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Calcium Corner Topic Center

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Calcium Corner
A Physician’s Perspective on New Permanent Reimbursement Pathways for Coronary Intravascular Lithotripsy
02/04/2024
Cath lab managers, administrators, and people looking at the overheads should be aware of this change because it is going to alter the landscape. If you are doing a complex case using multiple devices, there is no longer the potential for a...
Cath lab managers, administrators, and people looking at the overheads should be aware of this change because it is going to alter the landscape. If you are doing a complex case using multiple devices, there is no longer the potential for a...
Cath lab managers,...
02/04/2024
Cath Lab Digest
Calcium Corner
An “IVL-First” Strategy Using 120 Pulses With the Next-Gen C2+ Shockwave Catheter
01/04/2024
"Having 40 extra pulses allows us to treat lesions that in the past might have been too diffuse or too long for single-catheter IVL use, and we also can use the extra pulses in the C2+ to treat lesions in more than one vessel," says Dr....
"Having 40 extra pulses allows us to treat lesions that in the past might have been too diffuse or too long for single-catheter IVL use, and we also can use the extra pulses in the C2+ to treat lesions in more than one vessel," says Dr....
"Having 40 extra pulses allows...
01/04/2024
Cath Lab Digest
Calcium Corner
Changing the Strategy: Introduction of the 120-Pulse Shockwave C2+ Catheter at St. Francis Heart Center
12/05/2023
CLD talks with Ziad A. Ali, MD, DPhil about the use of the Shockwave C2+ catheter at St. Francis Heart Center.
CLD talks with Ziad A. Ali, MD, DPhil about the use of the Shockwave C2+ catheter at St. Francis Heart Center.
CLD talks with Ziad A. Ali, MD,...
12/05/2023
Cath Lab Digest
News
New Shockwave Coronary IVL Publication Shows Similar Outcomes in Women and Men
11/09/2023

Shockwave Medical News

Shockwave Medical News
In the patient-level pooled analysis, titled “Coronary Intravascular Lithotripsy for Treatment of Severely Calcified Lesions: Long-Term Sex-Specific Outcomes,” use of IVL for lesion preparation of severely calcified lesions had similar safety...
In the patient-level pooled analysis, titled “Coronary Intravascular Lithotripsy for Treatment of Severely Calcified Lesions: Long-Term Sex-Specific Outcomes,” use of IVL for lesion preparation of severely calcified lesions had similar safety...
In the patient-level pooled...
11/09/2023
Cath Lab Digest
News
CMS Establishes New Category I CPT Add-On Code for Coronary Intravascular Lithotripsy (IVL)
11/03/2023

Shockwave Medical News

Shockwave Medical News
SANTA CLARA, Calif.- Shockwave Medical, Inc. announced that as part of the Calendar Year 2024 Physician Fee Schedule (PFS) final rule, the U.S. Centers for Medicare & Medicaid Services (CMS) has established a Category I Current Procedural...
SANTA CLARA, Calif.- Shockwave Medical, Inc. announced that as part of the Calendar Year 2024 Physician Fee Schedule (PFS) final rule, the U.S. Centers for Medicare & Medicaid Services (CMS) has established a Category I Current Procedural...
SANTA CLARA, Calif.- Shockwave...
11/03/2023
Cath Lab Digest
News
New Shockwave Coronary IVL Publications Confirm Safety and Efficacy Across Multiple Calcium Morphologies
10/19/2023

Shockwave Medical News

Shockwave Medical News
Two new publications reported excellent and consistent outcomes with coronary intravascular lithotripsy (IVL) in both nodular and eccentric calcium.
Two new publications reported excellent and consistent outcomes with coronary intravascular lithotripsy (IVL) in both nodular and eccentric calcium.
Two new publications reported...
10/19/2023
Cath Lab Digest
News
Centers For Medicare & Medicaid Services Creates New Hospital Inpatient Payment for Coronary Intravascular Lithotripsy
08/02/2023

Shockwave Medical News

Shockwave Medical News
Three new codes, MS-DRGs 323, 324, and 325, have been created to describe Percutaneous Coronary Interventions (PCI) that utilize coronary IVL, with and without a stent implant (intraluminal device), in the hospital inpatient setting.
Three new codes, MS-DRGs 323, 324, and 325, have been created to describe Percutaneous Coronary Interventions (PCI) that utilize coronary IVL, with and without a stent implant (intraluminal device), in the hospital inpatient setting.
Three new codes, MS-DRGs 323,...
08/02/2023
Cath Lab Digest
News
Shockwave Medical Launches New Coronary IVL Catheter Internationally and Enrolls First Patient in All-Female Empower Study
05/15/2023
Shockwave C2+ provides 50 percent more pulses per catheter than Shockwave C2 and is optimally designed to treat longer calcified lesions and more challenging eccentric and nodular calcium.
Shockwave C2+ provides 50 percent more pulses per catheter than Shockwave C2 and is optimally designed to treat longer calcified lesions and more challenging eccentric and nodular calcium.
Shockwave C2+ provides 50...
05/15/2023
Cath Lab Digest
News
Updated SCAI Guidance Includes Coronary IVL as a Treatment Option in All U.S. Catheterization Labs Regardless of Surgical Backup Status
01/31/2023
The updated guidelines, which modify the previous 2014 guidelines by no longer restricting recommended treatment to facilities with on-site surgical backup, will now endorse expanded treatment options and access for patients with calcified...
The updated guidelines, which modify the previous 2014 guidelines by no longer restricting recommended treatment to facilities with on-site surgical backup, will now endorse expanded treatment options and access for patients with calcified...
The updated guidelines, which...
01/31/2023
Cath Lab Digest
Calcium Corner
Taking a Pulse Check in Complex Calcified Vessels
09/06/2022
Dr. Khatri is the Director of Complex Coronary Intervention at Cleveland Clinic, performing 150-200 chronic total occlusion (CTO) procedures annually, along with a high volume of complex and high-risk coronary intervention procedures (CHIP).
Dr. Khatri is the Director of Complex Coronary Intervention at Cleveland Clinic, performing 150-200 chronic total occlusion (CTO) procedures annually, along with a high volume of complex and high-risk coronary intervention procedures (CHIP).
Dr. Khatri is the Director of...
09/06/2022
Cath Lab Digest
Calcium Corner
The PCI Gender Gap in Treating Calcified Lesions: A Paradigm Shift
08/01/2022
Since we know that inadequate lesion preparation may lead to higher rates of in-stent restenosis and stent thrombosis, it follows that intravascular lithotripsy (IVL) could help lower suboptimal PCI rates in both men and women.
Since we know that inadequate lesion preparation may lead to higher rates of in-stent restenosis and stent thrombosis, it follows that intravascular lithotripsy (IVL) could help lower suboptimal PCI rates in both men and women.
Since we know that inadequate...
08/01/2022
Cath Lab Digest

