October 2012

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Volume 20 Issue 10

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, 70 E. Swedesford Rd
Suite 100, Malvern PA 19355
Telephone: (440) 717-0418

Fax: (866) 896-8762
Email: rkapur@hmpglobal.com
Robotic-Assisted PCI – A New Approach to the Transcatheter Treatment of Coronary Artery Disease
Joseph P. Carrozza Jr., MD, Steward St. Elizabeth’s Medical Center and Tufts University Medical School, Boston, Massachusetts"While operating the robotic-assisted system, the interventional cardiologist can elect to wear a protective apron under a st…
Clinical and Industry News
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The 10-Minute Interview with Norman Solis, RN, CNOR, RNFA, RCIS, FSICP
I began in the operating room back in 1983 as a surgical technologist. After working as surgical technologist for about seven years, I went back to school and became a registered nurse (RN). After a few more years, I went to school again and became a…
Reducing Complications in the Very High ‘BMI’ Patient
In the last month, we had three ST-elevation myocardial infarction (STEMI) patients who presented acutely ill with particularly difficult clinical problems. Each of these patients required urgent coronary angiography and percutaneous coronary interve…
FY 2013 Financial Update & Value-Based Purchasing: How the Cardiac Cath Lab Can Influence Reimbursement
This is an interesting and exciting time in healthcare — the industry is abuzz with new ideas, changing regulations, and innovative strategies leading to a transformation in how care is provided in this country. The paradigm shift that healthcare is…
Bleeding and Vascular Complications at the Femoral Access Site Following Percutaneous Coronary Intervention: An Evaluation of Hemostasis Strategies
Abstract: Background. Previous research found at least one vascular closure device (VCD) to be associated with excess vascular complications, compared to manual compression (MC) controls, following cardiac catheterization. Since that time, several mo…
The Correct Way to Pull a Sheath
I have trained many cath lab staff across the nation during my career. One of my duties has been to train cath lab and intensive care unit (ICU) staff members how to correctly pull a sheath. I have found people often have different views on how to pu…
Transradial Revascularization of an In-Stent Chronic Occlusion of the Right Coronary Artery Using Excimer Laser
A 66-year-old Hispanic man with a past medical history of diabetes mellitus, hypertension, dyslipidemia, and history of previous percutaneous interventions to his left anterior descending (LAD) coronary artery, as well as right coronary artery (RCA)…
A Complex Procedure via a Transradial Transcollateral Approach
The patient is a 78-year-old gentleman with a history of hypertension, chronic obstructive pulmonary disease (COPD), remote tobacco use, and laminectomy. He complained of shortness of breath on exertion. He underwent a pharmacologic stress test (Lexi…
Improvement of Transfer Times Utilizing Systemization Development Leads to the First Mission: Lifeline STEMI Receiving Facility Accreditation in Ohio
Summa Health System, headquartered in Akron, Ohio, is one of the largest integrated healthcare delivery systems in Ohio. Summa serves more than one million patients each year in comprehensive acute, critical, emergency, outpatient and long-term/home-…