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From the Experts

Robotic Peripheral Vascular Intervention With Drug-Coated Balloons is Feasible and Reduces  Operator Radiation Exposure: Results of the  Robotic-Assisted Peripheral Intervention for Peripheral Artery Disease (RAPID) Study II
Original Contribution
09/30/2020

Ehtisham Mahmud, MD1; Florian Schmid, MD2; Peter Kalmar, MD2; Hannes Deutschmann, MD2; Franz Hafner, MD3; Peter Rief, MD3; Chris Cain, RN4; Lawrence Ang, MD1; Marianne Brodmann, MD3

Ehtisham Mahmud, MD1; Florian Schmid,...
This study was designed to determine the feasibility and safety of robotic peripheral vascular intervention (PVI) with the CorPath System (Corindus Vascular Robotics) for treating femoropopliteal lesions with drug-coated balloon, and to...
This study was designed to determine the feasibility and safety of robotic peripheral vascular intervention (PVI) with the CorPath System (Corindus Vascular Robotics) for treating femoropopliteal lesions with drug-coated balloon, and to...
This study was designed to...
09/30/2020
Journal of Invasive Cardiology
Clinical Editor's Corner
09/06/2020

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...
In this issue of CLD, Manjunath et al present a case of a woman who presented with heart failure due to constrictive pericarditis. She had been treated with chemotherapy and chest radiation therapy for Hodgkin’s lymphoma.
In this issue of CLD, Manjunath et al present a case of a woman who presented with heart failure due to constrictive pericarditis. She had been treated with chemotherapy and chest radiation therapy for Hodgkin’s lymphoma.
In this issue of CLD, Manjunath...
09/06/2020
Cath Lab Digest
Clinical Editor's Corner
08/04/2020

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 Steven R. Bailey, MD, Professor and Chairman, Department of Internal Medicine, LSU Health School of Medicine, Shreveport, Louisiana; Sam Butman, MD, Verde Valley Medical Center, Cottonwood, Arizona; Larry Dean, MD, University of Washington, Seattle, Washington;  Kirk N. Garratt, MD, Center for Heart and Vascular Health, ChristianaCare, Newark, Delaware; David E. Kandzari, MD, Director, Interventional Cardiology and Chief Scientific Officer Piedmont Heart Institute, Atlanta, Georgia; Prashant Kaul, MD, Director, Cardiac Catheterization Laboratory, Piedmont Heart Institute, Atlanta, Georgia; Neil Kleiman, MD, Houston Methodist, Houston, Texas; Lloyd Klein, MD, Sonoma, California; Bernhard Meier, MD, Professor of Cardiology, University Hospital (Inselspital), Bern, Switzerland; Ken Rosenfeld, MD, Boston, Massachusetts: Jonathan Tobis, MD, Professor of Medicine, UCLA, Los Angeles, California; Bonnie Weiner, MD, Worchester, Massachusetts; Chris White, MD, Professor and Chair of Medicine & Cardiology, Medical Director, Value Based Care, System Chair for Cardiovascular Diseases, Ochsner Medical Center, New Orleans, Louisiana

Morton J. Kern, MD, MSCAI, FACC, FAHA...
This “Conversation in Cardiology” focuses on how patients needing a patent foramen ovale (PFO) closure in a community hospital are best managed. It is a continuation of an older discussion about how the transmission of high quality, high...
This “Conversation in Cardiology” focuses on how patients needing a patent foramen ovale (PFO) closure in a community hospital are best managed. It is a continuation of an older discussion about how the transmission of high quality, high...
This “Conversation in...
08/04/2020
Cath Lab Digest
Clinical Editor's Corner
07/06/2020

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 

Dr. Morton J. Kern, with commentary from Drs. Bob Applegate, Winston Salem, North Carolina; Peter Block, Atlanta, Georgia; Sam Butman, Cottonwood, Arizona; Jim Blankenship, Geisinger Clinic, Harrisburg, Pennsylvania; Larry Dean, Seattle, Washington; Kirk N. Garratt, Center for Heart and Vascular Health, ChristianaCare, Newark, Delaware; Lloyd Klein, Sonoma, California; Michael Kutcher, Wake Forest University, Winston-Salem, North Carolina; Michael Lim, St. Louis, Missouri; Jeff Marshall, Atlanta, Georgia; Gary Mintz, Cardiovascular Research Foundation, New York City, New York; E. Magnus Ohman, Duke University Medical Center, Durham, North Carolina; Steve Ramee, Ochsner Clinic, New Orleans, Louisiana; Fred Resnic, Lahey Clinic, Boston, Massachusetts; Chet Rihal, Mayo Clinic, Rochester, Minnesota;  Jon Tobis, Los Angeles, California; 

Carl Tommaso, Evanston, Illinois; Barry Uretsky, Little Rock, Arkansas; Bonnie Weiner, Worcester, Massachusetts; Christopher J. White, Ochsner Medical Center, New Orleans, Louisiana.

