cathlab Clinical-Editor's-Corner

Clinical Editor's Corner

Contrast Media Shortage: What Should We Do About It?

05/13/2022

Dr. Morton J. Kern with contributions from Drs. John Hirshfeld, Philadelphia, Pennsylvania; Amir Kaki, Detroit, Michigan; Ken Rosenfeld, Boston, Massachusetts; Steve Ramee, New Orleans, Louisiana; Peter Pelican, Los Angeles, California; Duane Pinto, Boston, Massachusetts; Paul Teirstein, La Jolla, California

Dr. Morton J. Kern with contributions...

Dr. Peter Pelican from Santa Monica, California, asked, “What are you doing for an alternative to contrast media or to conserve contrast? Are you using gadolinium? Diluting the contrast 25%? Performing CO2 angiography?” I asked my colleagues...

Dr. Peter Pelican from Santa...

05/13/2022

Cath Lab Digest

Clinical Editor's Corner

Femoral Hemostasis: When to Avoid a Vascular Closure Device

05/04/2022

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...

We have now been a radial-first lab for 15 years, enjoying the benefits of radial access with markedly fewer femoral access cases. Radial access has lived up to its promise, with better patient safety and comfort, and when compared to femoral...

We have now been a radial-first...

05/04/2022

Cath Lab Digest

Clinical Editor's Corner

Turnover of Cath Lab Staff: Is Complexity to Blame?

04/03/2022

Andrew Youmans, RN, with Morton Kern, MD; Lloyd Klein, MD; Michael Lim, MD; Steve Ramee, MD

Andrew Youmans, RN, with Morton Kern,...

Dr. Kern and other expert contributors recently discussed TAVR: Who Should Prep the Device?1 (January 2022), outlining the role of industry representatives compared to cath lab staff. In this article, several contributors cited the staffing...

Dr. Kern and other expert...

04/03/2022

Cath Lab Digest

Clinical Editor's Corner

Should We Do Elective Cardiac Catheterizations on the Weekends?

03/02/2022

Dr. Morton Kern, with contributions from Drs. Steve Bailey, Shreveport, Louisiana;
Jim Blankenship, Albuquerque, New Mexico; Sam Butman, Scottsdale, Arizona; Richard Chazal, Fort Meyers, Florida; Kirk Garrett, Newark, Delaware; Rajiv Gulati, Rochester, Minnesota; Lloyd Klein, Napa, California: Jeffrey Moses, New York City, New York; Srihari S. Naidu, Valhalla, New York; Duane Pinto, Boston, Massachusetts; Chet Rihal, Rochester, Minnesota; David Rizik, Scottsdale, Arizona; Gurpreet S. Sandhu, Rochester, Minnesota; Gregg Stone, New York City, New York; Carl Tommaso, Evanston, Illinois; Barry Uretsky, Little Rock, Arkansas; Bonnie Weiner, Worchester, Massachusetts; Fred Welt, Salt Lake City, Utah.

Dr. Morton Kern, with contributions f...

The issue of working weekends to deliver more care is complex and requires a thoughtful game plan to commit the resources for the value of the expanded services. In the times of COVID, the need for hospital throughput has never been more...

The issue of working weekends to...

03/02/2022

Cath Lab Digest

Clinical Editor's Corner

What Does the New 2021 Chest Pain Guideline Say to the Cath Lab?

02/03/2022

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...

Chest pain is the symptom most related to heart disease. However, there are many conditions other than the heart that cause chest pain.

Chest pain is the symptom most...

02/03/2022

Cath Lab Digest

Clinical Editor's Corner

TAVR: Who Should Prep the Device? The Role of Industry Representatives’ Participation in the Cath Lab

01/03/2022

Dr. Morton J. Kern with expert contributors Drs. Bob Applegate, Winston-Salem, North Carolina; Sam Butman, Cottonwood, Arizona; David Cohen, Roslyn, New York; Mauricio Cohen, Miami, Florida; William Fearon, Palo Alto, California; Amir Kaki, Detroit, Michigan; Aaron Kaplan, Hanover, New Hampshire; Susheel Kodali, New York City, New York; Jeff Marshall, Atlanta, Georgia; Duane Pinto, Boston, Massachusetts; Ramon Quesada, Miami, Florida; Mike Ragosta, Charlottesville, Virginia; Steve Ramee, New Orleans, Louisiana; David Rizik, Scottsdale, Arizona; Bonnie Weiner, Worchester, Massachusetts; Chris White, New Orleans, Louisiana

Dr. Morton J. Kern with expert contri...

After years of having the industry clinical support staff prep the transcatheter aortic valve replacement (TAVR) valves in the lab (without a single adverse event because of faulty prep, to my knowledge) some administrators have now begun to...

After years of having the...

01/03/2022

Cath Lab Digest

Clinical Editor's Corner

Should Diagnostic-Only Operators Continue? Retool or Retire Redux

12/05/2021

Dr. Morton Kern with contributions from Drs. Sam Butman, Cottonwood, Arizona; J. Dawn Abbott, Providence, Rhode Island; David Cohen, Minneapolis, Minnesota; Mitchell Krucoff, Durham, North Carolina; Jeff Marshall, Piedmont, Georgia; Gurpreet S. Sandhu, Rochester, Minnesota; Carl Tommaso, Dallas, Texas; Bonnie Weiner, Worcester, Massachusetts

Dr. Morton Kern with contributions fr...

An interventionist in the southeastern United States asked me this question at TCT. The issue is quite an old one, but still relevant and perhaps more so now with the proliferation of fractional flow reserve (FFR), instantaneous wave-free...

An interventionist in the...

12/05/2021

Cath Lab Digest

Clinical Editor's Corner

Managing Urgency During a Cardiac Cath

11/03/2021

Morton J. Kern, MD

[Editor's note: The print version of this article mistakenly included additional authors. CLD apologizes for the error.]

Morton J. Kern, MD[Editor's note: The...

In the last month, we had a few unexpected events requiring urgent action from the cath lab nurses and technologists. Like all labs, we discuss and review what to do in emergencies and what safety measures are needed.

In the last month, we had a few...

11/03/2021

Cath Lab Digest

Clinical Editor's Corner

Conversations in Cardiology: Do Contrast Media Reactions Still Happen? Will Your Lab Know What to Do?

10/06/2021

Morton J. Kern, with expert contributions from Thomas Bashore, Raleigh, North Carolina; Sam Butman, Cottonwood, Arizona; Adnan Chhatriwalla, Kansas City, Kansas; David Cohen, Roslyn, New York; John Hirshfeld, Philadelphia, Pennsylvania; David E. Kandzari, Atlanta, Georgia; Prashant Kaul, Atlanta, Georgia; Ajay Kirtane, New York City, New York; John Marshall, Atlanta, Georgia: Arnold H. Seto, Long Beach, California; George Vetrovec, Richmond, Virginia

Morton J. Kern, with expert contribut...

A middle-aged man underwent a routine cath for coronary artery disease that showed non-obstructive mild coronary narrowings.

A middle-aged man underwent a...

10/06/2021

Cath Lab Digest

Clinical Editor's Corner

Evidence-Based Practices in the Cath Lab: Facts or Fiction? An Update From the AHA

09/07/2021

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...

I began my career in the cath lab in 1979. Having witnessed the remarkable evolution of its procedures, techniques, and patient profiles, I marveled at the birth and development of coronary interventions.

I began my career in the cath...

09/07/2021

Cath Lab Digest

Clinical Editor'S Corner

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