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Case Reports

Case + Interview
Safe and Effective Calcium Modification in Severe Ostial Right Coronary Artery Stenosis
11/07/2021
The patient is an 86-year-old male with known coronary artery disease (CAD). Three years ago, he had robotic left internal mammary artery (LIMA) graft to the left anterior descending (LAD) and percutaneous coronary intervention (PCI) of the...
The patient is an 86-year-old male with known coronary artery disease (CAD). Three years ago, he had robotic left internal mammary artery (LIMA) graft to the left anterior descending (LAD) and percutaneous coronary intervention (PCI) of the...
The patient is an 86-year-old...
11/07/2021
Cath Lab Digest
Shockwave Lithotripsy vs Rotational Atherectomy: Mechanistic Differences From Optical Coherence Tomography
CLINICAL IMAGES
Shockwave Lithotripsy vs Rotational Atherectomy: Mechanistic Differences From Optical Coherence Tomography
02/01/2021
This case highlights that rotational atherectomy is merely paving the road and may help in superficial calcifications. It also showed the useful role of optical coherence tomography (OCT) for guiding the appropriate treatment strategy....
This case highlights that rotational atherectomy is merely paving the road and may help in superficial calcifications. It also showed the useful role of optical coherence tomography (OCT) for guiding the appropriate treatment strategy....
This case highlights that...
02/01/2021
Journal of Invasive Cardiology
Shockwave Intravascular Lithotripsy of Undilatable STEMI Lesion in Primary PCI
CLINICAL IMAGES
Shockwave Intravascular Lithotripsy of Undilatable STEMI Lesion in Primary PCI
01/01/2021
J INVASIVE CARDIOL 2021;33(1):E67-E68. Key words: cardiac imaging, Shockwave lithotripsy
J INVASIVE CARDIOL 2021;33(1):E67-E68. Key words: cardiac imaging, Shockwave lithotripsy
J INVASIVE CARDIOL...
01/01/2021
Journal of Invasive Cardiology
Clinical Images
Coronary Perforation After Excimer Laser Coronary Angioplasty at a Calcium Nodule
07/26/2020
J INVASIVE CARDIOL 2020;32(8):E226-E227.  Key words: coronary perforation, calcification, excimer laser coronary angioplasty
J INVASIVE CARDIOL 2020;32(8):E226-E227.  Key words: coronary perforation, calcification, excimer laser coronary angioplasty
J INVASIVE CARDIOL...
07/26/2020
Journal of Invasive Cardiology
Clinical Images
Optical Coherence Tomography Imaging in Acute Myocardial Infarction: Calcified Nodule as a Culprit Lesion
06/30/2020
A calcified nodule is an infrequent pathological substrate in acute coronary syndrome patients. This case demonstrates the technical challenges of intervening an eccentric, severely calcified, balloon-uncrossable coronary lesion.
A calcified nodule is an infrequent pathological substrate in acute coronary syndrome patients. This case demonstrates the technical challenges of intervening an eccentric, severely calcified, balloon-uncrossable coronary lesion.
A calcified nodule is an...
06/30/2020
Journal of Invasive Cardiology
Clinical Images
Cracking the Plaque With Coronary Lithotripsy: Mechanistic Insights From Optical Coherence Tomography
12/30/2019
Coronary lithoplasty is a promising technique that can overcome issues regarding the treatment of undilatable, heavily calcified, de novo, and in-stent restenotic lesions, allowing plaque modification and successful stent deployment, as...
Coronary lithoplasty is a promising technique that can overcome issues regarding the treatment of undilatable, heavily calcified, de novo, and in-stent restenotic lesions, allowing plaque modification and successful stent deployment, as...
Coronary lithoplasty is a...
12/30/2019
Journal of Invasive Cardiology
Clinical Images
3D Optical Coherence Tomography Reveals Fractured Coronary Stent as Cause of Acute Myocardial Infarction
08/27/2019
3D-OCT revealed extensive fracture and distortion of the struts in the distal portion of a stent, presumably caused by aggressive postdilation at the time of implantation. This was managed successfully with the insertion of a new coronary...
3D-OCT revealed extensive fracture and distortion of the struts in the distal portion of a stent, presumably caused by aggressive postdilation at the time of implantation. This was managed successfully with the insertion of a new coronary...
3D-OCT revealed extensive...
08/27/2019
Journal of Invasive Cardiology
Case Report
Noncompliant, High-Pressure Balloon and Calcified, Undilatable Coronary Lesions
07/08/2019
Optimal stent deployment can become a challenge for the interventional cardiologist, especially when it involves calcified, undilatable lesions. Various technologies have been developed to tackle this scenario and the super high-pressure...
Optimal stent deployment can become a challenge for the interventional cardiologist, especially when it involves calcified, undilatable lesions. Various technologies have been developed to tackle this scenario and the super high-pressure...
Optimal stent deployment can...
07/08/2019
Cath Lab Digest
CLINICAL IMAGES
Modified Sleeve Technique for Calcified Coronary Bifurcations
02/24/2019
This modification of the GuideLiner technique is useful for left main and non-left main bifurcations.
This modification of the GuideLiner technique is useful for left main and non-left main bifurcations.
This modification of the...
02/24/2019
Journal of Invasive Cardiology
Case Study
Shockwave Intravascular Lithotripsy to Unprotected Left Main Stem: Pushing the Boundaries of Calcified Plaque Intervention
02/01/2019
While traditional calcium modification devices like rotational atherectomy may have a role in treating concentric calcium, their role in eccentric calcium is unclear. Intravascular lithotripsy (IVL) (Shockwave Medical) is a newly available...
While traditional calcium modification devices like rotational atherectomy may have a role in treating concentric calcium, their role in eccentric calcium is unclear. Intravascular lithotripsy (IVL) (Shockwave Medical) is a newly available...
While traditional calcium...
02/01/2019
Cath Lab Digest
Case Report
Transcatheter Arterialization of Deep Veins (TADV)
07/29/2024
The LimFlow procedure (Inari Medical) provides a promising alternative for patients with no-option CLI, potentially reducing the need for major amputations. This case demonstrates the potential of TADV in achieving limb salvage and highlights...
The LimFlow procedure (Inari Medical) provides a promising alternative for patients with no-option CLI, potentially reducing the need for major amputations. This case demonstrates the potential of TADV in achieving limb salvage and highlights...
The LimFlow procedure (Inari...
07/29/2024
Cath Lab Digest
Case Report
Unmasking Fibromuscular Dysplasia: When Spontaneous Coronary Artery Dissection Rings a Bell
07/29/2024
This case represents an exemplary case of fibromuscular dysplasia in a young woman, discovered by one of its most serious complications, spontaneous coronary artery dissection (SCAD). A high co-prevalence of extracoronary vascular...
This case represents an exemplary case of fibromuscular dysplasia in a young woman, discovered by one of its most serious complications, spontaneous coronary artery dissection (SCAD). A high co-prevalence of extracoronary vascular...
This case represents an...
07/29/2024
Cath Lab Digest
Case Report
Occluded Left Subclavian and Severe Triple-Vessel CAD in a Patient With a “Bovine” Aortic Arch
07/02/2024
This is the case of a 61-year-old man, a nonsmoker with known history of asthma, who presented with generalized weakness and progressing shortness of breath for 2-3 months.
This is the case of a 61-year-old man, a nonsmoker with known history of asthma, who presented with generalized weakness and progressing shortness of breath for 2-3 months.
This is the case of a...
07/02/2024
Cath Lab Digest
Clinical Images
From the Journal of Invasive Cardiology: "King Ghidorah Technique for a Trifurcation Lesion in a Very High-Risk NSTEMI"
07/01/2024
A 66-year-old male Jehovah’s Witness arrived at the emergency room having experienced typical persistent angina.
A 66-year-old male Jehovah’s Witness arrived at the emergency room having experienced typical persistent angina.
A 66-year-old male Jehovah’s...
07/01/2024
Cath Lab Digest
Case Report
Successful Dilation of a Heavily Calcified LAD With 3 Layers of Under-Expanded Stents With the OPN NC Super High-Pressure Balloon
06/26/2024
A 76-year-old female with a history of hypertension had a non-ST-elevation myocardial infarction and underwent percutaneous coronary intervention to a heavily calcified and severe diffusely diseased lesion from the proximal to mid LAD.
A 76-year-old female with a history of hypertension had a non-ST-elevation myocardial infarction and underwent percutaneous coronary intervention to a heavily calcified and severe diffusely diseased lesion from the proximal to mid LAD.
A 76-year-old female with a...
06/26/2024
Cath Lab Digest
Case Report
Making Complex Simple
05/29/2024
Ori Waksman, MD
Hayder Hashim, MD, FSCAI
Revascularization of patients with unprotected left main disease poses a significant challenge due to the heightened risk of mortality and periprocedural hemodynamic collapse.
Revascularization of patients with unprotected left main disease poses a significant challenge due to the heightened risk of mortality and periprocedural hemodynamic collapse.
Revascularization of patients...
05/29/2024
Cath Lab Digest
Clinical Images
Rate-Related Complete Left Bundle Branch Block: A Rare Phenomenon With Exercise Stress
05/28/2024
Pradnya Brijmohan Bhattad, MD
Amir Joshi, MD
Richard Wholey, MD
A 55-year-old nonsmoker male with a prior history of hypertension and obstructive sleep apnea presented for an exercise stress test to evaluate for palpitations. During his exercise treadmill stress test, he had a rate-related left bundle...
A 55-year-old nonsmoker male with a prior history of hypertension and obstructive sleep apnea presented for an exercise stress test to evaluate for palpitations. During his exercise treadmill stress test, he had a rate-related left bundle...
A 55-year-old nonsmoker male...
05/28/2024
Cath Lab Digest
CRT Case Competition
Finalists From CRT’s 2024 Nurses and Technologists Interesting Cases Competition
05/01/2024
Richard Casazza, MAS, RT(R)(CI), Maimonides Medical Center, Staten Island, New York
Tahnee M. Clark, MSN, AGACNP-BC, Miami Cardiac and Vascular Institute, Miami, Florida
Chenoa Flanagan, RCIS, BA, Medstar Washington Hospital Center, Washington, D.C.
Brandy D. Smith, RCIS, LMRT, Baylor Scott and White The Heart Hospital and The Cardiovascular Institute, Plano, Texas
New at the CRT meeting in 2024 was a competition focused on cases submitted by nurses and technologists, with four finalists asked to present their cases March 10th during CRT’s Nurses and Technologists session.
New at the CRT meeting in 2024 was a competition focused on cases submitted by nurses and technologists, with four finalists asked to present their cases March 10th during CRT’s Nurses and Technologists session.
New at the CRT meeting in 2024...
05/01/2024
Cath Lab Digest
Case Report
An Asymptomatic Case of a Right Coronary Artery Aneurysm With Right Atrial Fistula
05/01/2024

Zachary Holtzapple, MD; Zeid Nesheiwat, DO, MPH; Khalid Changal, MD; Claire Eiden; Paul Chacko, MD

The University of Toledo College of Medicine, Toledo, Ohio

 

The authors can be contacted via Zachary Holtzapple, MD, at zachary.holtzapple@rockets.utoledo.edu

Zachary Holtzapple, MD; Zeid Nesheiwa...
Coronary artery aneurysms are defined as a localized luminal dilation measuring at least 1.3 to 2 times the diameter of an adjacent, normal vessel segment. If the coronary artery aneurysm is large enough, it can be classified as a giant...
Coronary artery aneurysms are defined as a localized luminal dilation measuring at least 1.3 to 2 times the diameter of an adjacent, normal vessel segment. If the coronary artery aneurysm is large enough, it can be classified as a giant...
Coronary artery aneurysms are...
05/01/2024
Cath Lab Digest
Case Report
Successful Treatment of Early Bioprosthetic Mitral Valve Fusion in a Patient on VA ECMO With Balloon Valvuloplasty via Direct Cannulation of Pulmonary Vein
04/03/2024

Richard Casazza, MAS, RT(R)(CI); Paul Saunders, MD; Bilal Malik, MD; Robert Frankel, MD; Mazin Khalid, MD; Adnan Sadiq, MD; Arsalan Hashmi, MD; Gregory Crooke, MD

Maimonides Medical Center, Brooklyn, New York

Disclosures: The authors report no financial relationships or conflicts of interest regarding the content herein.

