Cath Lab Digest

Nov 7, 2022 | Cath Lab Digest
Having the Right Equipment for Solving Complex Radial to Peripheral Procedures

The R2P™ DESTINATION SLENDER™ Guiding Sheath is a dedicated radial sheath developed by Terumo. We present a series of challenging radial cases with the use of the R2P™ DESTINATION SLENDER™ Guiding Sheath.

Aug 15, 2022 | Cath Lab Digest
The Consensus for Intravascular Ultrasound Use in Peripheral Vascular Intervention

The global consensus document† is a novel approach to determining next steps on how to use intravascular imaging for peripheral revascularization. We have already seen the success of IVUS in the coronary space during percutaneous coronary intervention. We have a fair amount of observational cohort data examining the benefits of IVUS for lower extremity arterial […]

May 23, 2022 | Cath Lab Digest
Nurses’ Compliance and Confidence With a Hand-Off Process for Patients Post Femoral Arterial Access Before and After a Standardized Approach

Accurate communication during the nurse hand-off process in patients receiving femoral artery access for procedures is crucial to prevent negative outcomes. Following a sentinel event, a workgroup developed and tested a nurse handoff process with a standardized report form and two-party verification of the access site.

Mar 14, 2022 | Cath Lab Digest
Image-Guided Calcium Modification: IVL

Recently, we have evolved to rely heavily on an intravascular imaging-based approach to deal with calcified lesions; our center images over 85% of all percutaneous coronary intervention (PCI) cases. We typically apply an image-based strategy to determine the optimal stenting plan and routinely employ an algorithm called MLD MAX, (Morphology, Length, Diameter, Medial dissection, Apposition, […]

Jan 3, 2022 | Cath Lab Digest
We Need to Start an Educational Conversation: Frameworks for Orientation Success in the Cardiac Catheterization Lab (Part I)

There is a significant need for effective orientation frameworks for the cath lab professional. Within the field of educational theory, the emerging appreciation and recognition of adult learning theory, transition programs, and higher reliability principles of experiential learning all illustrate how this need is even more imperative.

Aug 30, 2021 | Cath Lab Digest
Radial Access Management of Tortuous Brachiocephalic Artery During STEMI Involving Anomalous Right Coronary Artery

Radial access has been shown to improve outcome by not only lowering the risk of bleeding during coronary intervention, but also by improving mortality in STEMI patients. Dealing with tortuous arteries requires a level of experience that can be obtained by using radial access in older female patients during elective cases and building a protocol […]

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