Volume 10 - Issue 3 - March, 2002

Clinical Meetings Calendar 2002

FEATURED MEETING:
Because a technician knows how,
but a technologist knows why.

The Mid South Association of Cardiovascular Professionals (MSACP) invites you to attend a seminar especially designed for the Cath Lab Professional. The MSACP is a not-for-profit, educational organization and is not associated with any one hospital. We are a body of technologists, old and new, in the field of invasive cardiology. Our objective is to show technologists in the cardiac cath lab that they are not alone; that we are all in support of each other. We believe that there is a future in the cardiac c



Clinical and industry news

InfiMed Announces Release of New Cardiovascular DICOM Server

InfiMed, Inc.has released a new data communication and temporary storage system named the CV Server. The CV Server integrates seamlessly into any cath lab, allowing transfer of DICOM data to any device, such as review stations or PACS systems.

This is a universal system that has the ability to accept DICOM data from any device regardless of manufacturer, and then makes the data available for review. This server has the flexibility to integrate into any system, and is totally scaleable to store anywhere from hundreds to t



CATH LAUGHS

Actual Writings on Hospital Charts

1. She has no rigors or shaking chills, but her husband states she was very hot in bed last night.

2. Patient has chest pain if she lies on her left side for over a year.

3. On the second day the knee was better, and on the third day it disappeared.

4. The patient is tearful and crying constantly. She also appears to be depressed.

5. The patient has been depressed since she began seeing me in 1993.

6. Discharge status: Alive but without my permission.

7. Healthy-appearing decrepit 69-year-old male, mentally alert but forgetful.



Lowering Plasma Homocysteine Levels Reduces Coronary Restenosis: Cath Lab Digest talks with researcher Guido Schnyder, MD

Why is homocysteine important?

In 1969, McCully linked elevated plasma homocysteine levels with vascular disease. He reported extensive arterial thrombosis and arteriosclerosis in two children with homocystinuria (a disease where the patients have very high levels of homocysteine and die at an early age of coronary artery disease (CAD) or strokes).1

After his discovery, researchers started to look into homocysteine as a possible new cardiovascular risk factor, with the hypothesis that even a slightly elevated homocysteine level might be a negative factor for patients,



HOW TO USEThe Cutting Balloon: Tips and Techniques

When the Cutting Balloon is inflated, the tiny atherotomes score the arterial disease, interrupting the elastic and fibrotic continuity and allowing for plaque displacement, thereby decreasing the amount of trauma to the artery wall.

The Cutting Balloon was originally positioned for resistant lesions, but now has been found to be useful in many other situations. Our experience shows excellent results when it is used in:

In-stent restenosis;
Aorta-ostial lesions (especially saphenous vein graft anastomosis);
Focal saphenous vein graft body lesions; and
Bifurcations, in addi



Syracuse VA Medical Center

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

The Syracuse VA Medical Center’s cardiac catheterization laboratory (CCL) consists of a 4-room suite with one diagnostic laboratory. We presently have a GE Advantage system (Milwaukee, Wis.). The CCL is staffed by 2 cardiologists, 2 RNs, 1 special instrument technician and 1 radiology technologist.

The Syracuse VA’s Cardiovascular Interventional Radiology (CVIR) suite is a 5-room suite with a Siemens Multistar system. This is considered by many local physicians as a state-of-the-art laboratory. The CV



Clo-Sur P.A.D.:A New, Non-Invasive Closure Device

Control of the arterial access site following percutaneous vascular procedures remains a crucial aspect of both invasive diagnostic and interventional cardiology.

Most interventional procedures are performed with 6-8 French sheaths, or larger, and frequently include anticoagulants, fibrinolytic agents, and antiplatelet agents such as aspirin, Plavix® (Bristol-Myers Squibb/Sanofi Pharmaceuticals Partnership, New York, NY) and GP IIb/IIIa platelet inhibitors. This has resulted in an increase in access site complications and has become a serious problem that can add significant morbidity and



Research Update: The following original research abstracts are from the November, December (2001) and January and February (200

A Randomized Trial of the Low-Molecular-Weight Heparin Certoparin to Prevent Restenosis Following Coronary Angioplasty

Eric D. Grassman, MD, Fred Leya, MD, Jawed Fareed, PhD, Bruce E. Lewis, MD, Peter Bacher, MD, *Henry S. Loeb, MD, **John F. Moran, MD

ABSTRACT: Objectives. The objectives of this study were to evaluate the effectiveness and safety of the low-molecular-weight heparin (LMWH) certoparin in preventing restenosis following balloon coronary angioplasty.

Background. Restenosis following coronary angioplasty continues to limit th



Did you know Cath Lab Digest has a mission?

We strive to:

1) Educate and inform;
2) Connect our readers across the U.S. and worldwide;
3) Highlight the knowledge, dignity, and hard work of cath lab professionals.

Every word written in Cath Lab Digest can be traced back to these three statements, and the March issue embodies exactly what CLD hopes to accomplish:

1. Educate: CLD chases down new developments (as always) and brings you the latest information about homocysteine and how it affects restenosis.
Since our editorial office is based in Michigan, I’m always pleased w



Imaging On the Edge, Medcon Delivers Multimodality Innovation to Providence Hospital Cath Labs

Gone are unwieldy film canisters and drawers full of files. Patient cath lab reporting is now almost fully automated. Physicians can now read combined cardiac and hemodynamic data in a single report. While Providence Hospital and Medical Centers (Southfield, MI) had some filmless cath labs prior to the project, the move to a filmless, networked management system has reaped multiple rewards for our cath lab: greater productivity, a more efficient use of clinical time, and enhanced patient care. However, our successful conversion to filmless did pose some unique challenges. A notably large-scal



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