath Lab Digest
Case Report
Transcatheter Arterialization of Deep Veins (TADV)
07/29/2024
The LimFlow procedure (Inari Medical) provides a promising alternative for patients with no-option CLI, potentially reducing the need for major amputations. This case demonstrates the potential of TADV in achieving limb salvage and highlights...
The LimFlow procedure (Inari Medical) provides a promising alternative for patients with no-option CLI, potentially reducing the need for major amputations. This case demonstrates the potential of TADV in achieving limb salvage and highlights...
The LimFlow procedure (Inari...
07/29/2024
Cath Lab Digest
Case Report
Unmasking Fibromuscular Dysplasia: When Spontaneous Coronary Artery Dissection Rings a Bell
07/29/2024
This case represents an exemplary case of fibromuscular dysplasia in a young woman, discovered by one of its most serious complications, spontaneous coronary artery dissection (SCAD). A high co-prevalence of extracoronary vascular...
This case represents an exemplary case of fibromuscular dysplasia in a young woman, discovered by one of its most serious complications, spontaneous coronary artery dissection (SCAD). A high co-prevalence of extracoronary vascular...
This case represents an...
07/29/2024
Cath Lab Digest
Case Report
Occluded Left Subclavian and Severe Triple-Vessel CAD in a Patient With a “Bovine” Aortic Arch
07/02/2024
This is the case of a 61-year-old man, a nonsmoker with known history of asthma, who presented with generalized weakness and progressing shortness of breath for 2-3 months.
This is the case of a 61-year-old man, a nonsmoker with known history of asthma, who presented with generalized weakness and progressing shortness of breath for 2-3 months.
This is the case of a...
07/02/2024
Cath Lab Digest
Case Report
Successful Dilation of a Heavily Calcified LAD With 3 Layers of Under-Expanded Stents With the OPN NC Super High-Pressure Balloon
06/26/2024
A 76-year-old female with a history of hypertension had a non-ST-elevation myocardial infarction and underwent percutaneous coronary intervention to a heavily calcified and severe diffusely diseased lesion from the proximal to mid LAD.
A 76-year-old female with a history of hypertension had a non-ST-elevation myocardial infarction and underwent percutaneous coronary intervention to a heavily calcified and severe diffusely diseased lesion from the proximal to mid LAD.
A 76-year-old female with a...
06/26/2024
Cath Lab Digest
Case Report
Making Complex Simple
05/29/2024
Ori Waksman, MD
Hayder Hashim, MD, FSCAI
Revascularization of patients with unprotected left main disease poses a significant challenge due to the heightened risk of mortality and periprocedural hemodynamic collapse.
Revascularization of patients with unprotected left main disease poses a significant challenge due to the heightened risk of mortality and periprocedural hemodynamic collapse.
Revascularization of patients...
05/29/2024
Cath Lab Digest
CRT Case Competition
Finalists From CRT’s 2024 Nurses and Technologists Interesting Cases Competition
05/01/2024
Richard Casazza, MAS, RT(R)(CI), Maimonides Medical Center, Staten Island, New York
Tahnee M. Clark, MSN, AGACNP-BC, Miami Cardiac and Vascular Institute, Miami, Florida
Chenoa Flanagan, RCIS, BA, Medstar Washington Hospital Center, Washington, D.C.
Brandy D. Smith, RCIS, LMRT, Baylor Scott and White The Heart Hospital and The Cardiovascular Institute, Plano, Texas
New at the CRT meeting in 2024 was a competition focused on cases submitted by nurses and technologists, with four finalists asked to present their cases March 10th during CRT’s Nurses and Technologists session.
New at the CRT meeting in 2024 was a competition focused on cases submitted by nurses and technologists, with four finalists asked to present their cases March 10th during CRT’s Nurses and Technologists session.
New at the CRT meeting in 2024...
05/01/2024
Cath Lab Digest
Case Report
An Asymptomatic Case of a Right Coronary Artery Aneurysm With Right Atrial Fistula
05/01/2024

Zachary Holtzapple, MD; Zeid Nesheiwat, DO, MPH; Khalid Changal, MD; Claire Eiden; Paul Chacko, MD

The University of Toledo College of Medicine, Toledo, Ohio

 

The authors can be contacted via Zachary Holtzapple, MD, at zachary.holtzapple@rockets.utoledo.edu

Zachary Holtzapple, MD; Zeid Nesheiwa...
Coronary artery aneurysms are defined as a localized luminal dilation measuring at least 1.3 to 2 times the diameter of an adjacent, normal vessel segment. If the coronary artery aneurysm is large enough, it can be classified as a giant...
Coronary artery aneurysms are defined as a localized luminal dilation measuring at least 1.3 to 2 times the diameter of an adjacent, normal vessel segment. If the coronary artery aneurysm is large enough, it can be classified as a giant...
Coronary artery aneurysms are...
05/01/2024
Cath Lab Digest
Case Report
Successful Treatment of Early Bioprosthetic Mitral Valve Fusion in a Patient on VA ECMO With Balloon Valvuloplasty via Direct Cannulation of Pulmonary Vein
04/03/2024

Richard Casazza, MAS, RT(R)(CI); Paul Saunders, MD; Bilal Malik, MD; Robert Frankel, MD; Mazin Khalid, MD; Adnan Sadiq, MD; Arsalan Hashmi, MD; Gregory Crooke, MD

Maimonides Medical Center, Brooklyn, New York

Disclosures: The authors report no financial relationships or conflicts of interest regarding the content herein.

