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Clinical Editor's Corner

Clinical Editor's Corner

How Do You Perform Angiography for Your STEMI Patient in the Cath Lab?

04/30/2024

Morton Kern, with contributions from:
Dawn Abbott, Providence, Rhode Island;
James Blankenship, Albuquerque, New Mexico;
David Cohen, Roslyn, New York;
Kirk Garratt, Newark, Delaware;
Steven L. Goldberg, Monterey, California;
Timothy D. Henry, Cincinnati, Ohio;
Neil Kleiman, Houston, Texas;
Lloyd Klein, Sonoma, California;
Ajay Kirtane, New York, New York;
Mitchell Krucoff, Durham, North Carolina;
Michael Lim, Poplar Bluff, Missouri;
Jeffrey Moses, Roslyn, New York;
Duane Pinto, Boston, Massachusetts;
Steve Ramee, Baton Rouge, Louisiana;
Jennifer Tremmel, Palo Alto, California;
Fred Welt, Salt Lake City, Utah;
Bonnie Weiner, Worchester, Massachusetts;
Chris White, New Orleans, Louisiana

Morton Kern, with contributions from:...

I read an interesting article by Levi et al(1) that stimulated my curiosity on how our approach to the ST-elevation myocardial infarction (STEMI) patient has changed over the years. I asked my expert colleagues - Question 1: Do you believe...

I read an interesting article by...

04/30/2024

Cath Lab Digest

Clinical Editor's Corner

Conversations in Cardiology: Management of Pericardial Drains

04/03/2024

Dr. Morton Kern with contributions from Drs. Richard Bach, Washington University, St. Louis, Missouri; David Cohen, St. Francis Hospital, Roslyn, New York; Douglas Drachman, Massachusetts General Hospital, Boston, Massachusetts; Kirk Garratt, ChristianaCare, Wilmington, Delaware; Ajay Kirtane, Columbia University, New York, New York; Steve Ramee, LSU Health Science Center, New Orleans, Louisiana; Barry Uretsky, University of Arkansas, Little Rock, Arkansas

Dr. Morton Kern with contributions fr...

After working to secure the pericardial drain in a patient after pericardiocentesis, Dr. Douglas Drachman shares an issue around the management of pericardial drains with Dr. Kern and his expert colleagues. They discuss what should be...

After working to secure the...

04/03/2024

Cath Lab Digest

Patient #2. Cine angiogram frame showing diffusely dissected obtuse marginal 1 (arrows).

Clinical Editor's Corner

Think SCAD (Spontaneous Coronary Artery Dissection) for MINOCA (Myocardial Infarction in Patients With Unobstructed Coronary Arteries)

03/05/2024

Dr. Morton Kern with contributions from Drs. Steve Ramee, New Orleans, Louisiana; Jacqueline Saw, Vancouver, British Columbia; Jon Tobis, Los Angeles, California; Barry Uretsky, Little Rock, Arkansas.

Dr. Morton Kern with contributions fr...

Although some of the causes of myocardial infarction with no coronary artery obstruction (MINOCA) are often unknown, spontaneous coronary artery dissection (SCAD) in MINOCA should always be considered early on as one of the major etiologies...

Although some of the causes of...

03/05/2024

Cath Lab Digest

Clinical Editor's Corner

Do We Need to Withhold the New Medications Jardiance (SGLT2 Inhibitors) or Ozempic (GLP-1 Agonists) Before Cardiac Catheterization?

02/04/2024

Dr. Morton J. Kern with contributions from Drs.:

David J. Cohen, St. Francis Hospital, Roslyn, New York;
Kirk Garratt, Christiana Medical Center, Newark, Delaware;
Spencer King, Atlanta, Georgia;
Neal S. Kleiman, Methodist DeBakey Heart and Vascular Center, Houston, Texas;
Srihari S. Naidu, Westchester Medical Center, Valhalla, New York;
Matthew J. Price, Scripps Clinic, La Jolla, California;
Steve Ramee, Ochsner Clinic, New Orleans, Louisiana;
Chet Rihal, Mayo Clinic, Rochester, Minnesota; Bonnie Weiner, Worchester, Massachusetts.

