April 2019

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Volume 27 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
Use of a Novel Cutting Balloon to Treat a Coronary Chronic Total Occlusion Due to In-Stent Restenosis of Multiple Layers of Under-Expanded Stents
We present a case report describing the treatment of a left circumflex coronary artery CTO due to ISR of a double layer of stent utilizing a novel cutting balloon (Wolverine Cutting Balloon, Boston Scientific) after oversized noncompliant balloon inf…
Cath Lab Spotlight: Dr. Benjamin and Marian Schuster Heart Center, Kettering Medical Center
Our lab is an expansive 8,250 square feet, allowing for ample space in the control rooms, catheterization labs, and storage facilities. The catheterization lab includes three catheterization labs, two electrophysiology (EP) labs, and a hybrid operati…
A Novel, Atraumatic Technique of Maintaining Access Site While Removing Impella
We describe the first atraumatic technique where the use of a micropuncture kit and supportive wire is all that is needed to exchange or upsize the support. Our technique does not damage the Impella catheter and is safer, as it does not affect the ar…
Angio-Guidewire-Ultrasound (AGU) Guidance for Femoral Access in Procedures Requiring Large Sheaths
This technique is designed to facilitate large-sheath femoral access in procedures requiring ancillary arterial access.
Cardiovascular Care Coordination Strategies and Their Effects on the Patient Experience
Four strategies can be employed or improved upon across operations to ultimately enhance the patient experience, and these include optimization of care and access, the delivery of seamless clinical coordination, care standardization, and data sharing…
“Servant Leadership” in Healthcare: A Natural Fit
Have you ever had a manager who nearly always put your needs (and others’ needs) at the forefront? Did you feel that when you conversed with them, your voice was truly heard and that your manager took a genuine interest in your problems, your goals,…
The State of the Industry: SpringBoard Healthcare Releases Results of the 2019 Cath/IR/EP Wage Survey
Results Include Cath/IR/EP Industry Wage Trends from 2011 to 2019.
Planning CTO Procedures
CTA gives us greater confidence in determining the potential course of the occlusion and allows us to advance guidewires in the right direction. Co-registration helps us see, live, if the wire is moving in the intended course, reducing the need for c…
A Brief Review of Hemodynamics for Structural Interventions Part 1: Mitral Regurgitation
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 re…
In the Literature: CLD Editor’s Pick
Dissection Re-entry Technique: How is it Really Looking?