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Cath Lab Digest

Issue Highlights

Case Report
Not the Usual Suspect: Intracoronary Hematoma Presenting as an Acute STEMI
01/09/2025
Spontaneous or trauma-related coronary intramural hematoma, a subset of coronary artery dissection, is a rare, challenging, and under-recognized diagnosis constituting 1% to 4% of all myocardial infarctions.(1)
Spontaneous or trauma-related coronary intramural hematoma, a subset of coronary artery dissection, is a rare, challenging, and under-recognized diagnosis constituting 1% to 4% of all myocardial infarctions.(1)
Spontaneous or trauma-related...
01/09/2025
Cath Lab Digest
Structural Heart
Management of Complex Valve Disease Patients
01/07/2025
"Not infrequently, we will encounter patients who are very sick and it is unclear as to what approach we should take. These patients have complex presentations, fall outside of the guidelines, and don’t fit inside the usual pathway of how we...
"Not infrequently, we will encounter patients who are very sick and it is unclear as to what approach we should take. These patients have complex presentations, fall outside of the guidelines, and don’t fit inside the usual pathway of how we...
"Not infrequently, we will...
01/07/2025
Cath Lab Digest
Case Report
Endless Loop Tachycardia: An Uncommon Entity in the Common Devices
01/05/2025
Pacemaker-mediated tachycardia (PMT) also known as endless loop tachycardia, is an iatrogenic arrhythmia that occurs primarily in patients with dual chamber pacemakers with at least atrial-sensing and ventricular pacing functions.
Pacemaker-mediated tachycardia (PMT) also known as endless loop tachycardia, is an iatrogenic arrhythmia that occurs primarily in patients with dual chamber pacemakers with at least atrial-sensing and ventricular pacing functions.
Pacemaker-mediated tachycardia...
01/05/2025
Cath Lab Digest
Peripheral Intervention
Directional Atherectomy and Drug-Coated Balloon Use in a PAD Safety-Net Population: A Retrospective Review
01/04/2025
The authors review demographic and clinical characteristics, and short-intermediate term outcomes of patients presenting to a safety-net hospital with peripheral arterial disease treated with directional atherectomy and drug-coated balloon...
The authors review demographic and clinical characteristics, and short-intermediate term outcomes of patients presenting to a safety-net hospital with peripheral arterial disease treated with directional atherectomy and drug-coated balloon...
The authors review demographic...
01/04/2025
Cath Lab Digest
Ahead of Print: CV ASCs
Expanding Access to Care: A Virginia ASC With a Cardiac Service Line
01/02/2025
Ann Honeycutt, MSN, Executive Director of the Virginia Cardiovascular Specialist group, describes her experience building an ASC, the VCS Heart and Vascular Center, that first opened with a focus on electrophysiology and peripheral vascular...
Ann Honeycutt, MSN, Executive Director of the Virginia Cardiovascular Specialist group, describes her experience building an ASC, the VCS Heart and Vascular Center, that first opened with a focus on electrophysiology and peripheral vascular...
Ann Honeycutt, MSN, Executive...
01/02/2025
Cath Lab Digest
Optical Coherence Tomography
Clinical Images: OCT in the Peripheral Vasculature
01/01/2025
Case Report A 45-year-old woman, who was a nonsmoker with a known case of hypertension, presented with a history of pain in her right upper limb on exertion for the past 6 months. There was no history of any neurological symptoms, trauma,...
Case Report A 45-year-old woman, who was a nonsmoker with a known case of hypertension, presented with a history of pain in her right upper limb on exertion for the past 6 months. There was no history of any neurological symptoms, trauma,...
Case Report A 45-year-old...
01/01/2025
Cath Lab Digest
Structural Heart & EP
Lead Management in Patients With Cardiac Implantable Devices and Tricuspid Regurgitation
12/06/2024
"We have to approach these patients from multiple perspectives, which is why this topic is so important for both electrophysiologists and for our structural colleagues," says Mark D. Metzl, MD. Read more from Dr. Metzl and Mark J. Ricciardi,...
"We have to approach these patients from multiple perspectives, which is why this topic is so important for both electrophysiologists and for our structural colleagues," says Mark D. Metzl, MD. Read more from Dr. Metzl and Mark J. Ricciardi,...
"We have to approach these...
12/06/2024
Cath Lab Digest
Structural Heart
Paravalvular Leak in Aortic and Mitral Valve Disease
12/06/2024
CLD talks with Nish Harshadkumar Patel, MD, about his presentation at Baptist Health’s Echocardiography and Structural Heart Symposium, which took place September 27th-28th in Coral Gables, Florida.
CLD talks with Nish Harshadkumar Patel, MD, about his presentation at Baptist Health’s Echocardiography and Structural Heart Symposium, which took place September 27th-28th in Coral Gables, Florida.
CLD talks with Nish Harshadkumar...
12/06/2024
Cath Lab Digest
REIMBURSEMENT UPDATE
CMS 2025 Updates – Inpatient and Outpatient
12/04/2024
The Centers for Medicare & Medicaid Services (CMS) recently released its 2025 updates, introducing significant changes to the Medicare payment systems that will impact healthcare providers nationwide.
The Centers for Medicare & Medicaid Services (CMS) recently released its 2025 updates, introducing significant changes to the Medicare payment systems that will impact healthcare providers nationwide.
The Centers for Medicare &...
12/04/2024
Cath Lab Digest
Education
What Running a Global Education Platform Has Taught Me
12/03/2024
"Managing a global education platform has been a remarkable journey. With over 40,000 followers across 30 countries, I’ve had the chance to engage in countless discussions with people from all over the world. Here are some key lessons I’ve...
"Managing a global education platform has been a remarkable journey. With over 40,000 followers across 30 countries, I’ve had the chance to engage in countless discussions with people from all over the world. Here are some key lessons I’ve...
"Managing a global education...
12/03/2024
Cath Lab Digest
Meeting Update
Fall Meeting Roundup: Highlighted Research From the Latest Interventional Symposia
12/02/2024
Find out what you missed from the 2024 European Society of Cardiology (ESC), Transcatheter Cardiovascular Therapeutics (TCT), and Vascular InterVentional Advances (VIVA) meetings
Find out what you missed from the 2024 European Society of Cardiology (ESC), Transcatheter Cardiovascular Therapeutics (TCT), and Vascular InterVentional Advances (VIVA) meetings
Find out what you missed from...
12/02/2024
Cath Lab Digest