Dr. Morton J. Kern with contributions...

While the SGLT2 inhibitors and GLP-1 agonists were new to me in terms of their potential impact on our procedures, we will likely hold these medications before elective invasive and interventional cardiac procedures.

While the SGLT2 inhibitors and...

02/04/2024

Cath Lab Digest

Figure 1. “New Dog” (see Table): Cath lab team without lead aprons behind the Protego system (Image Diagnostics).

Clinical Editor's Corner

Optimal Angiography Post PCI: Should the Guidewire Stay In or Out? Do Small Changes in Cath Lab Techniques Matter?

01/04/2024

Drs. Morton J. Kern and Arnold H. Seto with Drs. James Blankenship, Albuquerque, New Mexico; William Fearon, Palo Alto, California; Matheen A. Khuddus, Gainesville, Florida; Bonnie Weiner, Worchester, Massachusetts

Drs. Morton J. Kern and Arnold H. Set...

Dr. Kern and his expert colleagues discuss a specific angiographic question: “Should final angiography always be done with the guide wire in or out of the artery?”

Dr. Kern and his expert...

01/04/2024

Cath Lab Digest

Clinical Editor's Corner

Upsizing a Radial Sheath? Methods and Cautionary Notes

12/04/2023

Morton J. Kern, MD, and Arnold Seto, MD, MPA, Long Beach, California, with contributions from J. Dawn Abbott, MD, Providence, Rhode Island; Douglas E. Drachman, MD, Boston, Massachusetts; Dmitriy N. Feldman, MD, New York, New York

Morton J. Kern, MD, and Arnold Seto, ...

"I had a 6 French [F] radial sheath in situ, and wanted to perform a 7F intervention, but didn’t want to convert to femoral. What methods have you used to upsize radial sheaths?”

"I had a 6 French [F] radial...

12/04/2023

Cath Lab Digest

Editor's Corner

Atherectomy in the Infrainguinal Arteries

10/30/2023

Matthew Finn, MD, MSc; McCall Walker, MD; Sahil Parikh, MD; Craig Walker MD

Cardiovascular Institute of the South, Houma, Louisiana

Matthew Finn, MD, MSc; McCall Walker,...

In light of recent reports alleging overuse of atherectomy devices, the authors revisit the guidelines and clinical data as to inform the overall discourse surrounding the appropriate use of these devices.

In light of recent reports...

10/30/2023

Vascular Disease Management

Clinical Editor's Corner

The Green Cath Lab: What Is It? Why Does It Matter and Can We Achieve It?

10/19/2023

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

Clinical Editor; Interventional Cardiologist, Long Beach VA Medical Center, Long Beach, California; Professor of Medicine, University of California, Irvine Medical Center, Orange, California

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

Like many others, I am troubled by future visions of a hot planet, uninhabitable for my children and grandchildren. All citizens of our world should be concerned. But the most troubling aspect of such a problem is, what can we do about it?...

Like many others, I am troubled...

10/19/2023

Cath Lab Digest

Clinical Editor's Corner

How Much of an Impact Does Your Cath Lab Staff Have on Device Selection?

10/03/2023

Morton J. Kern and Arnold H. Seto, Long Beach, California, with contributions from Jim Blankenship, Scottsdale, Arizona; David Cox, Charlotte, North Carolina; Douglas Drachman, Boston, Massachusetts; Kirk Garratt, Newark, Delaware; Neal Kleiman, Houston, Texas; Mitchell W. Krucoff, Raleigh, North Carolina; David Rizik, Scottsdale, Arizona; Peter Ver Lee, Bangor, Maine; Bonnie Weiner, Worchester, Massachusetts.

Morton J. Kern and Arnold H. Seto, Lo...

It is common knowledge that working in the cath lab is a team sport. The physicians and fellow operators work with and depend on the staff (RNs, LVNs, RTs, RCISs, CVTs, etc.). All of us benefit from the experience of the team, both...

It is common knowledge that...

10/03/2023

Cath Lab Digest

Clinical Editor's Corner

Conversations in Cardiology: Should a Lipid Panel Be Required Before Coronary Angiography or PCI?

