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Cath Lab Digest

Issue Highlights

Program Spotlight
12/09/2025
Amir Lotfi, MD; Andrew M. Goldsweig, MD
With a collaborative culture, high-volume expertise, and investment in cutting edge technology, Baystate Medical Center has become a nationally recognized leader in cardiovascular care. In the recent renovation and expansion of Baystate’s...
With a collaborative culture, high-volume expertise, and investment in cutting edge technology, Baystate Medical Center has become a nationally recognized leader in cardiovascular care. In the recent renovation and expansion of Baystate’s...
With a collaborative culture,...
12/09/2025
Cath Lab Digest
RDN & REIMBURSEMENT
12/09/2025
Taisei J. Kobayashi, MD
"With CMS coverage finalized and private payers beginning to follow, renal denervation is poised to move from niche to mainstream," says Dr. Kobayashi. "The therapy’s safety profile is well established,(3,8) and now we have the infrastructure...
"With CMS coverage finalized and private payers beginning to follow, renal denervation is poised to move from niche to mainstream," says Dr. Kobayashi. "The therapy’s safety profile is well established,(3,8) and now we have the infrastructure...
"With CMS coverage finalized and...
12/09/2025
Cath Lab Digest
Case Report
12/05/2025
Neeraj N. Shah, MD, MPH; Dennis Phillips, DO; Hiroyuki Tsukui, MD; Mitsugu Ogawa, MD; Fouad Jabbour, MD; Ashwin Thiagarajasubramanian, MD; Juan Chahin, MD
Postinfarct (PI) ventricular septal defect (VSD) usually occurs 2-7 days after untreated acute myocardial infarction (MI) due to interventricular septal rupture after necrosis. In the current era of primary percutaneous coronary intervention...
Postinfarct (PI) ventricular septal defect (VSD) usually occurs 2-7 days after untreated acute myocardial infarction (MI) due to interventricular septal rupture after necrosis. In the current era of primary percutaneous coronary intervention...
Postinfarct (PI) ventricular...
12/05/2025
Cath Lab Digest
Case Report
12/05/2025
Mehmet Cilingiroglu, MD; Ibrahim Halil Inanc, MD
Maxillofacial injury is common following major facial trauma, and can lead to life-threatening hemorrhage. The branches of the external carotid artery (Figure 1) are most vulnerable to trauma as the vessels transverse bone structures. The...
Maxillofacial injury is common following major facial trauma, and can lead to life-threatening hemorrhage. The branches of the external carotid artery (Figure 1) are most vulnerable to trauma as the vessels transverse bone structures. The...
Maxillofacial injury is common...
12/05/2025
Cath Lab Digest
Access
12/05/2025
Ananth N. Kumar, MD, FACC
The advantage with a distal dorsal radial access is thought to be due to maintained patency of the dorsal arch during the procedure.
The advantage with a distal dorsal radial access is thought to be due to maintained patency of the dorsal arch during the procedure.
The advantage with a distal...
12/05/2025
Cath Lab Digest
Hemostasis
12/05/2025
Gautam Kumar, MD, FSCAI; Bailey Ann Richardson, NP-C, RNFA, CNOR, RCIS
As transradial access continues to dominate the interventional cardiology landscape, attention has increasingly shifted to optimizing post-procedural management, particularly radial artery closure.
As transradial access continues to dominate the interventional cardiology landscape, attention has increasingly shifted to optimizing post-procedural management, particularly radial artery closure.
As transradial access continues...
12/05/2025
Cath Lab Digest
Case Report
11/01/2025
Boskey Patel, DO, FACC, FSCAI
Calcified coronary lesions remain a formidable opponent in the cath lab, despite the many advancements made in the field to overcome the challenges they pose. Fortunately, operators have an ever-evolving arsenal of interventional tools to...
Calcified coronary lesions remain a formidable opponent in the cath lab, despite the many advancements made in the field to overcome the challenges they pose. Fortunately, operators have an ever-evolving arsenal of interventional tools to...
Calcified coronary lesions...
11/01/2025
Cath Lab Digest
Ask the Experts
11/01/2025
Manit Sabharwal ; Morton J. Kern, MD, MSCAI, FACC, FAHA; Arnold H. Seto, MD, MPA, CCDS, FACC, FSCAI
Long-term radialists Morton Kern, MD, and Arnold Seto, MD, MPA, discuss a novel radial access tool, the Prelude Wave™, with Merit Medical®’s Manit Sabharwal. Discussion ranges from transradial access clinical tips to the challenges of...
Long-term radialists Morton Kern, MD, and Arnold Seto, MD, MPA, discuss a novel radial access tool, the Prelude Wave™, with Merit Medical®’s Manit Sabharwal. Discussion ranges from transradial access clinical tips to the challenges of...
Long-term radialists Morton...
11/01/2025
Cath Lab Digest
TAVR Program Spotlight
11/01/2025
Samir Germanwala, DO, FACC, FSCAI
Longview Regional Medical Center is a regional hospital in East Texas. "We average five TAVRs per day, occasionally seven," says Dr. Germanwala. "Cases are booked on the hour, 7:00 am through 11:00 am, and we are usually finished by early...
