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Issue Highlights

Case Report
Advanced Radial Access Techniques for Complex Coronary Interventions in Challenging Anatomies
10/01/2024
Drs Qavi and Sengodan share a successful radial access intervention in a retroflexed left circumflex artery lesion with challenging subclavian anatomy. 
Drs Qavi and Sengodan share a successful radial access intervention in a retroflexed left circumflex artery lesion with challenging subclavian anatomy. 
Drs Qavi and Sengodan share a...
10/01/2024
Cath Lab Digest
Quality Improvement
Improving Cardiac Imaging Quality at the Long Beach VA Cardiac Cath Lab: Results of a Nurse-Driven QI Project
10/01/2024
We recently faced a critical challenge: our coronary angiography imaging quality was not meeting the high standards necessary for optimal patient care (and for useful images in the CathWorks FFRangio system). We developed a comprehensive...
We recently faced a critical challenge: our coronary angiography imaging quality was not meeting the high standards necessary for optimal patient care (and for useful images in the CathWorks FFRangio system). We developed a comprehensive...
We recently faced a critical...
10/01/2024
Cath Lab Digest
Imaging Corner
Using Imaging to Improve Stent Visualization in Complex Bifurcation Disease
10/01/2024
A 53-year-old male with chest pain and shortness of breath was diagnosed with complex bifurcation disease. Coronary angiography revealed a 99% bifurcation stenosis of the distal right coronary artery (RCA), with significant disease extending...
A 53-year-old male with chest pain and shortness of breath was diagnosed with complex bifurcation disease. Coronary angiography revealed a 99% bifurcation stenosis of the distal right coronary artery (RCA), with significant disease extending...
A 53-year-old male with chest...
10/01/2024
Cath Lab Digest
Editor's Picks
Selected Abstracts From The Journal of Invasive Cardiology
10/01/2024
Selected Abstracts From The Journal of Invasive Cardiology: April 2024 – June 2024
Selected Abstracts From The Journal of Invasive Cardiology: April 2024 – June 2024
Selected Abstracts From The...
10/01/2024
Cath Lab Digest
Cath Lab Spotlight
UW Health University Hospital
09/01/2024
UW Health University Hospital is a 505-bed facility affiliated with the University of Wisconsin School of Medicine and Public Health in Madison, Wisconsin, in the south central part of the state. University Hospital has been ranked as the top...
UW Health University Hospital is a 505-bed facility affiliated with the University of Wisconsin School of Medicine and Public Health in Madison, Wisconsin, in the south central part of the state. University Hospital has been ranked as the top...
UW Health University Hospital is...
09/01/2024
Cath Lab Digest
Cutting-edge Perspectives
Proceedings From the 2024 International Andreas Gruentzig Society (IAGS) Clinical Conference
08/31/2024
The International Andreas Gruentzig Society meets biennially to discuss the latest topics in interventional cardiology and related fields. The 17th Biennial IAGS meeting was held from January 30 to February 2, 2024, in Chiang Rai, Thailand.
The International Andreas Gruentzig Society meets biennially to discuss the latest topics in interventional cardiology and related fields. The 17th Biennial IAGS meeting was held from January 30 to February 2, 2024, in Chiang Rai, Thailand.
The International Andreas...
08/31/2024
Cath Lab Digest
Chronic Limb-Threatening Ischemia (CLTI)
Treating a CTO of the SFA Using Auryon Laser Atherectomy in a CLTI Patient
08/31/2024
The patient is a 77-year-old man with diabetes mellitus, congestive heart failure, and abdominal aortic aneurysm status post repair with stent graft placement, who has been suffering from bilateral foot wounds that have been nonhealing. The...
The patient is a 77-year-old man with diabetes mellitus, congestive heart failure, and abdominal aortic aneurysm status post repair with stent graft placement, who has been suffering from bilateral foot wounds that have been nonhealing. The...
The patient is a 77-year-old man...
08/31/2024
Cath Lab Digest
PAD Guidelines
What You Should Know About the 2024 AHA/ACC Guideline on the Management of Lower Extremity Peripheral Artery Disease
07/29/2024
"I am very proud of this document and the work of our multispecialty and multisocietal writing committee," says Guideline Committee Chair Heather L. Gornik, MD, FAHA, MSVM. "It includes great representation from many sponsoring and...
"I am very proud of this document and the work of our multispecialty and multisocietal writing committee," says Guideline Committee Chair Heather L. Gornik, MD, FAHA, MSVM. "It includes great representation from many sponsoring and...
"I am very proud of this...
07/29/2024
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

