Clinical Editor's Corner: Kern

November 27, 2018
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?
November 6, 2018
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.
October 8, 2018
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?
September 5, 2018
“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.
August 3, 2018
How we understand patients with aortic stenosis has changed as the therapeutic approach has evolved.
July 9, 2018
Recently, manual compression has emerged as a potentially viable alternative to shorter radial artery hemostasis times.
May 30, 2018
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.
May 7, 2018
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).
April 5, 2018
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.
March 2, 2018
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.