Longview Regional Medical Center is a regional hospital in East Texas. "We average five TAVRs per day, occasionally seven," says Dr. Germanwala. "Cases are booked on the hour, 7:00 am through 11:00 am, and we are usually finished by early...
Longview Regional Medical Center...
11/01/2025
Cath Lab Digest
Case Report
11/01/2025
George DeKornfeld, MD
The author presents a case in which the Artix Thrombectomy System (Inari Medical) was utilized in a hybrid procedure to revascularize a thrombosed axillary-profunda bypass graft followed by profundoplasty.
The author presents a case in which the Artix Thrombectomy System (Inari Medical) was utilized in a hybrid procedure to revascularize a thrombosed axillary-profunda bypass graft followed by profundoplasty.
The author presents a case in...
11/01/2025
Cath Lab Digest
Technique
11/01/2025
Blerina Asllanaj, MD; Andrii Maryniak, MD; Filip Oleszak; Marian S. Petrasko, MD, PhD; Adam T. Stys, MD, FACC; Tomasz P. Stys, MD, FACC, FSCAI
The management of patients with both obstructive coronary artery disease (CAD) and severe aortic stenosis (AS) presents a significant challenge, particularly when the patient is considered a poor surgical candidate.
The management of patients with both obstructive coronary artery disease (CAD) and severe aortic stenosis (AS) presents a significant challenge, particularly when the patient is considered a poor surgical candidate.
The management of patients with...
11/01/2025
Cath Lab Digest

Cardiovascular Ambulatory Surgery Centers (ASCs)

Clinical Editor's Corner

Clinical Editor's Corner
12/05/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA
On my last cath day, I was standing next to a freshly-minted first-year cardiology trainee. It was a bittersweet moment — a cliché, but true. How many fellows have I worked with? How many unusual patients and novel findings, and how many...
On my last cath day, I was standing next to a freshly-minted first-year cardiology trainee. It was a bittersweet moment — a cliché, but true. How many fellows have I worked with? How many unusual patients and novel findings, and how many...
On my last cath day, I was...
12/05/2025
Cath Lab Digest
Clinical Editor's Corner
10/31/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA; Arnold H. Seto, MD, MPA, CCDS, FACC, FSCAI
Cardiogenic shock is clearly different than bacteremic, neurogenic, toxic, and traumatic (hypovolemic) shock. Significant research progress has been made just in arriving at a common language for shock, through the Society for Cardiovascular...
Cardiogenic shock is clearly different than bacteremic, neurogenic, toxic, and traumatic (hypovolemic) shock. Significant research progress has been made just in arriving at a common language for shock, through the Society for Cardiovascular...
Cardiogenic shock is clearly...
10/31/2025
Cath Lab Digest
Clinical Editor's Corner
10/03/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA; Arnold H. Seto, MD, MPA, CCDS, FACC, FSCAI; Michael Ragosta, MD; Mir Basir, DO
The ACT should be in therapeutic range before disrupting a coronary artery. The rule is no guidewire insertion until ACT is in therapeutic range.
The ACT should be in therapeutic range before disrupting a coronary artery. The rule is no guidewire insertion until ACT is in therapeutic range.
The ACT should be in therapeutic...
10/03/2025
Cath Lab Digest
Clinical Editor's Corner
09/03/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA
Every year, new operators, mostly trainees, start working in our cath lab. As part of our annual continuing quality improvement programs and required education, we received an update on national guidance for preventing and managing radiation...
Every year, new operators, mostly trainees, start working in our cath lab. As part of our annual continuing quality improvement programs and required education, we received an update on national guidance for preventing and managing radiation...
Every year, new operators,...
09/03/2025
Cath Lab Digest
Clinical Editor's Corner
08/01/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA
With an addendum addressing air embolism in left atrial appendage occlusion procedures.
With an addendum addressing air embolism in left atrial appendage occlusion procedures.
With an addendum addressing air...
08/01/2025
Cath Lab Digest
Clinical Editor's Corner
07/03/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA
Vagal responses, while mostly benign, should never be neglected or overlooked as unimportant, or worse, ignored until a real disaster is present. Such could have been the case with the patient we worked with recently.
Vagal responses, while mostly benign, should never be neglected or overlooked as unimportant, or worse, ignored until a real disaster is present. Such could have been the case with the patient we worked with recently.
Vagal responses, while mostly...
07/03/2025
Cath Lab Digest
Clinical Editor's Corner
06/04/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA; Eric Bates; Jeffrey Cook, MD; Kirk N. Garratt, MD, MSc; Steven L. Goldberg, MD; Timothy D. Henry, MD; Stephen Jenkins, MD; Lloyd W. Klein, MD; Paul S. Teirstein, MD, FACC; William M. Suh, MD
Dr. Jeffrey Cook shares a concerning patient profile with Dr. Kern and expert colleagues, and asks for their suggestions. "Everything seems perfectly routine," Dr. Cook notes. "The patient is brought to the cath lab, the infarct-related...
