Cath Lab Digest - March 2008 - (Page 4) CONSULTING EDITORS MORTON KERN, MD Clinical Editor, Cath Lab Digest Clinical Professor of Medicine Associate Chief Cardiology University of California Irvine • Orange, CA ROBERT J. BASILE, SR., RT(R) Hackettstown Regional Medical Center Hackettstown, NJ A Product, News and Clinical Update for the Cardiac Catheterization Laboratory Specialist March 2008 vol.16 no.3 DOUGLAS S. BEINBORN, MA, RN Mayo Clinic • Rochester, MN Saint Joseph’s Hospital Deryck Yarde, RN, BSN, CCRN, Manager, Cardiac Cath Lab, Haleh Eskandari, RN, MSN, CCRN, RCIS, Clinical Educator, Cardiac Cath Lab, Atlanta, Georgia HEIDI N. BONNEAU, RN, MS Highlands Consulting, Inc. • San Jose, CA 54 Groin Bleeds and Other Hemorrhagic Complications of Cardiac Catheterization: A list of relevant issues Jackson Thatcher, MD, FACC, Director of Inpatient Cardiology The Park Nicollet Heart Center at Methodist Hospital, St. Louis Park, Minnesota GEORGANN BRUSKI, RT(R), CRT, ARRT Beth Israel Deaconess Medical Center • Boston, MA JACK P. CHEN, MD, FACC, FSCAI Northside Cardiology P.C. • Atlanta, GA Are You Being Paid Fair Market Value in 2008? A Cardiac Cath Lab Professionals Survey by Cath Lab Digest and the Society of Invasive Cardiovascular Professionals. Thomas H. Maloney MS, RCIS, Richmond, Virginia 58 Ask the Clinical Instructor: A Q&A column for those new to the cath lab Questions are answered by: Todd Ginapp, EMT-P, RCIS, FSICP. Todd is the Cardiology Manager for Memorial Hermann Southeast in Houston, Texas. He also teaches an online RCIS Review course for Spokane Community College, in Spokane, Washington, and regularly presents with RCIS Review Courses. PATTI COBLENTZ, RN, BSN Provena Covenant Medical Center Urbana, IL Invasive Imaging Tools for Optimizing Coronary Stent Deployment Michael C. McDaniel, MD, Habib Samady, MD, FACC, Emory University School of Medicine, Atlanta, Georgia ANDREA E. DAVIS, BA, RCIS, FSICP George Washington University Hospital Washington, D.C. MICHELE DOUGHTY VOELTZ, MD Emory University School of Medicine Atlanta, Georgia 16 A Workflow Revolution in Cath Lab Reporting Cath Lab Digest talks with Paul A Webster Jr, RT(R), Lead Technologist, Children’s Hospital of Michigan Cardiac Catheterization Lab, Detroit, Michigan, about his cath lab’s use of syngo® Dynamics (Siemens Medical, Malvern, PA). 62 Experience with a New Guidewire: The Terumo Runthrough NS Cath Lab Digest talks with Samin Sharma, MD, FACC, Co-Director of the Zena and Michael A. Wiener Cardiovascular Institute and the MarieJosée and Henry R. Kravis Center for Cardiovascular Health, and Director of Interventional Cardiology and the Cardiac Catheterization Lab, Mount Sinai Hospital, New York, New York about his experience with the Runthrough NS (Terumo Interventional Systems, Somerset, New Jersey). 64 DEPARTMENTS 6 60 75 83 83 84 Clinical Editor’s Corner What Do You Think? Cath Laughs Meetings Calendar CEU Education Center Clinical & Industry News 90 Classifieds 94 Advertisers Index © 2008, HMP Communications, LLC. All rights reserved. Reproduction in whole or in part prohibited. Opinions expressed by authors, contributors, and advertisers are their own and not necessarily those of HMP Communications, LLC, the editorial staff, or any member of the editorial advisory board. HMP Communications, LLC is not responsible for accuracy of dosages given in articles printed