Grand Rounds with Morton Kern, MD

Clinical Editor's Corner

What is Your Cath Lab’s CPR Survival Rate?

01/23/2023

I thought that the article on the variation of outcomes of cardiopulmonary resuscitation (CPR) in the cath lab was on point and that we could learn more, reflect, and improve our performance for this critical event.

I thought that the article on...

01/23/2023

Cath Lab Digest

Clinical Editor's Corner

Effective Followership: What It is and Why It’s Important

12/02/2022

Morton J. Kern , MD, MSCAI, FACC, FAHA;

Working in the cardiac cath lab (or any medical unit) is a team sport. To improve efficiency and safety in the lab, team members attended a Cultural Team Training.

Working in the cardiac cath lab...

12/02/2022

Cath Lab Digest

Clinical Editor's Corner

The Langston (Double Lumen Pigtail Catheter) is Back: With Some Thoughts on the Hemodynamics of Aortic Stenosis

10/27/2022

Morton J. Kern , MD, MSCAI, FACC, FAHA;

The story of the Langston catheter’s recall and reintroduction is a real demonstration of our industry partner’s concern for patient safety and good management.

The story of the Langston...

10/27/2022

Cath Lab Digest

Clinical Editor's Corner

Bare Metal Stents – RIP?

10/02/2022

Allen Jeremias , MD, MSc;

William M. Suh , MD;

Stephen R. Ramee , MD;

Peter Ver Lee , MD;

Mitchell W. Krucoff , MD;

Samuel M. Butman , MD;

Aaron V. Kaplan ;

Morton J. Kern , MD, MSCAI, FACC, FAHA;

Jonathan M. Tobis , MD;

Jeffrey W. Moses , MD;

Dean J. Kereiakes , MD, FACC, FSCAI;

Kirk N. Garrett ;

Bernhard Meier , MD, FACC, FESC;

Sunil V. Rao , MD, FACC, FSCAI;

Malcolm R. Bell , MD;

Ajay J. Kirtane , MD, SM;

Neal S. Kleiman , MD;

Larry S. Dean , MD, FACC, FAHA, FSCAI;

Mauricio G. Cohen , MD, FACC;

David G. Rizik , MD, FACC, FSCAI;

Bonnie H. Weiner , MD, MBA, FSCAI, FACC;

For at least a decade, we have been in a drug-eluting stent (DES) era. Almost all studies point to superiority of DES over bare metal stents with regard to restenosis, but past controversies included the incidence of thrombosis and short...

For at least a decade, we have...

10/02/2022

Cath Lab Digest

Clinical Editor's Corner

Vasoreactivity Testing and Chest Pain Guidelines: Is the IIa Recommendation Warranted? INOCA Part II

09/05/2022

Lloyd W. Klein , MD;

Amir Lerman , MD;

Michael A. Kutcher , MD, FACC, FSCAI;

Augusto D. Pichard , MD, FACC, FSCAI;

Samuel M. Butman , MD;

Bonnie H. Weiner , MD, MBA, FSCAI, FACC;

Colin Berry , MBChB, BSc, PhD, MRCP;

Bernard DeBruyne ;

Gregory J. Dehmer , MD;

Spencer B. King III, MD;

Kreton Mavromatis , MD;

Morton J. Kern , MD, MSCAI, FACC, FAHA;

David J. Moliterno , MD;

Srihari S. Naidu , MD;

Jonathan M. Tobis , MD;

Peter C. Block , MD;

Timothy D. Henry , MD;

Olga Toleva ;

INOCA and MINOCA (myocardial infarction with normal coronary arteries) are now widely known and gathering attention regarding their diagnosis and treatment. Many labs now have sensor guidewires and software to make this possible. Specialized...

INOCA and MINOCA (myocardial...

09/05/2022

Cath Lab Digest

Clinical Editor's Corner

What Should a New Team Member Do on Day 1 in the Cath Lab?

08/01/2022

Morton J. Kern , MD, MSCAI, FACC, FAHA;

Every July, we welcome our new cardiovascular trainees (aka, fellows). The fellows on the cath rotation become the newest additions to our cath lab team, most with no prior experience in this area. For many years, I have had the honor (and...

Every July, we welcome our new...

08/01/2022

Cath Lab Digest

Clinical Editor's Corner

How to Diagnose and Treat INOCA in 2022

07/05/2022

Morton J. Kern , MD, MSCAI, FACC, FAHA;

Every cath lab encounters patients with chest pain (assumed to be ischemic in origin) who have normal or nonobstructed coronary arteries, a syndrome called INOCA (ischemia but no coronary artery disease). The ischemia is often thought to be...

Every cath lab encounters...

07/05/2022

Cath Lab Digest

Clinical Editor's Corner

Contrast Media Shortage: What Should We Do About It?

06/01/2022

Duane S. Pinto , MD, MPH;

Paul S. Teirstein , MD, FACC;

Morton J. Kern , MD, MSCAI, FACC, FAHA;

Amir Kaki , MD, FACC, FSCAI;

Stephen R. Ramee , MD;

John W. Hirshfeld Jr.;

Ken Rosenfeld , MD;

Peter Pelican ;

I recently learned that there is a worldwide shortage of the iodinated contrast agents (Omnipaque, Visipaque [both GE Healthcare], Isovue [Bracco Imaging], and Optiray [Guerbet]) used for computed tomography (CT) exams for general radiology...

I recently learned that there is...

06/01/2022

Cath Lab Digest

Clinical Editor's Corner

Contrast Media Shortage: What Should We Do About It?

05/13/2022

John W. Hirshfeld Jr.;

Ken Rosenfeld , MD;

Peter Pelican ;

Stephen R. Ramee , MD;

Morton J. Kern , MD, MSCAI, FACC, FAHA;

Duane S. Pinto , MD, MPH;

Amir Kaki , MD, FACC, FSCAI;

Paul S. Teirstein , MD, FACC;

Dr. Peter Pelican from Santa Monica, California, asked, “What are you doing for an alternative to contrast media or to conserve contrast? Are you using gadolinium? Diluting the contrast 25%? Performing CO2 angiography?” I asked my colleagues...

Dr. Peter Pelican from Santa...

05/13/2022

Cath Lab Digest

Clinical Editor's Corner

Femoral Hemostasis: When to Avoid a Vascular Closure Device

05/04/2022

Morton J. Kern , MD, MSCAI, FACC, FAHA;

We have now been a radial-first lab for 15 years, enjoying the benefits of radial access with markedly fewer femoral access cases. Radial access has lived up to its promise, with better patient safety and comfort, and when compared to femoral...

We have now been a radial-first...

05/04/2022

Cath Lab Digest

Grand Rounds with Morton Kern, MD

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