Single Center Study »

Radial Artery Spasm Prevention (RASP Study): A Retrospective Analysis of Oral Pharmacologic Prophylaxis for Prevention of Radial Artery Spasm During Transradial Access for Cardiac Catheterization

By: Thomas Waggoner, DO, Ricarda White, DO, Peter V. Wassmer, BS, Peter C. Wassmer, MD, Robert Sanchez, MD, Andrew Rosenthal, MD, Northside Hospital & The Heart Institute, Departments of Graduate Medical Education & Cardiology, St. Petersburg, Florida

The aim of this study was to evaulate the occurrence of radial artery spasm during transradial access cardiac catheterizations in patients previously prescibed and taking oral long-acting nitrates or calcium-channel blockers or the combination of both drugs.


Clinical Editor's Corner »

Measurement of Cardiac Output in the Cath Lab: How Accurate is It?

By: Morton Kern, MD, Clinical Editor

Recently, Dr. Herb Aronow, an interventional cardiologist at St. Joseph Mercy Ann Arbor, Michigan, asked our interventional cardiologist group the following question about cardiac output (CO):


New Technology »

Overcoming Calcified, Tortuous Access for Large Devices with the SoloPath Balloon-Expandable and Collapsible Sheath

By: Cath Lab Digest talks with J. Michael Tuchek, DO, FACS, Clinical Assistant Professor, Cardiothoracic and Vascular Surgery, Director, Thoracic Aortic Stent Graft Program, Loyola University Medical Center and Stritch School of Medicine, Maywood, Illinois.

In patients receiving a large device, whether it is a percutaneous aortic valve such as the CoreValve, a thoracic stentgraft, or an abdominal stent graft for an aneurysm, one of the issues has always been access. Can we get there?


Cath Lab Spotlight »

Cath Lab Spotlight: Metro Health Hospital Cardiovascular Lab

By: J.A. Mustapha, MD, FACC, FSCAI, Director of Cardiovascular Catheterization Laboratories, Director of Endovascular Interventions, Director of Cardiovascular Research, Wyoming, Michigan

The first retrograde pedal access case utilizing the new 60 cm Diamondback orbital atherectomy device (Cardiovascular Systems, Inc.) was performed in our lab in March of this year and received local media attention.


Case Report »

Ventricular Septal Defect in an Acute Myocardial Infarction

By: Stephen V. Priest, MD, FACC, FACP, FSCAI, Raymond C. Lenius, MS, RCIS, Cole Hyden, RCIS, and Michele Curley, Gulf Coast Medical Center, Fort Myers, Florida

Ventricular septal rupture can be life threatening, and has a high mortality rate. According to the guidelines from the American College of Cardiology/American Heart Association, the best treatment for a VSR is urgent surgical intervention, regardless of the patient’s clinical status.4


Single Center Study »

Testing a Risk Predictor Tool: Can It Identify Patients at Higher Risk for Vascular Groin Complication Post Cardiac Cath or PCI?

By: Mike Fronczak, RN, RCIS, Gloria Reidinger, RNC, APN, EdD, Zebuline Koran, RN, APN, DNP, Northwest Community Hospital, Arlington Heights, Illinois*; John W. McConnell, PhD, Vice-President of Research and Development ECRA Group, Rosemont, Illinois

Northwest Community Hospital looked more closely into risk prediction post cath or PCI by evaluating a tool created to predict groin complications.


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Exclusive Content

The Anchor-Balloon Technique for Difficult Chronic Total Occlusions

Rajiv Goswami, DO, Assistant Professor of Medicine, Baylor College of Medicine, Ben Taub Hospital, Houston, Texas

This report describes intervention on a 73-year-old female with significant left main and triple-vessel coronary artery disease. We describe the sequence of multi-vessel intervention on the left main, obtuse marginal, and left anterior descending coronary artery CTO. Success in this case depended on application of the anchor balloon technique to deliver the balloon catheter for initial dilatation after successful crossing of the CTO with the guide wire.