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Clinical Editor'S Corner

Editor's Corner
Atherectomy in the Infrainguinal Arteries
10/30/2023

Matthew Finn, MD, MSc; McCall Walker, MD; Sahil Parikh, MD; Craig Walker MD

Cardiovascular Institute of the South, Houma, Louisiana

Matthew Finn, MD, MSc; McCall Walker,...
In light of recent reports alleging overuse of atherectomy devices, the authors revisit the guidelines and clinical data as to inform the overall discourse surrounding the appropriate use of these devices.
In light of recent reports alleging overuse of atherectomy devices, the authors revisit the guidelines and clinical data as to inform the overall discourse surrounding the appropriate use of these devices.
In light of recent reports...
10/30/2023
Vascular Disease Management
Clinical Editor's Corner
The Green Cath Lab: What Is It? Why Does It Matter and Can We Achieve It?
10/19/2023

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

Clinical Editor; Interventional Cardiologist, 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...
Like many others, I am troubled by future visions of a hot planet, uninhabitable for my children and grandchildren. All citizens of our world should be concerned. But the most troubling aspect of such a problem is, what can we do about it?...
Like many others, I am troubled by future visions of a hot planet, uninhabitable for my children and grandchildren. All citizens of our world should be concerned. But the most troubling aspect of such a problem is, what can we do about it?...
Like many others, I am troubled...
10/19/2023
Cath Lab Digest

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Clinical Editor's Corner
How Much of an Impact Does Your Cath Lab Staff Have on Device Selection?
10/03/2023

Morton J. Kern and Arnold H. Seto, Long Beach, California, with contributions from Jim Blankenship, Scottsdale, Arizona; David Cox, Charlotte, North Carolina; Douglas Drachman, Boston, Massachusetts; Kirk Garratt, Newark, Delaware; Neal Kleiman, Houston, Texas; Mitchell W. Krucoff, Raleigh, North Carolina; David Rizik, Scottsdale, Arizona; Peter Ver Lee, Bangor, Maine; Bonnie Weiner, Worchester, Massachusetts.

Morton J. Kern and Arnold H. Seto, Lo...
It is common knowledge that working in the cath lab is a team sport. The physicians and fellow operators work with and depend on the staff (RNs, LVNs, RTs, RCISs, CVTs, etc.). All of us benefit from the experience of the team, both...
It is common knowledge that working in the cath lab is a team sport. The physicians and fellow operators work with and depend on the staff (RNs, LVNs, RTs, RCISs, CVTs, etc.). All of us benefit from the experience of the team, both...
It is common knowledge that...
10/03/2023
Cath Lab Digest
Clinical Editor's Corner
Conversations in Cardiology: Should a Lipid Panel Be Required Before Coronary Angiography or PCI?
08/22/2023

Morton J. Kern, with contributions from Sam Butman, Scottsdale, Arizona; George Dangas, New York, New York; Tim Henry, Cincinnati, Ohio; Ajay Kirtane, New York, New York; Lloyd Klein, Sonoma, California; Kreton Mavromatis, Atlanta, Georgia; Phillip Mumford, Houston, Texas; Jeffrey Moses, New York, New York; Srihari S. Naidu, Westchester, New York; Kimberly A. Skelding, Seattle, Washington; George Vetrovec, Richmond, Virginia; Peter Ver Lee, Bangor, Maine; Bonnie Weiner, Worchester, Massachusetts

Morton J. Kern, with contributions fr...
Dr. Ajay Kirtane asks, “I know of a couple of other places who do [pre-cath] lipid testing, but I think it is by far the exception rather than the rule. What are your thoughts?”
Dr. Ajay Kirtane asks, “I know of a couple of other places who do [pre-cath] lipid testing, but I think it is by far the exception rather than the rule. What are your thoughts?”
Dr. Ajay Kirtane asks, “I know...
08/22/2023
Cath Lab Digest
Clinical Editor's Corner
My Top Tips for a New Fellow Starting in the Cath Lab
07/21/2023

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

Disclosures: Dr. Morton Kern reports he is a consultant for Abiomed, Abbott Vascular, Philips Volcano, ACIST Medical, and Opsens Inc.

