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Volume 25 - Issue 5 - May 2017

Column

Clinical Editor's Corner
04/30/2017

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...
iFR is non-inferior to FFR and associated with fewer stents/CABG procedures. However, compared to FFR, there are no long-term outcome or independent ischemic testing validation data. Currently, FFR remains the comparative standard for iFR.
iFR is non-inferior to FFR and associated with fewer stents/CABG procedures. However, compared to FFR, there are no long-term outcome or independent ischemic testing validation data. Currently, FFR remains the comparative standard for iFR.
iFR is non-inferior to FFR and...
04/30/2017
Cath Lab Digest
New Techniques
04/30/2017

Fadi Saab, MD, J. A. Mustapha, MD Metro Health University of Michigan Health, Wyoming, Michigan

Fadi Saab, MD, J. A. Mustapha, MD Met...
Tibial veins are actually much larger than the tibial arteries accessed to treat arterial disease. Therefore, there is no anatomic reason to not utilize tibial veins to advance wires and catheters to reach occlusions in the lower extremity...
Tibial veins are actually much larger than the tibial arteries accessed to treat arterial disease. Therefore, there is no anatomic reason to not utilize tibial veins to advance wires and catheters to reach occlusions in the lower extremity...
Tibial veins are actually much...
04/30/2017
Cath Lab Digest
Case Files by Dr. George
04/29/2017

Thomas E. Waggoner, DO1, and Jon C. George, MD2
1Tucson Medical Center, Tucson, Arizona
2Einstein Medical Center, Philadelphia, Pennsylvania

 

Thomas E. Waggoner, DO1, and Jon C. G...
We report a challenging case of a high-risk patient with complex valvular and coronary anatomy, who underwent successful pLVAD-assisted BAV with modest reduction in hemodynamic gradients, as well as complex PCI with atherectomy, angioplasty,...
We report a challenging case of a high-risk patient with complex valvular and coronary anatomy, who underwent successful pLVAD-assisted BAV with modest reduction in hemodynamic gradients, as well as complex PCI with atherectomy, angioplasty,...
We report a challenging case of...
04/29/2017
Cath Lab Digest

Department

Cath Lab Spotlight
04/30/2017

Roslyn Scriber, MSN, RN, Trish Townsend, RCIS, RCS, Kendra Velonis, MS, BSN, RN, D. Lynn Morris, MD, Sean Janzer, MD, Jon C. George, MD, Philadelphia, Pennsylvania

Roslyn Scriber, MSN, RN, Trish Townse...
Einstein has maintained its position at the forefront of cutting-edge technology with two state-of-the-art hybrid cath labs, and integrated IVUS, OCT, and FFR assessment capabilities. We recently became one of the few sites in the region to...
Einstein has maintained its position at the forefront of cutting-edge technology with two state-of-the-art hybrid cath labs, and integrated IVUS, OCT, and FFR assessment capabilities. We recently became one of the few sites in the region to...
Einstein has maintained its...
04/30/2017
Cath Lab Digest
CLI Perspectives
04/28/2017

CLI Perspectives is headed by section editor J.A. Mustapha, MD, Metro Health University of Michigan Health, Wyoming, Michigan.

CLI Perspectives is headed by section...
The AMPutation Prevention Symposium, to take place in Chicago, August 9-12, 2017, is where the world’s leading critical limb ischemia (CLI) operators gather to participate as a community of clinicians. 
The AMPutation Prevention Symposium, to take place in Chicago, August 9-12, 2017, is where the world’s leading critical limb ischemia (CLI) operators gather to participate as a community of clinicians. 
The AMPutation Prevention...
04/28/2017
Cath Lab Digest
04/30/2017

Miami Cardiac & Vascular Institute (MCVI) at Baptist Health South Florida, founded by Dr. Barry T. Katzen in 1987, recently underwent an expansion that added 60,000 square feet of new space and included 40,000 square feet of renovations, nearly doubling the size of the Institute in order to accommodate a growing number of patients and procedures. Seeking to design interventional suites of the future, two of the new endovascular suites have glass walls and a video system that allow people to sit in a theater-style chair outside of the suite and control what they are watching using an iPad. Viewers from different disciplines or in training can have their own unique user interface that allows them to pick and choose which parts of the procedure they want to watch, all with communication with the suites.