The authors can be contacted via Richard Casazza, MAS, RT(R)(CI), at all4ugq@aol.com.

Richard Casazza, MAS, RT(R)(CI); Paul...
We present a case of a 57-year-old male who underwent bioprosthetic mitral valve replacement (MVR) and developed postoperative cardiogenic shock requiring venoarterial extracorporeal membrane oxygenation (VA ECMO) and Impella 5.5 hemodynamic...
We present a case of a 57-year-old male who underwent bioprosthetic mitral valve replacement (MVR) and developed postoperative cardiogenic shock requiring venoarterial extracorporeal membrane oxygenation (VA ECMO) and Impella 5.5 hemodynamic...
We present a case of a...
04/03/2024
Cath Lab Digest

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Shockwave IVL Mechanism of Use
IVL OVERVIEW
Shockwave Intravascular Lithotripsy (IVL) System, Mechanism of Action and Procedural Overview
07/28/2021
07/28/2021
Cath Lab Digest
Hill Disrupt CAD III
TRIAL UPDATE
U.S. Coronary IVL Pivotal Trial Primary Results - DISRUPT CAD III Results at TCT 2020
07/27/2021
Dr. Jonathan Hill, co-principal investigator for Disrupt CAD III, provides an update on the study results.
Dr. Jonathan Hill, co-principal investigator for Disrupt CAD III, provides an update on the study results.
Dr. Jonathan Hill, co-principal...
07/27/2021
Cath Lab Digest
Dr. David Rizik, Dr. Morton Kern, Dr. Jennifer Rymer, and Dr. Pinak Shah
Kern, Rizik, Shah, & Rymer
A Discussion on the Early-Career Interventionalist
06/19/2024

Morton Kern, MD, in a discussion with David Rizik, MD, Pinak Shah, MD, and Jennifer Rymer, MD

Morton Kern, MD, in a discussion with...
Drs Kern and Rizik talk with Dr. Jennifer Rymer, who published a study on cath lab procedure volumes and outcomes among early-career interventional cardiologists, and Dr. Pinak Shah, who wrote an accompanying editorial, "Is There an...
Drs Kern and Rizik talk with Dr. Jennifer Rymer, who published a study on cath lab procedure volumes and outcomes among early-career interventional cardiologists, and Dr. Pinak Shah, who wrote an accompanying editorial, "Is There an...
Drs Kern and Rizik talk with Dr....
06/19/2024
Cath Lab Digest
Emily S. Lau, MD, MPH, FACC
Chest Pain in women
Horses and Zebras: Multimodality Imaging in the Evaluation of Chest Pain in Women
04/12/2024

Emily S. Lau, MD, MPH, FACC

Director, Cardiometabolic Health & Hormones Clinic; Corrigan Women’s Heart Health Program, Massachusetts General Hospital; Assistant Professor of Medicine, Harvard Medical School, Boston, Massachusetts

@emilyswlau

Emily S. Lau, MD, MPH, FACC Director...
"Even in 2024, we are continuing to see pretty striking gender disparities in health outcomes between men and women, especially with ischemic heart disease," says Dr. Lau. "And there remains, I think, still a lack of understanding or...
"Even in 2024, we are continuing to see pretty striking gender disparities in health outcomes between men and women, especially with ischemic heart disease," says Dr. Lau. "And there remains, I think, still a lack of understanding or...
"Even in 2024, we are continuing...
04/12/2024
Cath Lab Digest
Dr Yates
ISET 2024
A Summary of Existing Data for the Use of 355nm Laser in BTK Arteries
03/18/2024

Timothy Yates, MD
CLI Vascular Specialists, West Palm Beach, Florida

Timothy Yates, MD CLI Vascular Specia...
Watch as Dr. Timothy Yates reviews his ISET 2024 presentation on the current data available for the use of a 355nm laser in below-the-knee arteries.
Watch as Dr. Timothy Yates reviews his ISET 2024 presentation on the current data available for the use of a 355nm laser in below-the-knee arteries.
Watch as Dr. Timothy Yates...
03/18/2024
Vascular Disease Management
Dr Anahita Dua
ISET 2024
Natural Progress of High-Risk CLTI: The CLariTI Study 12-month Results
02/29/2024
Watch as Dr. Anahita Dua discusses her ISET 2024 presentation on the 12-month results of the CLariTI Study.
Watch as Dr. Anahita Dua discusses her ISET 2024 presentation on the 12-month results of the CLariTI Study.
Watch as Dr. Anahita Dua...
02/29/2024
Vascular Disease Management
Dr Alik Farber
ISET 2024
Management of CLTI in an Era of BEST-CLI and BASIL-2
02/13/2024
Dr. Alik Farber discusses his ISET 2024 presentation on the BEST-CLI and BASIL-2 trials and how to best manage patients with CLTI in the wake of these trials.
Dr. Alik Farber discusses his ISET 2024 presentation on the BEST-CLI and BASIL-2 trials and how to best manage patients with CLTI in the wake of these trials.
Dr. Alik Farber discusses his...
02/13/2024
Vascular Disease Management
Kern Drachman Seto
Live with Dr. Kern
Kern, Drachman, Seto: Upsizing a Radial Sheath? Methods and Cautionary Notes
12/20/2023
Drs Kern, Seto, and Drachman discuss their experience with upsizing radial sheaths and the current status of radial access in the United States.
Drs Kern, Seto, and Drachman discuss their experience with upsizing radial sheaths and the current status of radial access in the United States.
Drs Kern, Seto, and Drachman...
12/20/2023
Cath Lab Digest
Drs Siah and Secemsky
Video Series
Size for Success: Peripheral IVL Sizing for Optimal Results
12/18/2023
Drs. Secemsky and Siah discusss the overall under-sizing trends of endovascular tools – why it happens and the clinical implications.
Drs. Secemsky and Siah discusss the overall under-sizing trends of endovascular tools – why it happens and the clinical implications.
Drs. Secemsky and Siah discusss...
12/18/2023
Vascular Disease Management
The Green Cath Lab
Live with Dr. Kern
Kern and Ahmed – The Green Cath Lab: What Is It? Why Does It Matter and Can We Achieve It?
11/28/2023
Listen to Dr. Morton Kern's discussion on "The Green Cath Lab" with Bina Ahmed, MD, Cottage Hospital, Santa Barbara, California. Dr. Ahmed suggests the idea of developing a sustainability team within the lab to define current practice and...
Listen to Dr. Morton Kern's discussion on "The Green Cath Lab" with Bina Ahmed, MD, Cottage Hospital, Santa Barbara, California. Dr. Ahmed suggests the idea of developing a sustainability team within the lab to define current practice and...
Listen to Dr. Morton Kern's...
11/28/2023
Cath Lab Digest
Dr Davis
AMP 2023
OCT-Guided Atherectomy of Lesions BTK
11/27/2023
In this video, Dr. Thomas Davis discusses early data from a postmarket study looking at success rates for atherectomy with OCT as well as 6-month and 1-year data.
In this video, Dr. Thomas Davis discusses early data from a postmarket study looking at success rates for atherectomy with OCT as well as 6-month and 1-year data.
In this video, Dr. Thomas Davis...
11/27/2023
Vascular Disease Management
Michael J. Bloch headshot
Meeting Update
Updates from TCT 2023: Renal Denervation
11/22/2023
Michael J. Bloch, MD, discusses hypertension and a patient-level pooled analysis of ultrasound renal denervation in the sham-controlled RADIANCE II, RADIANCE-HTN SOLO, and RADIANCE-HTN TRIO trials.
Michael J. Bloch, MD, discusses hypertension and a patient-level pooled analysis of ultrasound renal denervation in the sham-controlled RADIANCE II, RADIANCE-HTN SOLO, and RADIANCE-HTN TRIO trials.
Michael J. Bloch, MD, discusses...
11/22/2023
Journal of Invasive Cardiology

Latest News

News
New Shockwave Coronary IVL Publication Shows Similar Outcomes in Women and Men
11/09/2023

Shockwave Medical News

Shockwave Medical News
In the patient-level pooled analysis, titled “Coronary Intravascular Lithotripsy for Treatment of Severely Calcified Lesions: Long-Term Sex-Specific Outcomes,” use of IVL for lesion preparation of severely calcified lesions had similar safety...
In the patient-level pooled analysis, titled “Coronary Intravascular Lithotripsy for Treatment of Severely Calcified Lesions: Long-Term Sex-Specific Outcomes,” use of IVL for lesion preparation of severely calcified lesions had similar safety...
In the patient-level pooled...
11/09/2023
Cath Lab Digest
News
CMS Establishes New Category I CPT Add-On Code for Coronary Intravascular Lithotripsy (IVL)
11/03/2023

