Feature | July 17, 2012| Dave Fornell

Something Old is New Again in Cardiac Technology

Some ideas are ahead of their time, but become novel ideas for tomorrow

An image of an early 1980s hybrid OR installation at St. Joseph's Hospital in Atlanta, which never took off because it was an idea before its time.

Each year, I find it interesting that some “new” technology being introduced by a vendor is actually an old, recycled idea.  

A Siemens information technology executive showed me a video from the late 1970s of him as a young man demonstrating a futuristic computer system. It stored radiology images and reports electronically to eliminate the need for paper medical records. It was an idea 20 years ahead of its time, when the concept of a picture archiving and communications system (PACS) was very foreign. 

A reader recently commented on my online report from Heart Rhythm Society 2012. While working for Medtronic in the late 1990s, he came up with the idea of inexpensive, disposable, stick-on Holter monitors to make them easier to use.  The product concept was rejected at the time. He found it interesting I called two such monitors now on the market “most innovative new technology” 10 years later.

Arnoldo Fiedotin, M.D., who retired from practice 18 years ago, wrote me after reading DAIC’s coverage of the current trend toward hybrid operating rooms (ORs). He was a pioneer in interventional techniques and served 24 years as director of cardiac services at Atlanta’s St. Joseph’s Hospital. 

“Being retired, I generally do not keep up with advances. Reading your issue on hybrid ORs, however, prompted me to write you about my own experience. Back in the early 1980s at St. Joseph’s Hospital, and with the collaboration of Philips, I designed and they built a custom-made biplane cath lab that could double as an OR.  The table, of my own design, was not only detachable, but could rise and lower, tilt left and right, and do Trendelenburg and reverse Trendelenburg. A significant advantage was that once the patient had been centered on the beam of both imaging systems, one could go from right to left obliques by simply pressing a different foot pedal. It could also do cranio-caudal views. Due to the expense of the system and a very limited commercial market, the design was not advertised. I built it for the future, which I saw combining cardiology and surgery, but I was ahead of the times and no surgical interventions were performed.

“One thing we did was to have the detached table taken to the helipad, so the patients could be moved from the helicopter stretcher directly onto the cath table. I hasten to add that the treatment modalities at that time did not include angioplasty. When angioplasty became available, that table was, again, a factor in getting occasional emergencies to the lab much faster.”

He included a marketing photo of the system (above). Although showing technology from 30 years ago, the photo looks amazingly similar to the marketing photos of modern hybrid OR installations that vendors send me. 

Related Content

First Patient Treated in U.S. Feasibility Study of LimFlow Critical Limb Ischemia Device
News | Peripheral Arterial Disease (PAD)| July 17, 2017
LimFlow SA announced enrollment of the first patient in the U.S. feasibility study of the LimFlow Percutaneous Deep...
FDA Approves Six-Month Primary Endpoint for Tack Endovascular System in Below the Knee Disease
News | Stents Peripheral| July 14, 2017
Intact Vascular Inc. announced the U.S. Food and Drug Administration (FDA) approved an Investigational Device Exemption...
Edwards Sapien 3 TAVR valve will be implanted in asymptomatic aortic stenosis patients in the EARLY TAVR Trial
Feature | Heart Valve Technology| July 14, 2017
July 14, 2017 — Morristown Medical Center, part of Atlantic Health System, has randomized the first patient in the wo
long-duration dual anti-platelet therapy (L-DAPT) compared to short-duration dual antiplatelet (S-DAPT) after DES stent implantation
News | Antiplatelet and Anticoagulation Therapies| July 12, 2017
June 12, 2017 — Researchers have evaluated the long-term efficacy and safety of long-duration dual anti-platelet ther
Medtronic's CoreValve Evolut R gained FDA approval for intermediate risk patients

An illustration of the self-expanding CoreValve Evolut R TAVR valve half deployed in the aortic root.

Feature | Heart Valve Technology| July 10, 2017
The U.S. Food and Drug Administration (FDA) has cleared an additional indication to expand the use Medtronic's self-...
Patient Race, Gender Both Important in Predicting Heart Attack Symptoms in the ER
News | Cath Lab| July 07, 2017
Researchers at the George Washington University (GW) found that certain symptoms are more and less predictive of...
ACCESS PTS Study Demonstrates Efficacy of EKOS Therapy for Post-Thrombotic Syndrome
News | Deep Vein Thrombosis| July 07, 2017
BTG plc recently highlighted the results of the ACCESS PTS trial, presented at the Society for Vascular Medicine 28th...
Heartflow FFR-CT can noninvasively assess the hemodynamic impact of coronary lesions to avoid the need for an invasive angiogram.

HeartFlow FFR-CT can noninvasively assess the hemodynamic impact of coronary lesions to avoid the need for an invasive angiogram.

Technology | CT Angiography (CTA)| July 06, 2017
July 6, 2017 — GE Healthcare and HeartFlow Inc.
Pre-PCI Impella 2.5 Insertion Improves Survival in Left Main Coronary Artery Heart Attacks
News | Ventricular Assist Devices (VAD)| June 30, 2017
Abiomed Inc. announced the recent publication of a peer-reviewed retrospective study on hemodynamic support with the...
Overlay Init