Cath Lab Digest - November 2007 - (Page 1)

HMP Communications Cath Lab Nurse/Tech Vascular Access and Closure Using the StarClose® Device Page 19 Clinical Editor’s Corner: Morton Kern, MD Paradigm Shifting and Measuring FFR Page 4 November 2007, vol.15, no.11 A Product, News and Clinical Update for the Cardiac Catheterization Laboratory Specialist Cath Lab Spotlight Cutting-Edge Cases Treating Patients with Complex Vascular Disease with a Multi-Disciplinary Approach 1 1 Aravinda Nanjundappa, MD, 2Robert S. Dieter, MD, 1C. Steven Powell, MD East Carolina University, Greenville, North Carolina; 2 Loyola University, Chicago, Illinois Standing left to right: Edgardo Arcenal RN, Nick Bulka CVT, Daniel Payne, Tenia Hewitt RN, Hrishikesh Iyengar MD, Bobak Rabbani MD, Stephen Barr CVT, Gail Avery RN, Markesha Modock CVT, Daniel Cutcher RN, Cath Lab Manager, Shannon Sampson RN, Ellen Smith RN BSN, Ben Dopplet RN BSN, Marlene Esposo RN, Mayra Guerrero MD. Sitting, left to right: Wyckitta Calhoun CVT, Tamekka Swift CVT, Christy Biller RN BSN, Carolyn Barnard RN BSN, Leslie Breithaup RN, Angela Spencer RN BSN, Kelly Campeau, Kimberly Ouellette RN, Robert Morin RN, Kathleen Arnold RN BSN RCIS. V Henry Ford Heart and Vascular Institute Kathleen Arnold, RN, BSN, RCIS Detroit, Michigan ascular disease involves atherosclerotic and nonatherosclerotic stenosis of the arterial and venous system. The majority of percutaneous interventional and surgical procedures are performed in the arterial vasculature. Dr. Charles Dotter performed the first-ever percutaneous transluminal angioplasty in 1964.1 Since the first “transluminal angioplasty,” the numbers of interventional procedures performed have exploded worldwide. Initial percutaneous vascular interventions (PVI) were confined to the domains of radiology.2 Yet the last decade has undergone a paradigm shift in the type of specialty and operators who perform PVI.3 In 2005, the majority of PVI work was performed by cardiologists,4 followed by radiologists and vascular surgeons. As a cardiologist tiptoes into the vascular territory, turf wars are common. A “win-win” situation is achieved when the players in the vascular field work together in a multi-disciplinary approach to complex vascular cases. We describe a complex case of critical limb ischemia, approached as a team. Successful results were obtained. H enry Ford Health System, founded by auto pioneer Henry Ford in 1915, is one of the nation’s leading non-profit health care providers. Henry Ford is Michigan’s sixth largest employer with more than 14,900 full-time equivalent employees. Ranked one of “America’s Best Hospitals” by U.S. News & World Report, today 800 Henry Ford physicians in more than 40 specialties staff the Henry Ford Hospital and work throughout southeast Michigan, delivering high quality care to more than 2.5 million patients. Nearly 70,000 patients are admitted to Henry Ford Health System each year. continued on page 12 continued on page 9 Use of a Mobile Lab to ‘Test the Waters’ at a Rural Hospital Cath Lab Digest talks with John Walker, CEO Western Plains Medical Complex, Dodge City, Kansas Drug-Eluting Stent Solutions Page 26 Improving Patient Compliance with Antiplatelet Medications In this month’s Drug-Eluting Stent Solutions column, Larry S. Dean, MD, talks about the importance of antiplatelet medications and the recent introduction of the Stentplus™ Patient Success Program. See the full article on page 9 http://cathlabdigest.com

Table of Contents Feed for the Digital Edition of Cath Lab Digest - November 2007

Henry Ford Heart and Vascular Institute Treating Patients with Complex Vascular Disease with a Multi-Disciplinary Approach Improving Patient Compliance with Antiplatelet Medications Clinical Editor’s Corner Cath Lab Nurse/Tech Vascular Access and Closure Using the StarClose® Device The Clinical and Economic Impact of Measuring Fractional Flow Reserve FFR and Choosing an Optimal Revascularization Strategy Finally! The New Registered Cardiac Electrophysiology Specialist (RCES) Credential Use of a Mobile Lab to ‘Test the Waters’ at a Rural Hospital Remembering a Cardiac Cath Lab History ACVP• Membership Page What Do You Think? The Ten-Minute Interview with… Ernie Livingston, RN, BSN SICP* Chapter Updates Who’s in Charge? Working to Eliminate Bottlenecks: Florida Hospital’s Cardiac Cath Lab Achieves Greater Efficiency and Higher Satisfaction Preserving Left Ventricular Function during Percutaneous Coronary Intervention Ask the Clinical Instructor: A Q&A Column for Those New to the Cath Lab Making the Most of Your First Impression: Interviewing Tips and Techniques CEU Education Center Clinical & Industry News Meetings Calendar

Cath Lab Digest - November 2007

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