Cath Lab Digest - October 2007 - (Page 2) CONSULTING EDITORS MORTON KERN, MD Clinical Editor, Cath Lab Digest Clinical Professor of Medicine Associate Chief Cardiology University of California Irvine • Orange, CA SUE APPLE, DNSC, RN Georgetown University School of Nursing & Health Studies • Washington, D.C. A Product, News and Clinical Update for the Cardiac Catheterization Laboratory Specialist October 2007 vol.15 no.10 ROBERT J. BASILE, SR., RT(R) Hackettstown Regional Medical Center Hackettstown, NJ 1 Saints Medical Center Contributions to this article were made by the entire staff in the cardiac cath lab and management team in Lowell, Massachusetts. 37 ACVP MANAGEMENT CORNER CMS Issues Final FY 2008 IPPS Rule • DOUGLAS S. BEINBORN, MA, RN Mayo Clinic • Rochester, MN HEIDI N. BONNEAU, RN, MS Highlands Consulting, Inc. • San Jose, CA 1 Fibromuscular Dysplasia in Children and Adolescents Kevin E. C. Meyers, MD1,2 and Neha Sharma BA IV1,2; The Children’s Hospital of Philadelphia1 and the University of Pennsylvania2, Philadelphia, Pennsylvania GEORGANN BRUSKI, RT(R), CRT, ARRT Beth Israel Deaconess Medical Center • Boston, MA Carol Male, Northeastern US Regional Cardiac Rhythm Disease Management, Healthcare Economics Manager, Medtronic, Inc.; Teresa Stamper-Strelitz, Southeastern US Regional Cardiac Rhythm Disease Management, Healthcare Economics Manager, Medtronic, Inc., Minneapolis, Minnesota JACK P. CHEN, MD, FACC, FSCAI Northside Cardiology P.C. • Atlanta, GA 1 PATTI COBLENTZ, RN, BSN Provena Covenant Medical Center Urbana, IL Cerebral Vascular Accident Following a Pulmonary Embolism: Search for the Hidden Patent Foramen Ovale Alex Harrison MD1, Ghalib Wahidi MD2, Morton Kern MD1; 1. Division of Cardiology, Dept. of Medicine, University of California, Irvine, California; 2. Dept. of Medicine, University of California, Irvine, California. 39 Experience with a New Workhorse Guidewire Cath Lab Digest talks to both a physician and a technologist about their experience with the Runthrough NS (Terumo Interventional Systems, Somerset, New Jersey). Featuring Joseph De Gregorio, MD, Chief of Interventional Cardiology and Interventional Research and Charlie Baker, Jr., RT, Hackensack University Medical Center, Hackensack, New Jersey ANDREA E. DA VIS, BA, RCIS, FSICP George Washington University Hospital Washington, D.C. 27 MICHELE DOUGHTY VOELTZ, MD Emory University School of Medicine Atlanta, Georgia KENNETH A. GORSKI RN, RCIS, FSICP Sones Cardiac Catheterization Labs Cleveland Clinic Foundation • Cleveland, OH 21 Radiation Tracking in the Cardiac Catheterization Lab Donna DuRee, RN, BN, CCVNII and Derrick Johnson RN, BS, RCIS, CMRT, St. Luke’s Episcopal Hospital, Houston, Texas 41 Ask the Clinical Instructor: Q&A for those new to the cath lab Questions are answered by: Todd Ginapp, EMT-P, RCIS, FSICP TODD GINAPP, EMT-P, RCIS, FSICP Memorial Hermann Southeast Houston, Texas 24 Carotid Stenting: An update Cath Lab Digest talks with Rajesh M. Dave, MD, FACC, FSCAI, Chairman, Endovascular Medicine, Pinnacle Health Heart and Vascular Institute Harrisburg Hospital, Harrisburg, Pennsylvania about his thoughts on the latest developments in carotid stenting. STEVE GRESSMIRE, RT(R)(CV) ARRT, AAMA Mississippi “There seems to be some confusion about how respirations affect intracardiac pressures and how to properly read them.” 43 A Glimpse of the Future of Clinical Education: Boston Scientific’s SimSuite Bus Visits Carnegie Institute Alan Bennett, RCIS, Program Director Invasive Cardiovascular Technology, Carnegie Institute, Troy, Michigan Photos by Michael Hacala, Clinical Coordinator, Carnegie Institute. DENNIS W. HOLLOWA MBA, CVT Y, Sarasota Memorial Hospital • Sarasota, FL 32 MARSHA HOLTON, RN, BS, CCRN, RCIS Cardiovascular Orientation Programs Indian Head, MD 27 Release from Stent-jail: Beneficial