From the Experts

Clinical Editor's Corner

Revisiting Best Practices for an Accurate FFR and Non-Hyperemic Pressure Ratios (NHPR)

09/04/2018

Morton Kern, MD, MSCAI, FACC, FAHA

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

“When is the right time to accept the fractional flow reserve (FFR) during the adenosine hyperemic recording?” I thought this issue had been settled a few years ago, but after speaking with Arnold, we thought we should revisit some of the...

“When is the right time to...

09/04/2018

Cath Lab Digest

Clinical Editor's Corner

What Type of AS Does Your Patient Have? Sorting Out Differences in the Low-Flow, Low Gradient Severe AS Patients

08/03/2018

Jeannie Yu^1,2,3, MD, FACC, FSCCT, and Morton J. Kern^1,2,3, MD, MSCAI, FAHA, FACC

Jeannie Yu1,2,3, MD, FACC, FSCCT, and...

How we understand patients with aortic stenosis has changed as the therapeutic approach has evolved.

How we understand patients with...

08/03/2018

Cath Lab Digest

Clinical Editor's Corner

From Hand to Bands: Should We Be Doing More Manual Radial Artery Compression?

07/08/2018

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

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

Recently, manual compression has emerged as a potentially viable alternative to shorter radial artery hemostasis times.

Recently, manual compression has...

07/08/2018

Cath Lab Digest

Original Contribution

Radiation Safety in the Catheterization Laboratory: Current Perspectives and Practices

06/15/2018

Rohan Menon, MD¹; Aris Karatasakis, MD¹; Siddharth Patel, MD¹; Barbara Anna Danek, MD¹; Judit Karacsonyi, MD¹; Bavana V. Rangan, BDS, MPH¹; Tayo Addo, MD¹; Dharam Kumbhani, MD¹; Samir Kapadia, MD²; Michael Luna, MD¹; Ehtisham Mahmud, MD³; Charles Chambers, MD⁴; Subhash Banerjee, MD¹; Emmanouil S. Brilakis, MD, PhD^1,5

Rohan Menon, MD1; Aris Karatasakis, ...

There is great variability in radiation safety practices in cardiac catheterization laboratories around the world. We performed an international online survey on radiation safety including interventional cardiologists, electrophysiologists,...

There is great variability in...

06/15/2018

Journal of Invasive Cardiology

Clinical Editor's Corner

A Primer on Chronic Total Occlusion (CTO) Percutaneous Coronary Intervention for the Cath Lab

05/29/2018

Morton J. Kern, MD, and Arnold H. Seto, MD, MPA

Dr. Seto is the Chief of Cardiology at Long Beach VA Medical Center, in Long Beach, California.

Morton J. Kern, MD, and Arnold H. Set...

A question came from one of our cath lab staff, who asked if we could describe how chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is done and what the options are for a successful procedure.

A question came from one of our...

05/29/2018

Cath Lab Digest

Original Contribution

One-Year Outcomes of Orbital Atherectomy of Long, Diffusely Calcified Coronary Artery Lesions

05/24/2018

Michael S. Lee, MD¹; Evan Shlofmitz, DO²; Gentian Lluri, MD, PhD¬π; Kyung Woo Park, MD, PhD¬≥; John Hollowed, MD¬≤; Richard Shlofmitz, MD⁴

Michael S. Lee, MD1; Evan Shlofmitz,...

Orbital atherectomy of long, diffusely calcified lesions may increase the risk of periprocedural angiographic complications. The aim of this study was to determine the clinical outcomes of patients with long, diffusely calcified coronary...

Orbital atherectomy of long,...

05/24/2018

Journal of Invasive Cardiology

Clinical Editor's Corner

What Should We Do With an Anomalous Coronary Artery (ALCA) With a Malignant Left Main Course in an Asymptomatic Patient?

05/07/2018

Morton J. Kern, compiler, with contributions from Andrew Doorey, Christiana Hospital, Delaware; Kirk Garratt, Christiana Hospital, Delaware; John Hirshfeld, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania; David Kandzari, Piedmont Hospital, Atlanta, Georgia; Michael Lim, St. Louis University, St. Louis, Missouri; Jeffery Moses, Columbia University, New York, New York; Pinak Bipin Shah, Brigham and Women’s Hospital, Boston, Massachusetts; Will Suh, University of California, Los Angeles, California; Paul Teirstein, Scripps Clinic, La Jolla, California; Chris White, Ochsner Medical Center, New Orleans, Louisiana; George Vetrovec, Medical College of Virginia, Richmond, Virginia; Jeannie Yu, VA Long Beach, California

Morton J. Kern, compiler, with contri...

Dr. Paul Teirstein, Chief of Cardiology, at Scripps Clinic, La Jolla, California, asked our cath lab experts for their opinions on what to do with an asymptomatic executive who had a screening CTA (Figure 1).

Dr. Paul Teirstein, Chief of...

05/07/2018

Cath Lab Digest

Clinical Editor's Corner

What Does It Mean to Be a Mentor in the Cath Lab?

04/05/2018

Morton J. Kern, MD

In everyone’s career life, including the nursing and technical staff in the cath lab, mentors take on a multitude of roles during the training periods and early work life, and continue to have an impact well into the future years of the daily...

In everyone’s career life,...

04/05/2018

Cath Lab Digest

Clinical Editor's Corner

Who Should Get the Consent for Cardiac Cath in Your Lab?

03/02/2018

Morton J. Kern, MD, with contributions from Andrew Michaels, MD, Director of the Cardiac Catheterization Laboratory at St. Joseph Hospital in Eureka, California; Jim Blankenship, MD, The Geisinger Clinic, Harrisburg, Pennsylvania; Jeff Moses, MD, Columbia University, New York City, New York; Lloyd Klein, MD, Rush University, Chicago, Illinois; Charles Chambers, MD, Pennsylvania State University, Harrisburg, Pennsylvania.

Morton J. Kern, MD, with contribution...

One of our colleagues, Andrew Michaels, MD, Director of the Cardiac Catheterization Laboratory at St. Joseph Hospital in Eureka, California, recently asked about the consent process for cardiac cath cases.

One of our colleagues, Andrew...

03/02/2018

Cath Lab Digest

Clinical Editor's Corner

Noninvasive Angiographic-Derived FFR: Is Wireless Physiology Coming to Your Cath Lab Soon?

02/06/2018

Morton J. Kern, MD

Morton J. Kern, MD

When FFRCT and angio-derived FFR technology ultimately become more widely available, they will radically change the way diagnostic angiography is performed in the same way that invasive FFR changed the way we approach patients needing...

When FFRCT and angio-derived FFR...

02/06/2018

Cath Lab Digest

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