Shockwave Medical News

Shockwave Medical News
SANTA CLARA, Calif.- Shockwave Medical, Inc. announced that as part of the Calendar Year 2024 Physician Fee Schedule (PFS) final rule, the U.S. Centers for Medicare & Medicaid Services (CMS) has established a Category I Current Procedural...
SANTA CLARA, Calif.- Shockwave Medical, Inc. announced that as part of the Calendar Year 2024 Physician Fee Schedule (PFS) final rule, the U.S. Centers for Medicare & Medicaid Services (CMS) has established a Category I Current Procedural...
SANTA CLARA, Calif.- Shockwave...
11/03/2023
Cath Lab Digest
News
New Shockwave Coronary IVL Publications Confirm Safety and Efficacy Across Multiple Calcium Morphologies
10/19/2023

Shockwave Medical News

Shockwave Medical News
Two new publications reported excellent and consistent outcomes with coronary intravascular lithotripsy (IVL) in both nodular and eccentric calcium.
Two new publications reported excellent and consistent outcomes with coronary intravascular lithotripsy (IVL) in both nodular and eccentric calcium.
Two new publications reported...
10/19/2023
Cath Lab Digest
News
Centers For Medicare & Medicaid Services Creates New Hospital Inpatient Payment for Coronary Intravascular Lithotripsy
08/02/2023

Shockwave Medical News

Shockwave Medical News
Three new codes, MS-DRGs 323, 324, and 325, have been created to describe Percutaneous Coronary Interventions (PCI) that utilize coronary IVL, with and without a stent implant (intraluminal device), in the hospital inpatient setting.
Three new codes, MS-DRGs 323, 324, and 325, have been created to describe Percutaneous Coronary Interventions (PCI) that utilize coronary IVL, with and without a stent implant (intraluminal device), in the hospital inpatient setting.
Three new codes, MS-DRGs 323,...
08/02/2023
Cath Lab Digest
News
Shockwave Medical Launches New Coronary IVL Catheter Internationally and Enrolls First Patient in All-Female Empower Study
05/15/2023
Shockwave C2+ provides 50 percent more pulses per catheter than Shockwave C2 and is optimally designed to treat longer calcified lesions and more challenging eccentric and nodular calcium.
Shockwave C2+ provides 50 percent more pulses per catheter than Shockwave C2 and is optimally designed to treat longer calcified lesions and more challenging eccentric and nodular calcium.
Shockwave C2+ provides 50...
05/15/2023
Cath Lab Digest
News
Updated SCAI Guidance Includes Coronary IVL as a Treatment Option in All U.S. Catheterization Labs Regardless of Surgical Backup Status
01/31/2023
The updated guidelines, which modify the previous 2014 guidelines by no longer restricting recommended treatment to facilities with on-site surgical backup, will now endorse expanded treatment options and access for patients with calcified...
The updated guidelines, which modify the previous 2014 guidelines by no longer restricting recommended treatment to facilities with on-site surgical backup, will now endorse expanded treatment options and access for patients with calcified...
The updated guidelines, which...
01/31/2023
Cath Lab Digest
News
SCAI Scientific Sessions: Shockwave IVL Coronary Studies Demonstrate Excellent PCI Outcomes in Both Women and Men at One Year
05/19/2022
Findings Hold Promise for Female Patients with Calcified Coronary Artery Disease Who Previously Suffered Worse Safety Outcomes than Male Patients Undergoing Atherectomy
Findings Hold Promise for Female Patients with Calcified Coronary Artery Disease Who Previously Suffered Worse Safety Outcomes than Male Patients Undergoing Atherectomy
Findings Hold Promise for Female...
05/19/2022
Cath Lab Digest
News
Shockwave Medical Announces Japanese Regulatory Approval of Coronary IVL
03/30/2022
Transformative Shockwave C2 Intravascular Lithotripsy Catheter Will Soon Be Available in One of the World’s Largest Coronary Intervention Markets
Transformative Shockwave C2 Intravascular Lithotripsy Catheter Will Soon Be Available in One of the World’s Largest Coronary Intervention Markets
Transformative Shockwave...
03/30/2022
Cath Lab Digest
News
Shockwave Intravascular Lithotripsy FDA Approved to Treat Advanced Heart Disease
02/16/2021
Transformative Technology Now Available for Calcified Coronary Plaque SANTA CLARA, Calif., Feb. 16, 2021 — Shockwave Medical, Inc. announced today that the company’s sonic pressure wave therapy received Pre-Market Approval for severely...
Transformative Technology Now Available for Calcified Coronary Plaque SANTA CLARA, Calif., Feb. 16, 2021 — Shockwave Medical, Inc. announced today that the company’s sonic pressure wave therapy received Pre-Market Approval for severely...
Transformative Technology Now...
02/16/2021
Cath Lab Digest
News
Dallas Heart Study: Aspirin Use Best for Those With High Coronary Calcium, Low Risk of Bleeding
10/28/2020
DALLAS – Oct. 28, 2020 – Coronary artery calcium (CAC) scanning could help doctors decide whether the benefits of taking aspirin to prevent a first heart attack or stroke outweigh the risks of bleeding from its use, UT...
DALLAS – Oct. 28, 2020 – Coronary artery calcium (CAC) scanning could help doctors decide whether the benefits of taking aspirin to prevent a first heart attack or stroke outweigh the risks of bleeding from its use, UT...
DALLAS – Oct. 28, 2020...
10/28/2020
Cath Lab Digest
Psychological Stress & HD
Adding 9th Psychological Health Metric to Life’s Essential 8 Enhances Cardiovascular Health Construct for Predicting Mortality Risk
08/08/2024
A cardiovascular health construct based on the American Heart Association’s Life’s Essential 8 but enhanced with a ninth psychological health metric strongly predicts all-cause and cardiovascular mortality, according to a new study at...
A cardiovascular health construct based on the American Heart Association’s Life’s Essential 8 but enhanced with a ninth psychological health metric strongly predicts all-cause and cardiovascular mortality, according to a new study at...
A cardiovascular health...
08/08/2024
Cath Lab Digest
Reprocessing Devices
SxanPro Introduces New Cost-Recovery Dashboard to Reduce Hospital Device Waste
08/08/2024
The advanced XCHG dashboard uses customizable algorithms to analyze inventory data, collected from the UDI using SxanPro's mobile technology, to identify items that can be transferred, sold, or repurposed. This unique capability minimizes...
The advanced XCHG dashboard uses customizable algorithms to analyze inventory data, collected from the UDI using SxanPro's mobile technology, to identify items that can be transferred, sold, or repurposed. This unique capability minimizes...
The advanced XCHG dashboard uses...
08/08/2024
Cath Lab Digest
Sleep and CVD
Study of Sleep in Women Shows Delaying Bedtime by Just 90 Minutes Each Night Damages Endothelial Cells
08/06/2024
After just six weeks of shortened sleep, the study found, the cells that line our blood vessels are flooded by damaging oxidants. And unlike well-rested cells, sleep-restricted cells fail to activate antioxidant responses to clear the...
After just six weeks of shortened sleep, the study found, the cells that line our blood vessels are flooded by damaging oxidants. And unlike well-rested cells, sleep-restricted cells fail to activate antioxidant responses to clear the...
After just six weeks of...
08/06/2024
Cath Lab Digest
TAVR
Can a Cerebral Embolic Protection Device Prevent a Stroke During a Heart Valve Procedure? New Research Shows Potential Benefit
08/06/2024
The study population consisted of 414,649 patients. Of those, 53,398 patients received an embolic protection device. This is the largest study to date among patients undergoing a transcatheter aortic valve replacement.
The study population consisted of 414,649 patients. Of those, 53,398 patients received an embolic protection device. This is the largest study to date among patients undergoing a transcatheter aortic valve replacement.
The study population consisted...
08/06/2024
Cath Lab Digest
Risk Factors
Study Reveals Link Between Transthyretin (TTR) Protein Levels and Heart Disease Risk
08/06/2024
"Our research highlights the critical role of TTR levels in predicting heart disease risk," said Pankaj Arora, MD. "By understanding the factors that influence TTR levels, we can better identify individuals at high risk and develop targeted...
"Our research highlights the critical role of TTR levels in predicting heart disease risk," said Pankaj Arora, MD. "By understanding the factors that influence TTR levels, we can better identify individuals at high risk and develop targeted...
"Our research highlights the...
08/06/2024
Cath Lab Digest
Out-of-Hospital Care
Corazon Offers Comprehensive Services to Ambulatory Surgery Centers, Including those Looking to Enter Cardiovascular
08/05/2024
“Our goal is to empower ASCs to enhance their cardiovascular services, ultimately improving patient outcomes and operational efficiency,” said Karen Hartman, President of Corazon. “With our comprehensive approach, we guide ASCs through the...
“Our goal is to empower ASCs to enhance their cardiovascular services, ultimately improving patient outcomes and operational efficiency,” said Karen Hartman, President of Corazon. “With our comprehensive approach, we guide ASCs through the...
“Our goal is to empower ASCs to...
08/05/2024
Cath Lab Digest
Scientists and clinicians at Scripps Research have shown that heart conditions can be diagnosed roughly as accurately using just three electrodes and an artificial intelligence (AI) tool. CREDIT Scripps Research
AI
New AI Tool Simplifies ECG: Fewer Leads, Same Accuracy
08/01/2024
Scientists report that their AI algorithm can recreate full 12-lead ECGs with data from only three ECG leads. Moreover, clinicians can identify heart attacks with nearly the same accuracy when they review the AI-generated ECGs as compared to...
Scientists report that their AI algorithm can recreate full 12-lead ECGs with data from only three ECG leads. Moreover, clinicians can identify heart attacks with nearly the same accuracy when they review the AI-generated ECGs as compared to...
Scientists report that their AI...
08/01/2024
Cath Lab Digest
Psychological Stress & HD
Stock Market Turbulence Linked to Increased Risk of Heart Attacks, Strokes, and Suicide: A Groundbreaking Study Analyzes 12 Million Deaths
08/01/2024
The research, which analyzed over 12 million deaths across China from 2013 to 2019, provides compelling evidence that the psychological stress induced by stock market fluctuations has severe and immediate health implications.
The research, which analyzed over 12 million deaths across China from 2013 to 2019, provides compelling evidence that the psychological stress induced by stock market fluctuations has severe and immediate health implications.
The research, which analyzed...
08/01/2024
Cath Lab Digest
Mental Health
AHA: Risks of Anxiety, Suicide Attempt May Rise Significantly After Cardiovascular Hospitalization
07/31/2024
This analysis of a large database included environmental and lifestyle factors that assessed both short- and long-term risk. It also reviewed whether different genetic susceptibilities to psychiatric disorders affect the possible link between...
This analysis of a large database included environmental and lifestyle factors that assessed both short- and long-term risk. It also reviewed whether different genetic susceptibilities to psychiatric disorders affect the possible link between...
This analysis of a large...
07/31/2024
Cath Lab Digest
Myocardial Perfusion
Teleflex Expands Interventional Cardiology Portfolio With FDA 510(k) Clearance of the Ringer Perfusion Balloon Catheter
07/31/2024
"The Ringer PTCA Clinical Study demonstrated that inflation of the Ringer™ PBC for 60 seconds or more was well tolerated in the majority of patients who are vulnerable to procedural ischemia,3" said Kathleen Kearney, MD, Principal...
"The Ringer PTCA Clinical Study demonstrated that inflation of the Ringer™ PBC for 60 seconds or more was well tolerated in the majority of patients who are vulnerable to procedural ischemia,3" said Kathleen Kearney, MD, Principal...
"The Ringer PTCA Clinical Study...
07/31/2024
Cath Lab Digest

