June 2018

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Volume 26 Issue 6

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
A Primer on Chronic Total Occlusion (CTO) Percutaneous Coronary Intervention for the Cath Lab
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.
Spotlight: West Hills Hospital & Medical Center
Our average D2B is 42 minutes (2Q2017). For a period of time last year, we were the number-one STEMI receiving center for D2B in all of Los Angeles county.
Use of the ACIST CVi System in Structural Heart Interventions: Efficiency and Image Quality for Different Contrast Injection Needs
Because the ACIST offers higher flows in certain circumstances, such as when there is a very high-flow state, the system allows you to get a better injection than with a hand injection.
The Best ACIST-ant in the Cath Lab: How the CVi Power Injector System was Used to Treat a Complex TAVR Patient
This case highlights the versatility of the ACIST CVi contrast injection system to navigate the various challenges of complex anatomy. We were able to transition seamlessly from an aortic arch angiogram, to an aortic root angiogram, to coronary and f…
Limb Salvage Based on the Best Access Site to Maximize Crossing of Chronic Total Occlusion (CTO) Caps at Origin and at Reconstitution
A deeper understanding of CTOs in tibial arteries was recently described by Saab et al1 in a study designed to determine if cap morphologies can be used to predict the success of different interventional approaches for the access and crossing of tran…
SCAI Expert Consensus Document Supports Decreased Length of Stay for PCI
We are joined this month by Arnold H. Seto, MD, MPA, Chief, Cardiology, Long Beach VA Medical Center, Long Beach, California. Dr. Seto was the chair of the Society for Cardiovascular Angiography and Interventions (SCAI) writing committee responsible…
Reducing Contrast-Induced Acute Kidney Injury in the Cath Lab at Houston Methodist Sugar Land Hospital
In 2015, the AKI results, to say the least, were not up to our standards. After we implemented evidence-based changes, at best the results now place us in the top 75th percentile for AKI rates in our region.
Radiation for Refractory Restenosis via the Radial Route: Compatibility of Coronary Brachytherapy With Transradial Access
In this report, we describe two patients with a history of numerous procedures for recurrent DES restenosis, in whom coronary brachytherapy with the Beta-Cath system was successfully used through a transradial approach.
Aspiration Thrombectomy With 6 French GuideLiner to Prevent Distal Embolization: Three Case Examples
Our technique of using the GuideLiner (GL) catheter (Teleflex) for manual aspiration thrombectomy has been described in a previous article.2 Here we describe an additional three cases that were successful with this technique.
GuideLiner-Assisted Orbital Atherectomy for PCI of Calcific and Tortuous RCA Stenoses
Increased vessel tortuosity carries an increased risk of vessel perforation during device delivery. The soft distal tip of the GuideLiner (Teleflex) is designed to counteract this risk. It is our belief that the following two cases are the first desc…