Volume 22 - Issue 9 - September 2014

When Do You Need to Do Pericardiocentesis?

We were called to the intensive care unit to see a 52-year-old man with end-stage renal disease on weekly hemodialysis who had a large pericardial effusion and increasing dyspnea with activity.



Cath Lab Spotlight: Houston Methodist San Jacinto Hospital

Houston Methodist San Jacinto Hospital’s Cardiovascular Catheterization Lab has three procedure labs. Two of the labs are diagnostic/interventional labs and one is dedicated to electrophysiology (EP).



Tirofiban in Acute Coronary Syndrome: Finding Value in the Cath Lab

Can you tell us about the creation of the acute coronary syndromes algorithm at Emory University?

The Emory ACS algorithm(1) is the result of an ongoing effort that began a few years ago, and is, at its heart, an attempt to maximize quality and value in the services we provide to our patients. Emory’s real goal with standardization and ACS algorithms was to try to maximize quality and maximize value.



Spontaneous Coronary Artery Dissection in the Postpartum Period: A Pregnancy-Related Phenomenon

Spontaneous coronary artery dissection (SCAD) is a very rare cause of acute coronary syndromes in young, otherwise healthy patients, with a striking predilection for the female gender.



Octogenarians and Issues in Cath Lab Care

The elderly represent the fastest-growing group of patients referred for cardiac surgery and are also becoming an increasingly large segment of the patients in the cath lab. There are many issues that complicate their care, including high co-morbidity rates, frailty, and disability.



Improving PVI Quality in Your Cath Lab

The expanded PVI Registry continues to include both endovascular and open surgical carotid revascularization, adding lower extremity endovascular revascularization procedures. The registry captures patient demographics, provider and facility characteristics, comparisons for high-risk surgical patients treated with carotid artery stenting versus carotid endarterectomy, the use of balloons, stents and embolic protection devices, and adverse event rates



The Repositionable 3rd-Generation Trinity TAVI System: A Case Report and Interview

Trinity’s major advance is that the operator can evaluate the positioning and functioning of the valve during the procedure. If you are happy, then fine. If you are not happy, it is very easy to correct the valve position.



A Case with Severe and Symptomatic Aortic Stenosis and Severe Calcification: Implantation of a TRINITY Heart Valve Prosthesis — A Novel, Truly Repositionable and Retrievable Transapical Transcatheter Aortic Valve System

In the current case, the Trinity heart valve system was implanted in a 74-year-old patient with severe and symptomatic aortic valve stenosis and severe calcification.



The Impella 5.0: A Brief Overview

Despite high-risk percutaneous coronary intervention (PCI) with early revascularization, no significant improvement in the rates of cardiogenic shock post-ST-elevation myocardial infarction (STEMI) has been seen. There appears to be a paradigm shift towards the use of mechanical devices, believed to play an important role in protecting the myocardium and breaking the downward spiral of cardiogenic shock.



“A Hit and a Miss”: Acute Coronary Embolism in a Patient with Multiple Mechanical Prosthetic Valves

A 35-year-old premenopausal female with no coronary risk factors presented with sudden chest pain and a 12-lead electrocardiogram (ECG) revealed acute anterior ST-elevation MI (Figure 1).



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