Volume 22 - Issue 8 - August 2014

On Teaching Cardiac Catheterization: ‘Seeing’ the Patient

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.

Spotlight: Swedish Medical Center

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).

Complex Bifurcation Stenting in the Transradial Era

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.

Structured Reporting in the Cath Lab Space

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

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

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

Case Commentary

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

Transradial Reverse CART

The proximal left anterior descending coronary artery (LAD) had long, diffuse disease (angiographically not critical) with a focal mid lesion, the circumflex had severe diffuse disease, and there was a chronic total occlusion (CTO) of the obtuse marginal (OM) and a CTO of the right coronary artery (RCA).

Planning for the Future: Proven Recruitment Strategies to Avoid Shortages

Ensuring an adequate physician, nursing, staff, and leadership complement will be essential, as all clinical specialties are expected to experience increases in patient and procedure volume.

What Really Needs to be in That Cath Procedure Report? Finally…a Statement on Structured Reporting

The recent announcement of a (soon-to-be published) 2014 American College of Cardiology/American Heart Association/Society for Cardiovascular Angiography and Interventions (ACC/AHA/SCAI) Health Policy Statement on Structured Reporting for the Cardiac Catheterization Laboratory1 (hereafter referred to as “HPS on Structured Reporting”) provides clarity as to the key components of procedural reporting, and also provides template examples that can be used to provide this consistency.

Same-Day Discharge or Overnight Stay After Percutaneous Coronary Intervention: Comparison of Net Adverse Cardiovascular Events

Data of same-day discharge and overnight-stay patients undergoing elective PCI in a high-volume center were compared. We specifically evaluated the incidence of net adverse cardiovascular events (NACE; ie, death, myocardial infarction, stroke, target vessel revascularization, vascular complication, and major bleeding) within 48 hours post index procedure among both groups and at 30 days.

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