October 2019

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Volume 27 Issue 10

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
On Teaching Cardiac Catheterization Redux: Explaining Informed Consent
We should remember that despite our best efforts to be clear and simple, patients are often overwhelmed and cannot retain what is explained.
Platelet Inhibition With the P2Y12 Inhibitor Cangrelor
Think of the P2Y12 receptor as being shaped like a crown. If you drop a ball into the central part of the crown, that is the ADP site of the receptor. Clopidogrel, prasugrel, and cangrelor occupy that central site. Ticagrelor, however, is a dogbone-s…
The Advantages of Universal Guiding Catheters for the Transradial Approach
With a universal catheter, the expectation is that you will cannulate multiple vessels — often all vessels — with a single catheter, which allows for efficiencies during the procedure. More importantly, use of a universal guiding catheter from a radi…
Renal Artery Fibromuscular Dysplasia
While many physicians consider FMD to be rare, it may not be that uncommon, but rather, under-recognized.
The Next Innovation in PCI Is Not a Stent: The Value of Optical Coherence Tomography (OCT)
By providing the highest resolution (10-20 μm) images, optical coherence tomography (OCT) now promises to change the nature of how patients are treated.
Pseudoaneurysm After Left Distal Transradial Access
We report a pseudoaneurysm (PSA) in a patient who underwent coronary angiography via left distal transradial access (ldTRA) 3 months previously. This is the reported case of pseudoaneurysm formation following ldTRA.
CLI Programs and Patient Care: A Nurse Perspective
This month, Dr. Jihad Mustapha interviews Bailey Estes, BSN, RN-BC, RNFA, CNOR, RCIS. She is a cardiac cath lab nurse and research coordinator at Hendrick Medical Center in Abilene, Texas. The team she works with is focused on treating peripheral art…
Utility of Laser Atherectomy in Complex Revascularization of Coronary Chronic Total Occlusion
We describe a case of complex proximal RI and LCX CTOs in the same patient with a high J-CTO score. Use of hybrid algorithm led to successful crossing and revascularization with the utilization of laser atherectomy and imaging guidance.
Cath Lab Spotlight: Chesapeake Regional Medical Center
Our cardiovascular team has always adopted a “can-do” mindset. Our team wants to learn, works to be safe, and strives to advance.
Clinical Advancement Programs (CAP): Taking the Lid Off Your Potential
Tower Health’s Reading Hospital, a designated Magnet hospital, currently provides a nursing career advancement program and recently has begun to adopt this best practice for its allied health professionals.