News

AI & Imaging
With Help of AI, CT Scans Taken to Look for Tumors, Bleeding, or Infections, Also Revealed Calcium Buildup in Arteries
01/17/2025
"Instead of relying on dedicated CT scans of coronary arteries, which are rare and not always covered by insurance, to find heart disease, we seek to use AI to help screen abdominal CT scans that are done for many reasons," said study senior...
"Instead of relying on dedicated CT scans of coronary arteries, which are rare and not always covered by insurance, to find heart disease, we seek to use AI to help screen abdominal CT scans that are done for many reasons," said study senior...
"Instead of relying on dedicated...
01/17/2025
Cath Lab Digest
human induced pluripotent stem cells (hiPSCs)
Cell-Based Therapy Improves Outcomes in Pig Model of Heart Attacks
01/17/2025
"In our current study, at week 4 after ischemia/reperfusion, we observed a significant 35.8 percent decrease in the infarct area in the hearts treated with the KO/OEhiPSC-cardiomyocyte spheroids," said Jianyi "Jay" Zhang, MD, PhD.
"In our current study, at week 4 after ischemia/reperfusion, we observed a significant 35.8 percent decrease in the infarct area in the hearts treated with the KO/OEhiPSC-cardiomyocyte spheroids," said Jianyi "Jay" Zhang, MD, PhD.
"In our current study, at week 4...
01/17/2025
Cath Lab Digest
Noise Pollution
Study: Exposure to Aircraft Noise Linked to Worse Heart Function
01/17/2025
The study, published in the Journal of the American College of Cardiology (JACC), looked at detailed heart imaging data from 3,635 people who lived close to four major airports in England.
The study, published in the Journal of the American College of Cardiology (JACC), looked at detailed heart imaging data from 3,635 people who lived close to four major airports in England.
The study, published in...
01/17/2025
Cath Lab Digest
HCM Diagnosis
JACC: Women May Be Missing Diagnosis of Hypertrophic Cardiomyopathy (HCM) Due to Guidelines That Don't Account for Natural Differences in Sex and Body Size
01/17/2025
Women may be missing a diagnosis of a potentially deadly heart condition due to guidelines that don't account for natural differences in sex and body size, according to a new study led by UCL (University College London) researchers and funded...
Women may be missing a diagnosis of a potentially deadly heart condition due to guidelines that don't account for natural differences in sex and body size, according to a new study led by UCL (University College London) researchers and funded...
Women may be missing a diagnosis...
01/17/2025
Cath Lab Digest
Cardiac Rehab
Cost of Initial Cardiac Rehab Session Strongest Predictor of Lower Attendance
01/17/2025
In a national study of over 40,000 people with Medicare and commercial insurance, 81.6% of patients did not have to pay for their initial cardiac rehabilitation session. The medically supervised program lasts up to 36 sessions.
In a national study of over 40,000 people with Medicare and commercial insurance, 81.6% of patients did not have to pay for their initial cardiac rehabilitation session. The medically supervised program lasts up to 36 sessions.
In a national study of over...
01/17/2025
Cath Lab Digest
Left Atrial Appendage Occlusion
