Clinical Editor's Corner: Kern

Editor's Corner

A Brief Review of Hemodynamics for Structural Interventions Part 1: Mitral Regurgitation

03/14/2019

Our fellows mentioned that a review of basic hemodynamics and interpretation of pressure waveforms would be helpful. With this in mind, let’s briefly review hemodynamics that might be seen during MitraClip (Abbott Vascular) implantation for...

Our fellows mentioned that a...

03/14/2019

Cath Lab Digest

Editor's Corner

Your Wire Went Where? Coronary Perforation With Tamponade and What to Do Next

02/28/2019

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

Arnold H. Seto , MD, MPA, CCDS, FACC, FSCAI;

A coronary perforation is a rare but frightening event in the cardiac cath lab.

A coronary perforation is a rare...

02/28/2019

Cath Lab Digest

Clinical Editor's Corner

Are You HIPAA Compliant for STEMI ECGs? E-Communicating With EMS

01/31/2019

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

Dr. Kirk Garrett, Christiana Hospital, Wilmington, Delaware, asks the cardiac cath expert group about the way emergency medical services (EMS) transmits electrocardiograms (ECGs) to the hospital for ST-elevation myocardial infarction (STEMI)...

Dr. Kirk Garrett, Christiana...

01/31/2019

Cath Lab Digest

Clinical Editor's Corner

Conversations in Cardiology: Same-Day Discharge for Elective PCI — Ready for Prime Time

11/27/2018

Samuel M. Butman , MD;

Gurpreet S. Sandhu , MD, PhD;

Malcolm R. Bell , MD;

Jim Blankenship , MD;

Duane S. Pinto , MD, MPH;

Pinak Bipin Shah ;

Paul S. Teirstein , MD, FACC;

Sunil V. Rao , MD, FACC, FSCAI;

James E. Tcheng , MD;

Bernhard Meier , MD, FACC, FESC;

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

Adhir R. Shroff , MD, MPH, FACC, FSCAI;

Habib Samady , MD;

Lloyd W. Klein , MD;

Jeffrey J. Popma , MD, FACC, FSCAI;

David J. Cohen , MD, MPH, MSc;

Molly Szerlip , MD, FACP;

Arnold H. Seto , MD, MPA, CCDS, FACC, FSCAI;

I asked for words of wisdom from our cath lab expert group regarding their experience with same-day discharge at their center. What are the obstacles to SDD? Who are the champions and why are we not doing it more?

I asked for words of wisdom from...

11/27/2018

Cath Lab Digest

Clinical Editor's Corner

Updates on PCI Guidelines and Trials From the European Society of Cardiology (ESC) Congress

11/05/2018

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

Historically, compared with American College of Cardiology (ACC)/American Heart Association (AHA)/Society for Cardiovascular Angiography and Interventions (SCAI) guidelines, the ESC guidelines have been faster to change in response to new...

Historically, compared with...

11/05/2018

Cath Lab Digest

Clinical Editor's Corner

Conversations in Cardiology: Should We Wait for Labs Before Taking the STEMI Patient Directly to the Cath Suite?

10/08/2018

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

Jeffrey W. Moses , MD;

Barry F. Uretsky , MD;

Steven R. Bailey , MD;

Frederick G.P. Welt , MD;

Gregg W. Stone , MD, FACC, FSCAI;

James C. Blankenship , MD;

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

Peter Ver Lee , MD;

Mitchell W. Krucoff , MD;

Kirk N. Garratt , MD, MSc;

For STEMI patients, what labs (e.g., glucose, electrolytes, lactate or pH) are being obtained prior to the patient going to the cath suite? More importantly, are POC labs being done in the emergency department prior to the STEMI patient going...

For STEMI patients, what labs...

10/08/2018

Cath Lab Digest

Clinical Editor's Corner

Revisiting Best Practices for an Accurate FFR and Non-Hyperemic Pressure Ratios (NHPR)

09/04/2018

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

“When is the right time to accept the fractional flow reserve (FFR) during the adenosine hyperemic recording?” I thought this issue had been settled a few years ago, but after speaking with Arnold, we thought we should revisit some of the...

“When is the right time to...

09/04/2018

Cath Lab Digest

Clinical Editor's Corner

From Hand to Bands: Should We Be Doing More Manual Radial Artery Compression?

07/08/2018

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

Recently, manual compression has emerged as a potentially viable alternative to shorter radial artery hemostasis times.

Recently, manual compression has...

07/08/2018

Cath Lab Digest

Clinical Editor's Corner

A Primer on Chronic Total Occlusion (CTO) Percutaneous Coronary Intervention for the Cath Lab

05/29/2018

Arnold H. Seto , MD, MPA, CCDS, FACC, FSCAI;

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

A question came from one of our cath lab staff, who asked if we could describe how chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is done and what the options are for a successful procedure.

A question came from one of our...

05/29/2018

Cath Lab Digest

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...

05/07/2018

Cath Lab Digest