08/22/2023

Morton J. Kern, with contributions from Sam Butman, Scottsdale, Arizona; George Dangas, New York, New York; Tim Henry, Cincinnati, Ohio; Ajay Kirtane, New York, New York; Lloyd Klein, Sonoma, California; Kreton Mavromatis, Atlanta, Georgia; Phillip Mumford, Houston, Texas; Jeffrey Moses, New York, New York; Srihari S. Naidu, Westchester, New York; Kimberly A. Skelding, Seattle, Washington; George Vetrovec, Richmond, Virginia; Peter Ver Lee, Bangor, Maine; Bonnie Weiner, Worchester, Massachusetts

Morton J. Kern, with contributions fr...

Dr. Ajay Kirtane asks, “I know of a couple of other places who do [pre-cath] lipid testing, but I think it is by far the exception rather than the rule. What are your thoughts?”

Dr. Ajay Kirtane asks, “I know...

08/22/2023

Cath Lab Digest

Watch/Listen

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...

04/12/2024

Cath Lab Digest

Live with Dr. Kern

Kern, Drachman, Seto: Upsizing a Radial Sheath? Methods and Cautionary Notes

12/20/2023

Morton J. Kern, MD, and Arnold Seto, MD, MPA, Long Beach, California, in a discussion with Douglas E. Drachman, MD, Boston, Massachusetts.

Morton J. Kern, MD, and Arnold Seto, ...

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

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

CLD's Clinical Editor Dr. Morton Kern and Bina Ahmed, MD, Cottage Hospital, Santa Barbara, California

CLD's Clinical Editor Dr. Morton Kern...

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

Videos

Updates from TCT 2023: Renal Denervation

11/22/2023

Michael J. Bloch, MD

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

Morton J. Kern, MD; Ajay Kirtane, MD; Arnold Seto, MD, MPA

Kern Live

Kern, Kirtane, Seto: Should a Lipid Panel Be Required Before Coronary Angiography or PCI?

09/12/2023

Morton J. Kern, MD; Ajay J. Kirtane, MD; Arnold H. Seto, MD, MPA

Morton J. Kern, MD; Ajay J. Kirtane,...

A discussion of the clinical editor's corner page on pre-cath lipid panels and how they add value to patient care.

A discussion of the clinical...

09/12/2023

Cath Lab Digest

Online Exclusives

Career Perspectives

Don’t Give Up: Notes From My Journey to the SCAI Board of Trustees

02/15/2024

Kusum Lata, MD, FACC, FSCAI

Dr. Lata can be contacted at lata.drkusum@gmail.com.

Kusum Lata, MD, FACC, FSCAI Dr...

By sharing my own journey, I hope to inspire others to create their own transformative arena and collectively make a difference.

By sharing my own journey, I...

02/15/2024

Cath Lab Digest

Out-of-Hospital Care

A Shift in Cardiovascular Care: Ambulatory Surgery Centers (ASCs), Peripheral Arterial Disease (PAD), and Peripheral Vascular Interventions (PVI)

02/12/2024

Michael Church, Director, and Amy Newell, Senior Vice President at Corazon, Inc.

Michael Church, Director, and Amy New...

Providers must develop and integrate an ambulatory strategy into their overarching cardiovascular strategic plan, whether through joint ventures, acquisition, or other alignment structures with existing ASCs, or through investment into their...

Providers must develop and...

02/12/2024

Cath Lab Digest

ANOMALIES

Coronary Arteriovenous Fistula: A Rare Coronary Anomaly

12/05/2023

Pradnya Brijmohan Bhattad, MD¹; Nitish Kumar Sharma, MD²; Mark Kranis, DO¹

¹Department of Cardiovascular Medicine; ²Department of Interventional Cardiology
Saint Vincent Hospital, UMass Chan Medical School, Worcester, Massachusetts

Disclosure: The authors report no conflicts of interest regarding the content herein.

Pradnya Brijmohan Bhattad, MD1; Nitis...

The authors share a coronary angiogram showing a coronary arteriovenous fistula arising from the right marginal artery, draining into coronary sinus, and ultimately draining into a great cardiac vein.