Sub-Analysis From OPTION Clinical Trial Highlights Consistent Safety and Efficacy Outcomes With the WATCHMAN FLX™ Left Atrial Appendage Closure Device Post Cardiac Ablation in Both Concomitant and Sequential Procedures
01/17/2025
Boston Scientific News Boston Scientific Corporation announced data supporting the use of the WATCHMAN FLX™ Left Atrial Appendage Closure (LAAC) Device during a late-breaking science session at AF Symposium 2025. A prespecified...
Boston Scientific News Boston Scientific Corporation announced data supporting the use of the WATCHMAN FLX™ Left Atrial Appendage Closure (LAAC) Device during a late-breaking science session at AF Symposium 2025. A prespecified...
Boston Scientific News Boston...
01/17/2025
Cath Lab Digest
Hypertension
Medtronic Announces CMS National Coverage Analysis for Symplicity™ Spyral Renal Denervation System
01/14/2025
The Symplicity Spyral RDN system, approved by the U.S. FDA in November 2023, is an innovative, minimally invasive procedure that delivers radiofrequency energy to nerves near the kidneys that can become overactive and contribute to high blood...
The Symplicity Spyral RDN system, approved by the U.S. FDA in November 2023, is an innovative, minimally invasive procedure that delivers radiofrequency energy to nerves near the kidneys that can become overactive and contribute to high blood...
The Symplicity Spyral RDN...
01/14/2025
Cath Lab Digest
COffee and CV Disease
Morning-Only Coffee Linked With 31% Lower Risk of Dying From Cardiovascular Disease
01/14/2025
In this study, the health benefits of coffee consumption was limited to the morning hours only-from 4 am up to noon.
In this study, the health benefits of coffee consumption was limited to the morning hours only-from 4 am up to noon.
In this study, the health...
01/14/2025
Cath Lab Digest
Thrombectomy
Inquis Medical Completes Enrollment in U.S. Pivotal IDE Trial of the Aventus Thrombectomy System Designed to Treat Patients With Pulmonary Embolism
01/13/2025
MENLO PARK, Calif., Jan. 13, 2025 (GLOBE NEWSWIRE) -- Inquis Medical, a leading innovator in venous thromboembolic disease treatment, today announced completion of patient enrollment in its AVENTUS Clinical Trial, a pivotal Investigational...
MENLO PARK, Calif., Jan. 13, 2025 (GLOBE NEWSWIRE) -- Inquis Medical, a leading innovator in venous thromboembolic disease treatment, today announced completion of patient enrollment in its AVENTUS Clinical Trial, a pivotal Investigational...
MENLO PARK, Calif., Jan. 13,...
01/13/2025
Vascular Disease Management
Bioresorbable Scaffolds
R3 Vascular Secures WCG IRB Approval and CMS Category B Medicare Coverage for the ELITE-BTK Pivotal Trial of its MAGNITUDE Drug Eluting Next Generation Bioresorbable Scaffold for Below-the-Knee Peripheral Arterial Disease
01/13/2025
Eric A. Secemsky, MD, MSc, lead investigator for the ELITE-BTK pivotal trial, said, “R3 Vascular’s novel approach in the design of its next generation bioresorbable drug eluting scaffold is of great interest to the physician community and has...
Eric A. Secemsky, MD, MSc, lead investigator for the ELITE-BTK pivotal trial, said, “R3 Vascular’s novel approach in the design of its next generation bioresorbable drug eluting scaffold is of great interest to the physician community and has...
Eric A. Secemsky, MD, MSc, lead...
01/13/2025
Vascular Disease Management