Research

Clinical Trials
Shockwave Medical Unveils First One-Year Results of Coronary Intravascular Lithotripsy
11/05/2021
Data From the Disrupt CAD Clinical Program Demonstrate Consistency of Shockwave IVL Outcomes Over Time, Across Calcium Morphologies and Between Genders
Data From the Disrupt CAD Clinical Program Demonstrate Consistency of Shockwave IVL Outcomes Over Time, Across Calcium Morphologies and Between Genders
Data From the Disrupt CAD...
11/05/2021
Cath Lab Digest
Calcium Corner
When to Use IVL: An Exploration of Treatment Algorithms
09/07/2021
Information from the past five years of intravascular imaging at St. Francis Hospital, thousands of cases, has allowed us to develop algorithms or workflows for approaching stent implantation, which has been particularly helpful when...
Information from the past five years of intravascular imaging at St. Francis Hospital, thousands of cases, has allowed us to develop algorithms or workflows for approaching stent implantation, which has been particularly helpful when...
Information from the past five...
09/07/2021
Cath Lab Digest
Real-World Experience of Coronary Intravascular Lithotripsy in an Asian Population: A Retrospective, Observational, Single-Center, All-Comers Registry
Original Research
Real-World Experience of Coronary Intravascular Lithotripsy in an Asian Population: A Retrospective, Observational, Single-Center, All-Comers Registry
06/01/2021
To assess the clinical and angiographic outcomes of coronary intravascular lithotripsy use in an all-comers population with moderate-to-severely calcified coronary lesions.
To assess the clinical and angiographic outcomes of coronary intravascular lithotripsy use in an all-comers population with moderate-to-severely calcified coronary lesions.
To assess the clinical and...
06/01/2021
Journal of Invasive Cardiology
The Utility of Peripheral Intravascular Lithotripsy in Calcific Coronary Artery Disease: A Case Series
BRIEF COMMUNICATION
The Utility of Peripheral Intravascular Lithotripsy in Calcific Coronary Artery Disease: A Case Series
04/01/2021
We performed a retrospective review of patients who were excluded from preapproval trials of coronary IVL and underwent CAC modification with the off-label use of a peripheral IVL system.
We performed a retrospective review of patients who were excluded from preapproval trials of coronary IVL and underwent CAC modification with the off-label use of a peripheral IVL system.
We performed a retrospective...
04/01/2021
Journal of Invasive Cardiology
Intravascular Lithotripsy for the Treatment of Calcium-Mediated Coronary In-Stent Restenoses
ORIGINAL CONTRIBUTION
Intravascular Lithotripsy for the Treatment of Calcium-Mediated Coronary In-Stent Restenoses
01/01/2021
Abstract
Abstract
Abstract
01/01/2021
Journal of Invasive Cardiology
ORIGINAL CONTRIBUTION
Initial Experience With GlideAssist to Facilitate Advancement of Orbital Atherectomy Prior to Plaque Modification of Severely Calcified Coronary Artery Lesions
10/24/2019
OA is an effective tool to modify calcified plaque prior to stenting. However, advancement of the OA crown may be technically challenging due to complex coronary anatomy. We report our initial experience with GlideAssist to facilitate...
OA is an effective tool to modify calcified plaque prior to stenting. However, advancement of the OA crown may be technically challenging due to complex coronary anatomy. We report our initial experience with GlideAssist to facilitate...
OA is an effective tool to...
10/24/2019
Journal of Invasive Cardiology
BRIEF COMMUNICATION
Shockwave Intravascular Lithotripsy of Calcified Coronary Lesions in ST-Elevation Myocardial Infarction: First-in-Man Experience
04/24/2019
We present the first cases of Shockwave intravascular lithotripsy (Shockwave Medical), a novel coronary calcium modification device, being used in patients undergoing PCI for STEMI.
We present the first cases of Shockwave intravascular lithotripsy (Shockwave Medical), a novel coronary calcium modification device, being used in patients undergoing PCI for STEMI.
We present the first cases of...
04/24/2019
Journal of Invasive Cardiology
ORIGINAL CONTRIBUTION
In-Hospital Outcomes of Rotational Atherectomy in High-Risk Patients With Severely Calcified Left Main Coronary Artery Disease: A Single-Center Experience
01/14/2019
Rotational atherectomy (RA) is a useful tool for modification of calcified plaque prior to PCI. We report our experience with RA for severely calcified left main coronary artery disease.
Rotational atherectomy (RA) is a useful tool for modification of calcified plaque prior to PCI. We report our experience with RA for severely calcified left main coronary artery disease.
Rotational atherectomy (RA) is a...
01/14/2019
Journal of Invasive Cardiology
Original Contribution
One-Year Outcomes of Orbital Atherectomy of Long, Diffusely Calcified Coronary Artery Lesions
05/24/2018
Orbital atherectomy of long, diffusely calcified lesions may increase the risk of periprocedural angiographic complications. The aim of this study was to determine the clinical outcomes of patients with long, diffusely calcified coronary...
Orbital atherectomy of long, diffusely calcified lesions may increase the risk of periprocedural angiographic complications. The aim of this study was to determine the clinical outcomes of patients with long, diffusely calcified coronary...
Orbital atherectomy of long,...
05/24/2018
Journal of Invasive Cardiology
Review
The Impact and Pathophysiologic Consequences of Coronary Artery Calcium Deposition in Percutaneous Coronary Interventions
08/25/2015
The presence of coronary artery calcium (CAC) is indicative of advanced coronary artery disease. We discuss the implications of CAC on outcomes during and after PCI as well as interventional strategies used for the successful treatment of...
The presence of coronary artery calcium (CAC) is indicative of advanced coronary artery disease. We discuss the implications of CAC on outcomes during and after PCI as well as interventional strategies used for the successful treatment of...
The presence of coronary artery...
08/25/2015
Journal of Invasive Cardiology
Cath Lab Review
Waveform Capnography: Part of Comprehensive Vital Sign Monitoring
05/29/2024
Richard J. Merschen, EdS, RT(R)(CV), RCIS
Madalynne Ruth, RT/ICVT student
Waveform capnography is a continuous, non-invasive measurement of a patient’s ventilation effort and measures the amount of carbon dioxide (CO2) in exhaled air. It consists of two major elements: capnometry and waveform capnography.
Waveform capnography is a continuous, non-invasive measurement of a patient’s ventilation effort and measures the amount of carbon dioxide (CO2) in exhaled air. It consists of two major elements: capnometry and waveform capnography.
Waveform capnography is a...
05/29/2024
Cath Lab Digest
Brief Communication
Radiation Dose During Contemporary Percutaneous Coronary Interventions for Chronic Total Occlusion: Insights From the PROGRESS-CTO Registry
02/23/2024

Deniz Mutlu, MD; Athanasios Rempakos, MD; Michaella Alexandrou, MD; Ahmed Al-Ogaili, MD; Bavana V. Rangan, BDS, MPH; Olga C. Mastrodemos, BA; Yader Sandoval, MD; M. Nicholas Burke, MD; Emmanouil S. Brilakis, MD, PhD