herein. The appearance of advertisements in this journal is not a warranty, endorsement or approval of the products or services advertised or of their effectiveness, quality or safety. HMP Communications, LLC disclaims responsibility for any injury to persons or property resulting from any ideas or products referred to in the articles or advertisements. Content may not be reproduced in any form without written permission. Reprints of articles are available. Contact HMP Communications, LLC for information. HMP Communications, LLC (HMP) is the authoritative source for comprehensive information and education serving healthcare professionals. HMP’s products include peerreviewed and non-peer-reviewed medical journals, national trade shows and conferences, online programs and customized programs within the clinical areas of wound care, dermatology, podiatry, cardiology, vascular, electrophysiology, long-term care, diabetes, arthritis, and specialized primary care. HMP Communications Holdings, LLC’s whollyowned subsidiary, the North American Center for Continuing Medical Education (www.NACCME.com), provides a wide array of accredited CME offerings with industry thought leaders participating in Round Table Meetings, Webcasts, Symposia, Conferences, Seminars, Podcasts, and Satellite Programs. Discover more about HMP’s products and services at www.hmpcommunications.com. KENNETH A. GORSKI RN, RCIS, FSICP Sones Cardiac Catheterization Labs Cleveland Clinic Foundation • Cleveland, OH 17 Advantages of a New Digital Lab at Baystate Medical Center Cath Lab Digest talks with Marc J. Schweiger, MD, FACC, Director, Cardiac Catheterization Laboratory and Gregory R. Giugliano, MD, SM, FACC, FSCAI, Associate Director, Cardiac Catheterization Laboratory and Cardiology Research, Springfield, Massachusetts. TODD GINAPP, EMT-P, RCIS, FSICP Memorial Hermann Southeast Houston, Texas 64 The Ostial Pro™ Stent Positioning System: Perfecting Aorto-Ostial Stent Placement Frank S. Saltiel, MD, FACC, FSCAI, President, Illinois Heart & Vascular Foundation; Director, Interventional Cardiology Adventist Midwest Health, Lagrange, Illinois; Tim A. Fischell, MD, FACC, FSCAI, Director, Cardiovascular Research; Professor of Medicine, Michigan State University, Borgess Heart Institute, Kalamazoo, Michigan STEVE GRESSMIRE, RT(R)(CV) ARRT, AAMA Mississippi 18 Cardiac Computed Tomography: What does it mean for the cath lab? Cath Lab Digest talks with Stephan Achenbach, MD, FESC, FACC, of the Department of Cardiology, University of Erlangen–Nürnberg, Erlangen, Germany. Dr. Achenbach is the founding and immediate past president of the Society of Cardiovascular Computed Tomography (SCCT). MARSHA HOLTON, RN, BS, CCRN, RCIS Cardiovascular Orientation Programs Indian Head, MD 68 Precious Minutes Gerard Lagasse, RCIS, Borgess Medical Center, Kalamazoo, Michigan GERALD LAGASSE, RCIS Borgess Medical Center • Kalamazoo, MI MICHAEL LIM, MD St. Louis Health Sciences Center St. Louis, MO 20 The Latest in Cardiac Magnetic Resonance Imaging (MRI) Cath Lab Digest talks with Robert O. Bonow, MD, Goldberg Distinguished Professor at Northwestern University Feinberg School of Medicine; Chief, Division of Cardiology, Northwestern Memorial Hospital; Co-director, Bluhm Cardiovascular Institute, Chicago, Illinois SICP: The Ten-Minute Interview with…Mark Bowles, BSN, CCRN Sacred Heart Hospital, Pensacola, Florida