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Volume 26 - Issue 5 - May 2018

Column

Clinical Editor's Corner
What Should We Do With an Anomalous Coronary Artery (ALCA) With a Malignant Left Main Course in an Asymptomatic Patient?
05/07/2018
Morton J. Kern, MD, MSCAI, FACC, FAHA; Michael J. Lim, MD; John W. Hirshfeld, Jr.; Kirk N. Garratt, MD, MSc; Christopher J. White, DO, MD; George W. Vetrovec, MD; Jeannie Yu, MD; Andrew Doorey; Pinak Bipin Shah; Jeffrey W. Moses, MD; Paul S. Teirstein, MD, FACC; William M. Suh, MD; David E. Kandzari, MD
Dr. Paul Teirstein, Chief of Cardiology, at Scripps Clinic, La Jolla, California, asked our cath lab experts for their opinions on what to do with an asymptomatic executive who had a screening CTA (Figure 1).
Dr. Paul Teirstein, Chief of Cardiology, at Scripps Clinic, La Jolla, California, asked our cath lab experts for their opinions on what to do with an asymptomatic executive who had a screening CTA (Figure 1).
Dr. Paul Teirstein, Chief of...
05/07/2018
Cath Lab Digest

Department

Cath Lab Spotlight
Spotlight: Appalachian Cardiovascular Associates
05/07/2018
Sharon L. Hill, MSN, ACNP, RN
We are one of 5 outpatient vascular labs in Alabama, and the only outpatient lab currently performing coronary angiograms.
We are one of 5 outpatient vascular labs in Alabama, and the only outpatient lab currently performing coronary angiograms.
We are one of 5 outpatient...
05/07/2018
Cath Lab Digest
The SHIELD Study Leads to New Radiation Safety Initiatives in the Cath Lab at Spectrum Health
05/07/2018
William R. Stewart, RN, BSN-BC; Stacie E. Garcia-Moon, RN, BSN; Emily M. Fussman, BS, CES; Kimberly S. Barkema, BS, RCIS; Brigid M. Golembiewski, RN, BSN; Ryan D. Madder, MD, FACC
In order to further understand procedural factors associated with radiation doses among nurses and technologists during cardiac catheterization, we recently conducted the SHIELD (Combining Robotic-Stenting and Proactive Shielding Techniques...
In order to further understand procedural factors associated with radiation doses among nurses and technologists during cardiac catheterization, we recently conducted the SHIELD (Combining Robotic-Stenting and Proactive Shielding Techniques...
In order to further understand...
05/07/2018
Cath Lab Digest
Your Path to Success: Expert Advice
Should Your Program Be Considering Same-Day PCI Discharge From a Dedicated Lounge?
05/06/2018

This month, we are joined by John Wang, MD, MSc, FACC, FSCAI, Chief of the Cardiac Catheterization Laboratory, Medstar Union Memorial Hospital, Baltimore, Maryland, and Cheryl Lunnen, Regional Vice President, MedStar Heart & Vascular...
This month, we are joined by John Wang, MD, MSc, FACC, FSCAI, Chief of the Cardiac Catheterization Laboratory, Medstar Union Memorial Hospital, Baltimore, Maryland, and Cheryl Lunnen, Regional Vice President, MedStar Heart & Vascular...
This month, we are joined by...
05/06/2018
Cath Lab Digest

