pulseTV

VIDEO: Ultrasound With Contrast Revascularized 50 Percent of Patients Prior to PCI in Study

Cath Lab | June 26, 2019

Thomas Porter, M.D., FASE, the Theordore F. Hubbard Distinguished Chair of Cardiology and a professor of medicine at the University of Nebraska Medical Center, explains a new study on how cardiac ultrasound imaging combined with bubble contrast was able to break down blood clots and restore blood flow to blocked vessels in STEMI heart attack patients. He gave an update on this new potential therapeutic direction for ultrasound at the 2019 American Society Of Echocardiography (ASE) meeting.

The Brazilian study used this approach in about 100 ST-elevated myocardial infarction (STEMI) patients and was recently published in the Journal of the American College of Cardiology (JACC). Porter said about 50 percent of patients had their ST resolved by the time they made it to the cath lab for percutaneous coronary intervention (PCI). Two more studies in Amsterdam and Pittsburgh are now starting to see if this technique can be used while transporting patients in an ambulance to further improve heart attack outcomes and to reduce infarct size.

Porter also explains recent research that shows ultrasound pulses promote ATP and nitric acid production, which have a lasting beneficial effect on small vessel perfusion in the area treated and down stream for hours after the use of the transducer. 

Watch the VIDEO: Therapeutic Applications for Contrast Ultrasound — another  interview with Porter. 

 

 

Cath Lab

Intravascular Imaging | September 26, 2018

Ron Waksman, M.D., associate director of the division of cardiology and director of cardiovascular research and advanced education, Medstar Heart Institute, explains details of the late-breaking LRP (Lipid Rich Plaque) Trial at the 2018 Transcatheter Cardiovascular Therapeutics (TCT) conference. The trial used near infrared spectroscopy (NIRS) combined with intravascular ultrasound (IVUS) to identify vulnerable plaques and track them over time to determine the accuracy of the risk assessment. He said this may be a paradigm shift for interventional cardiology, being able to identify high-risk lesions before they cause a heart attack.

Read the article on the LRP Study reults.

Learn more about the LRP study in another VIDEO with Waksman at ACC 2018.

Find more news and video from TCT.

 

 

#TCT2018

 

 

 

 

 

Hemodynamic Support Devices | September 22, 2018

There was a 77 percent increase in survival in cardiogenic shock patients treated using a new protocol in the National Cardiogenic Shock Initiative. The data was presented at the 2018 Transcatheter Cardiovascular Therapeutics (TCT) meeting. The details are discussed here with Babar Basir, D.O., and William O'Neill, M.D., from Henry Ford Hospital

Watch the related VIDEO: Overview of the National Cardiogenic Shock Initiative

Watch the related VIDEO: Support Protocols at Henry Ford Hospital

Additional articles and videos on Henry Ford Hospital 

Cath Lab | September 19, 2018

William O’Neill, M.D., outlines his recent clinical publication of AMICS patients from the Impella Quality (IQ) database. Learn more at ProtectedPCI.com.

Chronic Total Occlusion (CTO) | September 17, 2018

A discussion with Khaldoon Alaswad, M.D., director, cardiac catheterization lab, Henry Ford Hospital, on treating chronic total occlusions (CTOs) and other complex PCI cases. Watch the VIDEO: Treating Chronic Total Occlusions with Bill Lombardi, M.D., director of complex coronary artery interventions at the University of Washington. Read the article "How to Tackle Coronary CTOs."

Additional articles and videos on Henry Ford Hospital 

 

 

Cath Lab | September 14, 2018

A discussion with Nicolas Bevins, Ph.D., vice chair, physics and research, and Jessica Harrington, RCIS. They explain the use of shields, technique and use of newer angiography technologies to reduce X-ray radiation dose in the cardiac cath labs at Henry Ford Hospital, Detroit.