The authors share a coronary...

12/05/2023

Cath Lab Digest

Letter to the Editor

Breathless Cities: Rethinking Cardiovascular Health in the Age of Pollution

12/05/2023

Sameer Mehta, MD, FACC, and Yashendra Sethi, MD, Lumen Foundation, Miami

Sameer Mehta, MD, FACC, and Yashendra...

Sameer Mehta, MD, FACC, and Yashendra Sethi, MD, Lumen Foundation, Miami

Sameer Mehta, MD, FACC, and...

12/05/2023

Cath Lab Digest

Case Report

Traube’s Pulse

10/03/2023

Temitayo Adegoke, MD; Hadi Beaini, MD; Faris G. Araj, MD

Division of Cardiology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas

The authors can be contacted via Faris G. Araj, MD, Associate Professor of Medicine, at faris.araj@utsouthwestern.edu

Temitayo Adegoke, MD; Hadi Beaini, MD...

First described in 1872 by Ludwig Traube, Traube’s pulse, also known as pulsus bigeminus or pulsus alternans, is a rhythmic alternating strong and weak pulse. Traube’s pulse indicates severe cardiac failure and is a marker of poor prognosis;...

First described in 1872 by...

10/03/2023

Cath Lab Digest

Webinars

Reduce Acute Kidney Injury in the Cath Lab: Clinical Guideline-based Kidney Care Protocols with the DyeVert System

Presenter: Barry D. Bertolet, MD, FACP, FACC

The Need for Longer-Lasting PAD Solutions With DCB Technology | Chapter II

  This program outlines the essential need for longer-lasting peripheral arterial disease (PAD) solutions for complex lesions using drug-coated balloon therapy. Join us for this live, 60-minute panel discussion with leading physician experts describing the latest safety data and t...

Baroreflex Activation Therapy: Autonomic Neuromodulation for Heart Failure

Join a renowned panel of heart failure specialists and electrophysiologists to learn more about Barostim™ Baroreflex Activation Therapy (BAT), a simple implantable device that electrically stimulates the carotid baroreflex to improve symptoms of HFrEF.

On-Demand Webinar: Incorporating Local Impedance Into Your RF Ablation Practice

Objectives

Building Success in CTO PCI Pt. 4

Case Reports

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...

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...

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...

04/03/2024

Cath Lab Digest

Mogalapalli CLD March 2024 (JIC reprint)

LAA Closure

Delayed Pericardial Effusion Following Left Atrial Appendage Closure

03/03/2024

Akhil Mogalapalli, MD; Sundeep Kumar, MD; Tabitha Lobo, MD; Joseph Reed, MD; Luis Augusto Palma Dallan, MD, PhD; Sung-Han Yoon, MD; Steven J. Filby, MD

Reprinted with permission from J INVASIVE CARDIOL 2023;35(1):E1-E6.

Akhil Mogalapalli, MD; Sundeep Kumar,...

In this study, the authors review their experience with the Watchman Legacy and Watchman FLX devices (Boston Scientific) and their complications at a large academic hospital in a cohort of 369 patients.

In this study, the authors...

03/03/2024

Cath Lab Digest

Case Report

Two Milestones — From Vineberg to Cribier

03/01/2024

Steven Kernis, MD; Kishore Harjai, MD; Arthur Martella, MD

Reprinted with permission from J INVASIVE CARDIOL 2014;26(8):E117-E119.

Steven Kernis, MD; Kishore Harjai, M...

This case report illustrates the remarkable benefits that 1 patient received over a 40-year span from milestone achievements in cardiac surgery and interventional cardiology.

This case report illustrates the...

03/01/2024

Cath Lab Digest

Case Report

Crossing Severely Stenotic and Tortuous Complex Lesions With Ease — Two New Devices Facilitate Successful Outcomes

02/03/2024

Eric A. Secemsky, MD, MSc, RPVI, FACC, FAHA, FSCAI, FSVM¹;

Killian J. McCarthy, MB BCh BAO²

¹Director, Vascular Intervention, Beth Israel Deaconess Medical Center; Section Head, Interventional Cardiology and Vascular Research, Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology; Assistant Professor of Medicine, Harvard Medical School, Boston, Massachusetts

²Interventional Fellow, Division of Cardiovascular Disease, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts

Eric A. Secemsky, MD, MSc, RPVI, FACC...

