Volume 22 - Issue 4 - April 2014

Cath Lab Spotlight: Banner Thunderbird Medical Center

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.

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

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.

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

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/Transfemoral Retrograde CTO Revascularization

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.

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

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.


STEMI Interventions Are “the Finest Indication” for PCI and Remain Urgently Needed Worldwide

Author and editor of The Textbook for STEMI Interventions (http://www.stemiinterventions.com), Dr. Sameer Mehta is assisting numerous countries in the global pursuit to improve population-based ST-elevation myocardial infarction (STEMI) care. CLD asks Dr. Mehta to share his experience in STEMI interventions from his own practice and his work worldwide.

“Best Economic Practices Within the Cardiac Cath Lab”: Regional Meeting Exceeds Attendees’ Expectations

94% of the Cath Lab Economics attendees completing the post-meeting survey said they would recommend others from their cath lab attend the meeting. Learn more!

Running Out of Space? Evaluating True Cath Lab Capacity and Utilization

However, despite the implications of a downward trend in expansions or renovations, Corazon believes the delay in making changes to add capacity may, in fact, be a blessing in disguise.

Understanding the Stochastic Behavior of Procedures Helps to Improve Efficiency Within the Cath Lab

To improve the accuracy of cath lab scheduling, Dr. Pieter Stepaniak advocates taking into account the mean time of a cardiologist-procedure combination, rather than the mean time for a coronary angiography procedure as performed by all cardiologists.

Cath Lab Safety

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.

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