Dr. Jeffrey Cook shares a concerning patient profile with Dr. Kern and expert colleagues, and asks for their suggestions. "Everything seems perfectly routine," Dr. Cook notes. "The patient is brought to the cath lab, the infarct-related...
Dr. Jeffrey Cook shares a...
06/04/2025
Cath Lab Digest
Clinical Editor's Corner
05/06/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA; Larry S. Dean, MD, FACC, FAHA, FSCAI; Kirk N. Garratt, MD, MSc; Steven L. Goldberg, MD; Mitchell W. Krucoff, MD; J. Jeffrey Marshall, MD; Jeffrey W. Moses, MD; Augusto D. Pichard, MD, FACC, FSCAI; Charanjit S. Rihal, MD, MBA, FSCAI; Arnold H. Seto, MD, MPA, CCDS, FACC, FSCAI; Paul S. Teirstein, MD, FACC; Bonnie H. Weiner, MD, MBA, FSCAI, FACC
Dr. Arnold Seto and I were discussing a thorny problem. If you needed medical care, would you like a family member to be your physician of record? What about a very close personal friend performing a heart cath on you? Is it unethical to...
Dr. Arnold Seto and I were discussing a thorny problem. If you needed medical care, would you like a family member to be your physician of record? What about a very close personal friend performing a heart cath on you? Is it unethical to...
Dr. Arnold Seto and I were...
05/06/2025
Cath Lab Digest
Clinical Editor's Corner
04/04/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA
A critical part of a cardiology consultation and review in preparation for a cardiac catheterization should include the chest x-ray (CXR). How should we approach reading the CXR?
A critical part of a cardiology consultation and review in preparation for a cardiac catheterization should include the chest x-ray (CXR). How should we approach reading the CXR?
A critical part of a cardiology...
04/04/2025
Cath Lab Digest
Clinical Editor's Corner
03/05/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA; David A. Cox, MD; Stephen Jenkins, MD; Dean J. Kereiakes, MD, FACC, MSCAI; Gary S. Mintz, MD; Jeffrey W. Moses, MD; Stephen R. Ramee, MD; Kenneth Rosenfield, MD, MHCDS; Barry F. Uretsky, MD
Stenting across a coronary aneurysm invariably leaves free-floating struts which remain of concern to the operators despite good antiplatelet regiments after the procedure. Most of the time, this is a benign percutaneous coronary intervention...
Stenting across a coronary aneurysm invariably leaves free-floating struts which remain of concern to the operators despite good antiplatelet regiments after the procedure. Most of the time, this is a benign percutaneous coronary intervention...
Stenting across a coronary...
03/05/2025
Cath Lab Digest

Watch/Listen

Philips OBL / ASC Video
Brief Overview
11/19/2025
Market tends are showing that more procedures are moving to out-of-hospital care settings, such as ambulatory surgery centers (ASCs) and office-based labs (OBLs) due to financial and operational benefits to the healthcare system and desire to...
Market tends are showing that more procedures are moving to out-of-hospital care settings, such as ambulatory surgery centers (ASCs) and office-based labs (OBLs) due to financial and operational benefits to the healthcare system and desire to...
Market tends are showing that...
11/19/2025
Cath Lab Digest
Interview With Viet Le, DMSc, MPAS, PA-C, FACC, FAHA, HF-Cert
Videos
11/18/2025
Viet Le, PA-C, FACC, FAHA; Isabel Vega
Watch as Viet Le, DMSc, MPAS, PA-C, FACC, FAHA, HF-Cert, discusses his abstract from AHA 2025.
Watch as Viet Le, DMSc, MPAS, PA-C, FACC, FAHA, HF-Cert, discusses his abstract from AHA 2025.
Watch as Viet Le, DMSc, MPAS,...
11/18/2025
EP Lab Digest
Ryan K. Kaple, MD, FACC, FSCAI
Heart Failure
10/28/2025
Ryan Kaple, MD
In this video, Ryan K. Kaple, MD, FACC, FSCAI, discusses how the CardioMEMS™ HF System has become an essential tool in managing patients with chronic heart failure.
In this video, Ryan K. Kaple, MD, FACC, FSCAI, discusses how the CardioMEMS™ HF System has become an essential tool in managing patients with chronic heart failure.
In this video, Ryan K. Kaple,...
10/28/2025
Cath Lab Digest
PCI in ASCs
Video Discussion
10/03/2025
Bailey Ann Richardson, NP-C, RNFA, CNOR, RCIS; Morton J. Kern, MD, MSCAI, FACC, FAHA; Arnold H. Seto, MD, MPA, CCDS, FACC, FSCAI
A discussion of the study presented at SCAI's 2025 Annual Meeting, " Percutaneous Coronary Intervention in Ambulatory Surgery Centers: Procedural Volume Trends and Outcomes in the Medicare Population".
A discussion of the study presented at SCAI's 2025 Annual Meeting, " Percutaneous Coronary Intervention in Ambulatory Surgery Centers: Procedural Volume Trends and Outcomes in the Medicare Population".
A discussion of the study...