News

Medaxiom survey
Cardiology Compensation and Production Reflect Post-Pandemic Changes to Provider Market
10/21/2024
MedAxiom News NEPTUNE BEACH, Fla. – MedAxiom, the premier source for cardiovascular organizational performance solutions, has released its 2024 Cardiovascular Provider Compensation and Production Survey Report that includes data from the...
MedAxiom News NEPTUNE BEACH, Fla. – MedAxiom, the premier source for cardiovascular organizational performance solutions, has released its 2024 Cardiovascular Provider Compensation and Production Survey Report that includes data from the...
MedAxiom News NEPTUNE BEACH,...
10/21/2024
Cath Lab Digest
Pharmaceuticals
Acticor Biotech Repositions Glenzocimab in the Treatment of Myocardial Infarction
10/21/2024
The LIBERATE phase 2b, randomized and double-blind study will include more than 212 patients suffering from STEMI who are scheduled to undergo PCI. The study’s primary objective is to assess the safety and efficacy of glenzocimab 1000 mg...
The LIBERATE phase 2b, randomized and double-blind study will include more than 212 patients suffering from STEMI who are scheduled to undergo PCI. The study’s primary objective is to assess the safety and efficacy of glenzocimab 1000 mg...
The LIBERATE phase 2b,...
10/21/2024
Cath Lab Digest
PVD
Yale Study Finds Link Between Eczema and Peripheral Vascular Disease
10/21/2024
The Yale team found PVD occurred in 11% of patients with atopic dermatitis (AD), but just 6.2% of patients without AD.
The Yale team found PVD occurred in 11% of patients with atopic dermatitis (AD), but just 6.2% of patients without AD.
The Yale team found PVD occurred...
10/21/2024
Cath Lab Digest
plaque analysis
HeartFlow Announces New Category I CPT Code from the American Medical Association for AI-Enabled Plaque Analysis to Assess Risk for Coronary Artery Disease
10/18/2024
“We commend the AMA’s issuance of this upgraded Category I CPT billing code, which validates the technology’s clinical value in quantifying and characterizing plaque to help assess risk and personalize treatment for patients with coronary...
“We commend the AMA’s issuance of this upgraded Category I CPT billing code, which validates the technology’s clinical value in quantifying and characterizing plaque to help assess risk and personalize treatment for patients with coronary...
“We commend the AMA’s issuance...
10/18/2024
Cath Lab Digest
Hypertension
New Study Links Obesity to Elevated Hypertension Risk Among Young Middle Eastern Women
10/18/2024
“Young Middle Eastern women who are obese or overweight are facing a higher risk for the development of atherosclerotic cardiovascular disease and its associated risk factors like hypertension and Type Two diabetes,” said Mohammad Adnan Bani...
“Young Middle Eastern women who are obese or overweight are facing a higher risk for the development of atherosclerotic cardiovascular disease and its associated risk factors like hypertension and Type Two diabetes,” said Mohammad Adnan Bani...
“Young Middle Eastern women who...
10/18/2024
Cath Lab Digest
plaque analysis
CMS Updates Medicare Coverage for AI-Coronary Plaque Analysis
10/15/2024
WASHINGTON, DC — Four of the seven Medicare Administrative Contractors (MACs) released final local coverage determinations (LCD) for AI-Coronary Plaque Analysis (AI-CPA). The four contractors for the U.S. Centers for Medicare and Medicaid...
WASHINGTON, DC — Four of the seven Medicare Administrative Contractors (MACs) released final local coverage determinations (LCD) for AI-Coronary Plaque Analysis (AI-CPA). The four contractors for the U.S. Centers for Medicare and Medicaid...
WASHINGTON, DC — Four of the...
10/15/2024
Cath Lab Digest
Noninvasive Plaque Analysis
HeartFlow Announces Favorable Coverage Determination for Plaque Analysis by Four Medicare Administrative Contractors
10/11/2024
HeartFlow Plaque Analysis will be covered by four of seven Medicare Administrative Contractors (MAC) beginning November 24, 2024.
HeartFlow Plaque Analysis will be covered by four of seven Medicare Administrative Contractors (MAC) beginning November 24, 2024.
HeartFlow Plaque Analysis will...
10/11/2024
Cath Lab Digest
hypertension research
Lactic Acid Helps Blood Vessels Relax, Could Improve Muscle and Heart Health
10/11/2024
A new study in rats shows that lactate, a substance found in the muscles, initiates a cascade of actions in the muscles that helps blood vessels relax. Researchers sought to understand how skeletal muscle tissue around the blood vessels could...
A new study in rats shows that lactate, a substance found in the muscles, initiates a cascade of actions in the muscles that helps blood vessels relax. Researchers sought to understand how skeletal muscle tissue around the blood vessels could...
A new study in rats shows that...
10/11/2024
Cath Lab Digest
nanotherapy
New Nanoparticle Nanotherapy Infusion Precisely Targets Inflammation and Activates the Immune System to Help Clear Out Arterial Plaque
10/11/2024
The nanotherapy selectively targets a specific immune cell type that moves into and is a part of the plaque. These treated cells “eat” away parts of the plaque core, removing it from the artery wall and decreasing levels of blood vessel...
The nanotherapy selectively targets a specific immune cell type that moves into and is a part of the plaque. These treated cells “eat” away parts of the plaque core, removing it from the artery wall and decreasing levels of blood vessel...
The nanotherapy selectively...
10/11/2024
Cath Lab Digest
Emblok embolic protection system
TAVR
EMBLOK Announces Enrollment of 50th Patient in Clinical Trial for Emblok Embolic Protection System for Use in TAVR, Appoints Scientific and Strategic Advisory Board
10/09/2024
The U.S. multicenter, single-blind, randomized controlled trial, "Evaluation of Safety and Effectiveness of the EMBLOK EPS During TAVR," will enroll up to 532 subjects between 18 and 90 years of age with aortic valve stenosis who are...
The U.S. multicenter, single-blind, randomized controlled trial, "Evaluation of Safety and Effectiveness of the EMBLOK EPS During TAVR," will enroll up to 532 subjects between 18 and 90 years of age with aortic valve stenosis who are...
The U.S. multicenter,...
10/09/2024
Cath Lab Digest

