Volume 20 - Issue 1 - January 2012

Cox South Medical Center

Can you tell us about your cath lab?

Cox Health has five procedure labs. While all five labs have the ability to accommodate coronary interventions, we routinely schedule electrophysiology (EP) and peripheral vascular procedures in designated labs. We have 32 co-workers who staff the procedure rooms: Eleven registered nurses (RN), fourteen registered radiology technologists (RT[R]s) and seven surgical scrub technicians.



VeithSymposium: Hot Topics in the Peripheral Vasculature

Abbott: Medical Therapy, Not Carotid Surgery or Stenting, for Asymptomatic Carotid Artery Disease

Bell: A Critical Look at Intervention for Asymptomatic Carotid Stenosis

Engelhardt: Catheter-Directed Ultrasound Thrombolysis and the Reduction of Right Ventricular Dysfunction in Acute Pulmonary Embolism

Kwolek: Early Use of the Vortex Angiovac Suction Cannula in the Treatment of Iliac and IVC Thrombosis, and Massive Pulmonary Emboli

The VeithSymposium was held in New York City from November 16-20, 2011.



The Cardiosave IABP: An Early Adopter’s Report

Ivan Feticio shares his experience handling the Cardiosave intra-aortic balloon pump (IABP), the newest IABP from MAQUET Cardiovascular. Currently CE marked and having received FDA 510(k) clearance, Cardiosave is expected to be commercially available in the U.S. beginning in January 2012.



High-Paying Career Opportunities for Cath Lab Professionals

National data released on compensation trends

Despite a sputtering economy, nationwide opportunities for cath lab professionals to earn higher than average wages exist, with the best-paying positions in the western United States, according to findings from a recent survey. This is welcomed news despite cath labs across the country experiencing decreased procedural volumes, percentage of overtime being reduced, and being asked to do more with less manpower.



Measuring Platelet Reactivity: What Do the Latest Data Mean for Clinical Practice?

Thirty-day ADAPT-DES (Assessment of Dual AntiPlatelet Therapy with Drug-Eluting Stents) data were presented at TCT in November. Can you describe the study?

ADAPT-DES is a large, multi-center registry looking at the relation between on-treatment platelet function and stent thrombosis after drug-eluting stents were placed.



A Rare Diagnosis of Cardiac Amyloidosis Triggered by Cardiac Catheterization Findings

Case Report

A 59-year-old male presented with worsening dyspnea and orthopnea over the past five months. A review of systems revealed anorexia and an unintentional 40-pound weight loss over the past year.  The patient has also been hospitalized six months prior after presenting with right-sided weakness and facial droop, and was found to have a left temporal and basal ganglia cerebrovascular accident (CVA).



Instantaneous Wave-Free Radio (iFR): FFR Minus Adenosine

What were some of the issues with fractional flow reserve that led to the development of iFR?

Fractional flow reserve (FFR) is a technique that has clearly revolutionized what we do in the cath lab. It has taken us away from a look-and-treat approach, where if you see a stenosis, you stent it, which we know from clinical studies is not a good thing to do, to an approach where a much more detailed, measured physiological assessment can be made in order to see if it is worth putting a stent into a lesion.



The Importance of Radiation Safety for Healthcare Workers as Well as Patients

Marie Curie died due to excess exposure to her discovery, radium. Thomas Edison invented the fluoroscope, but stopped his work in this area when his assistant died of an x-ray overdose. Many years later, we have a better understanding of the dangers of radiation, and yet, we often fail to handle it safely.



A Sea of Emotions: A Look Back...A Look Ahead

As a leader in healthcare over the last year, have you felt as though you were on an emotional roller coaster? Has the uncertainty of healthcare reform caused commotion in your Finance Department, stress for the quality- and process-improvement personnel, anxiety in Medical Records, and angst in the halls of your cardiology practices?



Accurate Hemodynamic Data Recording: Recognizing and Overcoming Hemodynamic “Glitches”

From Wikipedia: “A glitch is a short-lived fault in a system. It is often used to describe a transient fault that corrects itself, and is therefore difficult to troubleshoot. The term is particularly common in the computing and electronics industries…although it is applied to all types of systems, including human organizations and nature. The term derives from the German glitschig, meaning ‘slippery’, possibly entering English through the Yiddish term ‘glitsh’.” How appropriate for hemodynamic recording problems.



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