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    Morton Kern, MD
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    Laurie Gustafson
  • Managing Editor:

    Rebecca Kapur
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    Elizabeth Vasil
  • Editorial Correspondence

  • Rebecca Kapur, Managing Editor, Cath Lab Digest
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  • June, 2004
    Volume 12
    Issue 6

    Rebecca Yospyn
    Managing Editor

    I am honored to acknowledge all Cath Lab Digest Annual Symposium on Cardiovascular Care (ASOCC) attendees in Orlando, Florida, June 3-5. Thank you for attending ASOCC! The Cath Lab Digest Annual Symposium provides a chance to learn, network and ask questions of the experts our engaging, experienced faculty and your fellow professionals, who just may have the hands-on knowledge you’re looking for. ASOCC attendees also received a unique bumper sticker:

    If you weren’t able to make it to ASOCC this year, I hope to see you in 2005!

    This month, Cath Lab Digest serves up the latest in

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    Volume 12 - Issue 6 - June, 2004   |   1,487 reads

    Oregon Cardiology Diagnostic Center
    Eugene, Oregon

    I am a Navy-trained Cardiopulmonary Technologist with 18 years experience in the invasive cardiovascular field. I recently earned my fellowship with the Society of Invasive Cardiovascular Professionals (SICP). In 2002, I designed and developed the Oregon Cardiology Diagnostic Center, a physician-owned freestanding cardiac cath lab located in Eugene, Oregon. I am currently the manager of this facility.

    Why did you choose to work in the invasive cardiology field?

    I attended the Navy's CPT (Cardiopulmonary Technologist) School in the mid-80's. I was fortunate to be trai

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    Volume 12 - Issue 6 - June, 2004   |   5,142 reads

    Sameer Mehta, MD, FACC, Director Cardiac Cath Lab, Samir M. Yebara, MD, Mohammed Ibrahim, MD, Martha Reyes, MD, Mercy Medical Center, Miami, Florida; Annmarie Galli, BSN, MBA, The Medicines Company, Parsippany, New Jersey

    It is now widely accepted that early sheath removal after percutaneous coronary intervention (PCI) reduces femoral access site complications and leads to earlier ambulation, possibly earlier discharge, and improved patient satisfaction. Heparin-based anticoagulation therapy requires monitoring of coagulation status to determine readiness for sheath removal, due to the unpredictable nature of heparin. In an effort to increase quality of care for his patients undergoing PCI, as well as reduce the cost of resources in the cath lab, Dr. Sameer Mehta developed a time-based sheath removal proto

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    Volume 12 - Issue 6 - June, 2004   |   10,798 reads

    Atul Sharma, MD and S.Chiu Wong, MD, Maurice R. and Corinne P. Greenberg Division of Cardiology
    Department of Medicine, The New York Presbyterian Hospital-Weill Cornell Medical College, New York, New York

    This presentation contains discussion of published and/or investigational uses of agents that are not indicated by the FDA. Neither the North American Center for Continuing Medical Education nor Cordis Corporation recommends the use of any agent outside of the labeled indications. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications and warnings.

    Topics: The Impact of Sirolimus-Eluting Stents on Patients at High Risk for Restenosis with Bare Metal Stenting

    Faculty/Credentials: Atul Sharma, MD and S.C

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    Volume 12 - Issue 6 - June, 2004   |   4,379 reads

    Coleman DeMoss, RA, Principal, Perkins & Will, Atlanta, Georgia

    Smaller, sleeker technologies in conjunction with increasingly sophisticated medical procedures have changed the face of cardiac catheterization labs.

    Changing Spaces

    In the above floor plans, which represent a health care provider both in the mid-1990’s and today, we can compare and contrast the way in which cardiac cath labs have changed over the past 10 years. While lab configuration has not changed radically, subtle differences in design can allow a lab to operate more efficiently.

    Central to the design of modern cath labs is the shrinking of electronic e

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    Volume 12 - Issue 6 - June, 2004   |   9,081 reads

    Jonathan Rourke, Chief Operating Officer , Viacor, Inc, Wilmington, Massachusetts

    What is transvenous annuloplasty?

    Transvenous annuloplasty, conceptually, is an alternative to conventional surgical annuloplasty. Currently, it is only an early development stage activity at multiple companies and centers; no products of this type have been permanently implanted in human subjects. Various approaches are being explored by Viacor and other investigators and companies. The objective is to substitute a percutaneous procedure for a surgical, bypass procedure in appropriate patients. The primary target for our device is ischemic mitral regurgitation.

    Our device, the

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    Volume 12 - Issue 6 - June, 2004   |   3,353 reads

    Sunny Koshy BS, RT(R)(CT)(CV)(CI)(ARRT), CCT, RCIS
    Cardiovascular Specialist
    Winston-Salem, North Carolina

    What is the size of your cath lab facility and number of staff members?

    We have five suites with a total of 44 staff members, including technical and nursing staff, support personnel, and students. We only have two credentials in our lab: ARRT-registered radiologic technologist and registered nurse. We have staff members with varied years of experience, ranging from 2 to 30.

    What type of procedures are performed at your facility?

    We perform diagnostic right and left heart catheterizations, percutaneous coronary interventions, pediatric diagnostic catheterizations, pedi

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    Volume 12 - Issue 6 - June, 2004   |   6,167 reads

    Donna Florio-Bronen, RN, ANCC, Anthony Pucillo, MD, Westchester Medical Center, Valhalla, New York

    Purpose: To describe how the cardiac catheterization lab at Westchester Medical Center increased hospital revenues as a result of changing its groin management protocol.

    Methods: In June 2000, Westchester Medical Center (WMC) implemented an arterial closure program. The primary endpoint of this program was to measure changes in the profitability of the cardiac catheterization lab (CCL) at WMC based upon implementation of a new groin management program. Profitability was measured by analysis of average Medicare reimbursement, average hospital cost for a catheterization proce

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    Volume 12 - Issue 6 - June, 2004   |   6,433 reads