Cath Lab Digest - March 2008 - (Page 49)

MARCH 2008 CATH LAB MANAGEMENT 49 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 (DES), from characteristics to techniques, so that physicians have valuable and relevant information about this revolutionary technology. By Dr. Adhir R. Shroff and Peter T. Kondos, BS, RT Dr. Adhir R. Shroff is an Assistant Professor of Medicine at the University of Illinois – Chicago Medical School; Director of the Cardiovascular Catheterization Laboratory at the University of Illinois – Chicago Medical Center; and Attending Physician at Jesse Brown VA Medical Center. He received his cardiology training, including interventional cardiology, at Harvard Medical School’s Beth Israel-Deaconess Medical Center. He completed his Master’s degree in Public Health in 2004 at the Harvard School of Public Health. He joined the faculty in 2004. Dr. Shroff is board-certified in internal medicine, cardiovascular disease and interventional cardiology. His research interests are in quality of care initiatives in interventional cardiology. Mr. Peter T. Kondos is the administrative director of cardiovascular-pulmonary services at the University of Illinois Medical Center in Chicago. He has 30 years of experience in the catheterization laboratory. Kondos is particularly interested in issues related to new advances in cardiology, patient-staff safety, and staff education and retention. Cardiac Cath Lab Clutter — or, Spring into Action! Marshall W. Ritchey, MS, MBA, Presbyterian Hospital, U.P.M.C., Pittsburgh, Pennsylvania things are put away in the room and soon they expire from memory and sterilization. I am here to report that too many products are not used and thrown away because they are not used in a timely fashion. When there is more than one cath lab room, this problem is exponential, as each room has a different configuration and different storage areas. The end result is inefficiency, loss of inventory, frustration and loss of revenue. There is no easy answer to this problem. It has taken years for this system of acquiring supplies and stocking the cath lab to develop in full. It may take years to resolve the situation. There needs to be a change in thinking and planning for the cardiac cath lab of the 21st century. Many facilities now do peripherals, carotids, atrial septal defect (ASD), patent foramen ovale (PFO) and electrophysiology procedures, and we need to be able to quickly adapt to an ever-changing playing field. Adaptability and conversion should be efficiently done. I would suggest a laconic approach. The KISS (keep it simple, stupid) system is my recommendation. When designing your next cath lab, do not put any cabinets, closets, drawers, shelves, or nooks and crannies in the cath lab. Keep it barren and clean to the walls. Clear the decks for action. Y Q A The University of Illinois Medical Center and Jesse Brown VA Medical Center were the first hospitals in Chicago area to participate in the recently launched Stentplus™ Patient Success Program, a dual anti-platelet therapy compliance program for patients who have received a drug-eluting stent (DES). What interested you in the program, and why is your hospital participating? Shroff: I was excited to learn that Boston Scientific is working to address patient non-compliance with dual anti-platelet medications, in light of recent concerns about stent thrombosis. The Stentplus Program allows us to reinforce with patients the importance of taking their anti-platelet medications appropriately and continuously. The program was attractive to us because it is available to all DES patients – regardless of brand – and materials are provided free of charge by Boston Scientific. Kondos: This program is a benefit not only to patients — who may decrease their chances of hospitalization due to stent thrombosis– but also to myself as an administrator of cardiovascular services and to the medical center, as we may avoid incurring the cost of treating patients for an event that could have been avoided. The Stentplus Program allows us to address patient non-compliance at all levels — educational, social and financial. ou’ve heard about the spring cleaning. You have heard about organization. But have you heard about cleaning up your act? In the cardiac catheterization laboratory, a great deal of clutter seems to accumulate. Unnecessary items, duplicate, triplicate, or more, of supplies, instruments that can not be stored elsewhere or they will disappear, and what do we do with all this…other than try to work around it? In the cath lab, it seems every room has its cabinets, closets, drawers, shelves, and nooks and crannies. These hold essential items for easy access and then some not-so-essential items, but things it would be nice to have rather than go to the storage room. Then there are those secret hidden items for emergency loss of supplies! The unfortunate part is that at the end of the day, more and more A cath lab with supplies that could last a month. continued on next page

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

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