Clinical Editor's Corner »

Cath Lab Safety

By:

Morton Kern, MD Clinical Editor; Chief Cardiology, Long Beach Veterans Administration Health Care System, Long Beach, California; Associate Chief Cardiology, Professor of Medicine, University of California Irvine, Orange, California

It’s 3 am and you’re finishing a ST-elevation myocardial infarction (STEMI) in a 61-year-old woman with a body mass index (BMI) of 35 (weight 256 lbs, height 5’2”) with a large pannus and protruding abdomen.


Structural Heart »

The MitraClip COAPT Trial and the Status of Transcatheter Mitral Valve Repair

By: Cath Lab Digest talks with Michael J. Mack, MD, FACC, Chairman, The Heart Hospital Baylor Plano Research Center, Plano, Texas; Medical Director, Cardiovascular Surgery, Chairman Cardiovascular Governance Council Baylor Scott & White Health Care System, Dallas, Texas.

In the United States, the FDA has approved a trial called the COAPT trial, where patients with functional mitral regurgitation are optimized on medical therapy, and then randomized between continuing medical therapy and the MitraClip device.


Cath Lab Spotlight »

Cath Lab Spotlight: Banner Thunderbird Medical Center

By: Carol Jane Nauertz, Director, Tereasa Lehan, Senior RN Manager, Carla Lenart, EP RT Supervisor, Glendale, Arizona

Banner Thunderbird Medical Center cath lab has 3 cardiac catheterization labs, 1 electrophysiology (EP) lab, a shared bi-plane room and a shell for future expansion.


New Technology »

Avoiding the Aortic Arch and Using Flow Reversal: Carotid Artery Stenting with the Silk Road System to Reduce Stroke

By:

Cath Lab Digest talks with Richard Cambria, MD, Chief of the Division of Vascular and Endovascular Surgery and Co-Director of the Thoracic Aortic Center at Massachusetts General Hospital, Boston, Massachusetts.

The cumulative experience of 400 cases suggests that the Silk Road variation on carotid stenting may be the technical improvement or evolution that makes carotid artery stenting equivalent in perioperative outcomes to carotid endarterectomy, which is the holy grail that carotid stenting has been seeking.


Transradial Access »

Transradial/Transfemoral Retrograde CTO Revascularization

By: Orlando Marrero, RCIS, MBA, Tampa, Florida, Zaheed Tai, DO, FACC, FSCAI, Winter Haven Hospital, Winter Haven, Florida

The following case utilizes one femoral and one radial access. The patient had a recent complex peripheral revascularization performed, with some residual tenderness at the left radial site and left groin.


Cath Lab Management »

Abstract: Rapid Same-Day Discharge Following Percutaneous Coronary Intervention in Regional Heart Centre Between March 2009 and September 2012

By: Reprinted with permission from SAGE Publications, Ltd. Originally published in the European Journal of Cardiovascular Nursing, 12/Supplement 1: S16, April 2013.

Editor’s Note: This abstract is reprinted with permission and was originally published in the European Journal of Cardiovascular Nursing, 12/Supplement 1: S16, April 2013 by SAGE Publications Ltd, All rights reserved. ©McRoberts et al.

 


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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.