Terumo Interventional Systems has introduced two new players to their interventional arsenal: the Runthrough NS Izanai Coronary Guidewire and Takeru PTCA Balloon Dilatation Catheter. Both devices are designed to improve pushability and...

Terumo Interventional Systems...

02/03/2024

Cath Lab Digest

Case Report

Pushing Equipment to the Limits: Guidewire Fracture

01/01/2024

Filip Oleszak, MD; Andrii Maryniak, MD; Adam T. Stys, MD, FACC; Tomasz Stys, MD, FACC

University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota

Filip Oleszak, MD; Andrii Maryniak, M...

The authors present a case of guidewire fracture during angioplasty of a right coronary artery chronic total occlusion due to instent restenosis.

The authors present a case of...

01/01/2024

Cath Lab Digest

Case Report

Bullet Captured From the Right Atrium Using Novel Sheath, Preventing Central Embolization

12/03/2023

William Terrill, MD; Andrew Klobuka, MD

Vascular & Interventional Radiology, Allegheny Health Network, Pittsburgh, Pennsylvania

William Terrill, MD; Andrew Klobuka, ...

In this case, the unique use of the Protrieve sheath enabled extraction of the bullet while preventing further proximal migration to the right heart and pulmonary arteries.

In this case, the unique use of...

12/03/2023

Cath Lab Digest

Case Report

The Use of Renal Artery Stents in Aneurysmal Coronary Artery Disease

11/03/2023

Jessica Pickard, BS, MS-IV¹; Adam Reitz, DO²; John Phillips, MD³

¹Ohio University Heritage College of Osteopathic Medicine, Dublin Ohio; ²Internal Medicine PGY3, Riverside Methodist Hospital, Columbus, Ohio; ³Interventional Cardiology, Riverside Methodist Hospital, Columbus, Ohio

Jessica Pickard, BS, MS-IV1; Adam Rei...

This case report aims to shed light on the potential utilization of renal artery stents within aneurysmal coronary vessels to provide patients with ACAD first-line intervention in the setting of acute coronary syndrome.

This case report aims to shed...

11/03/2023

Cath Lab Digest

Malik TrapEase IVC Filter Retrieval Figure 1

Case Report

Complex TrapEase IVC Filter Retrieval Using Combined Telescoping Sheath and Loop Snare Techniques

11/02/2023

Amir Z. Malik, MD, FACC, FSCAI¹; Karan Gupta, DO, FACC¹; Hamza Malik, DO²; Maheen Zaidi, MD³; Rija Ashfaq, MS V⁴; Abdullah Wagley, MS V⁵; Som A. Bailey, DO⁶

¹Heart Center of North Texas; ²PGY-2, University of Texas Medical Branch; ³PGY-1, Stamford Health/Columbia University; ⁴Dow International Medical College; ⁵Aga Khan University Hospital; ⁶PGY-VII, Interventional Cardiology Fellow, University of Miami

Amir Z. Malik, MD, FACC, FSCAI1; Kara...

Here we describe a rare, complex case of IVC filter retrieval and repositioning in a patient with improper filter placement.

Here we describe a rare, complex...

11/02/2023

Cath Lab Digest

From the Experts

Outpatient Care

Meeting Community Need: First, an ASC, Then the New Hospital Comes Later

05/01/2024

CLD talks with Eunmee Shim

President, Adventist HealthCare, Fort Washington Medical Center, Fort Washington, Maryland

CLD talks with Eunmee Shim President...

“An ambulatory surgery center will help us take the ambulatory volume out of the hospital, which will then give us capacity to grow inpatient procedures,” says Adventist HealthCare Fort Washington Medical Center President Eunmee Shim.

“An ambulatory surgery center...

