Clinical Editor's Corner: Kern

February 8, 2017
Every cardiac cath lab around the world is staffed with hardworking men and women of various backgrounds, experiences, education, and work ethics. Every lab strives to be its best at all times. Each team member has the opportunity (or should have) to contribute to making their lab, “the best that it can be” (forgive my borrowing an expression from our U.S. Army).
January 12, 2017
The management of a patient with a large intracoronary thrombus during ST-elevation myocardial infarction (STEMI) or acute coronary syndromes (ACS) has remained troublesome and controversial.
December 6, 2016
The title of this editor’s page is the same as that of a brief viewpoint article that I recently read by Dr. Haider Javed Warraich, a cardiovascular fellow in training at Duke University.  
November 3, 2016
Dr. Seto hypothesized that a small, tortuous radial artery might be associated with a larger ulnar artery, providing a straighter and more negotiable course for catheter passage.
October 7, 2016
Leigh Brown, BSN, RN Clinical Manager, Electrophysiology and Cath Lab, Hermann Hospital, Houston, Texas, asks us, “What is appropriate attire in the cath lab setting?”
September 5, 2016
I thought it worthwhile to review the role of intravascular imaging for the routine use of BVS in order to achieve best results. 
July 27, 2016
In this “Conversation in Cardiology”, Dr. Ted Feldman from Evanston Hospital, Evanston, Illinois, asks, “Is the availability of Impella a requirement for every STEMI [ST-elevation myocardial infarction] program (even in lower volume programs or in smaller institutions)?”
July 7, 2016
No-reflow is usually a devastating complication when treating the ST-elevation myocardial infarction (STEMI) patient or working with saphenous vein graft (SVG) interventions. Fortunately, it’s uncommon for elective procedures. We recently had a patient undergoing elective stenting and encountered an unusual event, no-reflow that was entirely asymptomatic.
June 6, 2016
Last month, the SCAI released their expert consensus paper codifying the best practices in the cardiac catheterization lab.(1) This is the second iteration of this document(2) and it is a must-read for all those working and running cath labs. I was excited to review the content and hope to share my enthusiasm with all who work in the cath lab.
May 3, 2016
Addressing the concerns of operators and labs about the technical limitations of FFR guidewire systems, five companies now make products for FFR, all aimed at improving the procedure. I thought it would be of value to review the FFR guidewires/catheters now available, and how they may improve workflow in the cath lab.