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From the Experts

High Prevalence of Asymptomatic Ischemia-Producing Coronary Stenosis in Patients With Critical Limb Ischemia: Anatomic and Functional Assessment With Coronary CT-Derived Fractional Flow Reserve (FFRCT)
Original Research
08/01/2021

Dainis Krievins, MD1 ; Edgars Zellans, MD1 ; Andrejs Erglis, MD1 ; Ligita Zvaigzne, MD1 ; Aigars Lacis, MD1 ; Sanda Jēgere, MD1 ; Indulis Kumsars, MD1 ; Gustavs Latkovskis, MD1 ; Peteris Stradins, MD1 ; Christopher K. Zarins, MD2

From the 1 University of Latvia, Pauls Stradins Clinical University Hospital, Riga, Latvia; and 2 HeartFlow, Inc., Redwood City, California.

Dainis Krievins, MD1 ; Edgars Zellans...
The purpose of this study is to determine the prevalence of unsuspected hemodynamically significant coronary stenosis in CLI patients and to assess the potential benefit of FFRct analysis in patient management.
The purpose of this study is to determine the prevalence of unsuspected hemodynamically significant coronary stenosis in CLI patients and to assess the potential benefit of FFRct analysis in patient management.
The purpose of this study is to...
08/01/2021
Vascular Disease Management
Clinical Editor's Corner
07/07/2021

Morton J. Kern, MD, MSCAI, FACC, FAHA

Clinical Editor; Chief of Cardiology, Long Beach VA Medical Center, Long Beach, California; Professor of Medicine, University of California, Irvine Medical Center, Orange, California

Morton J. Kern, MD, MSCAI, FACC, FAHA...
Every year and especially at the beginning of the academic year, we have requests from new cath lab staff and some faculty or fellows about getting a new lead apron for procedures using fluoroscopy.
Every year and especially at the beginning of the academic year, we have requests from new cath lab staff and some faculty or fellows about getting a new lead apron for procedures using fluoroscopy.
Every year and especially at the...
07/07/2021
Cath Lab Digest
Original Contribution
06/08/2021

Antonio Micari, MD, PhD1;  Jeffrey J. Popma, MD2;  Francesco Liistro, MD3 

Antonio Micari, MD, PhD1;  Jeffrey J....
This is a pilot feasibility study and the objective is to evaluate the safety and effectiveness of the investigational device, IN.PACT 014 drug-coated balloon, compared with standard PTA in patients with CLI with CTOs of BTK arteries. 
This is a pilot feasibility study and the objective is to evaluate the safety and effectiveness of the investigational device, IN.PACT 014 drug-coated balloon, compared with standard PTA in patients with CLI with CTOs of BTK arteries. 
This is a pilot feasibility...
06/08/2021
Cath Lab Digest
Clinical Update
06/08/2021

CLD talks with Jacob C. Jentzer, MD, Director of Cardiac Intensive Care Unit Research, Mayo Clinic; Consultant, Department of Cardiovascular Medicine; Assistant Professor of Medicine, Mayo Clinic College of Medicine and Science, Rochester, Minnesota

CLD talks with Jacob C. Jentzer, MD, ...
Your group sought to understand if the SCAI shock stages can classify mortality risk. Can you tell us about your research? For this analysis, we reviewed the different papers that have been published since the original Society for...
Your group sought to understand if the SCAI shock stages can classify mortality risk. Can you tell us about your research? For this analysis, we reviewed the different papers that have been published since the original Society for...
Your group sought to understand...
06/08/2021
Cath Lab Digest
Clinical Editor's Corner
06/03/2021

Morton J. Kern, MD, MSCAI, FACC, FAHA

Clinical Editor; Chief of Cardiology, Long Beach VA Medical Center, Long Beach, California; Professor of Medicine, University of California, Irvine Medical Center, Orange, California

Morton J. Kern, MD, MSCAI, FACC, FAHA...
It is exciting to think that we’re almost back. While hospital personnel likely will continue to follow safety recommendations of masks, heightened hand washing, and screening, the remainder of workplaces, schools, and public gatherings will...
It is exciting to think that we’re almost back. While hospital personnel likely will continue to follow safety recommendations of masks, heightened hand washing, and screening, the remainder of workplaces, schools, and public gatherings will...
It is exciting to think that...
06/03/2021
Cath Lab Digest
Real-World Experience of Coronary Intravascular Lithotripsy in an Asian Population: A Retrospective, Observational, Single-Center, All-Comers Registry
Original Research
06/01/2021

Sridharan Umapathy, MD, DM1;  Yann Shan Keh, MBBS, MRCP1;  Ningyan Wong, MBBS, MRCP1;  Kay Woon Ho, MBBS, MRCP1;  Jack Wei Chieh Tan, MBBS, MRCP1;  Aaron Sung Lung Wong, MBBS, MRCP1;  Soo Teik Lim, MBBS, MRCP1;  Yew Seong Goh, MBBS, MRCP2;  Khung Keong Yeo, MBBS1