05/01/2024

Cath Lab Digest

Cutting-Edge Procedures

Renal Denervation: How We Do It

05/01/2024

Eric A. Secemsky, MD, MSc, RPVI, FACC, FAHA, FSCAI, FSVM

Director, Vascular Intervention, Beth Israel Deaconess Medical Center; Section Head, Interventional Cardiology and Vascular Research, Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center; Associate Professor of Medicine, Harvard Medical School, Boston, Massachusetts

Disclosures: Dr. Secemsky reports he is a consultant to Medtronic and his institution receives funding from Medtronic.

Eric A. Secemsky, MD, MSc, RPVI, FACC...

We have struggled for years with managing hypertension. In my own practice, I recognized that I only had so many tools to offer my patients, primarily medical therapy and suggestions on lifestyle changes. However, there were still patients...

We have struggled for years with...

05/01/2024

Cath Lab Digest

Peripheral Interventions

The HawkOne™ Directional Atherectomy System Puts Control in the Hands of the Operator

04/10/2024

CLD talks with Michael J. Paisley, MD¹, and Brant W. Ullery, MD, FACS, RPVI²

¹Providence Heart and Vascular Institute, Portland, Oregon

²Medical Director, Vascular and Endovascular Surgery, Providence Heart and Vascular Institute, Portland, Oregon

CLD talks with Michael J. Paisley, MD...

"The HawkOne has long served as our dominant form of atherectomy," says Brant Ullery, MD. "We have excellent case support from our local Medtronic personnel and I cannot overstate the advantage of the simplicity of use around the HawkOne."

"The HawkOne has long served as...

04/10/2024

Cath Lab Digest

Coronary IVL

Cracking Calcium on a Cliff-Hanger: Intravascular Lithotripsy for High-Risk Left Main PCI in STEMI

03/06/2024

Dr. Kalaivani Mahadevan, MD

Portsmouth Hospitals’ University NHS Trust, Portsmouth, United Kingdom

Dr. Kalaivani Mahadevan, MD Portsm...

A knowledge of small profile and chronic total occlusion balloons, use of guide extension catheters, and not assuming upfront that we had to rotablate were all important to the successful use of IVL in this case.

A knowledge of small profile and...

03/06/2024

Cath Lab Digest

Interview

One-Year Results From the LIFE-BTK Trial and 2-Year Results From the SWING Trial

02/07/2024

Ramon L. Varcoe, MBBS, MS, PhD, MMed (ClinEpi)
Prince of Wales Hospital, Sydney, Australia

Ramon L. Varcoe, MBBS, MS, PhD, MMed ...

VDM spoke with Ramon L. Varcoe, MBBS, MS, PhD, MMed (ClinEpi), about these 2 trials and what the current results mean for patients with PAD.

VDM spoke with Ramon L. Varcoe,...

02/07/2024

Vascular Disease Management

Patient Care

End-Tidal CO2 Monitoring for Respiratory Adverse Events During Procedural Sedation: An Additional Layer of Safety

02/06/2024

Arnold H. Seto, MD, MPA, FSCAI

Director of Interventional Cardiology Research, School of Medicine,

University of California, Irvine, Orange, California;

Section Chief, Cardiology, Long Beach VA Medical Center, Long Beach, California

Arnold H. Seto, MD, MPA, FSCAI Direc...

End-tidal CO2 (EtCO2) measures the level of carbon dioxide that is released at the end of exhalation. Since the exhaled CO2 is much higher than the level in ambient air, EtCO2 is a sensitive marker of ventilatory effort, much more so than...

End-tidal CO2 (EtCO2) measures...

02/06/2024

Cath Lab Digest

Kapur Peripheral Artery Disease Figure 1

Peripheral Interventions

The Use of the Highlander™ 014 PTA Balloon Dilatation Catheter in the Treatment of Peripheral Artery Disease

02/05/2024

Vishal Kapur, MD, FACC, FSCAI, RPVI

Director, Endovascular Intervention, Mount Sinai Morningside; Associate Professor, Division of Cardiology, Icahn School of Medicine at Mount Sinai; Associate Director, Endovascular Interventions,

Mount Sinai Hospital, New York, New York

Vishal Kapur, MD, FACC, FSCAI, RPVI ...