The authors can be contacted via Richard Casazza, MAS, RT(R)(CI), at all4ugq@aol.com.

Richard Casazza, MAS, RT(R)(CI); Paul...
We present a case of a 57-year-old male who underwent bioprosthetic mitral valve replacement (MVR) and developed postoperative cardiogenic shock requiring venoarterial extracorporeal membrane oxygenation (VA ECMO) and Impella 5.5 hemodynamic...
We present a case of a 57-year-old male who underwent bioprosthetic mitral valve replacement (MVR) and developed postoperative cardiogenic shock requiring venoarterial extracorporeal membrane oxygenation (VA ECMO) and Impella 5.5 hemodynamic...
We present a case of a...
04/03/2024
Cath Lab Digest

From the Experts

STRUCTURAL HEART & EP
A Growing Concern: Patients With CIED Leads and Tricuspid Regurgitation
11/07/2024
"A heart team approach is mandatory, because these patients are very complicated and the leads may or may not be contributing to the tricuspid regurgitation," says Laurence Epstein, MD. Read more from Dr. Epstein and Rebecca Hahn, MD.
"A heart team approach is mandatory, because these patients are very complicated and the leads may or may not be contributing to the tricuspid regurgitation," says Laurence Epstein, MD. Read more from Dr. Epstein and Rebecca Hahn, MD.
"A heart team approach is...
11/07/2024
Cath Lab Digest
THROMBECTOMY
Use of the BD® Aspirex™ Mechanical Aspiration Thrombectomy System for the Treatment of DVT and Thrombosed AV Grafts and Fistulas
11/05/2024
CLD talks with Jeffrey E. Silpe MD, MS-HPEd, about his use of the Aspirex™ Mechanical Aspiration Thrombectomy System. Dr. Silpe notes, "The recent strategy for venous thrombectomy is definitely moving away from pharmaco-mechanical...
CLD talks with Jeffrey E. Silpe MD, MS-HPEd, about his use of the Aspirex™ Mechanical Aspiration Thrombectomy System. Dr. Silpe notes, "The recent strategy for venous thrombectomy is definitely moving away from pharmaco-mechanical...
CLD talks with Jeffrey E. Silpe...
11/05/2024
Cath Lab Digest
cutting edge
A Look at the Future of Structural Intervention: The Rise of the Imaging Specialists and Cardiac Electrosurgery
11/04/2024
Dr. Little discusses the present and future of the structural echocardiographer on the heart team, as well as an evolving addition to the structural field, the application of percutaneous, image-guided electrosurgery.
Dr. Little discusses the present and future of the structural echocardiographer on the heart team, as well as an evolving addition to the structural field, the application of percutaneous, image-guided electrosurgery.
Dr. Little discusses the present...
11/04/2024
Cath Lab Digest
Interview
The Economic Costs and Patient Consequences of Amputation as a Treatment for Critical Limb Ischemia
09/19/2024
Mary Yost, MBA, president and cofounder of The Yost Group, spoke with VDM about her AMP 2024 presentation on the consequences of amputation as a treatment for patients with CLI.
Mary Yost, MBA, president and cofounder of The Yost Group, spoke with VDM about her AMP 2024 presentation on the consequences of amputation as a treatment for patients with CLI.
Mary Yost, MBA, president and...
09/19/2024
Vascular Disease Management
PAD Guidelines
What You Should Know About the 2024 AHA/ACC Guideline on the Management of Lower Extremity Peripheral Artery Disease
07/29/2024
"I am very proud of this document and the work of our multispecialty and multisocietal writing committee," says Guideline Committee Chair Heather L. Gornik, MD, FAHA, MSVM. "It includes great representation from many sponsoring and...
"I am very proud of this document and the work of our multispecialty and multisocietal writing committee," says Guideline Committee Chair Heather L. Gornik, MD, FAHA, MSVM. "It includes great representation from many sponsoring and...
"I am very proud of this...
07/29/2024
Cath Lab Digest
ACC President
Talking With the American College of Cardiology’s New President: Cathie Biga, MSN, FACC
05/29/2024
Cathie Biga, MSN, FACC
My heart is still in the cath lab, always and forever,” says Cathie Biga, MSN, FACC, the 2024-2025 President of the American College of Cardiology (ACC). “[Even as] VP of a hospital, I used to go to the cath lab just to get my sanity back.” 
My heart is still in the cath lab, always and forever,” says Cathie Biga, MSN, FACC, the 2024-2025 President of the American College of Cardiology (ACC). “[Even as] VP of a hospital, I used to go to the cath lab just to get my sanity back.” 
My heart is still in the cath...
05/29/2024
Cath Lab Digest
Outpatient Care
Meeting Community Need: First, an ASC, Then the New Hospital Comes Later
05/01/2024

