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Volume 30 - Issue 5 - May 2022

Feature

Case Report
Utilizing Single Transpedal Access and Novel Use of Coronary Wires, Support Catheter and Balloons for Navigating Acute Angles During Complex Multivessel Revascularization of Infrapopliteal Vessels
06/05/2022

Mehreen F. Ali, HSIII1; Amal Khan, MSIII2; Som A. Bailey, DO3; Akif Azmi Mohammed, MD, MRCP, FACC4

1Fort Worth Country Day; 2Texas College of Osteopathic Medicine, University of North Texas Health Science Center; 3Cardiology Fellow, PGY V, Medical City Fort Worth; 4General and Interventional Cardiology, Heart Center of North Texas; Director, Cath Lab, Medical City Weatherford

Mehreen F. Ali, HSIII1; Amal Khan, MS...
Below-the-knee retrograde access or transpedal access has become increasingly popular for peripheral interventionalists. Access through the pedal arteries may offer benefits in peripheral intervention that are similar to the transradial...
Below-the-knee retrograde access or transpedal access has become increasingly popular for peripheral interventionalists. Access through the pedal arteries may offer benefits in peripheral intervention that are similar to the transradial...
Below-the-knee retrograde access...
06/05/2022
Cath Lab Digest
Original Research
Nurses’ Compliance and Confidence With a Hand-Off Process for Patients Post Femoral Arterial Access Before and After a Standardized Approach
05/05/2022

Melissa Anderson, MSN, RN, CCRN, Primary Investigator, PCU Educator; Amanda Urosek, RN, BSN, CVRN-BC Co-Investigator, Cath Lab Nurse, Heart Center; Wendy Shaffer, BSN, RN Clinical Nurse Coordinator, Heart Center; Virginia Iscrupe, BS, BSN, RN, PCCN Staff Nurse, Progressive Care Unit

Excela Health Westmoreland Hospital, Greensburg, Pennsylvania

Melissa Anderson, MSN, RN, CCRN, Prim...
This study encompassed the Intensive Care Unit (ICU), Step Down Unit (SDU), and Progressive Care Units (PCU), along with the Heart Center staff, at Excela Health Westmoreland Hospital in Greensburg, Pennsylvania, which includes three...
This study encompassed the Intensive Care Unit (ICU), Step Down Unit (SDU), and Progressive Care Units (PCU), along with the Heart Center staff, at Excela Health Westmoreland Hospital in Greensburg, Pennsylvania, which includes three...
This study encompassed the...
05/05/2022
Cath Lab Digest
Case Report
Pushing Boundaries: Transradial Access for Complex PCI
05/05/2022

Jaikirshan J. Khatri, MD, FACC, FSCAI, Director of Complex Coronary Intervention, Section of Interventional Cardiology, Cleveland Clinic, Cleveland, Ohio; Clinical Assistant Professor, Department of Medicine, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio

Jaikirshan J. Khatri, MD, FACC, FSCAI...
TAKERU PTCA Balloon Dilatation Catheters have been recently launched by Terumo. In this report, we summarize our initial experience with the TAKERU balloon catheter. Since July 1, 2019, we have used these balloon catheters routinely in our...
TAKERU PTCA Balloon Dilatation Catheters have been recently launched by Terumo. In this report, we summarize our initial experience with the TAKERU balloon catheter. Since July 1, 2019, we have used these balloon catheters routinely in our...
TAKERU PTCA Balloon Dilatation...
05/05/2022
Cath Lab Digest
Case Report
Iatrogenic Brachial Artery Occlusion as a Result of Subclavian Steal Syndrome
05/05/2022

Mihika Shah1; Abha Kulkarni1; Monarch Shah, MD2; Gordon J. Farley1; Riya-Aisha Patel3; Pratik B. Patel, MD, FACC4

1Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey; 2Saint Peter’s University Hospital, New Brunswick, New Jersey; 3Cardiometabolic Institute, New Brunswick, New Jersey; 4Robert Wood Johnson University Hospital, New Brunswick, New Jersey
 

Editor's Note: Riya-Aisha Patel was inadvertently left off the author byline in the May print issue.

Mihika Shah1; Abha Kulkarni1; Monarch...
Iatrogenic brachial artery occlusion is a rare phenomenon occurring postoperatively in patients that have undergone catheterization. Approximately 0.9% of patients who have undergone cardiac catheterization experience brachial artery injury...
Iatrogenic brachial artery occlusion is a rare phenomenon occurring postoperatively in patients that have undergone catheterization. Approximately 0.9% of patients who have undergone cardiac catheterization experience brachial artery injury...
Iatrogenic brachial artery...
05/05/2022
Cath Lab Digest
Perspectives
The Bedside Clinician
05/05/2022

Pradnya Brijmohan Bhattad, MD1; Vaibhav Kadam, OMS-III2

1Brijmohan Bhattad Hospital, Kalamandir, Somesh Colony, Nanded, Maharashtra, India; 2University of Pikeville-Kentucky College of Osteopathic Medicine, Pikeville, Kentucky

