Michael Ragosta, MD

Feature

FFR and Choosing an Optimal Revascularization Strategy

06/19/2008

It provides a very easy-to-interpret value that helps physicians determine the significance of a coronary lesion seen on angiography. Its most important role is to help us to understand whether or not a lesion is capable of resulting in...

It provides a very...

06/19/2008

Cath Lab Digest

Case Report

Percutaneous Ventricular Assist Device To Rescue a Patient with Profound Shock From a Thrombosed Prosthetic Mitral Valve

11/04/2008

Michael Ragosta , MD;

D. Scott Lim , MD;

Hemant Solomon , BSc(Hons), MRCP;

ABSTRACT: The TandemHeart® is a percutaneous ventricular assist device that has been approved to provide hemodynamic support in high-risk patients undergoing cardiac procedures, including percutaneous coronary interventions and aortic balloon...

ABSTRACT: The TandemHeart® is a...

11/04/2008

Journal of Invasive Cardiology

Original Contribution

High Left Ventricular Mass Index Does Not Limit the Utility of Fractional Flow Reserve for the Physiologic Assessment of Lesion

08/01/2008

Lawrence W. Gimple , MD;

Christopher M. Kramer , MD;

Joshua J. Fischer , MD;

Kurt G. Barringhaus , MD;

Habib Samady , MD;

Michael Ragosta , MD;

Eric R. Powers , MD;

Alan J. Sarembock , MD;

Adnan K. Chhatriwalla , MD;

Myocardial fractional flow reserve (FFR) is an invasive index of the physiologic significance of a coronary stenosis. FFR is simply measured as the mean intracoronary pressure distal to a lesion divided by the mean aortic pressure during...

Myocardial fractional flow...

08/01/2008

Journal of Invasive Cardiology

Clinical Editor's Corner

Conversations in Cardiology: What Should You Do If Your Guide Wire Breaks? Dealing With Equipment Malfunction

01/13/2015

Allen Jeremias , MD, MSc;

Aaron V. Kaplan ;

Mladen I. Vidovich , MD;

Morton J. Kern , MD, MSCAI, FACC, FAHA;

Kirk N. Garrett ;

Michael Ragosta , MD;

Malcolm R. Bell , MD;

Ajay J. Kirtane , MD, SM;

George W. Vetrovec , MD;

Lloyd W. Klein , MD;

Mitchell W. Krucoff , MD;

Bonnie H. Weiner , MD, MBA, FSCAI, FACC;

Samuel M. Butman , MD;

A challenging access case required a coronary 0.014-inch wire to deliver a micropuncture sheath into the internal jugular vein (the standard micropuncture wire couldn’t be manipulated into the superior vena cava [SVC]). At some point during...

A challenging access case...

01/13/2015

Cath Lab Digest

Clinical Editor's Corner

On Teaching Cardiac Cath Part II: Where is Your Attending?

12/05/2014

Lloyd W. Klein , MD;

Robert J. Applegate , MD;

Augusto D. Pichard , MD, FACC, FSCAI;

Alan C. Yeung , MD;

Bonnie H. Weiner , MD, MBA, FSCAI, FACC;

Molly Szerlip , MD, FACP;

Morton J. Kern , MD, MSCAI, FACC, FAHA;

Mitchell W. Krucoff , MD;

Michael Ragosta , MD;

John W. Hirshfeld Jr.;

David J. Cohen , MD, MPH, MSc;

Kirk N. Garrett ;

Barry F. Uretsky , MD;

Larry S. Dean , MD, FACC, FAHA, FSCAI;

George W. Vetrovec , MD;

Andrew Doorey ;

Do people think it's okay for the attending to be outside in the monitor area, intermittently engaged in other activities while trainees do cases?

Do people think it's okay for...

12/05/2014

Cath Lab Digest

Ragosta Robotic-Assisted Intervention TN

Cutting-Edge

Robotic-Assisted Intervention at the University of Virginia Cath Labs

12/06/2020

Michael Ragosta , MD;

Robotic intervention fits into our program very nicely, because some of the features help us not only with our radiation exposure and operative fatigue, but offer greater precision of intervention.

Robotic intervention fits into...

12/06/2020

Cath Lab Digest

Clinical Editor's Corner

The Langston is Gone For Now (No More Dual Lumen Pigtail for Aortic Valve Assessment). Now What? (Includes Video Discussion)

04/04/2021

Stephen R. Ramee , MD;

Nils P. Johnson , MD, MS;

John W. Hirshfeld Jr.;

Ted Feldman , MD, FSCAI, FACC, FESC;

David J. Moliterno , MD;

George W. Vetrovec , MD;

Morton J. Kern , MD, MSCAI, FACC, FAHA;

Michael Ragosta , MD;

As our old stock of Langstons is gone, I compiled a list of what I believe to be all the methods for aortic stenosis gradient assessment that involve only one arterial access and asked our expert colleagues about their alternative to the dual...

As our old stock of Langstons is...

04/04/2021

Cath Lab Digest

Clinical Editor's Corner

Your Patient Took Sildenafil Last Night. Should You Cancel the Cardiac Catheterization This Morning?

12/06/2020

Lloyd W. Klein , MD;

Morton J. Kern , MD, MSCAI, FACC, FAHA;

Michael Ragosta , MD;

David J. Cohen , MD, MPH, MSc;

J. Dawn Abbott , MD;

Samuel M. Butman , MD;

William F. Fearon , MD;

Listen in to Dr. Kern and Dr. Lloyd Klein as they discuss this article in a 30-minute Clinical Editor's Corner Live presentation.

Listen in to Dr. Kern and Dr....

12/06/2020

Cath Lab Digest

Clinical Editor's Corner

Your Lead is Cracked? Radiation Safety Revisited

11/01/2015

Morton J. Kern , MD, MSCAI, FACC, FAHA;

Michael Ragosta , MD;

Charles E. Chambers , MD;

Ajay J. Kirtane , MD, SM;

Steven R. Bailey , MD;

Stephen Balter , PhD;

Prashant Kaul , MD, FACC, FSCAI;

Gurpreet S. Sandhu , MD, PhD;

I asked my cath lab expert colleagues a couple of short questions about radiation safety in their labs.

I asked my cath lab expert...

11/01/2015

Cath Lab Digest

Clinical Editor's Corner

Conversations in Cardiology: Futility in Patients With STEMI – Do All for All? (Includes Video Discussion)

03/02/2021

Stephen R. Ramee , MD;

Timothy D. Henry , MD;

Mitchell W. Krucoff , MD;

George W. Vetrovec , MD;

Samuel M. Butman , MD;

Jeffrey Marshall ;

Paul S. Teirstein , MD, FACC;

Spencer B. King III, MD;

Bonnie H. Weiner , MD, MBA, FSCAI, FACC;

Carl L. Tommaso , MD;

Steven L. Goldberg , MD;

Morton J. Kern , MD, MSCAI, FACC, FAHA;

Richard Chazal , MD;

Steven R. Bailey , MD;

Michael Ragosta , MD;

Kirk N. Garratt , MD, MSc;

Lloyd W. Klein , MD;

How should we manage the ST-elevation myocardial infarction (STEMI) patient coming to the emergency department (ED) who appears to be so critically ill that further care would be futile?

How should we manage the...

03/02/2021

Cath Lab Digest