Editorial Staff

  • Clinical Editor:

    Morton Kern, MD
  • Executive Editor:

    Laurie Gustafson
  • Managing Editor:

    Rebecca Kapur
  • Production Manager:

    Elizabeth Vasil
  • Editorial Correspondence

  • Rebecca Kapur, Managing Editor, Cath Lab Digest
  • HMP Communications, 83 General Warren Blvd

    Suite 100, Malvern PA 19355
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  • Email: rkapur@hmpcommunications.com
  • December, 2006
    Volume 14
    Issue 12

    By Timothy P. Grady, DO, FACC

    Can you describe the TC-WYRE study?

    The TC-WYRE (TAXUS® Stent-Cypher® Stent What's Your Real World Experience) study is a large, retrospective clinical evaluation of one-year outcomes among 1,558 patients who received either a TAXUS Stent or Cypher Stent at 19 centers throughout the United States. TC-WYRE is a real-world study of drug-eluting stents (DES). In other words, it evaluated the real, complex, diverse patient population we treat every day in our cath labs. The primary endpoint of the study was target vessel revascularization (TVR) at one year. This study is sponsored by B

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    Volume 14 - Issue 12 - December, 2006   |   2,109 reads

    Doug Langager, RCIS, Winchester Medical Center, Winchester, Virginia

    Webster’s Dictionary defines orientation as familiarization with and adaptation to a situation or environment.

    Over the past 20 years, I have been involved in training cath lab techs and nurses in some capacity or another. Throughout my total 30 years of cardiac catheterization experience, I have found one of the greatest deficiencies across labs to be the variation and disjointedness of the new hires orientation process. The orientation models currently in use typically leave new hires feeling overwhelmed. Many labs have adopted a sink-or-swim orientation process where definitive, dida

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    Volume 14 - Issue 12 - December, 2006   |   19,260 reads

    Morton Kern, MD, Clinical Editor, Clinical Professor of Medicine, Associate Chief Cardiology, University of California Irvine,
    Orange, California

    The year has also provided us with more information about how best to manage myocardial infarction beyond door-to-balloon time both directly and through improved pharmacology. The prevention of renal dysfunction during interventional studies remains of high interest in our field.

    Let's start with the downside of DES. To reiterate, the biggest advance in the invasive treatment of coronary artery disease in the last decade is the drug-eluting stent. DES lowered the stent-related restenosis rate and remains highly effective for treating a variety of complex lesions. However, the downside o

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    Volume 14 - Issue 12 - December, 2006   |   2,274 reads

    Patricia Bailey, RN, BSN, Cardiac Cath/EP Lab Manager, Huntsville, Alabama

    What type of procedures are performed at your facility?

    A variety of procedures are performed on approximately 125 adult patients per week. Procedures include angioplasty, stenting, AngioJet® thrombectomy (Possis Medical, Inc., Minneapolis, MN) and Export Aspiration Catheter (Medtronic, Minneapolis, MN), iLab Intravascular Ultrasound (IVUS) (Boston Scientific, Maple Grove, MN), FilterWire (Boston Scientific, Natick, MA), PolarCath (CryoVascular Systems, Inc./Boston Scientific), SmartWire Pressure System (Volcano Therapeutics, Inc., Rancho Cordova, CA), directional coronary atherecto

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    Volume 14 - Issue 12 - December, 2006   |   12,172 reads

    Ramon Quesada, MD, Medical Director of Interventional Cardiology at Baptist Cardiac and Vascular Institute, Miami, Florida and ISET Course Director

    To be fair, pediatric interventional cardiologists began paving the way in the 1990s with endovascular repair of congenital heart defects, but the field is expanding to include adult patients. Interestingly, some adults who have had surgical repair of their congenital heart defects as infants or children repair that often can now be done percutaneously are now in need of revision, which in some cases can be done endovascularly.

    Structural heart disease itself is a bit of an ambiguous umbrella term for any condition related to the heart and major arteries, rather than the smaller blood ves

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    Volume 14 - Issue 12 - December, 2006   |   7,828 reads