snow-plowing? Jack P. Chen, MD, FACC, FSCAI, FCCP Chairman, Department of Cardiology, Northside Hospital Atlanta, Georgia GERALD LAGASSE, RCIS Borgess Medical Center • Kalamazoo, MI MICHAEL LIM, MD St. Louis Health Sciences Center St. Louis, MO 27 DRUG-ELUTING STENT SOLUTIONS Patient Management Guidelines Bonnie Weiner, MD, MSEC, MBA, Saint Vincent Hospital and Fallon Clinic, Worcester, Massachusetts; President, Society for Cardiovascular Angiography and Interventions (SCAI) 46 2007 Educational Fair Held at the Washington Hospital Center Manuel J. Angelo, Jr., BA, RCIS, Senior Cardiovascular Technologist, Cardiac Catheterization Laboratory, Washington Hospital Center, Washington, D.C. TOM MALONEY, MS, RCIS Memorial Regional Medical Center Richmond, VA JASON MONEY, RN, RCIS Elkins, AR BHAWNA OBEROI, BSRS-CBRPA, RT(R)(M) Sherman Radiology Associates Sherman, TX 30 YOUR PATH TO SUCCESS: CAREER ADVICE Searching for a Cardiovascular Position? Tips for Creating a ‘StandOut’ Resume Jessica Bricker, Search Coordinator, Corazon, Inc., Pittsburgh, Pennsylvania 49 Research Update: Original Contribution Abstracts from The Journal of Invasive Cardiology Selected abstracts from March 2007 through August 2007 41 DEPARTMENTS Clinical Editor’s Corner Meetings Calendar CEU Education Center Letter to the Editor ACVP• Membership Page 52 What Do You Think? 56 Clinical & Industry News 4 13 13 23 38 TIM ROHRSCHNEIDER, BMSC, RT(R) Emory University Hospital, Children's Healthcare of Atlanta • Atlanta, Georgia ROBERT ROTH, RN, RCIS St. Louis University Medical Center St. Louis, MO ANNIE RUPPERT, RN, BSN Sharp Memorial Hospital • San Diego, CA 32 Long-Term Implications of ShortTerm Closure Decisions – The Evolution to Vascular Access Management and the Boomerang Catalyst System Bernadette Longo, PhD, Associate Professor, Department of Writing Studies and Director of Graduate Studies, doctoral program in Rhetoric and Scientific and Technical Communication, University of Minnesota, Twin Cities, Minnesota 54 A Virtual Cath Lab Viewer (VCL): The Development of an Online 3D C-arm Simulator and Coronary Anatomy Viewer Shawn Larson DCR(R), MSc, Vycaria, Great Edstone, United Kingdom HABIB SAMADY, MD, FACC, FSCAI Emory University Hospital • Atlanta, Georgia 61 Cost-Effectiveness of the Radial versus Femoral Artery Approach to Diagnostic Cardiac Catheterization DICK STUEVE, RT(R) Kansas City, KS JACKSON L. THATCHER, MD, FACC The Park Nicollet Heart Center at Methodist Hospital, St. Louis Park, MN 36 The Ten-Minute Interview with… Angie Bowles, RN, CCRN President, Emerald Coast Chapter of the Society of Invasive Cardiovascular Professionals; Sacred Heart Hospital Pensacola, Florida SANDY WATSON, RN, BN, NFESC Switzerland Oleg Roussanov, MD, S. Jeanne Wilson, RN, Katherine Henley, FNP, Greta Estacio, FNP, Judith Hill, FNP, Brenda Dogan, RN, William F. Henley, PhD, •Alliance of Cardiovascular Professionals Nabil Jarmukli, MD, Cardiology Copyright© 2007 by HMP COMMUNICATIONS, Section, Salem VA Medical Center, All rights reserved. Opinions expressed by Salem, Virginia authors are their own and not necessarily those of their institution or HMP COMMUNICATIONS, the editorial staff, or any member of the editorial advisory board. CHUCK WILLIAMS, BS, RPA, FSICP Atlanta, GA
Table of Contents Feed for the Digital Edition of Cath Lab Digest - October 2007 Saints Medical Center Fibromuscular Dysplasia in Children and Adolescents Cerebral Vascular Accident Following a Pulmonary Embolism: Search for the Hidden Patent Foramen Ovale Contents Clinical Editor’s Corner Meetings Calendar CEU Education Center Radiation Tracking in the Cardiac Catheterization Lab Letter to the Editor Carotid Stenting: An update Release from Stent-jail: Beneficial Snow-Plowing? Patient Management Guidelines Searching for a Cardiovascular Position? Tips for Creating a ‘Stand-Out’ Resume Long-Term Implications of Short-Term Closure Decisions – The Evolution to Vascular Access Management and the Boomerang Catalyst System The Ten-Minute Interview with… Angie Bowles, RN, CCRN CMS Issues Final FY 2008 IPPS Rule ACVP• Membership Page Experience with a New Workhorse Guidewire Ask the Clinical Instructor: Q&A for Those New to Cath Lab A Glimpse of the Future of Clinical Education: Boston Scientific’s SimSuite Bus Visits Carnegie Institute 2007 Educational Fair Held at the Washington Hospital Center Research Update: Original Contribution Abstracts from The Journal of Invasive Cardiology What Do You Think? A Virtual Cath Lab Viewer (VCL): The Development of an Online 3D C-arm Simulator and Coronary Anatomy Viewer Clinical & Industry News Cost-Effectiveness of the Radial versus Femoral Artery Approach to Diagnostic Cardiac Catheterization Cath Lab Digest - October 2007 Cath Lab Digest - October 2007 - Cerebral Vascular Accident Following a Pulmonary Embolism: Search for the Hidden Patent Foramen Ovale (Page 1) Cath Lab Digest - October 2007 - Contents (Page 2) Cath Lab Digest - October 2007 - Contents (Page 3) Cath Lab Digest - October 2007 - Clinical Editor’s Corner (Page 4) Cath Lab Digest - October 2007 - Clinical Editor’s Corner (Page 5) Cath Lab Digest - October 2007 - Clinical Editor’s Corner (Page 6) Cath Lab Digest - October 2007 - Clinical Editor’s Corner (Page 7) Cath Lab Digest - October 2007 - Clinical Editor’s Corner (Page 8) Cath Lab Digest - October 2007 - Clinical Editor’s Corner (Page BRC1) Cath Lab Digest - October 2007 - Clinical Editor’s Corner (Page BRC2) Cath Lab Digest - October 2007 - Clinical Editor’s Corner (Page 9) Cath Lab Digest - October 2007 - Clinical Editor’s Corner (Page 10) Cath Lab Digest - October 2007 - Clinical Editor’s Corner (Page 11) Cath Lab Digest - October 2007 - Clinical Editor’s Corner (Page 12) Cath Lab Digest - October 2007 - CEU Education Center (Page 13) Cath Lab Digest - October 2007 - CEU Education Center (Page 14) Cath Lab Digest - October 2007 - CEU Education Center (Page 15) Cath Lab Digest - October 2007 - CEU Education Center (Page 16) Cath Lab Digest - October 2007 - CEU Education Center (Page 17) Cath Lab Digest - October 2007 - CEU Education Center (Page 18) Cath Lab Digest - October 2007 - CEU Education Center (Page 19) Cath Lab Digest - October 2007 - CEU Education Center (Page 20) Cath Lab Digest - October 2007 - Radiation Tracking in the Cardiac Catheterization Lab (Page 21) Cath Lab Digest - October 2007 - Radiation Tracking in the Cardiac Catheterization Lab (Page 22) Cath Lab Digest - October 2007 - Letter to the Editor (Page 23) Cath Lab Digest - October 2007 - Carotid Stenting: An update (Page 24) Cath Lab Digest - October 2007 - Carotid Stenting: An update (Page 25) Cath Lab Digest - October 2007 - Carotid Stenting: An update (Page 26) Cath Lab Digest - October 2007 - Patient Management Guidelines (Page 27) Cath Lab Digest - October 2007 - Patient Management Guidelines (Page 28) Cath Lab Digest - October 2007 - Patient Management Guidelines (Page 29) Cath Lab Digest - October 2007 - Searching for a Cardiovascular Position? Tips for Creating a ‘Stand-Out’ Resume (Page 30) Cath Lab Digest - October 2007 - Searching for a Cardiovascular Position? Tips for Creating a ‘Stand-Out’ Resume (Page 31) Cath Lab Digest - October 2007 - Long-Term Implications of Short-Term Closure Decisions – The Evolution to Vascular Access Management and the Boomerang Catalyst System (Page 32) Cath Lab Digest - October 2007 - Long-Term Implications of Short-Term Closure Decisions – The Evolution to Vascular Access Management and the Boomerang Catalyst System (Page BRC3) Cath Lab Digest - October 2007 - Long-Term Implications of Short-Term Closure Decisions – The Evolution to Vascular Access Management and the Boomerang Catalyst System (Page BRC4) Cath Lab Digest - October 2007 - Long-Term Implications of Short-Term Closure Decisions – The Evolution to Vascular Access Management and the Boomerang Catalyst System (Page 33) Cath Lab Digest - October 2007 - Long-Term Implications of Short-Term Closure Decisions – The Evolution to Vascular Access Management and the Boomerang Catalyst System (Page 34) Cath Lab Digest - October 2007 - Long-Term Implications of Short-Term Closure Decisions – The Evolution to Vascular Access Management and the Boomerang Catalyst System (Page 35) Cath Lab Digest - October 2007 - The Ten-Minute Interview with… Angie Bowles, RN, CCRN (Page 36) Cath Lab Digest - October 2007 - CMS Issues Final FY 2008 IPPS Rule (Page 37) Cath Lab Digest - October 2007 - ACVP• Membership Page (Page 38) Cath Lab Digest - October 2007 - Experience with a New Workhorse Guidewire (Page 39) Cath Lab Digest - October 2007 - Experience with a New Workhorse Guidewire (Page 40) Cath Lab Digest - October 2007 - Ask the Clinical Instructor: Q&A for Those New to Cath Lab (Page 41) Cath Lab Digest - October 2007 - Ask the Clinical Instructor: Q&A for Those New to Cath Lab (Page 42) Cath Lab Digest - October 2007 - A Glimpse of the Future of Clinical Education: Boston Scientific’s SimSuite Bus Visits Carnegie Institute (Page 43) Cath Lab Digest - October 2007 - A Glimpse of the Future of Clinical Education: Boston Scientific’s SimSuite Bus Visits Carnegie Institute (Page 44) Cath Lab Digest - October 2007 - A Glimpse of the Future of Clinical Education: Boston Scientific’s SimSuite Bus Visits Carnegie Institute (Page 45) Cath Lab Digest - October 2007 - 2007 Educational Fair Held at the Washington Hospital Center (Page 46) Cath Lab Digest - October 2007 - 2007 Educational Fair Held at the Washington Hospital Center (Page 47) Cath Lab Digest - October 2007 - 2007 Educational Fair Held at the Washington Hospital Center (Page 48) Cath Lab Digest - October 2007 - Research Update: Original Contribution Abstracts from The Journal of Invasive Cardiology (Page 49) Cath Lab Digest - October 2007 - Research Update: Original Contribution Abstracts from The Journal of Invasive Cardiology (Page 50) Cath Lab Digest - October 2007 - Research Update: Original Contribution Abstracts from The Journal of Invasive Cardiology (Page 51) Cath Lab Digest - October 2007 - What Do You Think? (Page 52) Cath Lab Digest - October 2007 - What Do You Think? (Page 53) Cath Lab Digest - October 2007 - A Virtual Cath Lab Viewer (VCL): The Development of an Online 3D C-arm Simulator and Coronary Anatomy Viewer (Page 54) Cath Lab Digest - October 2007 - A Virtual Cath Lab Viewer (VCL): The Development of an Online 3D C-arm Simulator and Coronary Anatomy Viewer (Page 55) Cath Lab Digest - October 2007 - Clinical & Industry News (Page 56) Cath Lab Digest - October 2007 - Clinical & Industry News (Page 57) Cath Lab Digest - October 2007 - Clinical & Industry News (Page 58) Cath Lab Digest - October 2007 - Clinical & Industry News (Page 59) Cath Lab Digest - October 2007 - Clinical & Industry News (Page 60) Cath Lab Digest - October 2007 - Cost-Effectiveness of the Radial versus Femoral Artery Approach to Diagnostic Cardiac Catheterization (Page 61) Cath Lab Digest - October 2007 - Cost-Effectiveness of the Radial versus Femoral Artery Approach to Diagnostic Cardiac Catheterization (Page 62) Cath Lab Digest - October 2007 - Cost-Effectiveness of the Radial versus Femoral Artery Approach to Diagnostic Cardiac Catheterization (Page 63) Cath Lab Digest - October 2007 - Cost-Effectiveness of the Radial versus Femoral Artery Approach to Diagnostic Cardiac Catheterization (Page 64) Cath Lab Digest - October 2007 - Cost-Effectiveness of the Radial versus Femoral Artery Approach to Diagnostic Cardiac Catheterization (Page BRC5)
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