YOUR PATH TO SUCCESS: CAREER ADVICE TOM MALONEY, MS, RCIS Memorial Regional Medical Center Richmond, VA Vascular Care in the Cath Lab: Planning a Smooth Transition James Burns, Vice President, Corazon, Inc., Pittsburgh, Pennsylvania JASON MONEY, RN, RCIS Elkins, AR 33 Cellular Cardiomyoplasty and Cardiac Regeneration Lakshmana Pendyala, MD1, Radhika Gadesam, MD1, Ioana Ghiu, MD, Dongming Hou, MD, PhD1, and Nicolas Chronos, MD1, 1Saint Joseph’s Translational Research Institute; Saint Joseph’s Hospital of Atlanta, Atlanta, Georgia BHAWNA OBEROI, BSRS-CBRPA, RT(R)(M) Sherman Radiology Associates Sherman, TX 76 CMS 2008 OPPS Final Rule Review John Rader, Jennifer Williams, Susan Heilman Healthcare Economics, Medtronic, Inc., Minneapolis, Minnesota TIM ROHRSCHNEIDER, BMSC, RT(R) Emory University Hospital, Children's Healthcare of Atlanta • Atlanta, Georgia 42 Intravascular Ultrasound in the Cath Lab: A powerful — and underutilized — tool to improve patient outcomes Cath Lab Digest talks with Michael C. Foster, MD, FACC, South Carolina Heart Center, Columbia, South Carolina; Medical Director of the Cardiac Catheterization Laboratory at Providence Hospital, Columbia, South Carolina 80 An Extensive Set of Review Courses for the CCI Basic Science, Non-Invasive Echocardiography and Vascular, and ARDMS Ultrasound Exams Neil E. Holtz, BS, EMT-P, CVT, Phyllis Williams, RN, AND, CEN, CVT, Pattie Freschett, RN, BSN, CVT, Charles O. Williams, BS, RPA, RT(R)(CV)(CI), RCIS, CPFT, CCT, FSICP ANNIE RUPPERT, RN, BSN Sharp Memorial Hospital • San Diego, CA HABIB SAMADY, MD, FACC, FSCAI Emory University Hospital • Atlanta, Georgia DRUG-ELUTING STENT SOLUTIONS: The Stentplus™ Patient Success Program This monthly column in Cath Lab Digest reviews important points of distinction in drug-eluting stents, from characteristics to techniques, to provide valuable and relevant information about this technology. This month’s column features Dr. Adhir R. Shroff and Peter T. Kondos, BS, RT. JACKSON L. THATCHER, MD, FACC The Park Nicollet Heart Center at Methodist Hospital, St. Louis Park, MN SANDY WATSON, RN, BN, NFESC Switzerland STEMI INTERVENTIONS: Commentary on the recently published New England Journal of Medicine article, “A Citywide Protocol for Primary PCI in ST-segment Elevation Myocardial Elevation.” Sameer Mehta, MD, FACC, MBA, Miami, FL CHUCK WILLIAMS, BS, RT(R)(CV)(CI), RCIS, FSICP Atlanta, GA 49 Cardiac Cath Lab Clutter — or, Spring into Action! Marshall W. Ritchey, MS, MBA, Presbyterian Hospital, U.P.M.C., Pittsburgh, Pennsylvania http://www.hmpcommunications.com
Table of Contents Feed for the Digital Edition of Cath Lab Digest - March 2008 Cath Lab Digest - March 2008 Are You Being Paid Fair Market Value in 2008? A Cardiac Cath Lab Professionals Survey by Cath Lab Digest and the Society of Invasive Cardiovascular Professionals Saint Joseph’s Hospital Invasive Imaging Tools for Optimizing Coronary Stent Deployment Contents Clinical Editor’s Corner A Workflow Revolution in Cath Lab Reporting Advantages of a New Digital Lab at Baystate Medical Center Cardiac Computed Tomography: What Does it Mean for the Cath Lab? The Latest in Cardiac Magnetic Resonance Imaging (MRI) Cellular Cardiomyoplasty and Cardiac Regeneration Intravascular Ultrasound in the Cath Lab: A Powerful — and Underutilized — Tool to Improve Patient Outcomes The Stentplus™ Patient Success Program