Cath Lab Digest - April 2008 - (Page 41)

41 Neil Holtz, EMT-P. Scott Malinowski, RPA, RT(VI) and Dr. David Smirnow. Denver, Colorado. His presentation was titled: “CTA of the Heart.” It was a well-rounded presentation, noting the difference between CTA and calcium scores, patient radiation levels, post processing and billing. He noted that the RPA can have a tremendous impact in the pre and post procedure arena. The significance alone for post processing the images “can reduce the physician post processing time from 1 hour to 10 minutes for interpretations.” The next speaker was Dr. Michael Shiloh, Infectious Disease Specialist working at the University of California at San Francisco. His presentation was titled: “Central Line Infections.” The room was packed for this subject and Dr. Shiloh held a captive audience. His presentation introduced the terms biofilm bacteria and exopolysaccharide production. The last speaker of the day was Dr. Lori Barr, Medical Director at the Dell Imaging Center, Children’s Hospital of Austin, Austin, Texas. She was also an Oral Board Examiner for Radiologists in Pediatric Radiology for the American Board of Radiology and is a return lecturer to the NSRPA conference. Her compelling, yet haunting presentation was titled: “Pediatric Non-accidental Trauma… Pearls and Pitfalls.” She touched on the hallmarks of abuse and the medical imaging specialists’ role in reporting such cases. Remember, “bones don’t frown — think of metaphyseal corner fracture.” The second day of the conference began with returning keynote speaker, Dr. James LePage. Dr. LePage has been an early supporter of the Radiology Practitioner Assistant. He is a Fellow in the SIR as well as the American Heart Association and is currently a Professor Emeritus at the University of Tennessee. His presentation was titled: “Spectrum of Bowel Disease.” It was a great review and he could not emphasize enough that a good history is vital in discovering a diagnosis. The following speaker was Dr. Robert Torrance Andrews, an Associate Professor of Diagnostic Radiology at the University of Washington as well as the Director at the Center for Endovascular Therapy in Seattle, Washington. Dr. Andrews presented a very interesting lecture titled “EVLT — Endovascular Thermal Ablation (EVTA) for saphenous vein reflux.” His presentation was very detailed and his caveat is “this is a process, not just a procedure.” Dr. Aaron Shiloh, from Frankford Hospital in Philadelphia, Pennsylvania, spoke with conviction on the topic of Radiofrequency Ablation of Lung Cancer (“Lung RFA”). His message is that “Interventionalists need to be in the forefront of this exciting new treatment for medically inoperable lung cancer.” Dr. Peter McGowan, from the Wilson N. Jones Hospital in Sherman, Texas spoke about “Medical Liability and Ethical Aspects of Radiology Practice.” He reminded everyone that “Radiology survives from defensive medicine.” “Elements of Success [Gastric surgery]” presented by Dr. Matthew Davidson, specializing in bariatric surgery in Harrisburg, Pennsylvania, gave a surgeon’s perspective to gastric imaging. Along the same topic of obesity, Dr. Raul Uppot, from Massachusetts General Hospital, expanded on the worldwide epidemic of obesity and gave great alternatives to imaging modality limitations. His presentation titled “Obesity: Impact on Imaging & Image-Guided Intervention,” gave helpful hints with techniques and measuring devices, i.e., the “hoola-hoop.” Rounding up the day, returning speaker and RPA advocate since the profession’s beginnings, Dr. Seyhan Senler gave a presentation aptly named “Extreme IR II”. Dr. Senler is currently a Partner and Director of Interventional Radiology Services for Radiology Associates, Inc. in Jeffersonville, Indiana. The case studies were extreme and fascinating. Dr. Senler emphasizes that you “must ALWAYS look at the risk/benefit ratio” and ask “is there anything we can do for this patient,” then look at the ratio again. On the last day of conference, Bruce R. Parker, MD, FACR, presented “Pediatrics Imaging: Children are not just Small Adults.” Dr. Parker is Chief (Emeritus) at Texas Children’s Hospital, Professor of Radiology and Pediatrics, Baylor College of Medicine and Professor (Emeritus) of Radiology and Pediatrics, Stanford University. His message was that as a RPA, understanding which imaging modality would best benefit the symptomatic child. “Think with your foot off the pedal” was one of his pearls. An interesting mention was of Dr. Alice M. Stewart: a British physicist who noted, in 1956, that there was an increase rate of leukemia for radiationexposed fetuses. Dr. Parker notes that “her (Stewart’s) fetuses are our today’s premature infants.” He referred his listeners to the Society for Pediatric Radiology (www.pedrad.org) for further information on pediatric http://www.drapecaddy.com http://www.drapecaddy.com http://www.pedrad.org

Table of Contents Feed for the Digital Edition of Cath Lab Digest - April 2008

Cath Lab Digest - April 2008 Kaiser San Rafael Medical Center Orbital Atherectomy: A New Treatment for Complex Peripheral Arterial Disease Ask the Clinical Instructor: A Q&A Column for Those New to the Cath Lab Contents Clinical Editor’s Corner CEU Education Center The Missing Link in STEMI Interventions — Thrombus Aspiration during Primary Percutaneous Coronary Intervention Predicting Stent Thrombosis Using A Clinical Risk Score Use of a New Guidewire: The Tigerwire Should I Stay or Should I Go? Weighing Options for New Opportunities Navigating Tortuous Coronary Sinus Anatomy Using a Bipolar Lead The National Society of Radiology Practitioner Assistants (NSRPA) Holds 9th Annual Educational Conference For Medical Imaging Physician Extenders and Mid-Level Healthcare Providers Cath Lab & Beyond: A Meeting Update The Ten-Minute Interview with… Dale Hansen RT, CVT Sometimes, You Just Know Twin Circumflex Arteries: A Rare Coronary Artery Anomaly What Do You Think? Meetings Calendar News from the American College of Cardiology (ACC) Scientific Session and the Society of Cardiovascular Angiography & Interventions (SCAI) Annual Scientific Sessions in Partnership with the ACC i2 Summit Clinical & Industry News Cath Laughs Classifieds Advertisers Index

Cath Lab Digest - April 2008

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