Watch the VIDEO: Technologies and Techniques to Reduce Radiation Dose in the Cardiac Cath Lab — Interview with Akshay Khandelwal, M.D., director of medical operations at the Henry Ford Heart and Vascular Institute

Additional articles and videos on Henry Ford Hospital 

 

For more on how to reduce dose in the cath lan, read these related articles:

Cardiology Societies Call for Better Radiation Dose Tracking

Defining the Cath Lab Workplace Radiation Safety Hazard

Dose-Lowering Practices for Cath Lab Angiography

5 Technologies to Reduce Cath Lab Radiation Exposure

VIDEO: Heart Surgeon Shares Effects of Fluoroscopic Radiation Exposure

Helping Interventional Cardiologists Reduce Exposure to Ionizing Radiation

14 Ways to Reduce Radiation Exposure in the Cath Lab

 

Structural Heart | September 14, 2018

A discussion with William O’Neill, M.D., director of the Henry Ford structural heart program, Ruth Fisher, MBA, vice president of the program, and Janet Wyman, NP, program manager. Henry Ford Hospital has built a large, high-volume structural heart program that includes use of cutting edge new technologies and devices. 

Watch the related VIDEO: How to Get Referral Patients Into a Structural Heart Program — Henry Ford Hospital shares insights from its program.
 

Additional articles and videos on Henry Ford Hospital 
 

Hemodynamic Support Devices | September 12, 2018

A discussion with William O'Neill, M.D., director of the structural heart program, Henry Ford Hospital, and Michele Voeltz, M.D., fellowship program director, interventional cardiology, explaining their process for selecting various levels of hemodynamic support.

Henry Ford Hospital also helped spearhead the Detroit Cardiogenic Shock Initiative that morphed into the National Cardiogenic Shock Initiative using these same protocols. Watch an interview with O'Neill explaining the national initiative.

Additional articles and videos on Henry Ford Hospital 

 

 

 

Stents | September 11, 2018

This is an animation showing how the dedicated bifurcation stent developed by Advanced Bifurcation Systems (ABS) is deployed in coronary vessels. The vendor made its debute on the expo floor of the 2018 Transcatheter Cardiovascular Therapeutics (TCT) annual meeting. The ABS system is in the process of obtaining regulatory approval and no products are currently for sale.

Hemodynamic Support Devices | August 31, 2018

Behnam Tehrani, M.D., FSCAI, director of the cardiac cath lab, INOVA Heart and Vascular Institute, Fairfax, Va., discusses a complex, high-risk percutaneous coronary intervention (PCI) case where hemodynamic support from an Abiomed Impella device is used to support the patient. 

Visit ProtectedPCI.com for more video cases. The website also has additional information on protocols for protected PCI and cardiogenic shock hemodynamic support.

Watch a VIDEO demonstration of how the Impella percutaneous hemodynamic support pump works.

 

 

 

Cath Lab | August 13, 2018

Jeffrey Schussler, M.D., FACC, FSCAI, FSCCT, FACP, interventional cardiologist at Baylor Scott White Heart and Vascular Hospital, Dallas, explains some of the key innovations his institution is using to improve cardiovascular care. These include the use of robotic percutaneous coronary intervention (PCI), FFR-CT imaging and transcatheter valve technologies.

Take a 360 photo look inside a Baylor combo cardiac cath/EP lab. 

Watch the VIDEO: Dedicated Cardiac MRI Use at the Baylor Scott White Heart Hospital — an interview with Haojie Wang, M.D., director of advanced cardiovascular MRI and a member of the heart valve clinic at Baylor Scott White Heart Hospital, Dallas.

 

 

Stents Bioresorbable | August 06, 2018

Patrick Serruys, M.D., Ph.D., Imperial College London, explains where development of bioresorbable scaffolds stands in 2018. He spoke to DAIC at the Society of Cardiovascular Computed Tomography (SCCT) 2018 meeting. 

Watch the related VIDEO What Went Wrong With the Absorb Stent?