10/03/2025
Cath Lab Digest
Bailey Ann Richardson, NP-C, RNFA, CNOR, RCIS, with Morton J. Kern, MD, MSCAI, and Arnold H. Seto, MD, MPA
Kern, Seto, & Richardson
09/26/2025
Bailey Ann Estes, AGNP-C, MSN, RN-BC, RCIS, RNFA; Morton J. Kern, MD, MSCAI, FACC, FAHA; Arnold H. Seto, MD, MPA, CCDS, FACC, FSCAI
Join Bailey Ann Richardson, NP-C, RNFA, CNOR, RCIS, and Drs Morton Kern and Arnold Seto, in a SCAI 2025 discussion that highlights four trials across the interventional cardiology spectrum.
Join Bailey Ann Richardson, NP-C, RNFA, CNOR, RCIS, and Drs Morton Kern and Arnold Seto, in a SCAI 2025 discussion that highlights four trials across the interventional cardiology spectrum.
Join Bailey Ann Richardson,...
09/26/2025
Cath Lab Digest
Mike Watts, MD
AMP 2025
09/18/2025
Mike Watts, MD, FSIR
Mike Watts, MD, FSIR, discusses his presentation on the use of wearables and artificial intelligence in the prevention and treatment of chronic limb-threatening ischemia.
Mike Watts, MD, FSIR, discusses his presentation on the use of wearables and artificial intelligence in the prevention and treatment of chronic limb-threatening ischemia.
Mike Watts, MD, FSIR, discusses...
09/18/2025
Vascular Disease Management
Bailey Estes, NP, and Ahmad Alkhalil, MD
Structural Trials Discussion
08/05/2025
Bailey Ann Estes MSN, AGNP-C, RN-BC, RNFA, CNOR, RCIS; Ahmad Alkhalil, MD, MSc
Bailey Estes, MSN, AGNP, talks with Dr. Ahmad Alkhalil about four presented trials that were hotly anticipated at the CRF New York Valves Meeting, held June 24-26, 2025, in New York, New York.
Bailey Estes, MSN, AGNP, talks with Dr. Ahmad Alkhalil about four presented trials that were hotly anticipated at the CRF New York Valves Meeting, held June 24-26, 2025, in New York, New York.
Bailey Estes, MSN, AGNP, talks...
08/05/2025
Cath Lab Digest
Cath Lab Conversations
Podcasts
06/12/2025
Find all of CLD's exciting podcasts here, or find Cath Lab Digest on Spotify or Apple!
Find all of CLD's exciting podcasts here, or find Cath Lab Digest on Spotify or Apple!
Find all of CLD's exciting...
06/12/2025
Cath Lab Digest
Bailey Estes, Michelle Bierig, and Chris Steelman
PROFESSIONAL DEVELOPMENT
06/12/2025
Bailey Estes, MSN, AGNP, RN-BC, RNFA, CNOR, RCIS, talks with Co-Chairs of the ACC's Allied Health Work Group, Chris Steelman, MS, RT(R)(CI), RCIS, and Michelle Bierig, PhD, ACS, RCS, RDCS.
Bailey Estes, MSN, AGNP, RN-BC, RNFA, CNOR, RCIS, talks with Co-Chairs of the ACC's Allied Health Work Group, Chris Steelman, MS, RT(R)(CI), RCIS, and Michelle Bierig, PhD, ACS, RCS, RDCS.
Bailey Estes, MSN, AGNP, RN-BC,...
06/12/2025
Cath Lab Digest
Robert M. Califf, MD
SCAI 2025
05/14/2025
Robert M. Califf, MD
In this 5-minute video, former U.S. FDA Commissioner Robert M. Califf, MD, discusses the American healthcare system and the current state of interventional cardiology. Dr. Califf presented the 2025 Society for Cardiovascular Angiography and...
In this 5-minute video, former U.S. FDA Commissioner Robert M. Califf, MD, discusses the American healthcare system and the current state of interventional cardiology. Dr. Califf presented the 2025 Society for Cardiovascular Angiography and...
In this 5-minute video, former...
05/14/2025
Cath Lab Digest

Online Exclusives

AHEAD of Print: Case REport
11/26/2025
Muhammad Imran Hanif, MBBS, FCPS (Cardiology), FSCAI, FRCP; Muhammad Sikandar Saleem, MBBS, FCPS (Cardiology); and Muhammad Ansar Maqsood, MBBS, FCPS (Cardiology) share a case of complex wire entrapment during left anterior descending...
Muhammad Imran Hanif, MBBS, FCPS (Cardiology), FSCAI, FRCP; Muhammad Sikandar Saleem, MBBS, FCPS (Cardiology); and Muhammad Ansar Maqsood, MBBS, FCPS (Cardiology) share a case of complex wire entrapment during left anterior descending...
Muhammad Imran Hanif, MBBS, FCPS...
11/26/2025
Cath Lab Digest
Rural Care
11/01/2025
Brad Serwer, MD; Reese Ebner
According to the National Rural Health Association, rural areas house nearly 20% of the U.S. population but only approximately 10% of physicians.
According to the National Rural Health Association, rural areas house nearly 20% of the U.S. population but only approximately 10% of physicians.
According to the National Rural...