Deniz Mutlu, MD; Athanasios Rempakos,...
The authors examined the contemporary trends and determinants of radiation dose in the PROGRESS CTO registry.
The authors examined the contemporary trends and determinants of radiation dose in the PROGRESS CTO registry.
The authors examined the...
02/23/2024
Journal of Invasive Cardiology
Marc Toth
ASC Considerations
4 Things to Consider in 2024 as You Implement Your Cardiovascular Outmigration Strategy
02/09/2024
It is anticipated that by 2030, 82% of all outpatient cardiovascular procedures will be appropriate for migration from the hospital to an ambulatory surgery center (ASC).(1) What will that ASC look like?
It is anticipated that by 2030, 82% of all outpatient cardiovascular procedures will be appropriate for migration from the hospital to an ambulatory surgery center (ASC).(1) What will that ASC look like?
It is anticipated that by 2030,...
02/09/2024
Cath Lab Digest
Transradial Hemostasis
Comparison of Two Methods for Transradial Hemostasis After Cardiac Catheterization and Impact on Post-Procedure Efficiency
01/23/2024
The authors describe an in-house study of their new practice standard, as prescribed by the RAVE trial, which combines a hemostasis pad (SoftSeal-STF [Chitogen]) with short-term use of a radial compression device to achieve hemostasis in a...
The authors describe an in-house study of their new practice standard, as prescribed by the RAVE trial, which combines a hemostasis pad (SoftSeal-STF [Chitogen]) with short-term use of a radial compression device to achieve hemostasis in a...
The authors describe an in-house...
01/23/2024
Cath Lab Digest
New Technology
Talking to TCT 2023’s Shark Tank (Innovation) Competition Winner: HeartPoint Global’s IntelliStent is an Adjustable, Multilumen Stent System for Pulmonary Hypertension in Congenital Heart Disease
01/03/2024
This year’s TCT Shark Tank Innovation Competition featured six companies presenting their technologies, chosen from over 50 submissions. TCT partnered with the Jon DeHaan Foundation to provide a $200,000 award to the 2023 competition winner,...
This year’s TCT Shark Tank Innovation Competition featured six companies presenting their technologies, chosen from over 50 submissions. TCT partnered with the Jon DeHaan Foundation to provide a $200,000 award to the 2023 competition winner,...
This year’s TCT Shark Tank...
01/03/2024
Cath Lab Digest
Technical Review
Crossing Stenotic Aortic Valves During TAVR: Technical Review and Thoughts
01/01/2024
Even though crossing aortic valves isn’t a lost art, crossing may be more difficult for novice operators because of a lack of everyday practice in the cath lab.
Even though crossing aortic valves isn’t a lost art, crossing may be more difficult for novice operators because of a lack of everyday practice in the cath lab.
Even though crossing aortic...
01/01/2024
Cath Lab Digest
Original Contribution
Radiation Exposure During Distal and Traditional Radial Coronary Angiography and Percutaneous Coronary Intervention: A Meta-analysis of Randomized Controlled Trials
10/31/2023
A systematic review and meta-analysis of the scientific literature was conducted to identify randomized controlled trials comparing dTRA with TRA.
A systematic review and meta-analysis of the scientific literature was conducted to identify randomized controlled trials comparing dTRA with TRA.
A systematic review and...
10/31/2023
Journal of Invasive Cardiology
Original Contribution
Temporal Trends and Outcomes of Patients With Chronic Limb-Threatening Ischemia With and Without History of Coronary Artery Disease: Insights From the US National Inpatient Sample Database
10/27/2023
Temporal trends in prevalence of significant CAD (history of myocardial infarction or coronary revascularizations) in hospitalizations for CLTI were determined using the 2000 to 2018 National Inpatient Sample (NIS) database. A multivariable...
Temporal trends in prevalence of significant CAD (history of myocardial infarction or coronary revascularizations) in hospitalizations for CLTI were determined using the 2000 to 2018 National Inpatient Sample (NIS) database. A multivariable...
Temporal trends in prevalence of...
10/27/2023
Journal of Invasive Cardiology
Imaging Education
From Theory to Practice: The Value of Physician-to-Physician Education in Adopting Contemporary PCI
10/02/2023
The burden of coronary artery disease is steadily increasing in the general population, due to an aging comorbid population and increase in disease complexity at the vessel level. To address this, new technologies, techniques, and...
The burden of coronary artery disease is steadily increasing in the general population, due to an aging comorbid population and increase in disease complexity at the vessel level. To address this, new technologies, techniques, and...
The burden of coronary artery...
10/02/2023
Cath Lab Digest
Imaging Systems
Bringing the Cutting-Edge Technology of the ARTIS icono Imaging System to a Small Community Hospital
09/19/2023
Dr. Vijay Iyer discusses the value provided by the lab’s ARTIS icono imaging system (Siemens Healthineers).
Dr. Vijay Iyer discusses the value provided by the lab’s ARTIS icono imaging system (Siemens Healthineers).
Dr. Vijay Iyer discusses the...
09/19/2023
Cath Lab Digest