Clinical Editor's Corner

Clinical Editor's Corner
Better Radiation Protection Through the Care and “Feeding” of Your Lead Apron
01/08/2025
"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
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
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

Watch/Listen

Atul Gupta, MD
Structural Heart
Advancements in Structural Heart Disease and AI Are Revolutionizing Echocardiography
11/27/2024
Atul Gupta, MD, has a unique perspective on advancement in the growth of structural heart disease treatment, the miniaturization and automation of echocardiography, and how AI is set to revolutionize the field.
Atul Gupta, MD, has a unique perspective on advancement in the growth of structural heart disease treatment, the miniaturization and automation of echocardiography, and how AI is set to revolutionize the field.
Atul Gupta, MD, has a unique...
11/27/2024
Cath Lab Digest
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

Online Exclusives

hemostasis
A Refresher on Pressure
12/10/2024
In the era of vascular closure devices, the skill of achieving hemostasis by manual compression is almost becoming a lost art. It concerns me to see cath lab personnel that do not have a good technique for manual compression. When those...
In the era of vascular closure devices, the skill of achieving hemostasis by manual compression is almost becoming a lost art. It concerns me to see cath lab personnel that do not have a good technique for manual compression. When those...
In the era of vascular closure...
12/10/2024
Cath Lab Digest
Anomalies
Anomalous Left Main Coronary Artery: Approach to Engaging the Anomalous Vessel
12/10/2024
Pradnya Brijmohan Bhattad, MD and Luigi Pacifico, DO, share views of a rare coronary anomaly involving an anomalous left main coronary artery originating from the right sinus of Valsalva.
Pradnya Brijmohan Bhattad, MD and Luigi Pacifico, DO, share views of a rare coronary anomaly involving an anomalous left main coronary artery originating from the right sinus of Valsalva.
Pradnya Brijmohan Bhattad, MD...
12/10/2024
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