11/01/2025
Cath Lab Digest
Ahead of Print: Case Report
10/30/2025
Abdul Wahab, MD; Sachin Joseph, MD; Andres Vargas-Estrada, MD
The authors share a case of a large LAD-to-right-sided coronary cameral fistula that produced angiographic coronary steal but no significant shunt, allowing for successful conservative management.
The authors share a case of a large LAD-to-right-sided coronary cameral fistula that produced angiographic coronary steal but no significant shunt, allowing for successful conservative management.
The authors share a case of a...
10/30/2025
Cath Lab Digest
CLD Explainer
10/29/2025
Rebecca Kapur (Yospyn)
The final CMS National Coverage Determination (NCD) for renal denervation (RDN) marks an important milestone for companies with FDA-approved RDN devices. It establishes national Medicare coverage for RDN as a treatment option for patients...
The final CMS National Coverage Determination (NCD) for renal denervation (RDN) marks an important milestone for companies with FDA-approved RDN devices. It establishes national Medicare coverage for RDN as a treatment option for patients...
The final CMS National Coverage...
10/29/2025
Cath Lab Digest
Case Series
10/03/2025
Arnav Kumar Singla, MD; Cody Uhlich, MD; Namrata Kadambi, MD; Shannon Li, MD; Stuart Chen, MD; Fareed M. Collado, MD
Coronary artery fistulas (CAF) are rare anomalies with variable presentations and complications including congestive heart failure, myocardial infarction, and arrhythmia depending on anatomy. Congenital etiologies account for the majority of...
Coronary artery fistulas (CAF) are rare anomalies with variable presentations and complications including congestive heart failure, myocardial infarction, and arrhythmia depending on anatomy. Congenital etiologies account for the majority of...
Coronary artery fistulas (CAF)...
10/03/2025
Cath Lab Digest

Case Reports

Case Report
12/05/2025
Neeraj N. Shah, MD, MPH; Dennis Phillips, DO; Hiroyuki Tsukui, MD; Mitsugu Ogawa, MD; Fouad Jabbour, MD; Ashwin Thiagarajasubramanian, MD; Juan Chahin, MD
Postinfarct (PI) ventricular septal defect (VSD) usually occurs 2-7 days after untreated acute myocardial infarction (MI) due to interventricular septal rupture after necrosis. In the current era of primary percutaneous coronary intervention...
Postinfarct (PI) ventricular septal defect (VSD) usually occurs 2-7 days after untreated acute myocardial infarction (MI) due to interventricular septal rupture after necrosis. In the current era of primary percutaneous coronary intervention...
Postinfarct (PI) ventricular...
12/05/2025
Cath Lab Digest
Case Report
12/05/2025
Mehmet Cilingiroglu, MD; Ibrahim Halil Inanc, MD
Maxillofacial injury is common following major facial trauma, and can lead to life-threatening hemorrhage. The branches of the external carotid artery (Figure 1) are most vulnerable to trauma as the vessels transverse bone structures. The...
Maxillofacial injury is common following major facial trauma, and can lead to life-threatening hemorrhage. The branches of the external carotid artery (Figure 1) are most vulnerable to trauma as the vessels transverse bone structures. The...
Maxillofacial injury is common...
12/05/2025
Cath Lab Digest
AHEAD of Print: Case REport
11/26/2025
Muhammad Imran Hanif, MBBS, FCPS (Cardiology), FSCAI, FRCP; Muhammad Sikandar Saleem, MBBS, FCPS (Cardiology); and Muhammad Ansar Maqsood, MBBS, FCPS (Cardiology) share a case of complex wire entrapment during left anterior descending...
Muhammad Imran Hanif, MBBS, FCPS (Cardiology), FSCAI, FRCP; Muhammad Sikandar Saleem, MBBS, FCPS (Cardiology); and Muhammad Ansar Maqsood, MBBS, FCPS (Cardiology) share a case of complex wire entrapment during left anterior descending...
Muhammad Imran Hanif, MBBS, FCPS...
11/26/2025
Cath Lab Digest
Case Report
11/01/2025
Boskey Patel, DO, FACC, FSCAI
Calcified coronary lesions remain a formidable opponent in the cath lab, despite the many advancements made in the field to overcome the challenges they pose. Fortunately, operators have an ever-evolving arsenal of interventional tools to...
Calcified coronary lesions remain a formidable opponent in the cath lab, despite the many advancements made in the field to overcome the challenges they pose. Fortunately, operators have an ever-evolving arsenal of interventional tools to...
Calcified coronary lesions...
11/01/2025
Cath Lab Digest
Case Report
11/01/2025
George DeKornfeld, MD
The author presents a case in which the Artix Thrombectomy System (Inari Medical) was utilized in a hybrid procedure to revascularize a thrombosed axillary-profunda bypass graft followed by profundoplasty.
The author presents a case in which the Artix Thrombectomy System (Inari Medical) was utilized in a hybrid procedure to revascularize a thrombosed axillary-profunda bypass graft followed by profundoplasty.
The author presents a case in...