Morton J. Kern, MD, MSCAI, FACC, FAHA...
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)...
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)...
Like many of my contemporaries,...
07/06/2020
Cath Lab Digest
Clinical Editor's Corner
06/08/2020

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

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

Morton J. Kern, MD, MSCAI, FACC, FAHA...
Our cardiac cath labs will be taking care of patients with COVID-19 (C19) for at least a couple years. In practicing for the C19 emergent cath case, it became apparent that although we thought we knew what the instructions were for proper...
Our cardiac cath labs will be taking care of patients with COVID-19 (C19) for at least a couple years. In practicing for the C19 emergent cath case, it became apparent that although we thought we knew what the instructions were for proper...
Our cardiac cath labs will be...
06/08/2020
Cath Lab Digest
05/11/2020

Hady Lichaa, MD, FACC, FSCAI, FSVM, RPVI, Interventional Cardiovascular Specialist, Ascension Saint Thomas Heart, Murfreesboro and Nashville, Tennessee

Hady Lichaa, MD, FACC, FSCAI, FSVM, R...
We suggest approaching the important topic of alternative arterial access with the following questions: 1) WHAT is it?; 2) WHY is it needed?; 3) WHERE are the access sites?; 4) HOW safe is it?
We suggest approaching the important topic of alternative arterial access with the following questions: 1) WHAT is it?; 2) WHY is it needed?; 3) WHERE are the access sites?; 4) HOW safe is it?
We suggest approaching the...
05/11/2020
Cath Lab Digest
Case Report
05/10/2020

Syed M. Ahmed, MD, Morris Hospital, Morris, Illinois

Syed M. Ahmed, MD, Morris Hospital, M...
Angiography showed a severe proximal subclavian artery stenosis adjacent to the origin of the left vertebral artery. There was concern that a stent might jail the left vertebral artery.
Angiography showed a severe proximal subclavian artery stenosis adjacent to the origin of the left vertebral artery. There was concern that a stent might jail the left vertebral artery.
Angiography showed a severe...
05/10/2020
Cath Lab Digest
Clinical Editor's Corner
05/10/2020

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

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

Morton J. Kern, MD, MSCAI, FACC, FAHA...
Drawing from his experience, General Hertling highlighted 10 important tips for military leaders during a time of crisis, such as a war. As we in medicine are now at war with COVID, these tips would be well received and certainly strengthen...
Drawing from his experience, General Hertling highlighted 10 important tips for military leaders during a time of crisis, such as a war. As we in medicine are now at war with COVID, these tips would be well received and certainly strengthen...
Drawing from his experience,...
05/10/2020
Cath Lab Digest
The Impact of Novel X-Ray Systems and X-Ray System Optimization on Patient Radiation Dose Administered During Cardiac Catheterization
Original Contribution
05/09/2020

Evangelia Vemmou, MD; Ilias Nikolakopoulos, MD; Iosif Xenogiannis, MD; Michael Megaly, MD, MS; Mohamed A. Omer, MD; Larissa Stanberry, PhD; Ross Garberich, MS, MBA; Bavana V. Rangan, BDS, MPH; Kenneth W. Baran, MD; Mario Gössl, MD, PhD; Paul Sorajja, MD; Ivan Chavez, MD; Michael Mooney, MD; Jay Traverse, MD; Yale Wang, MD; Santiago Garcia, MD; Anil Poulose, MD; M. Nicholas Burke, MD; Emmanouil S. Brilakis, MD, PhD

Evangelia Vemmou, MD; Ilias Nikolakop...
We analyzed patient radiation dose in 1786 cardiac catheterization procedures (diagnostic coronary angiography and/or PCI) performed at a single tertiary-care center before and after x-ray system optimization.
We analyzed patient radiation dose in 1786 cardiac catheterization procedures (diagnostic coronary angiography and/or PCI) performed at a single tertiary-care center before and after x-ray system optimization.
We analyzed patient radiation...
05/09/2020
Journal of Invasive Cardiology
Original Contribution
04/03/2020

Richard Casazza, MAS, RT(R)(CI), Brooklyn, New York, and Alexander G. Truesdell, MD, FACC, FSCAI, FSVM, Virginia Heart, Falls Church, Virginia

Richard Casazza, MAS, RT(R)(CI), Broo...
An adducted arm/wrist increases the distance between the operator and radiation source. As radiation exposure is cumulative, 2-3 inches of distance multiplied times 1000 procedures has a significant long-term dose-reduction effect.
An adducted arm/wrist increases the distance between the operator and radiation source. As radiation exposure is cumulative, 2-3 inches of distance multiplied times 1000 procedures has a significant long-term dose-reduction effect.
An adducted arm/wrist increases...
04/03/2020
Cath Lab Digest

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