Cardiac Cath Lab Clutter — or, Spring into Action! Groin Bleeds and Other Hemorrhagic Complications of Cardiac Catheterization: A List of Relevant Issues Ask the Clinical Instructor: A Q&A Column for Those New to the Cath Lab What Do You Think? Experience with a New Guidewire: The Terumo Runthrough NS The Ostial Pro™ Stent Positioning System: Perfecting Aorto-Ostial Stent Placement Precious Minutes The Ten-Minute Interview with…Mark Bowles, BSN, CCRN Vascular Care in the Cath Lab: Planning a Smooth Transition Cath Laughs CMS 2008 OPPS Final Rule Review An Extensive Set of Review Courses for the CCI Basic Science, Non-Invasive Echocardiography and Vascular, and ARDMS Ultrasound Exams Meetings Calendar CEU Education Center Clinical & Industry News STEMI Interventions Classifieds Advertisers Index Cath Lab Digest - March 2008 Cath Lab Digest - March 2008 - Invasive Imaging Tools for Optimizing Coronary Stent Deployment (Page 1) Cath Lab Digest - March 2008 - Invasive Imaging Tools for Optimizing Coronary Stent Deployment (Page 2) Cath Lab Digest - March 2008 - Invasive Imaging Tools for Optimizing Coronary Stent Deployment (Page 3) Cath Lab Digest - March 2008 - Contents (Page 4) Cath Lab Digest - March 2008 - Contents (Page 5) Cath Lab Digest - March 2008 - Clinical Editor’s Corner (Page 6) Cath Lab Digest - March 2008 - Clinical Editor’s Corner (Page 7) Cath Lab Digest - March 2008 - Clinical Editor’s Corner (Page 8) Cath Lab Digest - March 2008 - Clinical Editor’s Corner (Page 9) Cath Lab Digest - March 2008 - Clinical Editor’s Corner (Page 10) Cath Lab Digest - March 2008 - Clinical Editor’s Corner (Page 11) Cath Lab Digest - March 2008 - Clinical Editor’s Corner (Page 12) Cath Lab Digest - March 2008 - Clinical Editor’s Corner (Page 13) Cath Lab Digest - March 2008 - Clinical Editor’s Corner (Page 14) Cath Lab Digest - March 2008 - Clinical Editor’s Corner (Page BRC1) Cath Lab Digest - March 2008 - Clinical Editor’s Corner (Page BRC2) Cath Lab Digest - March 2008 - Clinical Editor’s Corner (Page 15) Cath Lab Digest - March 2008 - A Workflow Revolution in Cath Lab Reporting (Page 16) Cath Lab Digest - March 2008 - Advantages of a New Digital Lab at Baystate Medical Center (Page 17) Cath Lab Digest - March 2008 - Cardiac Computed Tomography: What Does it Mean for the Cath Lab? (Page 18) Cath Lab Digest - March 2008 - Cardiac Computed Tomography: What Does it Mean for the Cath Lab? (Page 19) Cath Lab Digest - March 2008 - The Latest in Cardiac Magnetic Resonance Imaging (MRI) (Page 20) Cath Lab Digest - March 2008 - The Latest in Cardiac Magnetic Resonance Imaging (MRI) (Page 21) Cath Lab Digest - March 2008 - The Latest in Cardiac Magnetic Resonance Imaging (MRI) (Page 22) Cath Lab Digest - March 2008 - The Latest in Cardiac Magnetic Resonance Imaging (MRI) (Page 23) Cath Lab Digest - March 2008 - The Latest in Cardiac Magnetic Resonance Imaging (MRI) (Page 24) Cath Lab Digest - March 2008 - The Latest in Cardiac Magnetic Resonance Imaging (MRI) (Page 25) Cath Lab Digest - March 2008 - The Latest in Cardiac Magnetic Resonance Imaging (MRI) (Page 26) Cath Lab Digest - March 2008 - The Latest in Cardiac Magnetic Resonance Imaging (MRI) (Page 27) Cath Lab Digest - March 2008 - The Latest in Cardiac Magnetic Resonance Imaging (MRI) (Page 28) Cath Lab Digest - March 2008 - The Latest in Cardiac Magnetic Resonance Imaging (MRI) (Page 29) Cath Lab