11/01/2025
Cath Lab Digest
Technique
11/01/2025
Blerina Asllanaj, MD; Andrii Maryniak, MD; Filip Oleszak; Marian S. Petrasko, MD, PhD; Adam T. Stys, MD, FACC; Tomasz P. Stys, MD, FACC, FSCAI
The management of patients with both obstructive coronary artery disease (CAD) and severe aortic stenosis (AS) presents a significant challenge, particularly when the patient is considered a poor surgical candidate.
The management of patients with both obstructive coronary artery disease (CAD) and severe aortic stenosis (AS) presents a significant challenge, particularly when the patient is considered a poor surgical candidate.
The management of patients with...
11/01/2025
Cath Lab Digest
Ahead of Print: Case Report
10/30/2025
Abdul Wahab, MD; Sachin Joseph, MD; Andres Vargas-Estrada, MD
The authors share a case of a large LAD-to-right-sided coronary cameral fistula that produced angiographic coronary steal but no significant shunt, allowing for successful conservative management.
The authors share a case of a large LAD-to-right-sided coronary cameral fistula that produced angiographic coronary steal but no significant shunt, allowing for successful conservative management.
The authors share a case of a...
10/30/2025
Cath Lab Digest
Case Report
09/02/2025
Ghulam Mujtaba Ghumman, MD; Zaid Al-Jebaje, MD
This article highlights three real-world complex PCI cases in which Takeru™ balloon catheters were utilized, including their role in IVL-supported lesion preparation, complex coronary lesion crossing, and bifurcation stenting strategies.
This article highlights three real-world complex PCI cases in which Takeru™ balloon catheters were utilized, including their role in IVL-supported lesion preparation, complex coronary lesion crossing, and bifurcation stenting strategies.
This article highlights three...
09/02/2025
Cath Lab Digest
Case Report
08/26/2025
Saroj Sahoo, MD; Ramachandra Barik, MD, DNB; Sindhu Rao Malla, MD; Debasis Acharya, MD, DM; Debasis Panda, MD; Prabhat Kumar Singh, MD
The authors report a successful revascularization of a heavily calcified Medina 0.0.1 bifurcation lesion in a 74-year-old male with multiple co-morbidities who is at high risk for CABG, using orbital atherectomy and a cutting balloon under...
The authors report a successful revascularization of a heavily calcified Medina 0.0.1 bifurcation lesion in a 74-year-old male with multiple co-morbidities who is at high risk for CABG, using orbital atherectomy and a cutting balloon under...
The authors report a successful...
08/26/2025
Cath Lab Digest
Case Report
08/01/2025
Muhammad Anjum, MBBS, FCPS; Jalaludin, MBBS, FCPS; Shahid Hameed, MBBS, MRCP; Imran Abid, MBBS, FCPS; Ahmad Noeman, MBBS, FCPS; Muzaffar Ali, MBBS, FCPS
A 70-year-old hypertensive male with NSTEMI underwent coronary angiography, revealing triple-vessel disease sparing the left main. During pre-CABG workup, he was found to have a prior transient ischemic attack and a 95% stenosis of the right...
A 70-year-old hypertensive male with NSTEMI underwent coronary angiography, revealing triple-vessel disease sparing the left main. During pre-CABG workup, he was found to have a prior transient ischemic attack and a 95% stenosis of the right...
A 70-year-old hypertensive male...
08/01/2025
Cath Lab Digest

From the Experts

Program Spotlight
12/09/2025
Amir Lotfi, MD; Andrew M. Goldsweig, MD
With a collaborative culture, high-volume expertise, and investment in cutting edge technology, Baystate Medical Center has become a nationally recognized leader in cardiovascular care. In the recent renovation and expansion of Baystate’s...
With a collaborative culture, high-volume expertise, and investment in cutting edge technology, Baystate Medical Center has become a nationally recognized leader in cardiovascular care. In the recent renovation and expansion of Baystate’s...
With a collaborative culture,...
12/09/2025
Cath Lab Digest
Ask the Experts
11/01/2025
Manit Sabharwal ; Morton J. Kern, MD, MSCAI, FACC, FAHA; Arnold H. Seto, MD, MPA, CCDS, FACC, FSCAI
Long-term radialists Morton Kern, MD, and Arnold Seto, MD, MPA, discuss a novel radial access tool, the Prelude Wave™, with Merit Medical®’s Manit Sabharwal. Discussion ranges from transradial access clinical tips to the challenges of...
Long-term radialists Morton Kern, MD, and Arnold Seto, MD, MPA, discuss a novel radial access tool, the Prelude Wave™, with Merit Medical®’s Manit Sabharwal. Discussion ranges from transradial access clinical tips to the challenges of...
Long-term radialists Morton...
11/01/2025
Cath Lab Digest
Resistant Hypertension
10/03/2025
Behnam N. Tehrani, MD, FSCAI
"The signal has been important and clinically meaningful," says Behnam Tehrani, MD. "At the 90-day visit, we have seen a median blood pressure reduction of over 30 mmHg systolic and 10 mmHg diastolic, with a median reduction of 1.3...
"The signal has been important and clinically meaningful," says Behnam Tehrani, MD. "At the 90-day visit, we have seen a median blood pressure reduction of over 30 mmHg systolic and 10 mmHg diastolic, with a median reduction of 1.3...
