Volume 20 - Issue 3 - March 2012
Spotlight Interview: Oregon Health & Science University
- Fri, 3/2/12 - 11:02am
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Tell us about your cath lab.
Oregon Health & Science University (OHSU) is a 537-bed facility located in the heart of downtown Portland, Oregon. We are the only academic medical institution within the state of Oregon and our hospital has been recognized nationally not only for its research, but has also been listed as one of the top 100 hospitals nationwide by US News for the past 16 consecutive years.
FAME II: High-Risk, Stable CAD Patients Randomized to FFR-Guided PCI with OMT vs. OMT Alone
- Fri, 3/2/12 - 11:11am
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An interim analysis of the FAME II trial found a highly statistically significant reduction in the need for hospital readmission and urgent revascularization when fractional flow reserve (FFR) was used to direct treatment. As a result, the FAME II independent Data Safety Monitoring Board recommended stopping patient enrollment. CLD talks to Dr. Fearon about FFR, the original FAME trial, and what it all means.
Structuring a Transcatheter Aortic Valve Replacement Program
- Fri, 3/2/12 - 11:29am
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This article features an interview with Angela G. Riley, RT, executive director of the Dallas Valve Institute and Cardiopulmonary Research Science and Technology Institute (CRSTI) in Dallas, TX; Jennifer Ledbetter, RN, BSN, the director of cardiovascular services for Medical City Dallas Hospital in Dallas, TX; and Jill Fowler, RN, BSN, CCRC, the heart valve program manager at the Dallas Valve Institute and CRSTI in Dallas, TX. It is the first in a series of six articles sponsored by Edwards Lifesciences.
An Overview of Chronic Kidney Disease and Useful Strategies for Clinical Management
- Fri, 3/2/12 - 12:00pm
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Introduction
The kidneys, located in the retroperitoneal space in the abdomen, are vital for patient health. They process several hundred liters of fluid a day and remove around two liters of waste products from the bloodstream. The volume of fluid that passes though the kidneys each minute is closely linked to cardiac output, and kidney function is a major issue for cath lab practitioners.
Percutaneous Paravalvular Leak Closure in the Aortic Position
- Fri, 3/2/12 - 12:28pm
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Case 1
An 83-year-old male, with history of a bioprosthetic aortic valve replacement (Medtronic Mosaic #25) and coronary artery bypass grafting approximately eight months earlier, presented with severe shortness of breath secondary to acute decompensated heart failure.
The Cardiovascular Hybrid Surgical Room: Evolving into the Future of Cardiovascular Surgery
- Fri, 3/2/12 - 12:53pm
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This article is adapted by the author from Kpodonu J. The Cardiovascular Hybrid Room. In: Kpodonu J. Manual of Thoracic Endoaortic Surgery. London, England: Springer; 2010.
The last few years have seen a paradigm shift in the treatment of cardiovascular-related diseases, from once traditional open surgical modalities to the entire cardiovascular tree being amenable to percutaneous interventions.
Advocate Healthcare Moves 32 Terabytes of Patient Imaging Data to Safe, Easily Accessible Storage in Days with Hyper-Migration
- Fri, 3/2/12 - 12:59pm
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Advocate Health Care recently utilized DataFirst’s Hyper-Migration to move patient data and reports out of a DVD platform into a single, universally accessible spinning disk archival system. Cath Lab Digest talks to PACS Program Manager Tuan Bui about his experience.
Can you tell us about your role?
I’m currently the manager of picture archiving and communication system (PACS) at Advocate Healthcare. Advocate Health Care is the largest fully integrated health care delivery system in the state of Illinois.
The Use of OCT Compared with IVUS
- Fri, 3/2/12 - 1:18pm
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What are the advantages of optical coherence tomography (OCT) over intravascular ultrasound (IVUS)?
Both systems offer an anatomic assessment of the vasculature, but OCT is a leap forward in assessing coronary vessels from an anatomic standpoint. It has much better resolution, with 10x the axial and lateral resolution of IVUS. OCT has a much faster rotational and pullback speed, and data acquisition only takes 2.5 seconds.
Endovascular Cooling in STEMI Patients to Reduce Reperfusion Injury: The CHILL-MI Study
- Fri, 3/2/12 - 1:46pm
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CHILL-MI is a prospective, randomized, multi-center study designed to further evaluate the safety and effectiveness of Philip’s InnerCool RTx endovascular cooling system in patients suffering from ST-elevation myocardial infarction (STEMI). The study will enroll 120 patients at multiple sites in Europe with a primary endpoint of reducing infarct size as a percentage of myocardium at risk, as assessed by cardiac magnetic resonance imaging (MRI).
Music Therapy Can Help With Patient Anxiety Levels in the Cath Lab
- Fri, 3/2/12 - 2:01pm
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While angioplasty and angiography procedures are minimally invasive, the prospect of undergoing a procedure on a major organ like the heart often triggers a great deal of patient anxiety, especially when it is the patient’s first time undergoing such a procedure. The experience can be acutely stressful, and factors such as previous traumas from physical pains, an unfamiliar environment, and fear can contribute to varying levels of stress for many patients.1
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