Read the related article Current State of Bioresorbable Stent Technology

Read the related article Amaranth Unveils 85-micron Bioresorbable Stent

 

CT Angiography (CTA) | July 19, 2018

Kavitha Chinnaiyan, M.D., FACC, FSCCT, associate professor, Oakland University, William Beaumont School of Medicine, Royal Oak, Mich. She presented at the Society of Cardiovascular Computed Tomography (SCCT) 2018 meeting. 

 

Related FFR-CT Content:

Clinical Applications of FFR-CT

VIDEO: Implementation and the Science Behind FFR-CT — interview with James Min, M.D.

VIDEO: Early U.S. Experience With FFR-CT in Evaluating ED Chest Pain Presentation — interview with Simon Dixon, M.D.

VIDEO: Status of FFR-CT Adoption in the United States — interview with Campbell Rogers, M.D.

 

Heart Valve Technology | July 18, 2018

Jonathon Leipsic, M.D., FSCCT, professor of radiology and cardiology at the University of British Columbia, Vancouver, Canada, and an expert in transcatheter valve imaging. He spoke about his experiences with TAVR and TMVR trials and devices planning at the the Society of Cardiovascular Computed Tomography (SCCT) 2018 meeting.

Read the related article "The Essentials of Structural Heart Imaging."

Watch the VIDEO "What to Look for in CT Structural Heart Planning Software."
 

 

 

Computed Tomography (CT) | July 17, 2018

An interview with Patrick Serruys, M.D., Ph.D., Imperial College London, principal investigator of the SYNTAX III Trial presented earlier this year as a late-breaker at EuroPCR. He presented the trial again at the Society of Cardiovascular Computed Tomography (SCCT) 2018 meeting. 

Read the article "SYNTAX III Revolution Trial Shows CT-FFR Could Replace Cine-angiography in Coming Years."

Heart Valve Technology | July 10, 2018

Ori Ben-Yehuda, M.D., executive director of the Cardiovascular Research Foundation Clinical Trial Center, discusses the latest data from clinical trials focusing on transcatheter tricuspid valve repair (TTVR) technologies, at the 2018 Transcatheter Valve Therapies (TVT) annual meeting in Chicago.

 

Related Transcatheter Tricuspid Valve Content

Minneapolis Heart Institute Foundation Enrolls First Patient in TRILUMINATE Tricuspid Repair Trial

Positive, Sustained Improvement at One Year in SCOUT I Transcatheter Tricuspid Repair Trial

Gate Bioprosthesis Used in Canada's First Transcatheter Valve Replacement for Tricuspid Regurgitation

VIDEO: Tricuspid Valve Imaging and Interventions Developing Hand-in-hand 

VIDEO: Mitral and Tricuspid Valve Repair Technologies

 

 

Cardiovascular Ultrasound | July 10, 2018

DAIC Editor Dave Fornell highlights some of the most innovative new technology on the show floor of the American Society of Echocardiography (ASE) 2018 meeting. The segments include virtual reality workstations, advanced 3-D cardiac ultrasound quantification and visualization, improved echo-fluoro image fusion technology, and imaging aided by artificial intelligence.

 

 

 

Heart Valve Technology | July 05, 2018

Rebecca Hahn, M.D., professor of medicine and director of interventional echocardiography, Columbia University Medical Center, New York, explains that techniques for imaging the tricuspid valve, the  advanced study of its disease etiology and the rapid development of transcatheter devices to treat tricuspid valve disease are all developing together. She spoke on these topics during sessions at both the American Society of Echocardiography (ASE) 2018 meeting and at the Transcatheter Valve Therapies (TVT) conference in June. 

Related Transcatheter Tricuspid Valve Content:
Recent Advances in Transcatheter Valve Technology

VIDEO: Mitral and Tricuspid Valve Repair Technologies — interview with Azeem Latib, M.D.

VIDEO: Transcatheter Tricuspid Valve Repair and Replacement Technologies — interview with Rebecca Hahn, M.D.

