April 2018

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Volume 26 Issue 4

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
Intravascular Lithotripsy for Infrapopliteal Stenosis in Critical Limb Ischemia
This case demonstrates the feasibility and usefulness of intravascular lithotripsy (IVL) in infrapopliteal calcified stenosis to achieve improved acute results.
What Does It Mean to Be a Mentor in the Cath Lab?
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 experie…
Spotlight: East Cooper Medical Center Cardiac Cath Lab
It is important to note that our new lab is the only cath lab in the city of Mount Pleasant. This is key for patients and physicians who previously had to travel into Charleston, South Carolina for this service, and who can now respectively receive a…
A Novel Technique for Impella Removal From Non-Preclosed Arteries Using Perclose ProGlide Closure Device
Usually the Impella arterial access site (14 French) is preclosed with a Perclose ProGlide vascular closure device (Abbott Vascular). The problem lies in cases of emergency, if the access site is not preclosed, and/or if there is a failure of the pre…
Mother-and-Child Technique for Diagnostic Angiography in a Dilated Ascending Aorta With an Inner Multipurpose Catheter
Utilizing a stiffer, more directional catheter allows for controlled engagement of the left main in patients with difficult anatomy, especially dilated ascending aortas.
The Cath Lab is Full of Cost-Saving Opportunity
When surveyed, healthcare leaders continue to point to reducing unwarranted care variation as a goal for reducing costs and improving quality.
Indications for Pedal Loop Reconstruction and Distal Tibio-Pedal Reconstruction for Limb Salvage
The pedal loop is the third and arguably most vital part of lower extremity perfusion and wound healing. It is known that outflow is correlated with patency, yet some would argue that we don’t pay enough attention to the distal foot circulation.
Myocardial Bridging in the Setting of Dilated Myocardiopathy
Myocardial bridge (MB) is a congenital anatomic variant that occurs when one of the coronary arteries tunnels through the myocardium instead of having a normal epicardial course.1
How to Wire a Complex Coronary Trifurcation: A Novel Guidewire Contrast Surfing Technique
Unfavorable coronary anatomy, especially involving bifurcations, can preclude guidewire passage even when there is flow distal to the stenosis.1
Anomalous Left Main Coronary Artery in a STEMI Patient
We present the case of a 47-year-old female with typical angina and inferior ST-elevation myocardial infarction. The patient underwent coronary angiography that showed a rare anatomical coronary variation, with left and right coronary arteries sharin…