Clinical Editor's Corner »

On Teaching Cardiac Catheterization: ‘Seeing’ the Patient

By: Morton Kern, MD

It’s July again. I am reminded that it’s not easy to teach cardiac catheterization. This revelation is not new as I scrub in with a brand-new trainee for his first time.


Cath Lab Spotlight »

Spotlight: Swedish Medical Center

By: Sara Downing, RN, BSN, CCRN, Diane Bogstie, RN, BSN, Jeff Mercer, RCIS, Mary Smith, RN, BSN, Seattle, Washington

The Swedish Heart and Vascular Institute includes three state-of-the-art cardiac catheterization labs, one of which is specialized for peripheral endovascular intervention and 3-dimensional (3D) vessel reconstruction imaging. We also utilize a hybrid operating room, shared with interventional radiology (IR) and surgery, and a Stereotaxis-equipped room, shared with electrophysiology (EP).


Case Report »

Complex Bifurcation Stenting in the Transradial Era

By: Neal N. Sawlani, MD, Adhir R. Shroff, MD, MPH, University of Illinois Hospital and Health Sciences System, Chicago, Illinois

The following case is the second in a series of transradial-focused reports, directed by section editor Dr. Samir Pancholy. This case series is supported by an educational grant from Medtronic.


Cath Lab Reporting »

Structured Reporting in the Cath Lab Space

By: Anne Beekman, RN, BSN, Manager, Kresge Cardiac Cath Lab, Frederik Meijer Heart & Vascular Institute, Cardiovascular Services; Steven Locke, MSA, Information Services Manager, Cardiovascular Information Solutions; Jeffrey R. Beyer, BS, Application Systems Analyst, Senior, Cardiovascular Information Solutions; Spectrum Health, Grand Rapids, Michigan

Before we implemented structured reporting, we relied on the traditional physician phone dictation model. The process was cumbersome for the department.


Case Files by Dr. George »

Utility of Fractional Flow Reserve Measurement in Demonstrating Chronic Ischemic Myocardium in Chronic Total Occlusions of Coronary Arteries

By: Brian Shaw, DO, Vincent Varghese, DO, and Jon C. George, MD, Interventional Cardiology and Endovascular Medicine, Deborah Heart and Lung Center, Browns Mills, New Jersey

With increased interest in revascularizing CTOs percutaneously, recent evidence has emerged that well-collateralized CTOs still demonstrate persistent chronic myocardial ischemia.


Case Files by Dr. George »

Case Commentary

By: Arnold Seto, MD, MPA, Chief, Cardiology, Long Beach VA Medical Center, Long Beach, California

This fascinating case by Dr. Jon George brings to mind some of the biggest controversies in interventional cardiology.


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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.