Minneapolis Heart Institute Foundation Enrolls First Patient in TRILUMINATE Tricuspid Repair Trial

Positive, Sustained Improvement at One Year in SCOUT I Transcatheter Tricuspid Repair Trial

Gate Bioprosthesis Used in Canada's First Transcatheter Valve Replacement for Tricuspid Regurgitation

Cardiovascular Ultrasound | June 28, 2018

This is a demonstration of the the Philips TrueVue photo-realistic rendering and lighting source technology. This example highlights a transcatheter ASD closure with two Amplatzer occluders. The technology allows users to changing the lighting conditions to improve contrast. The light source can also be moved around to change the shadows and add more depth perception. The light source also can be pushed through the tissue to back light the anatomical structures, as shown in this example at the American Society of Echocardiography (ASE) 2018 meeting. The backlighting confirms a gap at the top of the image where part of the septal defect remains exposed. 

Find more videos and news from ASE 

Cath Lab | May 07, 2018

Imran Ahmad, M.D., medical director of interventional cardiology, explains some of the new technologies his labs have integrated. He also explains how incorporation of his suburban hospital with Northwestern’s Bluhm Cardiovascular Institute has enabled a new TAVR program.

Read the related article on this hospital, "Hospital Consolidation May Increase Access to TAVR, New Cardiac Technologies."

View a 360 photo in his cath lab.

 

Heart Valve Technology | April 18, 2018

Northwestern Medicine has purchased several smaller Chicago suburban hospitals in the past few years to expand its healthcare system. This has enabled these smaller community hospitals to offer new, cutting-edge cardiovascular medical technologies much sooner than might have otherwise been possible due to its association with Northwestern Medicine's luminary Bluhm Cardiovascular Institute in Chicago. Central DuPage Hospital is one of the newer hospitals in the network and now offers transcatheter aortic valve replacements (TAVR), transcatheter leadless pacemakers, minimally invasive left atrial appendage (LAA) occlusions and the latest surgical valve replacement technologies. 

Read the article "Hospital Consolidation May Increase Access to TAVR, New Cardiac Technologies."

Cath Lab | March 27, 2018

Roxana Mehran, M.D., FACC, FACP, FCCP, FESC, FAHA, FSCAI, professor of medicine and director of interventional cardiovascular research and clinical trials at the Zena and Michael A. Wiener Cardiovascular Institute at Mount Sinai School of Medicine. She spoke on how to avoid acute kidney injury (AKI) and contrast-induced nephropathy (CIN) at the American College of Cardiology (ACC) 2018 meeting.  Watch the VIDEO "How to Avoid Acute Kidney Injury in the Cath Lab," an interview with Hitinder Gurm, M.D.
 

 

 

Intravascular Imaging | March 27, 2018

A discussion with Ron Waksman, M.D., associate director of the division of cardiology and director of cardiovascular research and advanced education at MedStar Heart Institute, and professor of medicine (cardiology) at Georgetown University. He explained the ongoing clinical trials using near infrared spectroscopy to detect lipid rich plaque in the coronary arteries. He spoke to DAIC at the 2018 American College of Cardiology (ACC) meeting.

Find out the late-breaking results of the LRP Study in a VIDEO with Waksman at TCT 2018. 

 

Cardiac Diagnostics | March 26, 2018

James Januzzi, M.D., Roman W. DeSanctis Endowed Distinguished Clinical Scholar in Medicine, and director of the Dennis and Marilyn Barry Fellowship in cardiology research at Massachusetts General Hospital, discusses the use of highly sensitive troponin testing for chest pain in the emergency department (ED). Read the related articles New Heart Attack Evaluation Cuts Unnecessary Tests, Time in ER and Highly-sensitive Troponin Test Can Detect Myocardial Injury After Non-Cardiac Surgery.

 

ACC | March 21, 2018

DAIC Editor Dave Fornell takes a tour of some of the most interesting new technologies on the expo floor at the 2018 meeting of the American College of Cardiology (ACC). Find links to other videos and the ACC 2018 Late-Breaking Trials.
 