CLD talks with Eunmee Shim

President, Adventist HealthCare, Fort Washington Medical Center, Fort Washington, Maryland

CLD talks with Eunmee Shim President...
“An ambulatory surgery center will help us take the ambulatory volume out of the hospital, which will then give us capacity to grow inpatient procedures,” says Adventist HealthCare Fort Washington Medical Center President Eunmee Shim.
“An ambulatory surgery center will help us take the ambulatory volume out of the hospital, which will then give us capacity to grow inpatient procedures,” says Adventist HealthCare Fort Washington Medical Center President Eunmee Shim.
“An ambulatory surgery center...
05/01/2024
Cath Lab Digest
Cutting-Edge Procedures
Renal Denervation: How We Do It
05/01/2024

Eric A. Secemsky, MD, MSc, RPVI, FACC, FAHA, FSCAI, FSVM

Director, Vascular Intervention, Beth Israel Deaconess Medical Center; Section Head, Interventional Cardiology and Vascular Research, Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center; Associate Professor of Medicine, Harvard Medical School, Boston, Massachusetts

 

Disclosures: Dr. Secemsky reports he is a consultant to Medtronic and his institution receives funding from Medtronic.

 

Eric A. Secemsky, MD, MSc, RPVI, FACC...
We have struggled for years with managing hypertension. In my own practice, I recognized that I only had so many tools to offer my patients, primarily medical therapy and suggestions on lifestyle changes. However, there were still patients...
We have struggled for years with managing hypertension. In my own practice, I recognized that I only had so many tools to offer my patients, primarily medical therapy and suggestions on lifestyle changes. However, there were still patients...
We have struggled for years with...
05/01/2024
Cath Lab Digest
Peripheral Interventions
The HawkOne™ Directional Atherectomy System Puts Control in the Hands of the Operator
04/10/2024

CLD talks with Michael J. Paisley, MD1, and Brant W. Ullery, MD, FACS, RPVI2

 

1Providence Heart and Vascular Institute, Portland, Oregon

2Medical Director, Vascular and Endovascular Surgery, Providence Heart and Vascular Institute, Portland, Oregon

CLD talks with Michael J. Paisley, MD...
"The HawkOne has long served as our dominant form of atherectomy," says Brant Ullery, MD. "We have excellent case support from our local Medtronic personnel and I cannot overstate the advantage of the simplicity of use around the HawkOne."
"The HawkOne has long served as our dominant form of atherectomy," says Brant Ullery, MD. "We have excellent case support from our local Medtronic personnel and I cannot overstate the advantage of the simplicity of use around the HawkOne."
"The HawkOne has long served as...
04/10/2024
Cath Lab Digest
Coronary IVL
Cracking Calcium on a Cliff-Hanger: Intravascular Lithotripsy for High-Risk Left Main PCI in STEMI
03/06/2024

Dr. Kalaivani Mahadevan, MD
 

Portsmouth Hospitals’ University NHS Trust, Portsmouth, United Kingdom

Dr. Kalaivani Mahadevan, MD   Portsm...
A knowledge of small profile and chronic total occlusion balloons, use of guide extension catheters, and not assuming upfront that we had to rotablate were all important to the successful use of IVL in this case.
A knowledge of small profile and chronic total occlusion balloons, use of guide extension catheters, and not assuming upfront that we had to rotablate were all important to the successful use of IVL in this case.
A knowledge of small profile and...
03/06/2024
Cath Lab Digest