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Test Your Mastery: Quizzes

Croce March 2022
Quiz
Quiz: Image-Guided Calcium Modification: IVL
03/11/2022
This quiz is based on an interview with Kevin J. Croce, MD, PhD. Read "Image-Guided Calcium Modification: IVL."   CLD March 2022 Calcium Corner QuizDr. Croce describes an image-based strategy that involves an algorithm called...
This quiz is based on an interview with Kevin J. Croce, MD, PhD. Read "Image-Guided Calcium Modification: IVL."   CLD March 2022 Calcium Corner QuizDr. Croce describes an image-based strategy that involves an algorithm called...
This quiz is based on an...
03/11/2022
Cath Lab Digest
SizemoreCLDFeb2022
Quiz
Quiz: Management of Calcified Lesions in Hospitals Without Surgical Backup
02/23/2022
This quiz is based on an interview with B. Clay Sizemore, MD.
This quiz is based on an interview with B. Clay Sizemore, MD.
This quiz is based on an...
02/23/2022
Cath Lab Digest
McEntegart CLD Jan 2022
Quiz
Quiz: Data Show Coronary Intravascular Lithotripsy is Safe, Effective, and Cost Efficient
01/18/2022
This quiz is based on an interview with Margaret McEntegart, BSc (Hons), MBChB, MRCP (UK), PhD. Read "Data Show Coronary Intravascular Lithotripsy is Safe, Effective, and Cost Efficient."   CLD Jan 2021 Calcium...
This quiz is based on an interview with Margaret McEntegart, BSc (Hons), MBChB, MRCP (UK), PhD. Read "Data Show Coronary Intravascular Lithotripsy is Safe, Effective, and Cost Efficient."   CLD Jan 2021 Calcium...
This quiz is based on an...
01/18/2022
Cath Lab Digest
KereiakesAliAikkoHussain
Test Yourself
Quiz: Coronary Intravascular Lithotripsy (IVL): Research Roundup at TCT With Drs. Dean Kereiakes, Ziad Ali, Akiko Maehara, and Yasin Hussain
12/07/2021
This quiz is based on interviews with Drs. Dean Kereiakes, Ziad Ali, Akiko Maehara, and Yasin Hussain. Read "Coronary Intravascular Lithotripsy (IVL): Research Roundup at TCT."   [COPY] TCT Roundup Dec 2021 Calcium...
This quiz is based on interviews with Drs. Dean Kereiakes, Ziad Ali, Akiko Maehara, and Yasin Hussain. Read "Coronary Intravascular Lithotripsy (IVL): Research Roundup at TCT."   [COPY] TCT Roundup Dec 2021 Calcium...
This quiz is based on interviews...
12/07/2021
Cath Lab Digest
CLD Potluri Nov 2021
Test Yourself
Quiz: Safe and Effective Calcium Modification in Severe Ostial Right Coronary Artery Stenosis
11/08/2021
This quiz is based on an interview and case report from Srini Potluri, MD, FACC, FSCAI. Read "Safe and Effective Calcium Modification in Severe Ostial Right Coronary Artery Stenosis." Potluri CLD Nov 2021 Calcium Corner...
This quiz is based on an interview and case report from Srini Potluri, MD, FACC, FSCAI. Read "Safe and Effective Calcium Modification in Severe Ostial Right Coronary Artery Stenosis." Potluri CLD Nov 2021 Calcium Corner...
This quiz is based on an...
11/08/2021
Cath Lab Digest
Klein CLD Oct 2021
TEST YOURSELF
Quiz: Coronary IVL Tips and Tricks
10/12/2021
This quiz is based on an interview with Andrew J.P. Klein, MD, FACC, FSVM, FSCAI. Click here to read "Coronary IVL Tips and Tricks." Klein CLD Oct 2021 Calcium Corner QuizIntravascular lithoplasty has eliminated the need for coronary...
This quiz is based on an interview with Andrew J.P. Klein, MD, FACC, FSVM, FSCAI. Click here to read "Coronary IVL Tips and Tricks." Klein CLD Oct 2021 Calcium Corner QuizIntravascular lithoplasty has eliminated the need for coronary...
This quiz is based on an...
10/12/2021
Cath Lab Digest
Shlofmitz CLD IVL OCT image
Test Yourself
Quiz: When to Use IVL: An Exploration of Treatment Algorithms
09/22/2021
This quiz is based on an interview with Evan Shlofmitz, DO. Click here to read "When to Use IVL: An Exploration of Treatment Algorithms".   Shlofmitz CLD Sept 2021 Calcium Corner QuizIf you can cross with an OCT or IVUS...
This quiz is based on an interview with Evan Shlofmitz, DO. Click here to read "When to Use IVL: An Exploration of Treatment Algorithms".   Shlofmitz CLD Sept 2021 Calcium Corner QuizIf you can cross with an OCT or IVUS...
This quiz is based on an...
09/22/2021
Cath Lab Digest
Shockwave IVL Mechanism of Use
Test Yourself
Quiz: The Impact of Calcium on PCI and the Need for Intravascular Lithotripsy (IVL)
09/21/2021
This quiz is based on an interview with Nadia Sutton, MD. Click here to read "The Impact of Calcium on PCI and the Need for Intravascular Lithotripsy (IVL)". Intravascular lithotripsy (IVL) uses sonic pressure waves to fracture both...
This quiz is based on an interview with Nadia Sutton, MD. Click here to read "The Impact of Calcium on PCI and the Need for Intravascular Lithotripsy (IVL)". Intravascular lithotripsy (IVL) uses sonic pressure waves to fracture both...
This quiz is based on an...
09/21/2021
Cath Lab Digest
Croce March 2022
Quiz
Quiz: Image-Guided Calcium Modification: IVL
03/11/2022
This quiz is based on an interview with Kevin J. Croce, MD, PhD. Read "Image-Guided Calcium Modification: IVL."   CLD March 2022 Calcium Corner QuizDr. Croce describes an image-based strategy that involves an algorithm called...
This quiz is based on an interview with Kevin J. Croce, MD, PhD. Read "Image-Guided Calcium Modification: IVL."   CLD March 2022 Calcium Corner QuizDr. Croce describes an image-based strategy that involves an algorithm called...
This quiz is based on an...
03/11/2022
Cath Lab Digest
SizemoreCLDFeb2022
Quiz
Quiz: Management of Calcified Lesions in Hospitals Without Surgical Backup
02/23/2022
This quiz is based on an interview with B. Clay Sizemore, MD.
This quiz is based on an interview with B. Clay Sizemore, MD.
This quiz is based on an...
02/23/2022
Cath Lab Digest
McEntegart CLD Jan 2022
Quiz
Quiz: Data Show Coronary Intravascular Lithotripsy is Safe, Effective, and Cost Efficient
01/18/2022
This quiz is based on an interview with Margaret McEntegart, BSc (Hons), MBChB, MRCP (UK), PhD. Read "Data Show Coronary Intravascular Lithotripsy is Safe, Effective, and Cost Efficient."   CLD Jan 2021 Calcium...
This quiz is based on an interview with Margaret McEntegart, BSc (Hons), MBChB, MRCP (UK), PhD. Read "Data Show Coronary Intravascular Lithotripsy is Safe, Effective, and Cost Efficient."   CLD Jan 2021 Calcium...
This quiz is based on an...
01/18/2022
Cath Lab Digest
KereiakesAliAikkoHussain
Test Yourself
Quiz: Coronary Intravascular Lithotripsy (IVL): Research Roundup at TCT With Drs. Dean Kereiakes, Ziad Ali, Akiko Maehara, and Yasin Hussain
12/07/2021
This quiz is based on interviews with Drs. Dean Kereiakes, Ziad Ali, Akiko Maehara, and Yasin Hussain. Read "Coronary Intravascular Lithotripsy (IVL): Research Roundup at TCT."   [COPY] TCT Roundup Dec 2021 Calcium...
This quiz is based on interviews with Drs. Dean Kereiakes, Ziad Ali, Akiko Maehara, and Yasin Hussain. Read "Coronary Intravascular Lithotripsy (IVL): Research Roundup at TCT."   [COPY] TCT Roundup Dec 2021 Calcium...
This quiz is based on interviews...
12/07/2021
Cath Lab Digest
CLD Potluri Nov 2021
Test Yourself
Quiz: Safe and Effective Calcium Modification in Severe Ostial Right Coronary Artery Stenosis
11/08/2021
This quiz is based on an interview and case report from Srini Potluri, MD, FACC, FSCAI. Read "Safe and Effective Calcium Modification in Severe Ostial Right Coronary Artery Stenosis." Potluri CLD Nov 2021 Calcium Corner...
This quiz is based on an interview and case report from Srini Potluri, MD, FACC, FSCAI. Read "Safe and Effective Calcium Modification in Severe Ostial Right Coronary Artery Stenosis." Potluri CLD Nov 2021 Calcium Corner...
This quiz is based on an...
11/08/2021
Cath Lab Digest
Klein CLD Oct 2021
TEST YOURSELF
Quiz: Coronary IVL Tips and Tricks
10/12/2021
This quiz is based on an interview with Andrew J.P. Klein, MD, FACC, FSVM, FSCAI. Click here to read "Coronary IVL Tips and Tricks." Klein CLD Oct 2021 Calcium Corner QuizIntravascular lithoplasty has eliminated the need for coronary...
This quiz is based on an interview with Andrew J.P. Klein, MD, FACC, FSVM, FSCAI. Click here to read "Coronary IVL Tips and Tricks." Klein CLD Oct 2021 Calcium Corner QuizIntravascular lithoplasty has eliminated the need for coronary...
This quiz is based on an...
10/12/2021
Cath Lab Digest
Shlofmitz CLD IVL OCT image
Test Yourself
Quiz: When to Use IVL: An Exploration of Treatment Algorithms
09/22/2021
This quiz is based on an interview with Evan Shlofmitz, DO. Click here to read "When to Use IVL: An Exploration of Treatment Algorithms".   Shlofmitz CLD Sept 2021 Calcium Corner QuizIf you can cross with an OCT or IVUS...
This quiz is based on an interview with Evan Shlofmitz, DO. Click here to read "When to Use IVL: An Exploration of Treatment Algorithms".   Shlofmitz CLD Sept 2021 Calcium Corner QuizIf you can cross with an OCT or IVUS...
This quiz is based on an...
09/22/2021
Cath Lab Digest
Shockwave IVL Mechanism of Use
Test Yourself
Quiz: The Impact of Calcium on PCI and the Need for Intravascular Lithotripsy (IVL)
09/21/2021
This quiz is based on an interview with Nadia Sutton, MD. Click here to read "The Impact of Calcium on PCI and the Need for Intravascular Lithotripsy (IVL)". Intravascular lithotripsy (IVL) uses sonic pressure waves to fracture both...
This quiz is based on an interview with Nadia Sutton, MD. Click here to read "The Impact of Calcium on PCI and the Need for Intravascular Lithotripsy (IVL)". Intravascular lithotripsy (IVL) uses sonic pressure waves to fracture both...
This quiz is based on an...
09/21/2021
Cath Lab Digest
Quiz
Quiz: Dr. Morton Kern's "Planning Counts for the Best Results in the CABG Patient"
11/27/2019
11/27/2019
Cath Lab Digest
Quiz
Test Your OCT Knowledge
10/29/2019
10/29/2019
Cath Lab Digest

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Calcium Corner
A Physician’s Perspective on New Permanent Reimbursement Pathways for Coronary Intravascular Lithotripsy
02/04/2024
Cath lab managers, administrators, and people looking at the overheads should be aware of this change because it is going to alter the landscape. If you are doing a complex case using multiple devices, there is no longer the potential for a...
Cath lab managers, administrators, and people looking at the overheads should be aware of this change because it is going to alter the landscape. If you are doing a complex case using multiple devices, there is no longer the potential for a...
Cath lab managers,...
02/04/2024
Cath Lab Digest
Calcium Corner
An “IVL-First” Strategy Using 120 Pulses With the Next-Gen C2+ Shockwave Catheter
01/04/2024
"Having 40 extra pulses allows us to treat lesions that in the past might have been too diffuse or too long for single-catheter IVL use, and we also can use the extra pulses in the C2+ to treat lesions in more than one vessel," says Dr....
"Having 40 extra pulses allows us to treat lesions that in the past might have been too diffuse or too long for single-catheter IVL use, and we also can use the extra pulses in the C2+ to treat lesions in more than one vessel," says Dr....
"Having 40 extra pulses allows...
01/04/2024
Cath Lab Digest
Calcium Corner
Changing the Strategy: Introduction of the 120-Pulse Shockwave C2+ Catheter at St. Francis Heart Center
12/05/2023
CLD talks with Ziad A. Ali, MD, DPhil about the use of the Shockwave C2+ catheter at St. Francis Heart Center.
CLD talks with Ziad A. Ali, MD, DPhil about the use of the Shockwave C2+ catheter at St. Francis Heart Center.
CLD talks with Ziad A. Ali, MD,...
12/05/2023
Cath Lab Digest
News
New Shockwave Coronary IVL Publication Shows Similar Outcomes in Women and Men
11/09/2023

Shockwave Medical News

Shockwave Medical News
In the patient-level pooled analysis, titled “Coronary Intravascular Lithotripsy for Treatment of Severely Calcified Lesions: Long-Term Sex-Specific Outcomes,” use of IVL for lesion preparation of severely calcified lesions had similar safety...
In the patient-level pooled analysis, titled “Coronary Intravascular Lithotripsy for Treatment of Severely Calcified Lesions: Long-Term Sex-Specific Outcomes,” use of IVL for lesion preparation of severely calcified lesions had similar safety...
In the patient-level pooled...
11/09/2023
Cath Lab Digest
News
CMS Establishes New Category I CPT Add-On Code for Coronary Intravascular Lithotripsy (IVL)
11/03/2023