Case Reports

Case Report
Not the Usual Suspect: Intracoronary Hematoma Presenting as an Acute STEMI
01/09/2025
Spontaneous or trauma-related coronary intramural hematoma, a subset of coronary artery dissection, is a rare, challenging, and under-recognized diagnosis constituting 1% to 4% of all myocardial infarctions.(1)
Spontaneous or trauma-related coronary intramural hematoma, a subset of coronary artery dissection, is a rare, challenging, and under-recognized diagnosis constituting 1% to 4% of all myocardial infarctions.(1)
Spontaneous or trauma-related...
01/09/2025
Cath Lab Digest
Case Report
Endless Loop Tachycardia: An Uncommon Entity in the Common Devices
01/05/2025
Pacemaker-mediated tachycardia (PMT) also known as endless loop tachycardia, is an iatrogenic arrhythmia that occurs primarily in patients with dual chamber pacemakers with at least atrial-sensing and ventricular pacing functions.
Pacemaker-mediated tachycardia (PMT) also known as endless loop tachycardia, is an iatrogenic arrhythmia that occurs primarily in patients with dual chamber pacemakers with at least atrial-sensing and ventricular pacing functions.
Pacemaker-mediated tachycardia...
01/05/2025
Cath Lab Digest
Case Report
Occluded Tibiopedal Access to Cross and Treat Complex Tibial Artery Occlusive Disease in a Patient With Critical Limb Ischemia
11/08/2024
Retrograde pedal access has been well-described in the literature to facilitate complex arterial revascularization when a traditional antegrade approach fails. This is useful for infrapopliteal disease that is often seen in patients with CLI.
Retrograde pedal access has been well-described in the literature to facilitate complex arterial revascularization when a traditional antegrade approach fails. This is useful for infrapopliteal disease that is often seen in patients with CLI.
Retrograde pedal access has been...
11/08/2024
Vascular Disease Management
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

From the Experts

Ahead of Print: CV ASCs
Expanding Access to Care: A Virginia ASC With a Cardiac Service Line
01/02/2025
Ann Honeycutt, MSN, Executive Director of the Virginia Cardiovascular Specialist group, describes her experience building an ASC, the VCS Heart and Vascular Center, that first opened with a focus on electrophysiology and peripheral vascular...
Ann Honeycutt, MSN, Executive Director of the Virginia Cardiovascular Specialist group, describes her experience building an ASC, the VCS Heart and Vascular Center, that first opened with a focus on electrophysiology and peripheral vascular...
Ann Honeycutt, MSN, Executive...
01/02/2025
Cath Lab Digest
Structural Heart & EP
Lead Management in Patients With Cardiac Implantable Devices and Tricuspid Regurgitation
12/06/2024
"We have to approach these patients from multiple perspectives, which is why this topic is so important for both electrophysiologists and for our structural colleagues," says Mark D. Metzl, MD. Read more from Dr. Metzl and Mark J. Ricciardi,...
"We have to approach these patients from multiple perspectives, which is why this topic is so important for both electrophysiologists and for our structural colleagues," says Mark D. Metzl, MD. Read more from Dr. Metzl and Mark J. Ricciardi,...
"We have to approach these...
12/06/2024
Cath Lab Digest
Structural Heart
Paravalvular Leak in Aortic and Mitral Valve Disease
12/06/2024
CLD talks with Nish Harshadkumar Patel, MD, about his presentation at Baptist Health’s Echocardiography and Structural Heart Symposium, which took place September 27th-28th in Coral Gables, Florida.
CLD talks with Nish Harshadkumar Patel, MD, about his presentation at Baptist Health’s Echocardiography and Structural Heart Symposium, which took place September 27th-28th in Coral Gables, Florida.
CLD talks with Nish Harshadkumar...
12/06/2024
Cath Lab Digest
Atul Gupta, MD
Structural Heart
Advancements in Structural Heart Disease and AI Are Revolutionizing Echocardiography
11/27/2024
Atul Gupta, MD, has a unique perspective on advancement in the growth of structural heart disease treatment, the miniaturization and automation of echocardiography, and how AI is set to revolutionize the field.
Atul Gupta, MD, has a unique perspective on advancement in the growth of structural heart disease treatment, the miniaturization and automation of echocardiography, and how AI is set to revolutionize the field.
Atul Gupta, MD, has a unique...
11/27/2024
Cath Lab Digest
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
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

