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Cath Lab

Tariq Ali Ahmad, IanC Gilchrist
Cataract formation in the posterior subcapsular region of the lens is a lesion highly specific to both high-dose acute radiation exposure and chronic low-dose exposure. Low-dose radiation may not manifest lens changes for several decades after initial exposure. Cardiac catheterization team members need to be educated on, and protected from, this form of radiation injury as its long latency period between exposure and physical damage may acutely reduce the sense of hazard amongst healthcare radiation workers...
March 1, 2018: Catheterization and Cardiovascular Interventions
Charles E Chambers, Hemantha K Koduri
Real time radiation dose monitoring in the cath lab may provide immediate feedback for potential dose reduction during PCI. Radiation dose monitoring to predict potential tissue injury utilizes equipment measured air Kerma at the interventional reference point (IRP) with then calculated specific tissue peak skin dose. The role of the cath lab Quality Committee is not only to assess individual high dose radiation cases but also to create processes and assess new technologies to assure radiation dose is best utilized in all cases...
March 1, 2018: Catheterization and Cardiovascular Interventions
Leonardo De Luca, Mauro Pennacchi, Giuseppe Musumeci, Fabrizio D'Ascenzo, Pamela Gallo, Stefano Rigattieri, Antonino Granatelli, Sergio Berti, Michele Massimo Gulizia, Stefano De Servi, Leonardo Bolognese
BACKGROUND: Few data exist on temporal evolution of antithrombotic agent use in patients with acute coronary syndromes (ACS) undergoing percutaneous coronary intervention (PCI) in Italy. We sought to compare data from the most recent prospective, multicenter, nationwide registries conducted in Italy, namely EYESHOT and SCOPE. METHODS: EYESHOT enrolled 2585 consecutive ACS patients, both ST-segment elevation myocardial infarction (STEMI) and non-ST elevation ACS (NSTE-ACS), admitted to 203 Italian coronary care units over a 3-week period (2-22 Dec 2013 and 27 Jan-16 Feb 2014)...
February 2018: Giornale Italiano di Cardiologia
Peter Radsel, Marko Noc
No abstract text is available yet for this article.
March 2, 2018: Resuscitation
Michel de Ceuninck, Philip Muyldermans, Stefaan van de Walle, Bernard Bergez, Rik Haspeslagh, Francis Stammen, Karl Dujardin
The radiation exposure in the cath lab of patients, cardiologists, and nurses was measured during three consecutive periods of 8 weeks. The first 8 weeks the baseline radiation exposure was obtained. In the second period standard incidences for coronarography and frame rate were changed, without compromising the image quality of the examination. In the third period, a pelvic shield covered the lower part of the patient. This pilot quality project demonstrates that further significant reduction in radiation exposure of 37% is possible for patients...
February 19, 2018: Acta Cardiologica
Benjamin R Ciske, Michael A Speidel, Amish N Raval
No abstract text is available yet for this article.
January 2018: Translational Pediatrics
Martin Frydland, Sisse Rye Ostrowski, Jacob Eifer Møller, Edina Hadziselimovic, Lene Holmvang, Hanne Berg Ravn, Lisette Okkels Jensen, Anna Sina Pettersson, Jesper Kjaergaard, Matias Greve Lindholm, Pär Ingemar Johansson, Christian Hassager
BACKGROUND: Mortality in ST-elevation myocardial infarction (STEMI)-patients developing cardiogenic shock (CS) during hospitalization is high. Catecholamines, ischemia, and inflammation (parameters present in CS) affect the endothelium. We hypothesized that plasma level of biomarkers reflecting endothelial damage would be associated with CS and mortality. METHODS: In 96% of 1467 consecutive patients with suspected STEMI, biomarkers reflecting endothelial cell- (soluble thrombomodulin, sTM) and glycocalyx- (syndecan-1) damage were measured on admission...
February 12, 2018: Shock
Stefano Benenati, Giovanni Luigi De Maria, Roberto Scarsini, Italo Porto, Adrian P Banning
International guidelines recommend that revascularization for coronary artery disease (CAD) should be guided by evidence of myocardial ischemia. Fractional flow reserve (FFR) and instantaneous free wave ratio (iFR) are the main invasive indices for assessing the ischemic potential of angiographically intermediate coronary stenosis as a large body of evidence supports their routine application. Both indices have been tested and validated in patients with isolated stable CAD, but notably their application outside this specific context is a matter of debate and investigation...
January 31, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
Andrew H McNeice, Matthew Brooks, Colm G Hanratty, Michael Stevenson, James C Spratt, Simon J Walsh
OBJECTIVES: A retrospective study was performed to investigate if the generation of X-ray system used was an independent factor for radiation dose in chronic total occlusion (CTO) percutaneous coronary intervention (PCI). BACKGROUND: PCI procedures for CTOs are known to be associated with higher doses of radiation. The authors suspected progressive reductions in radiation doses for CTO PCI as newer X-ray systems were introduced into clinical practice. METHODS: Procedures performed over a five-year period by three interventional cardiologists were retrospectively reviewed...
