September 2016

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Volume 24 Issue 9

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
Letter Re: The CLD Article “Trick Question!”
A question on the portrayal of the human heart.
Transcatheter Management of Post Infarction Ventricular Septal Rupture With Concomitant Percutaneous Coronary Intervention
Ventricular septal defect (VSD) or rupture (VSR) after acute myocardial infarction is an uncommon but catastrophic event with poor prognosis. Immediate surgical closure with hemodynamic support (such as an intra-aortic balloon pump or IABP) is the tr…
Cath Lab Optimization: Improving Margins and Market Competitiveness in the Procedural Space
As cath lab margins decline and competition grows, many programs are looking for ways to shore up business. Popular options for cath lab optimization include initiating a same-day discharge program for procedural patients, preparing for bundled payme…
Cardiovascular Imaging in the Developing World
People with cardiovascular disease or those who are at high cardiovascular risk need early detection, regardless of their economic realities.
Enhancing Expertise in the Cath Lab: The Positive Impact of the Clinical Ladder
Corazon experience has shown that programs that integrate novice staff within an inclusive learning environment, while encouraging the competent and expert staff to enhance their clinical and leadership skills, are the most successful with staff recr…
Can Upper Torso Vibro Acoustic Stimulation Treat No Reflow Following STEMI-Directed PPCI? Rationale and Literature Review. What’s the Buzzzzzzz?
Low sonic vibroacoustic stimulation (VAS) has shown to enhance clot disruption and stimulate vasodilation. Moreover, transthoracic diastolic timed VAS (tdVAS) (50 Hz, 2 mm) has shown to enhance myocardial relaxation, improve left ventricular (LV) out…
Coronary Atherectomy and Transradial Access Part II of III: Rotational Atherectomy
In this second article in the series, we will present cases illustrating the clinical applications of each device followed by a brief discussion.
Patient Safety in the Cath Lab: Someone Has to Keep Flying the Plane
A team that has good situational awareness has all of their zones covered, and will win over any team that relies on a single star player. 
Phlegmasia Cerulea Dolens: A Complication of Filter Use in the Inferior Vena Cava, Successfully Treated With Ultrasound-Assisted, Catheter-Directed Thrombolysis
Phlegmasia cerulea dolens is a severe form of deep vein thrombosis characterized by swelling, pain, and bluish discoloration.
The Role of Percutaneous Mechanical Circulatory Support Devices in High-Risk Percutaneous Coronary Interventions
Percutaneous coronary interventions (PCI) have increased both in number and complexity in the last two decades. Tackling complex coronary lesions in patients who have reduced coronary and central perfusion pressures, depressed cardiac output, and inc…