Grand Rounds with Morton Kern, MD

Clinical Editor's Corner

TAVR: Who Should Prep the Device? The Role of Industry Representatives’ Participation in the Cath Lab

01/03/2022

Dr. Morton J. Kern with expert contributors Drs. Bob Applegate, Winston-Salem, North Carolina; Sam Butman, Cottonwood, Arizona; David Cohen, Roslyn, New York; Mauricio Cohen, Miami, Florida; William Fearon, Palo Alto, California; Amir Kaki, Detroit, Michigan; Aaron Kaplan, Hanover, New Hampshire; Susheel Kodali, New York City, New York; Jeff Marshall, Atlanta, Georgia; Duane Pinto, Boston, Massachusetts; Ramon Quesada, Miami, Florida; Mike Ragosta, Charlottesville, Virginia; Steve Ramee, New Orleans, Louisiana; David Rizik, Scottsdale, Arizona; Bonnie Weiner, Worchester, Massachusetts; Chris White, New Orleans, Louisiana

Dr. Morton J. Kern with expert contri...

After years of having the industry clinical support staff prep the transcatheter aortic valve replacement (TAVR) valves in the lab (without a single adverse event because of faulty prep, to my knowledge) some administrators have now begun to...

After years of having the...

01/03/2022

Cath Lab Digest

Clinical Editor's Corner

Evidence-Based Practices in the Cath Lab: Facts or Fiction? An Update From the AHA

09/07/2021

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

Clinical Editor; Chief of Cardiology, Long Beach VA Medical Center, Long Beach, California; Professor of Medicine, University of California, Irvine Medical Center, Orange, California

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

I began my career in the cath lab in 1979. Having witnessed the remarkable evolution of its procedures, techniques, and patient profiles, I marveled at the birth and development of coronary interventions.

I began my career in the cath...

09/07/2021

Cath Lab Digest

Clinical Editor's Corner

What is the Life Expectancy for Your Lead Apron? Are Your Lab Teams Protected?

07/07/2021

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

Clinical Editor; Chief of Cardiology, Long Beach VA Medical Center, Long Beach, California; Professor of Medicine, University of California, Irvine Medical Center, Orange, California

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

Every year and especially at the beginning of the academic year, we have requests from new cath lab staff and some faculty or fellows about getting a new lead apron for procedures using fluoroscopy.

Every year and especially at the...

07/07/2021

Cath Lab Digest

Clinical Editor's Corner

Coronary Thrombosis in the Time of COVID-19 – A Puzzling Entity (With Video Discussion)

05/03/2021

Morton Kern, MD, with contributions from Drs. David Cohen, St. Francis Hospital, Roslyn, New York; Kirk Garratt, Wilmington, Delaware; Steven L. Goldberg, Monterey, California; Timothy D. Henry, MD, The Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati, Ohio; Lloyd W. Klein, Sonoma, California; Mitchell W. Krucoff, Duke University Medical Center, Durham, North Carolina; Bernard Meier, Bern, Switzerland; Stephen R. Ramee, Ochsner Clinic New Orleans, Louisiana; Arnold H. Seto, Long Beach, California; Paul S. Teirstein, Scripps Clinic, La Jolla, California; Bonnie H. Weiner, Worchester, Massachusetts; George Vetrovec, Virginia Commonwealth University, Richmond, Virginia

Morton Kern, MD, with contributions f...

We had a puzzling case. A 37-year-old man was admitted to the hospital with 1 day of anterior chest pain at rest, somewhat positional. Three months ago, he had COVID-19 flu syndrome without hospitalization.

We had a puzzling case. A...

05/03/2021

Cath Lab Digest

Editor's Corner

A Brief Review of Hemodynamics for Structural Interventions Part 2: Mitral Stenosis

04/29/2019

Morton Kern, MD, MSCAI, FACC, FAHA
Clinical Editor; Chief of Medicine
Long Beach VA Medical Center
Long Beach, California;
Associate Chief Cardiology,
University of California, Irvine Medical Center, Orange, California
mortonkern2007@gmail.com

Morton Kern, MD, MSCAI, FACC, FAHA Cl...

Last month(1), we reviewed the hemodynamics of mitral regurgitation and the changes seen with the mitral clip percutaneous repair on the left atrial pressure waves. In Part 2 of our brief hemodynamic review for structural heart interventions,...

Last month(1), we reviewed the...

04/29/2019

Cath Lab Digest

Clinical Editor's Corner

Novel Radiation Protection Devices: An Update on Radiation Safety in the Cath Lab

01/02/2018

Morton Kern, MD
Clinical Editor; Chief of Medicine,
Long Beach Veterans
Administration Health Care
System, Long Beach, California;
Associate Chief Cardiology,
Professor of Medicine, University of
California Irvine, Orange, California
mortonkern2007@gmail.com

Morton Kern, MD Clinical Editor; Chie...

Stimulated by a couple of recent articles on the efficiency of the RADPAD protection drape in reducing operator’s exposure1 and the effects of shielding on nurses and technologists in the cath lab2, I thought it would be a good idea to see...

Stimulated by a couple of recent...

01/02/2018

Cath Lab Digest

Clinical Editor's Corner

Time to Review Your Radial Practice for Best Results

09/05/2017

Morton Kern, MD
Clinical Editor; Chief of Medicine,
Long Beach Veterans
Administration Health Care
System, Long Beach, California;
Associate Chief Cardiology,
Professor of Medicine, University of California Irvine, Orange, California
mortonkern2007@gmail.com

Morton Kern, MD Clinical Editor; Chie...

I was impressed with a recent article by Obaid et al describing their experience with balloon-assisted tracking to improve radial artery access success, especially during primary PCI for STEMI, as well as an accompanying editorial by Dr....

I was impressed with a recent...

09/05/2017

Cath Lab Digest

Clinical Editor's Corner

Radial Access Failure: When Should We Go Ulnar?

11/02/2016

Morton J. Kern, MD, with Arnold H. Seto, MD, MPA

Dr. Seto is Associate Professor of Medicine, University of California Irvine, and Chief of Cardiology, VA Long Beach Health Care System, Long Beach, California.

Morton J. Kern, MD, with Arnold H. Se...

Dr. Seto hypothesized that a small, tortuous radial artery might be associated with a larger ulnar artery, providing a straighter and more negotiable course for catheter passage.

Dr. Seto hypothesized that a...

11/02/2016

Cath Lab Digest

Clinical Editor's Corner

Do You Know Your Radiation Dose During Your Cath?

06/01/2011

Morton Kern, MD, Clinical Editor, Professor of Medicine, Associate Chief Cardiology University of California Irvine, Orange, California mortonkern2007@gmail.com

Morton Kern, MD, Clinical Editor, Pro...

I recently learned that I could see my real-time x-ray dose while doing a case. My x-ray system (Philips, Bothell, Wash.) has a display (see Figures) on the left side of the monitors that shows my table height, source-to-image distance (SID),...

I recently learned that I could...

06/01/2011

Cath Lab Digest

Clinical Editor's Corner

Radiation Exposure in Cardiology Testing: How much is too much?

06/19/2008

Morton Kern, MD, Clinical Editor, Clinical Professor of Medicine, Associate Chief Cardiology, University of California Irvine, Orange, California

Morton Kern, MD, Clinical Editor, Cli...

Daily non-occupational exposure: It is well-known that there is naturally occurring background radiation exposure for everyone, everywhere. The average person in the United States receives an approximate 3 mSv per year from naturally...

Daily non-occupational exposure:...

06/19/2008

Cath Lab Digest

Grand Rounds with Morton Kern, MD

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