Digest - March 2008 - The Latest in Cardiac Magnetic Resonance Imaging (MRI) (Page 30) Cath Lab Digest - March 2008 - The Latest in Cardiac Magnetic Resonance Imaging (MRI) (Page 31) Cath Lab Digest - March 2008 - The Latest in Cardiac Magnetic Resonance Imaging (MRI) (Page 32) Cath Lab Digest - March 2008 - Cellular Cardiomyoplasty and Cardiac Regeneration (Page 33) Cath Lab Digest - March 2008 - Cellular Cardiomyoplasty and Cardiac Regeneration (Page 34) Cath Lab Digest - March 2008 - Cellular Cardiomyoplasty and Cardiac Regeneration (Page 35) Cath Lab Digest - March 2008 - Cellular Cardiomyoplasty and Cardiac Regeneration (Page 36) Cath Lab Digest - March 2008 - Cellular Cardiomyoplasty and Cardiac Regeneration (Page 37) Cath Lab Digest - March 2008 - Cellular Cardiomyoplasty and Cardiac Regeneration (Page 38) Cath Lab Digest - March 2008 - Cellular Cardiomyoplasty and Cardiac Regeneration (Page 39) Cath Lab Digest - March 2008 - Cellular Cardiomyoplasty and Cardiac Regeneration (Page 40) Cath Lab Digest - March 2008 - Cellular Cardiomyoplasty and Cardiac Regeneration (Page 41) Cath Lab Digest - March 2008 - Intravascular Ultrasound in the Cath Lab: A Powerful — and Underutilized — Tool to Improve Patient Outcomes (Page 42) Cath Lab Digest - March 2008 - Intravascular Ultrasound in the Cath Lab: A Powerful — and Underutilized — Tool to Improve Patient Outcomes (Page 43) Cath Lab Digest - March 2008 - Intravascular Ultrasound in the Cath Lab: A Powerful — and Underutilized — Tool to Improve Patient Outcomes (Page 44) Cath Lab Digest - March 2008 - Intravascular Ultrasound in the Cath Lab: A Powerful — and Underutilized — Tool to Improve Patient Outcomes (Page 45) Cath Lab Digest - March 2008 - Intravascular Ultrasound in the Cath Lab: A Powerful — and Underutilized — Tool to Improve Patient Outcomes (Page 46) Cath Lab Digest - March 2008 - Intravascular Ultrasound in the Cath Lab: A Powerful — and Underutilized — Tool to Improve Patient Outcomes (Page 47) Cath Lab Digest - March 2008 - Intravascular Ultrasound in the Cath Lab: A Powerful — and Underutilized — Tool to Improve Patient Outcomes (Page 48) Cath Lab Digest - March 2008 - Intravascular Ultrasound in the Cath Lab: A Powerful — and Underutilized — Tool to Improve Patient Outcomes (Page BRC3) Cath Lab Digest - March 2008 - Intravascular Ultrasound in the Cath Lab: A Powerful — and Underutilized — Tool to Improve Patient Outcomes (Page BRC4) Cath Lab Digest - March 2008 - Cardiac Cath Lab Clutter — or, Spring into Action! (Page 49) Cath Lab Digest - March 2008 - Cardiac Cath Lab Clutter — or, Spring into Action! (Page 50) Cath Lab Digest - March 2008 - Cardiac Cath Lab Clutter — or, Spring into Action! (Page 51) Cath Lab Digest - March 2008 - Cardiac Cath Lab Clutter — or, Spring into Action! (Page 52) Cath Lab Digest - March 2008 - Cardiac Cath Lab Clutter — or, Spring into Action! (Page 53) Cath Lab Digest - March 2008 - Groin Bleeds and Other Hemorrhagic Complications of Cardiac Catheterization: A List of Relevant Issues (Page 54) Cath Lab Digest - March 2008 - Groin Bleeds and Other Hemorrhagic Complications of Cardiac Catheterization: A List of Relevant Issues (Page 55) Cath Lab Digest - March 2008 - Groin Bleeds and Other Hemorrhagic Complications of Cardiac Catheterization: A List of Relevant Issues (Page 56) Cath Lab Digest - March 2008 - Groin Bleeds and Other Hemorrhagic Complications