We have been using the Highlander™ 014 PTA Balloon Dilatation Catheter since it came out in early 2023. It is a great balloon because of its deliverability, non-compliance, and ability to expand in a controlled, uniform manner.

We have been using the...

02/05/2024

Cath Lab Digest

Peter Fitzgerald, MD, PhD, and Barry Katzen, MD

Cutting-Edge Conversations

Artificial Intelligence in Healthcare: The Good, the Bad, and the Scary

12/04/2023

Barry T. Katzen, MD, talks with Peter Fitzgerald, MD, PhD, in advance of Dr. Fitzgerald’s January 23rd keynote address at ISET 2024

Barry T. Katzen, MD, talks with Peter...

In a preview of the upcoming International Symposium on Endovascular Therapy (ISET) townhall session, ISET director Dr. Barry Katzen discusses artificial intelligence (AI) in healthcare with Dr. Peter Fitzgerald during the San Francisco TCT...

In a preview of the upcoming...

12/04/2023

Cath Lab Digest

Patient Care

Communication Coaching in Cardiology

11/03/2023

Kathryn I. Pollak, PhD

Professor in Population Health Sciences; Professor in the Department of Family Medicine and Community Health; Cancer Prevention and Control, Duke Cancer Institute, Durham, North Carolina; Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina

Kathryn Pollak, PhD, can be contacted at kathryn.pollak@duke.edu

Kathryn I. Pollak, PhD Professor in ...

Kathryn Pollak and colleagues recently published a two-arm randomized clinical trial evaluating a communication coaching intervention in cardiologists.

Kathryn Pollak and colleagues...

11/03/2023

Cath Lab Digest

clinical trial update

COAPT at 5 Years: MitraClip Benefits Persist

07/30/2023

Gregg W. Stone, MD, FACC, MSCAI

From the Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York

Gregg W. Stone, MD, FACC, MSCAI From...

The COAPT trial found that the success rate of the MitraClip TEER procedure was high, on the order of around 97%, and it was successful at reducing mitral regurgitation.

The COAPT trial found that the...

07/30/2023

Cath Lab Digest

Morton Kern, with contributions from:
Dawn Abbott, Providence, Rhode Island;
James Blankenship, Albuquerque, New Mexico;
David Cohen, Roslyn, New York;
Kirk Garratt, Newark, Delaware;
Steven L. Goldberg, Monterey, California;
Timothy D. Henry, Cincinnati, Ohio;
Neil Kleiman, Houston, Texas;
Lloyd Klein, Sonoma, California;
Ajay Kirtane, New York, New York;
Mitchell Krucoff, Durham, North Carolina;
Michael Lim, Poplar Bluff, Missouri;
Jeffrey Moses, Roslyn, New York;
Duane Pinto, Boston, Massachusetts;
Steve Ramee, Baton Rouge, Louisiana;
Jennifer Tremmel, Palo Alto, California;
Fred Welt, Salt Lake City, Utah;
Bonnie Weiner, Worchester, Massachusetts;
Chris White, New Orleans, Louisiana

Morton Kern, with contributions from:...

I read an interesting article by Levi et al(1) that stimulated my curiosity on how our approach to the ST-elevation myocardial infarction (STEMI) patient has changed over the years. I asked my expert colleagues - Question 1: Do you believe...

I read an interesting article by...

04/30/2024

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...

04/03/2024

Cath Lab Digest

Clinical Editor's Corner

Conversations in Cardiology: Management of Pericardial Drains

04/03/2024

Dr. Morton Kern with contributions from Drs. Richard Bach, Washington University, St. Louis, Missouri; David Cohen, St. Francis Hospital, Roslyn, New York; Douglas Drachman, Massachusetts General Hospital, Boston, Massachusetts; Kirk Garratt, ChristianaCare, Wilmington, Delaware; Ajay Kirtane, Columbia University, New York, New York; Steve Ramee, LSU Health Science Center, New Orleans, Louisiana; Barry Uretsky, University of Arkansas, Little Rock, Arkansas

Dr. Morton Kern with contributions fr...

After working to secure the pericardial drain in a patient after pericardiocentesis, Dr. Douglas Drachman shares an issue around the management of pericardial drains with Dr. Kern and his expert colleagues. They discuss what should be...