"The signal has been important...
10/03/2025
Cath Lab Digest
Interview
09/19/2025
Eric A. Secemsky, MD, MSc, RPVI, FACC, FAHA, FSCAI
Eric Secemsky, MD, discusses his AMP 2025 presentation entitled “Outcomes in Patients With and Without CLTI: A Systematic Literature Review on Atherectomy for Peripheral Interventions”.
Eric Secemsky, MD, discusses his AMP 2025 presentation entitled “Outcomes in Patients With and Without CLTI: A Systematic Literature Review on Atherectomy for Peripheral Interventions”.
Eric Secemsky, MD, discusses his...
09/19/2025
Vascular Disease Management
Renal Denervation
06/05/2025
Orestis Pappas, MD, FACC, FSCAI, FSVM
Dr. Orestis Pappas, of Erie, Pennsylvania, shares his clinical experience using the Paradise™ Ultrasound Renal Denervation (uRDN) System (Recor Medical) in a series of patients with uncontrolled hypertension under his care. He reflects on his...
Dr. Orestis Pappas, of Erie, Pennsylvania, shares his clinical experience using the Paradise™ Ultrasound Renal Denervation (uRDN) System (Recor Medical) in a series of patients with uncontrolled hypertension under his care. He reflects on his...
Dr. Orestis Pappas, of Erie,...
06/05/2025
Cath Lab Digest
Peripheral Artery Disease
06/04/2025
Mark C. Bates, MD, DSc(Hons), FACC, FSCAI
"My concern about embolization during interventional procedures dates back almost 3 decades," says Dr. Bates. "While researching and developing one of the early carotid filter systems and as a co-inventor of carotid flow reversal, it became...
"My concern about embolization during interventional procedures dates back almost 3 decades," says Dr. Bates. "While researching and developing one of the early carotid filter systems and as a co-inventor of carotid flow reversal, it became...
"My concern about embolization...
06/04/2025
Cath Lab Digest
Peripheral Intervention
05/07/2025
Jaafer A. Golzar, MD
"The DETOUR System (Endologix) and percutaneous transmural arterial bypass (PTAB) represents a truly exciting addition to our armamentarium for the treatment of complex peripheral artery disease (PAD) patients," says Jaafar A. Golzar, MD,...
"The DETOUR System (Endologix) and percutaneous transmural arterial bypass (PTAB) represents a truly exciting addition to our armamentarium for the treatment of complex peripheral artery disease (PAD) patients," says Jaafar A. Golzar, MD,...
"The DETOUR System (Endologix)...
05/07/2025
Cath Lab Digest
Thrombectomy
05/06/2025
Stanley K. Zimmerman, MD, FACC, FSCAI
"I am seeing decreased blood loss and more efficient clot removal with CAVT, which can detect whether there is thrombus engaged with the catheter," says Dr. Zimmerman.
"I am seeing decreased blood loss and more efficient clot removal with CAVT, which can detect whether there is thrombus engaged with the catheter," says Dr. Zimmerman.
"I am seeing decreased blood...
05/06/2025
Cath Lab Digest
Interview
04/21/2025
Lindsay Machan, MD
VDM spoke with interventional radiologist Lindsay Machan, MD, from Vancouver Hospital in Canada, to discuss his presentation on selecting patients for renal denervation treatment.
VDM spoke with interventional radiologist Lindsay Machan, MD, from Vancouver Hospital in Canada, to discuss his presentation on selecting patients for renal denervation treatment.
VDM spoke with interventional...
04/21/2025
Vascular Disease Management
Renal Denervation
03/05/2025
Amir Kaki, MD, FACC, FSCAI
The Paradise ultrasound Renal Denervation (uRDN) System (Recor Medical, Inc.) uses circumferential ultrasound energy to thermally ablate and disrupt sympathetic nerves along the renal arteries.
The Paradise ultrasound Renal Denervation (uRDN) System (Recor Medical, Inc.) uses circumferential ultrasound energy to thermally ablate and disrupt sympathetic nerves along the renal arteries.
The Paradise ultrasound Renal...
03/05/2025
Cath Lab Digest

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Clinical Editor's Corner
12/05/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA
On my last cath day, I was standing next to a freshly-minted first-year cardiology trainee. It was a bittersweet moment — a cliché, but true. How many fellows have I worked with? How many unusual patients and novel findings, and how many...
On my last cath day, I was standing next to a freshly-minted first-year cardiology trainee. It was a bittersweet moment — a cliché, but true. How many fellows have I worked with? How many unusual patients and novel findings, and how many...
On my last cath day, I was...
12/05/2025
Cath Lab Digest
Case Report
12/05/2025
Neeraj N. Shah, MD, MPH; Dennis Phillips, DO; Hiroyuki Tsukui, MD; Mitsugu Ogawa, MD; Fouad Jabbour, MD; Ashwin Thiagarajasubramanian, MD; Juan Chahin, MD
Postinfarct (PI) ventricular septal defect (VSD) usually occurs 2-7 days after untreated acute myocardial infarction (MI) due to interventricular septal rupture after necrosis. In the current era of primary percutaneous coronary intervention...