Sridharan Umapathy, MD, DM1;  Yann Sh...
To assess the clinical and angiographic outcomes of coronary intravascular lithotripsy use in an all-comers population with moderate-to-severely calcified coronary lesions.
To assess the clinical and angiographic outcomes of coronary intravascular lithotripsy use in an all-comers population with moderate-to-severely calcified coronary lesions.
To assess the clinical and...
06/01/2021
Journal of Invasive Cardiology
Coronary Thrombosis in the Time of COVID-19 – A Puzzling Entity (With Video Discussion)
Clinical Editor's Corner
05/03/2021

Morton Kern, MD, with contributions from Drs. David Cohen, St. Francis Hospital, Roslyn, New York; Kirk Garratt, Wilmington, Delaware; Steven L. Goldberg, Monterey, California; Timothy D. Henry, MD, The Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati, Ohio; Lloyd W. Klein, Sonoma, California; Mitchell W. Krucoff, Duke University Medical Center, Durham, North Carolina; Bernard Meier, Bern, Switzerland; Stephen R. Ramee, Ochsner Clinic New Orleans, Louisiana; Arnold H. Seto, Long Beach, California; Paul S. Teirstein, Scripps Clinic, La Jolla, California; Bonnie H. Weiner, Worchester, Massachusetts; George Vetrovec, Virginia Commonwealth University, Richmond, Virginia

Morton Kern, MD, with contributions f...
We had a puzzling case. A 37-year-old man was admitted to the hospital with 1 day of anterior chest pain at rest, somewhat positional. Three months ago, he had COVID-19 flu syndrome without hospitalization.
We had a puzzling case. A 37-year-old man was admitted to the hospital with 1 day of anterior chest pain at rest, somewhat positional. Three months ago, he had COVID-19 flu syndrome without hospitalization.
We had a puzzling case. A...
05/03/2021
Cath Lab Digest
Procedural and 3-Year Outcomes of Peripheral Vascular Interventions Performed in Office-Based Labs: LIBERTY 360 Sub-Analysis
Original Contribution
05/01/2021

Stefanos Giannopoulos, MD1; George Pliagas, MD2; Ehrin J. Armstrong, MD, MSc1

Stefanos Giannopoulos, MD1; George Pl...
Few data are available on the safety of interventions for peripheral arterial disease performed in the office-based laboratory (OBL) setting. Thus, the aim of this study was to investigate the short- and late-term outcomes of patients treated...
Few data are available on the safety of interventions for peripheral arterial disease performed in the office-based laboratory (OBL) setting. Thus, the aim of this study was to investigate the short- and late-term outcomes of patients treated...
Few data are available on the...
05/01/2021
Journal of Invasive Cardiology
CLI & Atherectomy
04/04/2021

James F. Foster III, MD, RVPI, and Miles McKee, DO

Centerpoint Medical Center, Kansas City, Missouri

James F. Foster III, MD, RVPI, and Mi...
I truly believe in the value of prepping the vessel with directional atherectomy. I have seen better clinical outcomes since I began using directional atherectomy followed by drug-coated balloon angioplasty.
I truly believe in the value of prepping the vessel with directional atherectomy. I have seen better clinical outcomes since I began using directional atherectomy followed by drug-coated balloon angioplasty.
I truly believe in the value of...
04/04/2021
Cath Lab Digest
Clinical Editor's Corner
04/04/2021

Morton J. Kern, MD, MSCAI, FACC, FAHA

Clinical Editor; Chief of Cardiology, Long Beach VA Medical Center, Long Beach, California; Professor of Medicine, University of California, Irvine Medical Center, Orange, California

with contributions from Ted Feldman, MD, Irvine, California; John Hirshfeld, MD, Philadelphia, Pennsylvania; Nils Johnson, MD, MS, Houston, Texas; David Moliterno, MD, Lexington, Kentucky; Michael Ragosta, MD, Charlottesville, Virginia; Steve Ramee, MD, New Orleans, Louisiana; George Vetrovec, MD, Richmond, Virginia

Morton J. Kern, MD, MSCAI, FACC, FAHA...
As our old stock of Langstons is gone, I compiled a list of what I believe to be all the methods for aortic stenosis gradient assessment that involve only one arterial access and asked our expert colleagues about their alternative to the dual...
As our old stock of Langstons is gone, I compiled a list of what I believe to be all the methods for aortic stenosis gradient assessment that involve only one arterial access and asked our expert colleagues about their alternative to the dual...
As our old stock of Langstons is...
04/04/2021
Cath Lab Digest

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