Shockwave Medical News

Shockwave Medical News
SANTA CLARA, Calif.- Shockwave Medical, Inc. announced that as part of the Calendar Year 2024 Physician Fee Schedule (PFS) final rule, the U.S. Centers for Medicare & Medicaid Services (CMS) has established a Category I Current Procedural...
SANTA CLARA, Calif.- Shockwave Medical, Inc. announced that as part of the Calendar Year 2024 Physician Fee Schedule (PFS) final rule, the U.S. Centers for Medicare & Medicaid Services (CMS) has established a Category I Current Procedural...
SANTA CLARA, Calif.- Shockwave...
11/03/2023
Cath Lab Digest
News
New Shockwave Coronary IVL Publications Confirm Safety and Efficacy Across Multiple Calcium Morphologies
10/19/2023

Shockwave Medical News

Shockwave Medical News
Two new publications reported excellent and consistent outcomes with coronary intravascular lithotripsy (IVL) in both nodular and eccentric calcium.
Two new publications reported excellent and consistent outcomes with coronary intravascular lithotripsy (IVL) in both nodular and eccentric calcium.
Two new publications reported...
10/19/2023
Cath Lab Digest
News
Centers For Medicare & Medicaid Services Creates New Hospital Inpatient Payment for Coronary Intravascular Lithotripsy
08/02/2023

Shockwave Medical News

Shockwave Medical News
Three new codes, MS-DRGs 323, 324, and 325, have been created to describe Percutaneous Coronary Interventions (PCI) that utilize coronary IVL, with and without a stent implant (intraluminal device), in the hospital inpatient setting.
Three new codes, MS-DRGs 323, 324, and 325, have been created to describe Percutaneous Coronary Interventions (PCI) that utilize coronary IVL, with and without a stent implant (intraluminal device), in the hospital inpatient setting.
Three new codes, MS-DRGs 323,...
08/02/2023
Cath Lab Digest
News
Shockwave Medical Launches New Coronary IVL Catheter Internationally and Enrolls First Patient in All-Female Empower Study
05/15/2023
Shockwave C2+ provides 50 percent more pulses per catheter than Shockwave C2 and is optimally designed to treat longer calcified lesions and more challenging eccentric and nodular calcium.
Shockwave C2+ provides 50 percent more pulses per catheter than Shockwave C2 and is optimally designed to treat longer calcified lesions and more challenging eccentric and nodular calcium.
Shockwave C2+ provides 50...
05/15/2023
Cath Lab Digest
News
Updated SCAI Guidance Includes Coronary IVL as a Treatment Option in All U.S. Catheterization Labs Regardless of Surgical Backup Status
01/31/2023
The updated guidelines, which modify the previous 2014 guidelines by no longer restricting recommended treatment to facilities with on-site surgical backup, will now endorse expanded treatment options and access for patients with calcified...
The updated guidelines, which modify the previous 2014 guidelines by no longer restricting recommended treatment to facilities with on-site surgical backup, will now endorse expanded treatment options and access for patients with calcified...
The updated guidelines, which...
01/31/2023
Cath Lab Digest
Calcium Corner
Taking a Pulse Check in Complex Calcified Vessels
09/06/2022
Dr. Khatri is the Director of Complex Coronary Intervention at Cleveland Clinic, performing 150-200 chronic total occlusion (CTO) procedures annually, along with a high volume of complex and high-risk coronary intervention procedures (CHIP).
Dr. Khatri is the Director of Complex Coronary Intervention at Cleveland Clinic, performing 150-200 chronic total occlusion (CTO) procedures annually, along with a high volume of complex and high-risk coronary intervention procedures (CHIP).
Dr. Khatri is the Director of...
09/06/2022
Cath Lab Digest
White Paper
SG2 Data Highlights Urgency for Increased Cardiovascular Intervention Resources in U.S. Hospitals
11/14/2024
Sg2 recommends health systems focus on short-term care redesign and long-term investment plans for catheterization labs, care teams, resources and patient beds to match forecasted demand. The paper includes multiple short- and long-term...
Sg2 recommends health systems focus on short-term care redesign and long-term investment plans for catheterization labs, care teams, resources and patient beds to match forecasted demand. The paper includes multiple short- and long-term...
Sg2 recommends health systems...
11/14/2024
Cath Lab Digest
First Aid guidelines
AHA/American Red Cross: Updated First Aid Guidelines Enhance Care for Opioid Overdose, Bleeding, Other Emergencies
11/14/2024
These are the first major comprehensive updates to the first aid guidelines since 2010 and address shifts in how the public manages common and critical first aid emergencies.
These are the first major comprehensive updates to the first aid guidelines since 2010 and address shifts in how the public manages common and critical first aid emergencies.
These are the first major...
11/14/2024
Cath Lab Digest
Thrombectomy
Data Show Patients Treated with Penumbra’s Computer Assisted Vacuum Thrombectomy Technology for Pulmonary Embolism Experience Shorter Hospital Stays and Fewer Complications Compared to Other Treatment Options
11/13/2024
Data show patients with intermediate-risk pulmonary embolism (PE) treated with Penumbra’s computer assisted vacuum thrombectomy (CAVT™) technology have a shorter length of hospital stay, shorter post-procedure length of stay, and fewer...
Data show patients with intermediate-risk pulmonary embolism (PE) treated with Penumbra’s computer assisted vacuum thrombectomy (CAVT™) technology have a shorter length of hospital stay, shorter post-procedure length of stay, and fewer...
Data show patients with...
11/13/2024
Cath Lab Digest
Atherosclerosis
Study Identifies Molecule That Simulates Inflammation-Reducing Effects of Low-Fat Diet
11/13/2024
“We have already seen its effectiveness in multiple models of atherosclerosis,” said Andrei Maiseyeu, associate professor at the Cardiovascular Research Institute and Department of Biomedical Engineering at Case Western Reserve’s School of...
“We have already seen its effectiveness in multiple models of atherosclerosis,” said Andrei Maiseyeu, associate professor at the Cardiovascular Research Institute and Department of Biomedical Engineering at Case Western Reserve’s School of...
“We have already seen its...
11/13/2024
Cath Lab Digest
Dr. Morton Kern, Dr. Jacqueline Tamis-Holland, and Dr. Arnold Seto
KERN LIVE
SCAI Expert Consensus Statement on STEMI in the Cath Lab: Drs. Kern, Tamis-Holland, and Seto Discuss
11/12/2024
Listen in as Jacqueline E. Tamis-Holland, MD, FSCAI, of the Cleveland Clinic Heart, Vascular & Thoracic Institute and chair of the consensus statement working group, joins Morton Kern, MD, and Arnold H. Seto, MD, to discuss the 2024 Society...
Listen in as Jacqueline E. Tamis-Holland, MD, FSCAI, of the Cleveland Clinic Heart, Vascular & Thoracic Institute and chair of the consensus statement working group, joins Morton Kern, MD, and Arnold H. Seto, MD, to discuss the 2024 Society...
Listen in as Jacqueline E....
11/12/2024
Cath Lab Digest
defibrillation
Researchers Discover Far Less Energy Is Needed Than Currently Used in State-of-the-Art Defibrillation Techniques
11/11/2024
"Existing low-energy defibrillation protocols yield only a moderate reduction in tissue damage and pain," author Roman Grigoriev said. "Our study shows these can be completely eliminated. Conventional protocols require substantial power for...
"Existing low-energy defibrillation protocols yield only a moderate reduction in tissue damage and pain," author Roman Grigoriev said. "Our study shows these can be completely eliminated. Conventional protocols require substantial power for...
"Existing low-energy...
11/11/2024
Cath Lab Digest
Heat & CVD
NEJM: Using a Fan and Wetting the Skin Reduces Risk of Deadly Cardiac Strain in Hot and Humid Weather
11/11/2024
"Older adults, especially those with heart disease, are at greater risk due to the strain that hot temperatures put on the heart. Understanding the impacts of different cooling strategies on the heart is important to help vulnerable people...
"Older adults, especially those with heart disease, are at greater risk due to the strain that hot temperatures put on the heart. Understanding the impacts of different cooling strategies on the heart is important to help vulnerable people...
"Older adults, especially those...
11/11/2024
Cath Lab Digest
Endocarditis
New Catheter-Based Approach for Right-Sided Infective Endocarditis
11/11/2024
In a recent study, over 90% of the participants had their infection cleared, and they had lower in-hospital mortality compared to those whose infections remained.
In a recent study, over 90% of the participants had their infection cleared, and they had lower in-hospital mortality compared to those whose infections remained.
In a recent study, over 90% of...
11/11/2024
Cath Lab Digest
Hearts in space
Artificial 'Mini-Hearts' Take Flight to the International Space Station
11/11/2024
The International Space Station research project will examine microgravity’s effect on heart tissue and is designed to better understand how microgravity affects the function of the human heart.
The International Space Station research project will examine microgravity’s effect on heart tissue and is designed to better understand how microgravity affects the function of the human heart.
The International Space Station...
11/11/2024
Cath Lab Digest
Microvascular Disease
Hourglass-Shaped Stent Could Ease Severe Chest Pain From Microvascular Disease
11/08/2024
The different design is thought to increase back pressure, redistributing blood flow more fully through small vessels in the heart that were not working at capacity.
The different design is thought to increase back pressure, redistributing blood flow more fully through small vessels in the heart that were not working at capacity.
The different design is thought...
11/08/2024
Cath Lab Digest

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