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Clinical Editor's Corner

Clinical Editor's Corner
Shared Decision-Making for the Cath Lab
10/01/2024
As I understand it, SDM is an information exchange between the physician and the patient, usually with the family, discussing the underlying problem (eg, aortic stenosis), and current clinical status, followed by recommendations for treatment...
As I understand it, SDM is an information exchange between the physician and the patient, usually with the family, discussing the underlying problem (eg, aortic stenosis), and current clinical status, followed by recommendations for treatment...
As I understand it, SDM is an...
10/01/2024
Cath Lab Digest
Clinical Editor's Corner
Competence, Capacity, Consent – Part of a Successful Pre-Cath Assessment
09/01/2024
We recently had a patient who presented us with a challenge to know whether the informed consent was valid, something I thought we’d address in this editor’s page. 
We recently had a patient who presented us with a challenge to know whether the informed consent was valid, something I thought we’d address in this editor’s page. 
We recently had a patient who...
09/01/2024
Cath Lab Digest
Clinical Editor's Corner
What Makes a Cath Lab Great? Great Leaders and Great Teams
07/22/2024
For teaching centers, July 1st brings new faces to the cath lab, mostly in the form of cardiology trainees. Working with a brand-new cardiology fellow assigned to the cath lab prompted me to review how cath labs become great and how great...
For teaching centers, July 1st brings new faces to the cath lab, mostly in the form of cardiology trainees. Working with a brand-new cardiology fellow assigned to the cath lab prompted me to review how cath labs become great and how great...
For teaching centers, July 1st...
07/22/2024
Cath Lab Digest
Clinical Editor's Corner
Fasting vs Non-Fasting Status: It’s Time to End the NPO Order for Most Patients
07/02/2024
In a 2010 editor’s page, I summarized the opinions of several prominent interventionalists who expressed their interest and belief that the nil per os (NPO) order has outlived its usefulness. In our current environment, NPO does not have to...
In a 2010 editor’s page, I summarized the opinions of several prominent interventionalists who expressed their interest and belief that the nil per os (NPO) order has outlived its usefulness. In our current environment, NPO does not have to...
In a 2010 editor’s page, I...
07/02/2024
Cath Lab Digest
Clinical Editor's Corner
In Transition: Early-Career Interventional Cardiologists
05/29/2024
Morton J. Kern, MD, MSCAI, FACC, FAHA
Every year, we graduate cardiology fellows and introduce them as new interventionalists into our community. It is our fervent hope and desire that they succeed and deliver great care to their patients.   
Every year, we graduate cardiology fellows and introduce them as new interventionalists into our community. It is our fervent hope and desire that they succeed and deliver great care to their patients.   
Every year, we graduate...
05/29/2024
Cath Lab Digest
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 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 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 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, Worcester, 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 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
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 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