of Cardiac Catheterization: A List of Relevant Issues (Page 57) Cath Lab Digest - March 2008 - Ask the Clinical Instructor: A Q&A Column for Those New to the Cath Lab (Page 58) Cath Lab Digest - March 2008 - Ask the Clinical Instructor: A Q&A Column for Those New to the Cath Lab (Page 59) Cath Lab Digest - March 2008 - What Do You Think? (Page 60) Cath Lab Digest - March 2008 - What Do You Think? (Page 61) Cath Lab Digest - March 2008 - Experience with a New Guidewire: The Terumo Runthrough NS (Page 62) Cath Lab Digest - March 2008 - Experience with a New Guidewire: The Terumo Runthrough NS (Page 63) Cath Lab Digest - March 2008 - The Ostial Pro™ Stent Positioning System: Perfecting Aorto-Ostial Stent Placement (Page 64) Cath Lab Digest - March 2008 - The Ostial Pro™ Stent Positioning System: Perfecting Aorto-Ostial Stent Placement (Page 65) Cath Lab Digest - March 2008 - The Ostial Pro™ Stent Positioning System: Perfecting Aorto-Ostial Stent Placement (Page 66) Cath Lab Digest - March 2008 - The Ostial Pro™ Stent Positioning System: Perfecting Aorto-Ostial Stent Placement (Page 67) Cath Lab Digest - March 2008 - Precious Minutes (Page 68) Cath Lab Digest - March 2008 - Precious Minutes (Page 69) Cath Lab Digest - March 2008 - Precious Minutes (Page 70) Cath Lab Digest - March 2008 - Precious Minutes (Page 71) Cath Lab Digest - March 2008 - Precious Minutes (Page 72) Cath Lab Digest - March 2008 - The Ten-Minute Interview with…Mark Bowles, BSN, CCRN (Page 73) Cath Lab Digest - March 2008 - Vascular Care in the Cath Lab: Planning a Smooth Transition (Page 74) Cath Lab Digest - March 2008 - Cath Laughs (Page 75) Cath Lab Digest - March 2008 - CMS 2008 OPPS Final Rule Review (Page 76) Cath Lab Digest - March 2008 - CMS 2008 OPPS Final Rule Review (Page 77) Cath Lab Digest - March 2008 - CMS 2008 OPPS Final Rule Review (Page 78) Cath Lab Digest - March 2008 - CMS 2008 OPPS Final Rule Review (Page 79) Cath Lab Digest - March 2008 - An Extensive Set of Review Courses for the CCI Basic Science, Non-Invasive Echocardiography and Vascular, and ARDMS Ultrasound Exams (Page 80) Cath Lab Digest - March 2008 - An Extensive Set of Review Courses for the CCI Basic Science, Non-Invasive Echocardiography and Vascular, and ARDMS Ultrasound Exams (Page 81) Cath Lab Digest - March 2008 - An Extensive Set of Review Courses for the CCI Basic Science, Non-Invasive Echocardiography and Vascular, and ARDMS Ultrasound Exams (Page 82) Cath Lab Digest - March 2008 - CEU Education Center (Page 83) Cath Lab Digest - March 2008 - Clinical & Industry News (Page 84) Cath Lab Digest - March 2008 - Clinical & Industry News (Page 85) Cath Lab Digest - March 2008 - Clinical & Industry News (Page 86) Cath Lab Digest - March 2008 - STEMI Interventions (Page 87) Cath Lab Digest - March 2008 - STEMI Interventions (Page 88) Cath Lab Digest - March 2008 - STEMI Interventions (Page 89) Cath Lab Digest - March 2008 - Classifieds (Page 90) Cath Lab Digest - March 2008 - Classifieds (Page 91) Cath Lab Digest - March 2008 - Classifieds (Page 92) Cath Lab Digest - March 2008 - Classifieds (Page 93) Cath Lab Digest - March 2008 - Advertisers Index (Page 94) Cath Lab Digest - March 2008 - Advertisers Index (Page 95) Cath Lab Digest - March 2008 - Advertisers Index (Page 96) Cath Lab Digest - March 2008 - Advertisers Index (Page BRC5)
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