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Cath Lab Digest

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Issue Highlights

Clinical Update
Data-Driven Decisions for Left Main Revascularization
07/02/2024
We know that if left unrevascularized, people with left main disease do not do well. The two major areas where we have relevant data are first, whether someone should undergo revascularization with PCI versus surgery, and second, for people...
We know that if left unrevascularized, people with left main disease do not do well. The two major areas where we have relevant data are first, whether someone should undergo revascularization with PCI versus surgery, and second, for people...
We know that if left...
07/02/2024
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
Cath Lab Management
Is Your Cath Lab Offering Comprehensive Treatment for Atrial Fibrillation?
07/02/2024
The reimbursement landscape for left atrial appendage occlusion (LAAO) procedures can vary based on factors such as the specific procedure performed, the patient’s insurance coverage, the provider’s location, and the payer mix. It is...
The reimbursement landscape for left atrial appendage occlusion (LAAO) procedures can vary based on factors such as the specific procedure performed, the patient’s insurance coverage, the provider’s location, and the payer mix. It is...
The reimbursement landscape for...
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
Cath Lab Review
Waveform Capnography: Part of Comprehensive Vital Sign Monitoring
05/29/2024
Richard J. Merschen, EdS, RT(R)(CV), RCIS
Madalynne Ruth, RT/ICVT student
Waveform capnography is a continuous, non-invasive measurement of a patient’s ventilation effort and measures the amount of carbon dioxide (CO2) in exhaled air. It consists of two major elements: capnometry and waveform capnography.
Waveform capnography is a continuous, non-invasive measurement of a patient’s ventilation effort and measures the amount of carbon dioxide (CO2) in exhaled air. It consists of two major elements: capnometry and waveform capnography.
Waveform capnography is a...
05/29/2024
Cath Lab Digest
Cath Lab Spotlight
The Heart Institute at Huntsville Hospital
05/29/2024
Arin Hornsby, RN, BSN
"We are seeing an increase in our structural case volumes, specifically left atrial appendage device implants," says Director of the Heart Institute Arin Hornsby, RN, BSN. "Our physicians are always pressing for innovation in technology and...
"We are seeing an increase in our structural case volumes, specifically left atrial appendage device implants," says Director of the Heart Institute Arin Hornsby, RN, BSN. "Our physicians are always pressing for innovation in technology and...
"We are seeing an increase in...
05/29/2024
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
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
Thrombectomy
Computer Assisted Vacuum Thrombectomy (CAVT) for Pulmonary Embolism: Penumbra’s Lightning Flash 2.0™
05/01/2024

Rohit Bhatheja, MD, MBA, FACC, FSCAI

AdventHealth Medical Group, Interventional Cardiology, Endovascular, Structural and Cerebrovascular Interventions; Associate Professor, University of Central Florida, College of Medicine; Physician Leader, AdventHealth Heart, Lung & Vascular Institute Research; Medical Director, AdventHealth HLVI Services – South & West Markets, Central Florida Division, Orlando, Florida

Rohit Bhatheja, MD, MBA, FACC, FSCAI ...
Penumbra’s Lightning Flash 2.0 is currently the only CAVT technology available that allows us to do thrombectomy from the pulmonary arteries utilizing clot detection algorithms that can differentiate between clot and patent flow.  
Penumbra’s Lightning Flash 2.0 is currently the only CAVT technology available that allows us to do thrombectomy from the pulmonary arteries utilizing clot detection algorithms that can differentiate between clot and patent flow.  
Penumbra’s Lightning Flash 2.0...
05/01/2024
Cath Lab Digest