After working to secure the...

04/03/2024

Cath Lab Digest

Clinical Editor's Corner

Think SCAD (Spontaneous Coronary Artery Dissection) for MINOCA (Myocardial Infarction in Patients With Unobstructed Coronary Arteries)

03/05/2024

Dr. Morton Kern with contributions from Drs. Steve Ramee, New Orleans, Louisiana; Jacqueline Saw, Vancouver, British Columbia; Jon Tobis, Los Angeles, California; Barry Uretsky, Little Rock, Arkansas.

Dr. Morton Kern with contributions fr...

Although some of the causes of myocardial infarction with no coronary artery obstruction (MINOCA) are often unknown, spontaneous coronary artery dissection (SCAD) in MINOCA should always be considered early on as one of the major etiologies...

Although some of the causes of...

03/05/2024

Cath Lab Digest

LAA Closure

Delayed Pericardial Effusion Following Left Atrial Appendage Closure

03/03/2024

Akhil Mogalapalli, MD; Sundeep Kumar, MD; Tabitha Lobo, MD; Joseph Reed, MD; Luis Augusto Palma Dallan, MD, PhD; Sung-Han Yoon, MD; Steven J. Filby, MD

Reprinted with permission from J INVASIVE CARDIOL 2023;35(1):E1-E6.

Akhil Mogalapalli, MD; Sundeep Kumar,...

In this study, the authors review their experience with the Watchman Legacy and Watchman FLX devices (Boston Scientific) and their complications at a large academic hospital in a cohort of 369 patients.

In this study, the authors...

03/03/2024

Cath Lab Digest

Case Report

Two Milestones — From Vineberg to Cribier

03/01/2024

Steven Kernis, MD; Kishore Harjai, MD; Arthur Martella, MD

Reprinted with permission from J INVASIVE CARDIOL 2014;26(8):E117-E119.

Steven Kernis, MD; Kishore Harjai, M...

This case report illustrates the remarkable benefits that 1 patient received over a 40-year span from milestone achievements in cardiac surgery and interventional cardiology.

This case report illustrates the...

03/01/2024

Cath Lab Digest

Clinical Editor's Corner

Do We Need to Withhold the New Medications Jardiance (SGLT2 Inhibitors) or Ozempic (GLP-1 Agonists) Before Cardiac Catheterization?

02/04/2024

Dr. Morton J. Kern with contributions from Drs.:

David J. Cohen, St. Francis Hospital, Roslyn, New York;
Kirk Garratt, Christiana Medical Center, Newark, Delaware;
Spencer King, Atlanta, Georgia;
Neal S. Kleiman, Methodist DeBakey Heart and Vascular Center, Houston, Texas;
Srihari S. Naidu, Westchester Medical Center, Valhalla, New York;
Matthew J. Price, Scripps Clinic, La Jolla, California;
Steve Ramee, Ochsner Clinic, New Orleans, Louisiana;
Chet Rihal, Mayo Clinic, Rochester, Minnesota; Bonnie Weiner, Worchester, Massachusetts.

Dr. Morton J. Kern with contributions...

While the SGLT2 inhibitors and GLP-1 agonists were new to me in terms of their potential impact on our procedures, we will likely hold these medications before elective invasive and interventional cardiac procedures.

While the SGLT2 inhibitors and...

02/04/2024

Cath Lab Digest

Yousif Ahmad, BMedSci, BMBS, MRCP, PhD, FSCAI, FACC

Calcium Corner

A Physician’s Perspective on New Permanent Reimbursement Pathways for Coronary Intravascular Lithotripsy

02/04/2024

Yousif Ahmad, BMedSci, BMBS, MRCP, PhD, FSCAI, FACC

Assistant Professor of Medicine (Cardiovascular Medicine); Director, Complex and High-Risk Interventional Procedures (CHIP) Program; Associate Program Director, Interventional Cardiology Fellowship, Yale School of Medicine, New Haven, Connecticut

Yousif Ahmad, BMedSci, BMBS, MRCP, Ph...

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

Cath Lab Digest

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