Cath Lab Digest talks with Barry T. Katzen, MD, Founder and Chief Medical Executive of Miami Cardiac & Vascular Institute, Miami, Florida, about the expansion and his vision for the Institute.

Miami Cardiac & Vascular Institut...
Architecture and design can actually be an enabler of multidisciplinary collaboration, by preventing the development of silos, architectural or geographic silos, and creating a milieu where everybody is literally working side by side.
Architecture and design can actually be an enabler of multidisciplinary collaboration, by preventing the development of silos, architectural or geographic silos, and creating a milieu where everybody is literally working side by side.
Architecture and design can...
04/30/2017
Cath Lab Digest
Your Path to Success: Expert Advice
04/30/2017

In this month’s article, we welcome Dr. Ramesh Mazhari of George Washington University Hospital. Dr. Mazhari and her colleagues have proven to be rapid adopters of transradial utilization, rapidly realizing the benefits to their program and their patients. For those facilities still considering or contemplating the institution of a same-day discharge program or increasing utilization in their current program, the program at George Washington is definitely one to emulate in terms of how they achieved their progress. 
— Gary Clifton, Vice President, Terumo Business Edge

In this month’s article, we welcome D...
In patients who had a successful PCI with optimal result, a transradial approach and same-day discharge is an option that is safer and more pleasant for the patients, and one that saves the healthcare system a great deal of money.  
In patients who had a successful PCI with optimal result, a transradial approach and same-day discharge is an option that is safer and more pleasant for the patients, and one that saves the healthcare system a great deal of money.  
In patients who had a successful...
04/30/2017
Cath Lab Digest
04/28/2017

Cath Lab Digest talks with:

Syed Gilani, MD, Director, Peripheral Artery Disease Intervention, Director, Cardiac Catheterization Laboratory; Ken Fujise, MD, FACC, FACP, FAHA, FSCAI, Director, Division of Cardiology, Director, Interventional Cardiology Fellowship Program; Umamahesh Rangasetty, MD, Assistant Professor Internal Medicine, Assistant Director Catheterization Laboratory; Wissam Khalife, MD, FACC, Director of Advanced Heart Failure, Transplant and LVAD Program; Malinda Roque, RN, MSN, CVRN-BC, Cath/EP Nurse Manager; and Luisa Anderson, RN, MSN, CVRN-BC, Director, Cardiology Services, University of Texas Medical Branch, Galveston, Texas.

Cath Lab Digest talks with: Syed Gil...
We have noticed a significant reduction in access site bleeding rates. Our patients are spending less time in the hospital and getting discharged home without any access site complication delays. 
We have noticed a significant reduction in access site bleeding rates. Our patients are spending less time in the hospital and getting discharged home without any access site complication delays. 
We have noticed a significant...
04/28/2017
Cath Lab Digest

Feature

Case Report
04/30/2017

Neelima Katukuri, MD, Moses Osoro, MD, Gayathri Baljepally, MD, Raj Baljepally, MD, Division of Cardiovascular Medicine, University of Tennessee at Knoxville, Tennessee

Neelima Katukuri, MD, Moses Osoro, MD...
Percutaneous balloon pericardiotomy offers an alternative in critically ill patients. It can be viewed as a percutaneous variant of the subxiphoid approach to creating a surgical window; however, it is less invasive and less traumatic. 
Percutaneous balloon pericardiotomy offers an alternative in critically ill patients. It can be viewed as a percutaneous variant of the subxiphoid approach to creating a surgical window; however, it is less invasive and less traumatic. 
Percutaneous balloon...
04/30/2017
Cath Lab Digest
Case Report
04/30/2017

Zaheed Tai, DO, FACC, FSCAI, Winter Haven Hospital, Winter Haven, Florida, and Heart of Florida, Davenport, Florida, Orlando Marrero, RCIS, MBA, Tampa, Florida

Zaheed Tai, DO, FACC, FSCAI, Winter H...
The Rotablator preferentially ablates hard, inelastic material, such as calcified plaque, that is less able to stretch away from the advancing burr than is healthy arterial wall (differential cutting). 
The Rotablator preferentially ablates hard, inelastic material, such as calcified plaque, that is less able to stretch away from the advancing burr than is healthy arterial wall (differential cutting). 
The Rotablator preferentially...
04/30/2017
Cath Lab Digest

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