February 7, 2018: Catheterization and Cardiovascular Interventions
Richard R Heuser
Perforations can occur in both peripheral and coronary interventional procedures potentially resulting in severe morbidity A readily available therapeutic option to treat perforations should be present in every cath lab that does coronary and peripheral procedures The use of a coagulated thrombus injection can be an effective treatment option, but if a major vessel is affected that must remain patent, one viable option is to administer the patients' own clotted blood to recanalize the vessel without permanent sequelae...
February 1, 2018: Catheterization and Cardiovascular Interventions
Rohan Shah, Ajay J Kirtane, John W McEvoy
No abstract text is available yet for this article.
February 1, 2018: European Heart Journal
Grant W Reed, Scott Hantz, Rebecca Cunningham, Amar Krishnaswamy, Stephen G Ellis, Joe Rak, Samir R Kapadia
OBJECTIVES: This study sought to report outcomes from an efficiency improvement project in a large cardiac cath lab. BACKGROUND: Operational inefficiencies are common in the cath lab, yet solutions are challenging. A detailed report describing and providing solutions for these inefficiencies may be valuable in guiding improvements in productivity. METHODS: In this observational study, the authors report metrics of efficiency before and after a cath lab quality improvement program in June 2014...
January 25, 2018: JACC. Cardiovascular Interventions
Nicole Ehret, Muhannad Alkassar, Sven Dittrich, Robert Cesnjevar, André Rüffer, Michael Uder, Oliver Rompel, Matthias Hammon, Martin Glöckler
BACKGROUND: Optimal imaging is essential for catheter-based interventions in CHD. The three-dimensional models in volume-rendering technique currently in use are not standardised. This paper investigates the feasibility and impact of novel three-dimensional guidance with segmented and tessellated three-dimensional heart models in catheterisation of CHD. In addition, a nearly radiation-free two- to three-dimensional registration and a biplane overlay were used. Methods and results We analysed 60 consecutive cases in which segmented tessellated three-dimensional heart models were merged with live fluoroscopy images and aligned using the tracheal bifurcation as a fiducial mark...
January 18, 2018: Cardiology in the Young
Diana A Gorog, Tobias Geisler
No abstract text is available yet for this article.
January 17, 2018: Current Vascular Pharmacology
Manoj Parimi, John Buelter, Vignan Thangundla, Sri Condoor, Nadeem Parkar, Saar Danon, Wilson King
Rotational angiography (RA) has proven to be an excellent method for evaluating congenital disease (CHD) in the cardiac cath lab, permitting acquisition of 3D datasets with superior spatial resolution. This technique has not been routinely implemented for 3D printing in CHD. We describe our case series of models printed from RA and validate our technique. All patients with models printed from RA were selected. RA acquisitions from a Toshiba Infinix-I system were postprocessed and printed with a Stratasys Eden 260...
January 5, 2018: Pediatric Cardiology
Lloyd W Klein, Enrique Padilla Campos
No abstract text is available yet for this article.
December 15, 2017: Journal of Invasive Cardiology
(no author information available yet)
[This corrects the article DOI: 10.4103/0973-1482.192767.].
October 2017: Journal of Cancer Research and Therapeutics
Reza Fardid, Fatemeh Mirzadeh, Hadi Rezaei
In recent years, using the ionizing radiation in the interventional cardiology has been increased; this is because of the rapid growth of the number of interventional procedures and the high levels of radiation dose in these examinations. Therefore, it is necessary to develop procedures for managing the use of fluoroscopy radiation to ensure that patients and personnel are not exposed to excessive levels of radiation. It seems that by the new generation devices of fluoroscopy that are equipped with a real dosimeters or dose area product (DAP)-meter which are able to record the produced dose rate in the area of patient's body in each procedure, it is possible to calculate the cardiologist dose with simulation...
October 2017: Journal of Cancer Research and Therapeutics
Irene Raso, Ilaria Passarelli, Gioacchino Valenti, Gabriele Crimi, Stefano de Servi
: Since Heberden's first description, stable angina has represented a challenge for the clinicians. Even the most recent guidelines seem ineffective to correctly identify patients who should be sent to cath labs. Still too many patients who undergo coronary angiography are found not to have significant lesions; moreover, its extensive use as the first diagnostic test leads to revascularizations with uncertain appropriateness and prognostic significance. These considerations underline the importance of noninvasive testing before sending patients to invasive coronary angiography...
February 2018: Journal of Cardiovascular Medicine
George Latsios, George Mpompotis, Kostas Tsioufis, Kostas Toutouzas, Emmanouil Skalidis, Andreas Synetos, Dimosthenis Avramidis, Dimitris Tousoulis
BACKGROUND/AIMS: The incidence of cardiac (cardiopulmonary) arrest (CA) in the Catheterization Laboratory (Cath Lab) is not common. However, not only does it happen occasionally but also its frequency tends to increase with the increase in the overall number and complexity of interventions performed by interventional cardiologists. METHODS: Therefore, certified knowledge and application of the advanced life support (ALS) protocols by trained Cath Lab staff is imperative in many countries by local hospital standards and law...
December 5, 2017: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
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