Watch/Listen

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
Kern Drachman Seto
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 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
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

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 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
Michael J. Bloch headshot
Meeting Update
Updates from TCT 2023: Renal Denervation
11/22/2023

Michael J. Bloch, MD

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 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

Online Exclusives

Perspectives
My Mom is An Interventional Cardiologist: A Tribute and Challenge
08/05/2024
Life as a daughter of interventional cardiologist mom means knowing she won’t be there for day-to-day activities. Our priorities and expectations were well explained and often repeated at home, which made us feel as if it was a norm.
Life as a daughter of interventional cardiologist mom means knowing she won’t be there for day-to-day activities. Our priorities and expectations were well explained and often repeated at home, which made us feel as if it was a norm.
Life as a daughter of...
08/05/2024
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
Kusum Lata, MD, at SCAI 2023
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 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
CLD Corazon Figure 1
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 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
Bhattad Coronary Arteriovenous Fistula: A Rare Coronary Anomaly
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 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

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Reduce Acute Kidney Injury in the Cath Lab: Clinical Guideline-based Kidney Care Protocols with the DyeVert System
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The Need for Longer-Lasting PAD Solutions With DCB Technology | Chapter II
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Case Reports

Case Report
Advanced Radial Access Techniques for Complex Coronary Interventions in Challenging Anatomies
10/01/2024
Drs Qavi and Sengodan share a successful radial access intervention in a retroflexed left circumflex artery lesion with challenging subclavian anatomy. 
Drs Qavi and Sengodan share a successful radial access intervention in a retroflexed left circumflex artery lesion with challenging subclavian anatomy. 
Drs Qavi and Sengodan share a...
10/01/2024
Cath Lab Digest
Chronic Limb-Threatening Ischemia (CLTI)
Treating a CTO of the SFA Using Auryon Laser Atherectomy in a CLTI Patient
08/31/2024
The patient is a 77-year-old man with diabetes mellitus, congestive heart failure, and abdominal aortic aneurysm status post repair with stent graft placement, who has been suffering from bilateral foot wounds that have been nonhealing. The...
The patient is a 77-year-old man with diabetes mellitus, congestive heart failure, and abdominal aortic aneurysm status post repair with stent graft placement, who has been suffering from bilateral foot wounds that have been nonhealing. The...
The patient is a 77-year-old man...
08/31/2024
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
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
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