Feature

Case Report
CTO PCI: Complexity Begets Complexity
05/06/2018
Iosif Xenogiannis, MD; Peter Tajti, MD; Emmanouil S. Brilakis, MD, PhD, FACC, FAHA, FESC, FSCAI; Hatem Najar, MD
We elected to attempt CTO PCI with dual arterial access, using right common femoral as well as right radial access.
We elected to attempt CTO PCI with dual arterial access, using right common femoral as well as right radial access.
We elected to attempt CTO PCI...
05/06/2018
Cath Lab Digest
Case Report
In-Stent Neoatherosclerosis as a Cause for High-Risk Non ST-Elevation Myocardial Infarction
05/06/2018
Tomasz P. Stys, MD, FACC, FSCAI; Chirag K. Desai, MD; Aiham Jbeli, MD; Adam T. Stys, MD, FACC
We present a case of a patient diagnosed with very late stent ‘thrombosis’ (VLST) that may have been caused by hyperplastic tissue versus progressive atherosclerosis and late plaque rupture, despite chronic immunosuppressant use.
We present a case of a patient diagnosed with very late stent ‘thrombosis’ (VLST) that may have been caused by hyperplastic tissue versus progressive atherosclerosis and late plaque rupture, despite chronic immunosuppressant use.
We present a case of a patient...
05/06/2018
Cath Lab Digest
Clinical Review
The Assessment of Acute Vasoreactivity During Right Heart Catheterizations for the Evaluation of Pulmonary Arterial Hypertension
05/06/2018
Keith W. Volk, RN, MSN, CCRN
A right heart catheterization (right heart cath) is considered to be the gold standard to definitively diagnose pulmonary hypertension.10 During a right heart cath, a venous access device is inserted in the patient and a specially designed...
A right heart catheterization (right heart cath) is considered to be the gold standard to definitively diagnose pulmonary hypertension.10 During a right heart cath, a venous access device is inserted in the patient and a specially designed...
A right heart catheterization...
05/06/2018
Cath Lab Digest
Case Report
Pitfalls in Hemodynamic Measurement of Oxygen Saturation in Right Heart Catheterization
05/06/2018
Chaya Levine, MD; Sunday Olatunde, MD, MPH; Norbert Moskovits, MD
In our patient, the alteration in cardiac hemodynamics after a transjugular intrahepatic portosystemic shunt (TIPS) procedure made the oxygen saturation from the superior vena cava a more accurate representation of systemic oxygenation.
In our patient, the alteration in cardiac hemodynamics after a transjugular intrahepatic portosystemic shunt (TIPS) procedure made the oxygen saturation from the superior vena cava a more accurate representation of systemic oxygenation.
In our patient, the alteration...
05/06/2018
Cath Lab Digest

Insights

Commentary
Commentary to "CTO PCI: Complexity Begets Complexity": If At First You Don’t Succeed… A Tour-de-Force in Complex CTO Intervention
05/06/2018
Tim A. Fischell, MD, FACC, FSCAI
In this issue, Najar et al have reported a truly heroic effort of grit, skill, and determination in tackling a complex chronic total occlusion (CTO) percutaneous coronary intervention (PCI) of the right coronary artery.
In this issue, Najar et al have reported a truly heroic effort of grit, skill, and determination in tackling a complex chronic total occlusion (CTO) percutaneous coronary intervention (PCI) of the right coronary artery.
In this issue, Najar et al have...
05/06/2018
Cath Lab Digest

Continuing Education

Education
Cardio-Renal Disease: New Perspectives and the Cardio-Renal Connections Conference
05/06/2018
Anand Prasad, MD, FACC, FSCAI, RPVI
The cardio-renal connection is coming more to the forefront in day-to-day practice.
The cardio-renal connection is coming more to the forefront in day-to-day practice.
The cardio-renal connection is...
05/06/2018
Cath Lab Digest

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Cath Lab Digest Newsletter

May 2018 Volume 26 Issue 5

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Editorial Staff

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

Managing Editor
Rebecca Kapur, rkapur@hmpglobal.com

Senior Manager, Production & Audience Development
Elizabeth Vasil

Editorial Correspondence

Rebecca Kapur, Managing Editor, Cath Lab Digest
HMP Global, 70 E. Swedesford Rd
Suite 100, Malvern PA 19355
Telephone: (440) 717-0418
Fax: (866) 896-8762
Email: rkapur@hmpglobal.com

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