 

Heart Valve Technology | March 15, 2018

Insights from the STS/ACC TVT Transcatheter Valve Registry, presented at the American College of Cardiology (ACC) 2018 meeting by Sammy Elmariah, M.D., MPH, interventional structural heart disease, Massachusetts General Hospital. See the following related content for other insights into transcatheter aortic valve replacement technology:

VIDEO: Clinical Outcomes With the Lotus TAVR Valve

CoreValve TAVR System Shows Strong Long-Term Performance in Clinical Trials

VIDEO: TAVR For Asymptomatic Severe Aortic Stenosis

VIDEO: Conscious Sedation for TAVR Procedures

VIDEO: Transcaval Access in TAVR Procedures

• VIDEO: TAVR for Degenerated Surgical Valves — Valve-in-Valve TAVR Procedures

Cath Lab | March 15, 2018

A discussion with Hitinder Gurm, M.D., MBBS, FACC, professor, internal medicine, and associate chief clinical officer, University of Michigan Health System, at the 2018 American College of Cardiology (ACC) meeting.  For more information, read the article "Understanding Contrast-Induced Nephropathy."

Watch the VIDEO "Strategies to Avoid Acute Kidney Injury Caused by Cath Lab Contrast," an interview with Roxana Mehran, M.D.

 

FFR Technologies | March 15, 2018

An economic analysis of the DEFINE-FLAIR study comparing FFR vs. iFR, found a cost savings of nearly $900. The late-breaking session was presented at the 2018 American College of Cardiology (ACC) meeting by Manesh Patel, M.D., investigator and member of the study steering committee, and chief, division of cardiology, Duke University. Read more about the economic study. Watch a VIDEO on the 2017 results of the DEFINE-FLAIR and SWED-HEART iFR vs. FFR trials

Sudden Cardiac Arrest | March 14, 2018

The Zoll LifeVest is a temporary, wearable defibrillator designed as a safety net for patients, especially those being evaluated for a permanent implantable cardioverter defibrillator (ICD). The Vest Prevention of Early Sudden Death Trial (VEST), presented at ACC 2018, was the first randomized, controlled, multi-center trial of the wearable cardioverter defibrillator. It looked to see if this device could effectively reduce sudden death in patients who had recently suffered a heart attack and had reduced heart function. Read more about the VEST Trial. 

Heart Valve Technology | March 02, 2018

Sammy Elmariah, M.D., MPH, interventional structural heart disease, Massachusetts General Hospital, discusses the progression of using transcatheter heart valves to replace surgical valves at ACC.17. See the following related content for other insights into transcatheter aortic valve replacement technology:

 VIDEO: Clinical Outcomes With the Lotus TAVR Valve

• CoreValve TAVR System Shows Strong Long-Term Performance in Clinical Trials

• VIDEO: TAVR For Asymptomatic Severe Aortic Stenosis

• VIDEO: Conscious Sedation for TAVR Procedures

• VIDEO: Transcaval Access in TAVR Procedures

 

February 22, 2018

This video details the first use of a new protocol at The Ohio State University’s Wexner Medical Center to start sudden cardiac arrest patients on extracorporeal membrane oxygenation (ECMO) en route to the hospital, where they are sent straight to the cath lab. According to the hospital, the protocol has improved cardiac arrest survival rates from 0 to nearly 40 percent. Video courtesy of The Ohio State University Wexner Medical Center.

Read the article “New Protocol Gives Patients Fighting Chance to Survive Cardiac Arrest”

Radial Access | February 16, 2018

The father of transradial artery access, Ferdinand Kiemeneij, M.D., Ph.D., interventional cardiologist, The Netherlands, explains how and why he first implemented the use of radial access and explains how the technique expanded beyond his cath lab to spread around the world. Read the article "Transradial Access Celebrates 25 Years". Watch the VIDEO "New Frontiers in Radial Access." Keep up to date on radial access news with DAIC's radial access channel. 