News

Acquisitions
Edwards Lifesciences Expands Structural Heart Portfolio With Acquisitions of JenaValve and Endotronix
07/26/2024
Edwards has entered into an agreement to acquire JenaValve Technology, a pioneer in the transcatheter treatment of aortic regurgitation (AR), and building on an investment made in 2016, Edwards has exercised its option to acquire Endotronix,...
Edwards has entered into an agreement to acquire JenaValve Technology, a pioneer in the transcatheter treatment of aortic regurgitation (AR), and building on an investment made in 2016, Edwards has exercised its option to acquire Endotronix,...
Edwards has entered into an...
07/26/2024
Cath Lab Digest
Artificial Heart
The Texas Heart Institute Implants BiVACOR Total Artificial Heart and Provides Patient Update
07/26/2024
“This is an amazing advancement as the BiVACOR TAH may offer hope for countless patients who suffer from end-stage heart failure. This device may serve as a life-saving bridge to a heart transplant; future studies may prove its potential as a...
“This is an amazing advancement as the BiVACOR TAH may offer hope for countless patients who suffer from end-stage heart failure. This device may serve as a life-saving bridge to a heart transplant; future studies may prove its potential as a...
“This is an amazing advancement...
07/26/2024
Cath Lab Digest
Novel Stents
Grants Help Advance Research of Novel Vascular Stent Being Developed at Ohio State
07/25/2024
Bryan Tillman, MD, PhD, and his team have developed a dumbbell-shaped stent that can be removed after use — leaving nothing behind — and serves as a vehicle to deliver drugs to the vessel wall while at the same time preserving blood flow to...
Bryan Tillman, MD, PhD, and his team have developed a dumbbell-shaped stent that can be removed after use — leaving nothing behind — and serves as a vehicle to deliver drugs to the vessel wall while at the same time preserving blood flow to...
Bryan Tillman, MD, PhD, and his...
07/25/2024
Cath Lab Digest
Renal Denervation
First Patients Treated in Recor Medical’s Global Paradise System US Post Approval Study (US GPS) for the Treatment of Uncontrolled Hypertension With Ultrasound Renal Denervation
07/25/2024
The study will focus on gathering real-world safety and effectiveness data over five years from up to 1,000 patients, collaborating with research centers to help advance diversity and health equity within clinical trials. Building upon the...
The study will focus on gathering real-world safety and effectiveness data over five years from up to 1,000 patients, collaborating with research centers to help advance diversity and health equity within clinical trials. Building upon the...
The study will focus on...
07/25/2024
Cath Lab Digest
Ischemic Stroke
Imperative Care Announces Clinical Data from the Pivotal Imperative Trial Evaluating the Zoom Reperfusion System for the Treatment of Ischemic Stroke
07/24/2024
“The observed data showed all three pre-specified performance goals were met. These data suggest a lower rate of rescue therapy than prior thrombectomy trials and may demonstrate that intracranial positioning of a super-large bore catheter...
“The observed data showed all three pre-specified performance goals were met. These data suggest a lower rate of rescue therapy than prior thrombectomy trials and may demonstrate that intracranial positioning of a super-large bore catheter...
“The observed data showed all...
07/24/2024
Cath Lab Digest
Interactive Plaque Dashboard - courtesy HeartFlow
Plaque Analysis
HeartFlow Introduces Next Generation Interactive Plaque Analysis Platform to Assess Patient Risk in Suspected Coronary Artery Disease
07/19/2024
“Having access to a patient’s whole coronary picture, with both quantified plaque and physiology, is a game-changer as a clinician. I can reference the cross-sectional views with plaque by type when reviewing my patient’s workup and have...
“Having access to a patient’s whole coronary picture, with both quantified plaque and physiology, is a game-changer as a clinician. I can reference the cross-sectional views with plaque by type when reviewing my patient’s workup and have...
“Having access to a patient’s...
07/19/2024
Cath Lab Digest
Ischemic Stroke
Imperative Care Announces FDA Clearance and Initial Cases of the Zoom 6F Insert Catheters, the First Insert Catheters Built for Stroke
07/17/2024
Based on physician feedback, the new Zoom 6F Insert Catheters were developed to be more supportive, more torque-able and longer than current vessel selection devices and are offered in three stroke-specific shapes.
Based on physician feedback, the new Zoom 6F Insert Catheters were developed to be more supportive, more torque-able and longer than current vessel selection devices and are offered in three stroke-specific shapes.
Based on physician feedback, the...
07/17/2024
Cath Lab Digest
Peripheral Intervention
FDA Clears Balloon Dilation Scoring and Constraining Platform to Treat Small or Distal Peripheral Vasculature
07/16/2024
“The XO technology has shown effectiveness modifying, cracking, and dilating intimal and medial calcium using low pressures,” said Richard Saxon, MD, FSIR of Tri-City Medical, San Diego, California.
“The XO technology has shown effectiveness modifying, cracking, and dilating intimal and medial calcium using low pressures,” said Richard Saxon, MD, FSIR of Tri-City Medical, San Diego, California.
“The XO technology has shown...
07/16/2024
Cath Lab Digest
Acquisitions
Edwards Lifesciences to Acquire Innovalve
07/15/2024
Edwards Lifesciences announced it has exercised its option to acquire Innovalve Bio Medical Ltd., an early-stage transcatheter mitral valve replacement (TMVR) company, following its initial investment in 2017. Since that time, Innovalve has...
Edwards Lifesciences announced it has exercised its option to acquire Innovalve Bio Medical Ltd., an early-stage transcatheter mitral valve replacement (TMVR) company, following its initial investment in 2017. Since that time, Innovalve has...
Edwards Lifesciences announced...
07/15/2024
Cath Lab Digest
New Technology
Sensome Signs Exclusive Commercial Distribution Agreement for Clot-Sensing Guidewire in Japan With Cosmotec
07/10/2024
Sensome’s clot-sensing guidewire integrates the world’s smallest electrical impedance sensor with machine learning and is being developed to instantly identify clot composition and clot length in real-time in order to inform treatment...
Sensome’s clot-sensing guidewire integrates the world’s smallest electrical impedance sensor with machine learning and is being developed to instantly identify clot composition and clot length in real-time in order to inform treatment...
Sensome’s clot-sensing guidewire...
07/10/2024
Cath Lab Digest

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Clinical Editor's Corner

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
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 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 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 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

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
Videos
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

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
Dr. Sethi and Dr. Mehta
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 Yashendra Sethi, MD, Lumen Foundation, Miami
Sameer Mehta, MD, FACC, and...
12/05/2023
Cath Lab Digest

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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

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
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 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 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 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 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

From the Experts

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
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 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

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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
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
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 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
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
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

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