Pradnya Brijmohan Bhattad, MD1; Vaibh...
With the fast-moving development of newer procedures, and new diagnostic techniques and investigations offering a medical diagnosis, physicians now have a significant amount of advanced technology available to them. We are told that the...
With the fast-moving development of newer procedures, and new diagnostic techniques and investigations offering a medical diagnosis, physicians now have a significant amount of advanced technology available to them. We are told that the...
With the fast-moving development...
05/05/2022
Cath Lab Digest
Case Report
Kinked Catheter Unravelment in the Right Upper Extremity: An Unconventional Solution
05/05/2022

Richard Casazza, MAS, RT(R)(CI); Enrico Montagna, RT(R)(CI); Avraham Miller, MD; Ravi Jayanti, MD; Bilal Malik, MD, FACCS

Maimonides Medical Center, Brooklyn, New York

Richard Casazza, MAS, RT(R)(CI); Enri...
According to the American College of Cardiology’s National Data Registry, use of the radial approach in cardiac catheterization has grown from 1% in 2008 to approximately 50% in the United States, with the right radial approach (RRA) being...
According to the American College of Cardiology’s National Data Registry, use of the radial approach in cardiac catheterization has grown from 1% in 2008 to approximately 50% in the United States, with the right radial approach (RRA) being...
According to the American...
05/05/2022
Cath Lab Digest
Case Report
“Winter is Coming… But Gets Well(ens)”: Two Rare Patterns of LAD Occlusion in the Same Patient, Suggesting Spontaneous Reperfusion
05/05/2022

Juan Guzmán Olea, MD; Miguel Ángel Rojas Carrera, MD; Gabriel Guzmán Olea, MD; Jorge G. Arenas Fonseca, MD; Gonzalo Tolosa Dzul, MD; José Carlos González Gutiérrez, MD; Carlos Javier González Álvarez, MD; Daniel Iván Pérez Vásquez, MD; Elliot Iván Hernández Heredia, MD

Hospital de Especialidades IMSS, Puebla, Puebla, México

Juan Guzmán Olea, MD; Miguel Ángel Ro...
The de Winter and Wellens’ syndrome patterns are associated with acute left anterior descending coronary artery occlusion; however, it is very rare to find both patterns in the same patient. In this case, a decrease in the J point in the...
The de Winter and Wellens’ syndrome patterns are associated with acute left anterior descending coronary artery occlusion; however, it is very rare to find both patterns in the same patient. In this case, a decrease in the J point in the...
The de Winter and Wellens’...
05/05/2022
Cath Lab Digest

Column

Cath Lab Management
Enabling Improved Patient Outcomes and Reduced Costs: TYRX Outcomes Protection Program
05/05/2022

James Mullin, MD1; Laurie Niemet2; Kristin Doster1; Ruben Weber3; Eric E. Johnson, MD4

1Prairie Heart Institute, Springfield, Illinois; 2The Ohio State University, Columbus, Ohio; 3Medtronic, Inc., Mounds View, Minnesota; 4Baptist Memorial Hospital, Memphis, Tennessee

James Mullin, MD1; Laurie Niemet2; Kr...
The continuous effort to provide high value healthcare involves the pursuit of three linked goals, according to the Triple Aim: (1) improving the experience of care, (2) improving the health of populations, and (3) reducing per capita costs...
The continuous effort to provide high value healthcare involves the pursuit of three linked goals, according to the Triple Aim: (1) improving the experience of care, (2) improving the health of populations, and (3) reducing per capita costs...
The continuous effort to provide...
05/05/2022
Cath Lab Digest
Advanced Imaging & Patient Care
Extensive Subendocardial Ischemia: A Predictive Electrocardiogram
05/05/2022

Pradnya Brijmohan Bhattad, MD; Luigi Pacifico, DO

Department of Cardiovascular Medicine, Saint Vincent Hospital; University of Massachusetts Medical School, Worcester, Massachusetts

Pradnya Brijmohan Bhattad, MD; Luigi ...
A 75-year-old male with a history of hypertension and dyslipidemia presented with several weeks of exertional dyspnea and underwent a nuclear stress test for evaluation of his exertional dyspnea. After the administration of Lexiscan during...
A 75-year-old male with a history of hypertension and dyslipidemia presented with several weeks of exertional dyspnea and underwent a nuclear stress test for evaluation of his exertional dyspnea. After the administration of Lexiscan during...
A 75-year-old male with a...
05/05/2022
Cath Lab Digest

Insights

FROM THE CLINICAL EDITOR
Commentary: Kinked Catheter Unravelment in the Right Upper Extremity: An Unconventional Solution
05/05/2022
The Maimonides Medical Center team presents a case of a kinked radial catheter in an elderly man with significant shoulder vessel tortuosity. Several considerations to avoid such a problem should be remembered. For short people (5'5") or...
The Maimonides Medical Center team presents a case of a kinked radial catheter in an elderly man with significant shoulder vessel tortuosity. Several considerations to avoid such a problem should be remembered. For short people (5'5") or...
The Maimonides Medical Center...
05/05/2022
Cath Lab Digest

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May 2022 Volume 30 Issue 5

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Editorial Staff

Clinical Editor
Morton Kern, MD

Executive Editor
Laurie Gustafson

Managing Editor
Rebecca Kapur

Production Manager
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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