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Volume 25 - Issue 8 - August 2017

Department

Cath Lab Spotlight
08/01/2017

James E. Conner, RT(R), Greenville, South Carolina

James E. Conner, RT(R), Greenville, S...
Our cardiology group performs more than 85% of cases via the radial approach. The radial program is one of the jewels in the Bon Secours St. Francis Health System crown. The entire lab is oriented towards radial access and our same-day...
Our cardiology group performs more than 85% of cases via the radial approach. The radial program is one of the jewels in the Bon Secours St. Francis Health System crown. The entire lab is oriented towards radial access and our same-day...
Our cardiology group performs...
08/01/2017
Cath Lab Digest
CLI Perspectives
07/30/2017

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

J.A. Mustapha, MD, Metro Health - Uni...
The time of onset of symptoms to the time the patient presented for the current procedure was over 10 months. Ten months, to a CLI patient, is a lifetime.  With no other endovascular or surgical options other than amputation, an...
The time of onset of symptoms to the time the patient presented for the current procedure was over 10 months. Ten months, to a CLI patient, is a lifetime.  With no other endovascular or surgical options other than amputation, an...
The time of onset of symptoms to...
07/30/2017
Cath Lab Digest

Column

Cath Lab Management
08/01/2017

Maartje E. Zonderland, PhD – Managing Consultant, 
Integrated Health Solutions, Medtronic, Heerlen, Netherlands

 

Maartje E. Zonderland, PhD – Managing...
This article describes seven deadly sins related to cath lab operations management. Many cath labs globally suffer from most of these sins. For a medium-sized cath lab with four procedure rooms, the yearly potential loss is equivalent to...
This article describes seven deadly sins related to cath lab operations management. Many cath labs globally suffer from most of these sins. For a medium-sized cath lab with four procedure rooms, the yearly potential loss is equivalent to...
This article describes seven...
08/01/2017
Cath Lab Digest
Case Files by Dr. George
07/31/2017

Benjamin Horn, DO, Napatt Kanjanahattakij, MD, Parasuram Krishnamoorthy, MD, Mario Naranjo, MD, Pradhum Ram, MD, Janani Rangaswami, MD, 
Jon C. George, MD, Einstein Medical Center, Philadelphia, Pennsylvania

 

Benjamin Horn, DO, Napatt Kanjanahatt...
A pressure gradient between donor and recipient arteries represents a physiologic steal. Coronary subclavian steal syndrome (CSSS) occurs when there is reversal of flow from a bypassed coronary artery (commonly the LAD) into the subclavian...
A pressure gradient between donor and recipient arteries represents a physiologic steal. Coronary subclavian steal syndrome (CSSS) occurs when there is reversal of flow from a bypassed coronary artery (commonly the LAD) into the subclavian...
A pressure gradient between...
07/31/2017
Cath Lab Digest
07/31/2017

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...
Nitroglycerin produces significant coronary vasodilation, increasing vessel caliber and to a lesser extent, flow responses, and at the same time, reduces afterload (systemic arterial dilation) and preload due to venodilation. Practically...
Nitroglycerin produces significant coronary vasodilation, increasing vessel caliber and to a lesser extent, flow responses, and at the same time, reduces afterload (systemic arterial dilation) and preload due to venodilation. Practically...
Nitroglycerin produces...
07/31/2017
Cath Lab Digest
Your Path to Success: Expert Advice
07/30/2017
In this month’s edition, we are pleased to have Ryan Graver from MedAxiom Ventures addressing a subject and concern facing every cath lab: how can we manage costs without sacrificing quality and outcomes? Hospitals are faced with new challenges around reimbursement and none is more compelling than the impact that the Two-Midnight rule had in shifting patients away from the traditional inpatient to outpatient. I think you will find the evidence Mr. Graver has to offer as not just insightful, but compelling, if the goal is to reduce cost and get back to improving profit margins. — Gary Clifton, Vice President, Terumo Business Edge
In this month’s edition, we are pleas...
The transradial care pathway program is perhaps the most focused, achievable, and significant opportunity healthcare systems can pursue to achieve success today. 
The transradial care pathway program is perhaps the most focused, achievable, and significant opportunity healthcare systems can pursue to achieve success today. 
The transradial care pathway...
07/30/2017
Cath Lab Digest
Your Path to Success: Expert Advice
07/30/2017

James Burns, Vice President, Corazon, Inc., Pittsburgh, Pennsylvania

 

James Burns, Vice President, Corazon,...
All successful arrangements have one thing in common — they invest both time and energy in creating an arrangement that has real value to all participants … and one that is adaptable enough to remain relevant well into the future.
All successful arrangements have one thing in common — they invest both time and energy in creating an arrangement that has real value to all participants … and one that is adaptable enough to remain relevant well into the future.
All successful arrangements have...
07/30/2017
Cath Lab Digest
New Devices
07/30/2017

Robert Shealy, PhD, CFO, Trans-Radial Solutions LLC
Roebuck, South Carolina

Robert Shealy, PhD, CFO, Trans-Radial...
In the three-room, high-volume cath lab of Bon Secours St. Francis Health System in Greenville, South Carolina [See CLD’s feature cath lab this month], a highly experienced team of technologists and nurses has developed the Cardio-TRAP...
In the three-room, high-volume cath lab of Bon Secours St. Francis Health System in Greenville, South Carolina [See CLD’s feature cath lab this month], a highly experienced team of technologists and nurses has developed the Cardio-TRAP...
In the three-room, high-volume...
07/30/2017
Cath Lab Digest

Feature

Case Report
07/31/2017

Bernadette Speiser, BSN, MSN, CCRN, RCIS, Bethany Eytchison-Fung, BSN, CCRN, Kent Essman, BSN, MSN, CCRN, Palo Alto Health Care System, Department of Veteran’s Affairs, Palo Alto, California 

Bernadette Speiser, BSN, MSN, CCRN, R...
There is a specialized group of clients who present an increased challenge to TAVR teams: valve-in-valve cases. Valve-in-valve procedures are best suited for patient who present with regurgitation and/or stenosis of the aortic bioprosthetic...
There is a specialized group of clients who present an increased challenge to TAVR teams: valve-in-valve cases. Valve-in-valve procedures are best suited for patient who present with regurgitation and/or stenosis of the aortic bioprosthetic...
There is a specialized group of...
07/31/2017
Cath Lab Digest
Case Report
07/31/2017

Krzysztof Pawlowski, MD, Lukasz Lewicki, MD, PhD, Radoslaw Targonski, MD, PhD, Maciej Karwowski, MD, Pomorskie Centra Kardiologiczne, Gdansk, Poland

Krzysztof Pawlowski, MD, Lukasz Lewic...
This is an intriguing case of potential simultaneous plaque destabilization in two vascular beds. There are studies that suggest some patients have more than one unstable plaque in different vascular beds.(9) An embolic event should be...
This is an intriguing case of potential simultaneous plaque destabilization in two vascular beds. There are studies that suggest some patients have more than one unstable plaque in different vascular beds.(9) An embolic event should be...
This is an intriguing case of...
07/31/2017
Cath Lab Digest

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