Clinical Editors Corner

Morton J. Kern, MD, with commentary from Drs. Malcolm Bell, Rochester, Minnesota; Jim Blankenship, Harrisburg, Pennsylvania; Sam Butman, Cottonwood, Arizona; David J. Cohen, Kansas City, Missouri; Lloyd Klein, Chicago, Illinois, and Sonoma, California; Bernie Meier, Berne, Switzerland; Duane Pinto, Boston, Massachusetts; Jeffrey Popma, Boston, Massachusetts; Gurpreet Sandhu, Rochester, Minnesota; Habib Samady, Atlanta, Georgia; Sunil Rao, Raleigh, North Carolina; Arnold Seto, Long Beach, California; Pinak Shah, Boston, Massachusetts; Adhir Shroff, Chicago, Illinois; Molly Szerlip, Plano, Texas; James Tcheng, Raleigh, North Carolina; Paul Teirstein, La Jolla, California.
11/27/2018   |   1,017 views

I asked for words of wisdom from our cath lab expert group regarding their experience with same-day discharge at their center. What are the obstacles to SDD? Who are the champions and why are we not doing it more?

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Morton Kern, MD, MSCAI, FACC, FAHA
11/5/2018   |   1,885 views

Historically, compared with American College of Cardiology (ACC)/American Heart Association (AHA)/Society for Cardiovascular Angiography and Interventions (SCAI) guidelines, the ESC guidelines have been faster to change in response to new data, and thus arguably more progressive, though this tendency may also lead to more retractions as further data arise.

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Compiled by Morton J. Kern, MD, from conversations with Steven R. Bailey, MD, University of Texas Health Sciences Center at San Antonio, San Antonio, Texas; James Blankenship, MD, Geisinger Cardiovascular Center for Clinical Research, Harrisburg, Pennsylvania; Kirk N. Garratt, MD, Christiana Care, Wilmington, Delaware; Mitchell W. Krucoff, MD, Duke University, Raleigh, North Carolina; Jeffrey Moses, MD, Columbia University, New York City, New York; Gregg W. Stone, MD, Columbia University, New York City, New York; Bonnie Weiner, MD, University of Massachusetts, Worchester, Massachusetts; Barry Uretsky, MD, University of Arkansas, Little Rock, Arkansas; Peter Ver Lee, MD, Bangor, Maine; Fred Welt, MD, Salt Lake City, Utah.
10/8/2018   |   3,269 views

For STEMI patients, what labs (e.g., glucose, electrolytes, lactate or pH) are being obtained prior to the patient going to the cath suite? More importantly, are POC labs being done in the emergency department prior to the STEMI patient going to the cath lab?

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Morton Kern, MD, MSCAI, FACC, FAHA
9/4/2018   |   6,391 views

“When is the right time to accept the fractional flow reserve (FFR) during the adenosine hyperemic recording?” I thought this issue had been settled a few years ago, but after speaking with Arnold, we thought we should revisit some of the fundamentals of FFR now that both hyperemic and resting non-hyperemic pressure ratios (NHPRs) are mainstream in the cath lab.

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Jeannie Yu1,2,3, MD, FACC, FSCCT, and Morton J. Kern1,2,3, MD, MSCAI, FAHA, FACC
8/3/2018   |   1,769 views

How we understand patients with aortic stenosis has changed as the therapeutic approach has evolved.

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Morton J. Kern, MD, MSCAI, FACC, FAHA
7/8/2018   |   8,633 views

Recently, manual compression has emerged as a potentially viable alternative to shorter radial artery hemostasis times.

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Morton J. Kern, MD, and Arnold H. Seto, MD, MPA Dr. Seto is the Chief of Cardiology at Long Beach VA Medical Center, in Long Beach, California.  
5/29/2018   |   4,070 views

A question came from one of our cath lab staff, who asked if we could describe how chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is done and what the options are for a successful procedure.

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Morton J. Kern, compiler, with contributions from Andrew Doorey, Christiana Hospital, Delaware; Kirk Garratt, Christiana Hospital, Delaware; John Hirshfeld, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania; David Kandzari, Piedmont Hospital, Atlanta, Georgia; Michael Lim, St. Louis University, St. Louis, Missouri; Jeffery Moses, Columbia University, New York, New York; Pinak Bipin Shah, Brigham and Women’s Hospital, Boston, Massachusetts; Will Suh, University of California, Los Angeles, California; Paul Teirstein, Scripps Clinic, La Jolla, California; Chris White, Ochsner Medical Center, New Orleans, Louisiana; George Vetrovec, Medical College of Virginia, Richmond, Virginia; Jeannie Yu, VA Long Beach, California
5/7/2018   |   1,863 views

Dr. Paul Teirstein, Chief of Cardiology, at Scripps Clinic, La Jolla, California, asked our cath lab experts for their opinions on what to do with an asymptomatic executive who had a screening CTA (Figure 1).

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Morton J. Kern, MD
4/5/2018   |   3,905 views

In everyone’s career life, including the nursing and technical staff in the cath lab, mentors take on a multitude of roles during the training periods and early work life, and continue to have an impact well into the future years of the daily experiences in the lab.

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Morton J. Kern, MD, with contributions from Andrew Michaels, MD, Director of the Cardiac Catheterization Laboratory at St. Joseph Hospital in Eureka, California; Jim Blankenship, MD, The Geisinger Clinic, Harrisburg, Pennsylvania; Jeff Moses, MD, Columbia University, New York City, New York; Lloyd Klein, MD, Rush University, Chicago, Illinois; Charles Chambers, MD, Pennsylvania State University, Harrisburg, Pennsylvania.
3/2/2018   |   2,429 views

One of our colleagues, Andrew Michaels, MD, Director of the Cardiac Catheterization Laboratory at St. Joseph Hospital in Eureka, California, recently asked about the consent process for cardiac cath cases. 

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