Cath Lab | January 04, 2018

Bernadette Speiser, BSN, MSN, CCRN, RCIS, a cardiac cath/EP nurse at Palo Alto Veterans Hospital, Palo Alto, Calif., and former cardiology department manager at the cardiac cath lab at the Jesse Brown VA Medical Center in Chicago, offers insights from her SCAI Boot Camp presentation at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) conference. She discusses implementing new techniques and technologies, drawing from her experience implementing radial access programs. Here are links to a couple articles she wrote on the topic “Tips When Prepping for Radial Procedures” and “How to Contend With Transradial Artery Perforation.”

Heart Valve Technology | January 04, 2018

Adam Greenbaum, M.D., co-director, Center for Structural Heart Disease, Henry Ford Hospital, Detroit, explains how his center is already performing off-label transcatheter mitral valve implantations in patients who otherwise have no more options. He also discusses some of the new transcatheter mitral valve technologies in development. Watch the VIDEO “Mitral and Tricuspid Valve Repair Technologies.”  Watch a VIDEO of Greenbaum explaining his use of venous-to-aortic transcaval access in TAVR.

Additional articles and videos on Henry Ford Hospital 

Angiography | November 22, 2017

Shimadzu demonstrated its Trinias Interventional X-ray System at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) conference. The system offers several features to enable improved patient access and procedural guidance at a lower radiation dose than previous generation angiography systems. For more information visit www.shimadzu.com/med/products/angio.

Radial Access | November 22, 2017

Mladen I. Vidovich, M.D., FACC, FSCAI, chief, section of cardiology, Jesse Brown VA Medical Center, Chicago, and associate professor of medicine at the University of Illinois at Chicago, discusses some of the current techniques and issues involved with radial artery access. DAIC spoke to him at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) conference. Read articles he authored, including “Radiation Exposure Related to Transradial Access” and “Vascular Closure Devices Aid Closure of Large Access Sites.”

 

Medical 3-D Printing | November 17, 2017

Dee Dee Wang, M.D., director, structural heart imaging at Henry Ford Hospital, Detroit, explains how her center uses 3-D printing and computer aided design (CAD) software to improve patient outcomes. She spoke to DAIC at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) annual meeting. Read the articles “The Use of 3-D Printing in Cardiology” and “Henry Ford Hospital Study Shows 3-D Imaging Improves Fixing Broken Hearts.”  

Additional articles and videos on Henry Ford Hospital 

Stents Bifurcation | November 15, 2017

Philippe Genereux, M.D., co-director of the structural heart program at the Gagnon Cardiovascular Institute at Morristown Medical Center, part of Atlantic Health System, explains his experience with the Tryton Side Branch stent in both clinical practice and as an investigator in the Tryton Pivotal IDE Trial. Read the article “Data Published for Pivotal Trial for Tryton Side Branch Stent,” and about the regulatory clearance “FDA Clears First Dedicated Coronary Bifurcation Stent.”

TCT | November 15, 2017

DAIC Editor Dave Fornell shows some of the innovations displayed on the expo floor at the 2017 Transcatheter Cardiovascular Therapeutics (TCT). Hear what Cardiovascular Research Foundation (CRF) President and CEO Juan Granada, M.D., feels are the hottest technologies to watch. 

FFR Technologies | November 15, 2017

A discussion with William Fearon, M.D. director of interventional cardiology, Stanford University Medical Center, about the FAST-FFR Trial he is heading. It is comparing wire-based fractional flow reserve (FFR) to angiography image-derived FFR. The technology may open the door to wider use of FFR by eliminating costs, disruption and extra time in the cath lab workflow, the use of pressure wires and eliminate the need for adenosine. 

 

Related FFR-Angio Content:

FAST-FFR Trial of FFR-angio Technology Meets Primary Endpoint, Exceeded Performance Goals at TCT 2018

CathWorks Receives CPT Code for Non-invasive FFRangio Measurements During PCI

Overlay Init