Read More

Case Report
Not the Usual Suspect: Intracoronary Hematoma Presenting as an Acute STEMI
01/09/2025
Spontaneous or trauma-related coronary intramural hematoma, a subset of coronary artery dissection, is a rare, challenging, and under-recognized diagnosis constituting 1% to 4% of all myocardial infarctions.(1)
Spontaneous or trauma-related coronary intramural hematoma, a subset of coronary artery dissection, is a rare, challenging, and under-recognized diagnosis constituting 1% to 4% of all myocardial infarctions.(1)
Spontaneous or trauma-related...
01/09/2025
Cath Lab Digest
Clinical Editor's Corner
Better Radiation Protection Through the Care and “Feeding” of Your Lead Apron
01/08/2025
"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
Case Report
Endless Loop Tachycardia: An Uncommon Entity in the Common Devices
01/05/2025
Pacemaker-mediated tachycardia (PMT) also known as endless loop tachycardia, is an iatrogenic arrhythmia that occurs primarily in patients with dual chamber pacemakers with at least atrial-sensing and ventricular pacing functions.
Pacemaker-mediated tachycardia (PMT) also known as endless loop tachycardia, is an iatrogenic arrhythmia that occurs primarily in patients with dual chamber pacemakers with at least atrial-sensing and ventricular pacing functions.
Pacemaker-mediated tachycardia...
01/05/2025
Cath Lab Digest
Optical Coherence Tomography
Clinical Images: OCT in the Peripheral Vasculature
01/01/2025
Case Report A 45-year-old woman, who was a nonsmoker with a known case of hypertension, presented with a history of pain in her right upper limb on exertion for the past 6 months. There was no history of any neurological symptoms, trauma,...
Case Report A 45-year-old woman, who was a nonsmoker with a known case of hypertension, presented with a history of pain in her right upper limb on exertion for the past 6 months. There was no history of any neurological symptoms, trauma,...
Case Report A 45-year-old...
01/01/2025
Cath Lab Digest
Anomalies
Anomalous Left Main Coronary Artery: Approach to Engaging the Anomalous Vessel
12/10/2024
Pradnya Brijmohan Bhattad, MD and Luigi Pacifico, DO, share views of a rare coronary anomaly involving an anomalous left main coronary artery originating from the right sinus of Valsalva.
Pradnya Brijmohan Bhattad, MD and Luigi Pacifico, DO, share views of a rare coronary anomaly involving an anomalous left main coronary artery originating from the right sinus of Valsalva.
Pradnya Brijmohan Bhattad, MD...
12/10/2024
Cath Lab Digest
Clinical Editor's Corner
Conversations in Cardiology: Avoiding Catastrophe – Managing an Errant Inferior Epigastric Artery Puncture
12/06/2024
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
Case Report
Occluded Tibiopedal Access to Cross and Treat Complex Tibial Artery Occlusive Disease in a Patient With Critical Limb Ischemia
11/08/2024
Retrograde pedal access has been well-described in the literature to facilitate complex arterial revascularization when a traditional antegrade approach fails. This is useful for infrapopliteal disease that is often seen in patients with CLI.
Retrograde pedal access has been well-described in the literature to facilitate complex arterial revascularization when a traditional antegrade approach fails. This is useful for infrapopliteal disease that is often seen in patients with CLI.
Retrograde pedal access has been...
11/08/2024
Vascular Disease Management
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 Images
Wire Entanglement to Retrieve Dislodged Stent From the Proximal RCA (From the Journal of Invasive Cardiology)
11/01/2024
Basavanna Dinesh, MD, DM; Yamasandi Siddegowda Shrimanth, MD, DM; Aditha Cibi, MD; et al. Reprinted with permission from J INVASIVE CARDIOL 2024;36(8).
Basavanna Dinesh, MD, DM; Yamasandi Siddegowda Shrimanth, MD, DM; Aditha Cibi, MD; et al. Reprinted with permission from J INVASIVE CARDIOL 2024;36(8).
Basavanna Dinesh, MD, DM;...
11/01/2024
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

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