Read More

Clinical Editor's Corner
Best Practices Management of STEMI in the Cath Lab: Overview of the 2024 SCAI Consensus Statement
11/07/2024
The consensus document conscientiously reviews the current thinking on the best diagnostic and therapeutic interventions to treat a patient with STEMI in the catheterization laboratory. Addressing some controversial areas to provide a...
The consensus document conscientiously reviews the current thinking on the best diagnostic and therapeutic interventions to treat a patient with STEMI in the catheterization laboratory. Addressing some controversial areas to provide a...
The consensus document...
11/07/2024
Cath Lab Digest
Case Report
Advanced Radial Access Techniques for Complex Coronary Interventions in Challenging Anatomies
10/01/2024
Drs Qavi and Sengodan share a successful radial access intervention in a retroflexed left circumflex artery lesion with challenging subclavian anatomy. 
Drs Qavi and Sengodan share a successful radial access intervention in a retroflexed left circumflex artery lesion with challenging subclavian anatomy. 
Drs Qavi and Sengodan share a...
10/01/2024
Cath Lab Digest
Clinical Editor's Corner
Shared Decision-Making for the Cath Lab
10/01/2024
As I understand it, SDM is an information exchange between the physician and the patient, usually with the family, discussing the underlying problem (eg, aortic stenosis), and current clinical status, followed by recommendations for treatment...
As I understand it, SDM is an information exchange between the physician and the patient, usually with the family, discussing the underlying problem (eg, aortic stenosis), and current clinical status, followed by recommendations for treatment...
As I understand it, SDM is an...
10/01/2024
Cath Lab Digest
Clinical Editor's Corner
Competence, Capacity, Consent – Part of a Successful Pre-Cath Assessment
09/01/2024
We recently had a patient who presented us with a challenge to know whether the informed consent was valid, something I thought we’d address in this editor’s page. 
We recently had a patient who presented us with a challenge to know whether the informed consent was valid, something I thought we’d address in this editor’s page. 
We recently had a patient who...
09/01/2024
Cath Lab Digest
Chronic Limb-Threatening Ischemia (CLTI)
Treating a CTO of the SFA Using Auryon Laser Atherectomy in a CLTI Patient
08/31/2024
The patient is a 77-year-old man with diabetes mellitus, congestive heart failure, and abdominal aortic aneurysm status post repair with stent graft placement, who has been suffering from bilateral foot wounds that have been nonhealing. The...
The patient is a 77-year-old man with diabetes mellitus, congestive heart failure, and abdominal aortic aneurysm status post repair with stent graft placement, who has been suffering from bilateral foot wounds that have been nonhealing. The...
The patient is a 77-year-old man...
08/31/2024
Cath Lab Digest
Case Report
Transcatheter Arterialization of Deep Veins (TADV)
07/29/2024
The LimFlow procedure (Inari Medical) provides a promising alternative for patients with no-option CLI, potentially reducing the need for major amputations. This case demonstrates the potential of TADV in achieving limb salvage and highlights...
The LimFlow procedure (Inari Medical) provides a promising alternative for patients with no-option CLI, potentially reducing the need for major amputations. This case demonstrates the potential of TADV in achieving limb salvage and highlights...
The LimFlow procedure (Inari...
07/29/2024
Cath Lab Digest
Case Report
Unmasking Fibromuscular Dysplasia: When Spontaneous Coronary Artery Dissection Rings a Bell
07/29/2024
This case represents an exemplary case of fibromuscular dysplasia in a young woman, discovered by one of its most serious complications, spontaneous coronary artery dissection (SCAD). A high co-prevalence of extracoronary vascular...
This case represents an exemplary case of fibromuscular dysplasia in a young woman, discovered by one of its most serious complications, spontaneous coronary artery dissection (SCAD). A high co-prevalence of extracoronary vascular...
This case represents an...
07/29/2024
Cath Lab Digest
Clinical Editor's Corner
What Makes a Cath Lab Great? Great Leaders and Great Teams
07/22/2024
For teaching centers, July 1st brings new faces to the cath lab, mostly in the form of cardiology trainees. Working with a brand-new cardiology fellow assigned to the cath lab prompted me to review how cath labs become great and how great...
For teaching centers, July 1st brings new faces to the cath lab, mostly in the form of cardiology trainees. Working with a brand-new cardiology fellow assigned to the cath lab prompted me to review how cath labs become great and how great...
For teaching centers, July 1st...
07/22/2024
Cath Lab Digest
Clinical Editor's Corner
Fasting vs Non-Fasting Status: It’s Time to End the NPO Order for Most Patients
07/02/2024
In a 2010 editor’s page, I summarized the opinions of several prominent interventionalists who expressed their interest and belief that the nil per os (NPO) order has outlived its usefulness. In our current environment, NPO does not have to...
In a 2010 editor’s page, I summarized the opinions of several prominent interventionalists who expressed their interest and belief that the nil per os (NPO) order has outlived its usefulness. In our current environment, NPO does not have to...
In a 2010 editor’s page, I...
07/02/2024
Cath Lab Digest
Case Report
Occluded Left Subclavian and Severe Triple-Vessel CAD in a Patient With a “Bovine” Aortic Arch
07/02/2024
This is the case of a 61-year-old man, a nonsmoker with known history of asthma, who presented with generalized weakness and progressing shortness of breath for 2-3 months.
This is the case of a 61-year-old man, a nonsmoker with known history of asthma, who presented with generalized weakness and progressing shortness of breath for 2-3 months.
This is the case of a...
07/02/2024
Cath Lab Digest

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