Dr. Kern can be contacted at mortonkern2007@gmail.com

On Twitter @MortonKern

Morton J. Kern, MD, MSCAI, FACC, FAHA...
Since many fellows may be overwhelmed in the first weeks of their training, I thought I would share some of my boot camp tips, which are a small part of the annual cath lab orientation lectures for our fellows.
Since many fellows may be overwhelmed in the first weeks of their training, I thought I would share some of my boot camp tips, which are a small part of the annual cath lab orientation lectures for our fellows.
Since many fellows may be...
07/21/2023
Cath Lab Digest

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Clinical Editor's Corner
Is Your Lab Using Intravascular Imaging Enough?
07/05/2023

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’s an old question but still relevant today: “Why does IVUS use during PCI remain so low in the U.S.?”
It’s an old question but still relevant today: “Why does IVUS use during PCI remain so low in the U.S.?”
It’s an old question but still...
07/05/2023
Cath Lab Digest
Clinical Editor's Corner
Advanced Training in Interventional Cardiology: Are We Meeting Our Standards?
05/10/2023

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...
As a coronary interventionalist, university faculty, and past training program director, I was pleasantly surprised to see the 2023 American College of Cardiology (ACC)/American Heart Association (AHA)/Society for Cardiovascular Angiography...
As a coronary interventionalist, university faculty, and past training program director, I was pleasantly surprised to see the 2023 American College of Cardiology (ACC)/American Heart Association (AHA)/Society for Cardiovascular Angiography...
As a coronary interventionalist,...
05/10/2023
Cath Lab Digest
Clinical Editor's Corner
Conversations in Cardiology: Do We Need to Document Balloon Inflation Pressures?
04/20/2023

Dr. Morton J. Kern, with contributions from Drs. Jim Blankenship, Albuquerque, New Mexico; Sam Butman, Scottsdale, Arizona; Mauricio G. Cohen, Weston, Florida; David Cox, Charlotte, North Carolina; Prashant Kaul, Atlanta, Georgia; Neal S. Kleiman, Houston, Texas; Lloyd Klein, Napa, California; Mitchell W. Krucoff, Durham, North Carolina; Jeffrey Moses, New York, New York; Matthew Price, La Jolla, California; Chet Rihal, Rochester, Minnesota; Kenneth Rosenfield, Boston, Massachusetts; Gurpreet Sandhu, Rochester, Minnesota; Barry Uretsky, Little Rock, Arkansas; Bonnie Weiner, Worchester, Massachusetts

Dr. Morton J. Kern, with contribution...
Mr. Phillip Mumford asked, “We are changing our patient documentation to Epic at my facilities. Do you know if it’s required to still document balloon inflation pressures (ATM) and time (seconds) when charting the procedure?"
Mr. Phillip Mumford asked, “We are changing our patient documentation to Epic at my facilities. Do you know if it’s required to still document balloon inflation pressures (ATM) and time (seconds) when charting the procedure?"
Mr. Phillip Mumford asked, “We...
04/20/2023
Cath Lab Digest

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Clinical Editor's Corner
My First Lead-Free Coronary Angiogram
03/17/2023

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

Disclosures: Dr. Morton Kern reports he is a consultant for Abiomed, Abbott Vascular, Philips Volcano, ACIST Medical, and Opsens Inc.

Dr. Kern can be contacted at mortonkern2007@gmail.com

On Twitter @drmortkern

Morton J. Kern, MD, MSCAI, FACC, FAHA...
Today was special. I did my first coronary angiogram without wearing my lead apron.
Today was special. I did my first coronary angiogram without wearing my lead apron.
Today was special. I did my...
03/17/2023
Cath Lab Digest
Clinical Editor's Corner
Left Main PCI in Interventional Labs Without On-Site Surgery: When is High Risk Too High?
02/16/2023

Morton J. Kern, MD, with:

Kirk N. Garratt, MD, MSc, Christiana Care, Newark, Delaware;

Bonnie H. Weiner, MD, MSEC, MBA, University of Massachusetts, Worcester, Massachusetts;

Christopher J. White, MD, Ochsner Clinic, New Orleans, Louisiana.

Morton J. Kern, MD, with: Kirk N. Ga...
The issue of what constitutes safe practice in the no-SOS labs is not trivial. Before I present a summary of the revised consensus statement, I thought I would stimulate our thinking by providing a real case from our lab, what my colleagues...
The issue of what constitutes safe practice in the no-SOS labs is not trivial. Before I present a summary of the revised consensus statement, I thought I would stimulate our thinking by providing a real case from our lab, what my colleagues...
The issue of what constitutes...
02/16/2023
Cath Lab Digest

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