Clinical Editor's Corner: Kern

June 7, 2019
Last week, after returning from the Scottsdale Interventional Forum and hearing about distal transradial (dTRA) access, particularly for left arm cath, I decided to give it a try.
April 30, 2019
Last month(1), we reviewed the hemodynamics of mitral regurgitation and the changes seen with the mitral clip percutaneous repair on the left atrial pressure waves. In Part 2 of our brief hemodynamic review for structural heart interventions, we will focus on mitral stenosis and mitral balloon valvuloplasty.
March 15, 2019
Our fellows mentioned that a review of basic hemodynamics and interpretation of pressure waveforms would be helpful. With this in mind, let’s briefly review hemodynamics that might be seen during MitraClip (Abbott Vascular) implantation for mitral regurgitation (MR).
March 1, 2019
A coronary perforation is a rare but frightening event in the cardiac cath lab.
January 31, 2019
Dr. Kirk Garrett, Christiana Hospital, Wilmington, Delaware, asks the cardiac cath expert group about the way emergency medical services (EMS) transmits electrocardiograms (ECGs) to the hospital for ST-elevation myocardial infarction (STEMI) and ways to remain HIPAA (Health Insurance Portability and Accountability Act of 1996) compliant.
January 1, 2019
I’m going out on a limb here, but I would say that most cath lab staff at one time or another have gone to work with a sleep debt and muscled their way through the day (or night) while overcoming the ill effects of sleep deprivation.
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.