Postinfarct (PI) ventricular septal defect (VSD) usually occurs 2-7 days after untreated acute myocardial infarction (MI) due to interventricular septal rupture after necrosis. In the current era of primary percutaneous coronary intervention...
Postinfarct (PI) ventricular...
12/05/2025
Cath Lab Digest
Case Report
12/05/2025
Mehmet Cilingiroglu, MD; Ibrahim Halil Inanc, MD
Maxillofacial injury is common following major facial trauma, and can lead to life-threatening hemorrhage. The branches of the external carotid artery (Figure 1) are most vulnerable to trauma as the vessels transverse bone structures. The...
Maxillofacial injury is common following major facial trauma, and can lead to life-threatening hemorrhage. The branches of the external carotid artery (Figure 1) are most vulnerable to trauma as the vessels transverse bone structures. The...
Maxillofacial injury is common...
12/05/2025
Cath Lab Digest
AHEAD of Print: Case REport
11/26/2025
Muhammad Imran Hanif, MBBS, FCPS (Cardiology), FSCAI, FRCP; Muhammad Sikandar Saleem, MBBS, FCPS (Cardiology); and Muhammad Ansar Maqsood, MBBS, FCPS (Cardiology) share a case of complex wire entrapment during left anterior descending...
Muhammad Imran Hanif, MBBS, FCPS (Cardiology), FSCAI, FRCP; Muhammad Sikandar Saleem, MBBS, FCPS (Cardiology); and Muhammad Ansar Maqsood, MBBS, FCPS (Cardiology) share a case of complex wire entrapment during left anterior descending...
Muhammad Imran Hanif, MBBS, FCPS...
11/26/2025
Cath Lab Digest
Case Report
11/01/2025
Boskey Patel, DO, FACC, FSCAI
Calcified coronary lesions remain a formidable opponent in the cath lab, despite the many advancements made in the field to overcome the challenges they pose. Fortunately, operators have an ever-evolving arsenal of interventional tools to...
Calcified coronary lesions remain a formidable opponent in the cath lab, despite the many advancements made in the field to overcome the challenges they pose. Fortunately, operators have an ever-evolving arsenal of interventional tools to...
Calcified coronary lesions...
11/01/2025
Cath Lab Digest
Case Report
11/01/2025
George DeKornfeld, MD
The author presents a case in which the Artix Thrombectomy System (Inari Medical) was utilized in a hybrid procedure to revascularize a thrombosed axillary-profunda bypass graft followed by profundoplasty.
The author presents a case in which the Artix Thrombectomy System (Inari Medical) was utilized in a hybrid procedure to revascularize a thrombosed axillary-profunda bypass graft followed by profundoplasty.
The author presents a case in...
11/01/2025
Cath Lab Digest
Technique
11/01/2025
Blerina Asllanaj, MD; Andrii Maryniak, MD; Filip Oleszak; Marian S. Petrasko, MD, PhD; Adam T. Stys, MD, FACC; Tomasz P. Stys, MD, FACC, FSCAI
The management of patients with both obstructive coronary artery disease (CAD) and severe aortic stenosis (AS) presents a significant challenge, particularly when the patient is considered a poor surgical candidate.
The management of patients with both obstructive coronary artery disease (CAD) and severe aortic stenosis (AS) presents a significant challenge, particularly when the patient is considered a poor surgical candidate.
The management of patients with...
11/01/2025
Cath Lab Digest
Clinical Editor's Corner
10/31/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA; Arnold H. Seto, MD, MPA, CCDS, FACC, FSCAI
Cardiogenic shock is clearly different than bacteremic, neurogenic, toxic, and traumatic (hypovolemic) shock. Significant research progress has been made just in arriving at a common language for shock, through the Society for Cardiovascular...
Cardiogenic shock is clearly different than bacteremic, neurogenic, toxic, and traumatic (hypovolemic) shock. Significant research progress has been made just in arriving at a common language for shock, through the Society for Cardiovascular...
Cardiogenic shock is clearly...
10/31/2025
Cath Lab Digest
Ahead of Print: Case Report
10/30/2025
Abdul Wahab, MD; Sachin Joseph, MD; Andres Vargas-Estrada, MD
The authors share a case of a large LAD-to-right-sided coronary cameral fistula that produced angiographic coronary steal but no significant shunt, allowing for successful conservative management.
The authors share a case of a large LAD-to-right-sided coronary cameral fistula that produced angiographic coronary steal but no significant shunt, allowing for successful conservative management.
The authors share a case of a...
10/30/2025
Cath Lab Digest
Clinical Editor's Corner
10/03/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA; Arnold H. Seto, MD, MPA, CCDS, FACC, FSCAI; Michael Ragosta, MD; Mir Basir, DO
The ACT should be in therapeutic range before disrupting a coronary artery. The rule is no guidewire insertion until ACT is in therapeutic range.
The ACT should be in therapeutic range before disrupting a coronary artery. The rule is no guidewire insertion until ACT is in therapeutic range.
The ACT should be in therapeutic...
10/03/2025
Cath Lab Digest