July 2020

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Volume 28 Issue 7

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
The Future of Physiological Assessment
Angio-derived FFR is basically an extension of computational fluid dynamics, whereby a computational algorithm creates a virtual FFR by evaluating certain parameters of the angiogram, such as the length of the lesion, diameter of the stenosis, and th…
Reduction of Acute Kidney Injury (AKI) in the Cath Lab Using a 3-Part Strategy
Most cardiac patients fall under the high-risk category for AKI. Heart failure, ST-elevation myocardial infarction (STEMI), cardiogenic shock, chronic kidney disease (CKD), age, and diabetes contribute to the higher incidence of kidney injury.(2)
Virtual FFR: A Simple, Reliable, Angiography-Based Method to Assess Physiological Lesion Severity in the Cath Lab
Percutaneous coronary intervention (PCI) in stable coronary disease can improve quality of life and may reduce type 1 MI.1 Identifying significant coronary lesions that will benefit from PCI can sometimes be challenging.
Tips and Tricks for Covid STEMI Interventions
As cardiologists have wondered about the reasons for the decline in ST-elevation myocardial infarction (STEMI) cases globally, our facility has remained busy, with the hospital registering only a mild decrease in the number of these cases. My persona…
Myocardial Infarction: The First Manifestation of Protein S Deficiency in a Young Woman
We describe the case of a 38-year-old woman with no traditional cardiovascular risk factors, presenting with myocardial infarction after a recent previous misdiagnosis of a non-ST elevation myocardial infarction as acute myocarditis.
Covid-19 and the Recovery of a Lost Guidewire
This case involves a 59-year-old male with a diagnosis of SARS-CoV-2-confirmed atypical pneumonia (Covid-19) under invasive mechanical ventilation, vasopressor support with norepinephrine, and hemodynamic surveillance with an arterial line located in…
Stress-Induced NSTEMI Reveals Absent Left Main and Mid Left Anterior Descending Coronary Arteries
Abstract. Left main coronary artery atresia (LMCAA) is a rare entity that is not completely understood.  This case presents an adult patient with non-ST elevation myocardial infarction after an emotional event, with incidentally discovered LMCAA. Pr…
Insertion of a 4 French Internal Mammary Artery Catheter to the Left Subclavian Artery From Right Radial Access Over a Coronary Guidewire
Abstract. Coronary artery bypass grafting continues to be a mainstay in treatment of multivessel coronary artery disease. Left internal mammary artery (LIMA) grafts have the highest long-term patency rates, but due to the anatomic location, presence…
Covid’s Strain on Physician Collaboration and Communication: “Special Sauce” Needed
New and growing relationships can be challenged in times of crisis such as the Covid-19 pandemic. Hospitals that work effectively and proactively to manage physician involvement and ensure continued communication will develop stronger programs as a r…
Boomer to Zoomer – Transforming to the Post-Pandemic World
Like many of my contemporaries, I am a boomer (aka baby boomer), a member of the post World War II generation. I grew up in the 1950-60s, graduated college in the Vietnam War era (1960-70s), and had a millennial-generation (1980-90s) daughter. Each g…