From the Experts

PAD Guidelines
What You Should Know About the 2024 AHA/ACC Guideline on the Management of Lower Extremity Peripheral Artery Disease
07/29/2024
"I am very proud of this document and the work of our multispecialty and multisocietal writing committee," says Guideline Committee Chair Heather L. Gornik, MD, FAHA, MSVM. "It includes great representation from many sponsoring and...
"I am very proud of this document and the work of our multispecialty and multisocietal writing committee," says Guideline Committee Chair Heather L. Gornik, MD, FAHA, MSVM. "It includes great representation from many sponsoring and...
"I am very proud of this...
07/29/2024
Cath Lab Digest
ACC President
Talking With the American College of Cardiology’s New President: Cathie Biga, MSN, FACC
05/29/2024
Cathie Biga, MSN, FACC
My heart is still in the cath lab, always and forever,” says Cathie Biga, MSN, FACC, the 2024-2025 President of the American College of Cardiology (ACC). “[Even as] VP of a hospital, I used to go to the cath lab just to get my sanity back.” 
My heart is still in the cath lab, always and forever,” says Cathie Biga, MSN, FACC, the 2024-2025 President of the American College of Cardiology (ACC). “[Even as] VP of a hospital, I used to go to the cath lab just to get my sanity back.” 
My heart is still in the cath...
05/29/2024
Cath Lab Digest
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 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 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 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 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, 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 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
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 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
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 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

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Case Report
Advanced Radial Access Techniques for Complex Coronary Interventions in Challenging Anatomies
10/01/2024
Drs Qavi and Sengodan share a successful radial access intervention in a retroflexed left circumflex artery lesion with challenging subclavian anatomy. 
Drs Qavi and Sengodan share a successful radial access intervention in a retroflexed left circumflex artery lesion with challenging subclavian anatomy. 
Drs Qavi and Sengodan share a...
10/01/2024
Cath Lab Digest
Clinical Editor's Corner
Shared Decision-Making for the Cath Lab
10/01/2024
As I understand it, SDM is an information exchange between the physician and the patient, usually with the family, discussing the underlying problem (eg, aortic stenosis), and current clinical status, followed by recommendations for treatment...
As I understand it, SDM is an information exchange between the physician and the patient, usually with the family, discussing the underlying problem (eg, aortic stenosis), and current clinical status, followed by recommendations for treatment...
As I understand it, SDM is an...
10/01/2024
Cath Lab Digest
Clinical Editor's Corner
Competence, Capacity, Consent – Part of a Successful Pre-Cath Assessment
09/01/2024
We recently had a patient who presented us with a challenge to know whether the informed consent was valid, something I thought we’d address in this editor’s page. 
We recently had a patient who presented us with a challenge to know whether the informed consent was valid, something I thought we’d address in this editor’s page. 
We recently had a patient who...
09/01/2024
Cath Lab Digest
Chronic Limb-Threatening Ischemia (CLTI)
Treating a CTO of the SFA Using Auryon Laser Atherectomy in a CLTI Patient
08/31/2024
The patient is a 77-year-old man with diabetes mellitus, congestive heart failure, and abdominal aortic aneurysm status post repair with stent graft placement, who has been suffering from bilateral foot wounds that have been nonhealing. The...
The patient is a 77-year-old man with diabetes mellitus, congestive heart failure, and abdominal aortic aneurysm status post repair with stent graft placement, who has been suffering from bilateral foot wounds that have been nonhealing. The...
The patient is a 77-year-old man...
08/31/2024
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
Clinical Editor's Corner
What Makes a Cath Lab Great? Great Leaders and Great Teams
07/22/2024
For teaching centers, July 1st brings new faces to the cath lab, mostly in the form of cardiology trainees. Working with a brand-new cardiology fellow assigned to the cath lab prompted me to review how cath labs become great and how great...
For teaching centers, July 1st brings new faces to the cath lab, mostly in the form of cardiology trainees. Working with a brand-new cardiology fellow assigned to the cath lab prompted me to review how cath labs become great and how great...
For teaching centers, July 1st...
07/22/2024
Cath Lab Digest
Clinical Editor's Corner
Fasting vs Non-Fasting Status: It’s Time to End the NPO Order for Most Patients
07/02/2024
In a 2010 editor’s page, I summarized the opinions of several prominent interventionalists who expressed their interest and belief that the nil per os (NPO) order has outlived its usefulness. In our current environment, NPO does not have to...
In a 2010 editor’s page, I summarized the opinions of several prominent interventionalists who expressed their interest and belief that the nil per os (NPO) order has outlived its usefulness. In our current environment, NPO does not have to...
In a 2010 editor’s page, I...
07/02/2024
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

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