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The Value of the Cardiovascular Service Line

Business | June 23, 2017

Linda Gillam, M.D., MPH, FACC, FAHA, FASE, chair, cardiovascular medicine, Atlantic Health System, suggests how cardiology-related services can demonstrate their value to providers and patients at the 2017 American Society of Echocardiography (ASE) annual meeting.

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Business | June 23, 2017
The Value of the Cardiovascular Service Line

Linda Gillam, M.D., MPH, FACC, FAHA, FASE, chair, cardiovascular medicine, Atlantic Health System, suggests how cardiology-related services can demonstrate their value to providers and patients at the 2017 American Society of Echocardiography (ASE) annual meeting.

The Value of the Cardiovascular Service Line
/videos/latest-advances-shimadzus-angiography-imaging-systems
Angiography | June 22, 2017
Latest Advances With Shimadzu's Angiography Imaging Systems

Shimadzu Medical Systems hghlighted new features of its Trinias Interventional X-ray line at the America College of Cardiology (ACC) 2017. A key feature of Trinias, is the ability to image from fingertip to fingertip during a transradial approach, which makes for much shorter hospital stay with the patient up and moving almost immediately after the procedure. Features Like RSM-DSA, a type of motion correction subtraction, eliminates patient movement during acquisition while STENTVIEW, is an enhanced visualization during stent placement in real-time. Shimadzu also highlighted its partnership with Raysafe and its real-time staff radiation dose monitoring solution. For more information: http://shimadzu.com/med/products/angio/index.html

Latest Advances With Shimadzu's Angiography Imaging Systems
/videos/video-editors-choice-most-innovative-new-cardiac-ultrasound-technology-ase-2017
Cardiovascular Ultrasound | June 19, 2017
VIDEO: Editor's Choice of Most Innovative New Cardiac Ultrasound Technology at ASE 2017

DAIC Editor Dave Fornell takes a tour of some of the most innovative new cardiac ultrasound technologies at the American Society of Echocardiography (ASE) 2017 annual scientific sessions. Watch the related ASE VIDEO "Ultrasound Technology Trends and Technology to Watch."

VIDEO: Editor's Choice of Most Innovative New Cardiac Ultrasound Technology at ASE 2017
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Cardiovascular Ultrasound | June 15, 2017
VIDEO: Incorporation of 3-D Echo Into Peri-operative Practice

Madhav Swaminathan, M.D., FASC, FAHA, clinical director of cardiothoracic anesthesiology, at Duke University Medical Center, discusses use of cardiac ultrasound in cardiac surgery and interventional structural heart procedures at the 2017 American Society of Echocardiography (ASE) annual meeting. Watch the related VIDEO "What is Required for Interventional Echo - Discussion With Rebecca Hahn," or read the article “Requirements for Interventional Echocardiographers.” 

VIDEO: Incorporation of 3-D Echo Into Peri-operative Practice
/videos/video-ultrasounds-integration-artificial-intelligence-and-robotic-echo
Cardiovascular Ultrasound | June 15, 2017
VIDEO: Ultrasound's Integration of Artificial Intelligence and Robotic Echo

Partho Sengupta, M.D., professor of medicine, director of cardiovascular imaging and chair of cardiac innovations at the West Virginia University Heart and Vascular Institute, discusses futuristic technologies that are entering cardiac ultrasound at the 2017 American Society of Echocardiography (ASE) annual meeting. Watch the related ASE 2017 VIDEO "Ultrasound Technology Trends and Technology to Watch."

 

VIDEO: Ultrasound's Integration of Artificial Intelligence and Robotic Echo
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Heart Valve Technology | June 14, 2017
VIDEO: Transcatheter Tricuspid Valve Repair and Replacement Technologies

A discussion with Rebecca Hahn, M.D., FASE, director of interventional echocardiography and professor of medicine at Columbia University Medical Center / New York-Presbyterian Hospital, New York. She is the national principal investigator for the SCOUT I Trial for the Trialign Percutaneous Tricuspid Valve Annuloplasty System. For information on the development of transcatheter mitral valve  technologies read the article "Transcatheter Mitral Valve Replacement Devices in Development." Watch a video with Hahn explaining the requirements for creating an interventional echo program to support structural heart interventions.

VIDEO: Transcatheter Tricuspid Valve Repair and Replacement Technologies
/videos/video-ultrasound-technology-trends-and-technology-watch
Cardiovascular Ultrasound | June 07, 2017
VIDEO: Ultrasound Technology Trends and Technology to Watch

Chi-Ming Chow, M.D., MSc, FRCPC, FACC, FASE, attending staff cardiologist, St. Michael's Hospital, and associate professor, Department of Medicine, University of Toronto, discusses new technology trends in ultrasound and what developments will effect the future of cardiac ultrasound. Read the article "Automation Enhances, Streamlines Echocardiography." Chow also discusses advancements in strain imaging and how this diagnostic tool is becoming more important. Watch this VIDEO session on the basics of cardiac strain imaging from the American Society of Echocardiography (ASE) 2016.

VIDEO: Ultrasound Technology Trends and Technology to Watch
/videos/video-how-start-electrophysiology-program
Business | June 06, 2017
VIDEO: How to Start an Electrophysiology Program

Andrea Natale, M.D., FACC, FHRS, FESC, executive medical director, Texas Cardiac Arryhthmia Institute at St. David's Medical Center, discusses how to build an electrophysiology (EP) program at the 2017 Heart Rhythm Society annual meeting. Read the article "Growing a Cardiac Rhythm Program in a Community Setting."
 

 

VIDEO: How to Start an Electrophysiology Program
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Implantable Cardioverter Defibrillators (ICD) | June 01, 2017
VIDEO: Overview of Subcutaneous ICD Technology

Lucas Boersma, M.D., Ph.D., FESC, St. Antonius Ziekenhuis, Nieuwegein, The Netherlands, discusses how subcutaneous implantable cardioverter defibrillator (S-ICD) technology works, selecting patient appropriate patients and new S-ICD technologies in development at the 2017 Heart Rhythm Society annual meeting. Read the article "Subcutaneous ICD System Shows Positive Outcomes in Largest Real-world Study."
 

 

VIDEO: Overview of Subcutaneous ICD Technology
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EP Lab | May 26, 2017
VIDEO: Editor's Choice of Most Innovative New Technology at HRS 2017

DAIC Editor Dave Fornell takes a tour of some of the most innovative new electrophysiology (EP) technology at the 2017 Heart Rhythm Society (HRS) annual meeting. Learn more about the Heart Rhythm Society 2017 late-breaking electrophysiology trials.
 

VIDEO: Editor's Choice of Most Innovative New Technology at HRS 2017
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Cardiovascular Ultrasound | May 26, 2017
VIDEO: Inter-operative TEE for LVADs

This video, provided in partnership with the American Society of Echocardiography (ASE), is titled "Intraoperative Transesophegeal Echo (TEE) for Left Ventricular Assist Devices (LVAD)." It is presented by Kent Rehfeldt, M.D., FASE, associate professor of anesthesiology, Mayo Clinic, Rochester, Minn. This is one of the educational seminars presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.

VIDEO: Inter-operative TEE for LVADs
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Cardiovascular Ultrasound | May 26, 2017
VIDEO: Echocardiography Strain Fundamentals Made Easy

This video, provided in partnership with the American Society of Echocardiography (ASE), is titled "Strain Fundamentals Made Easy - Strain in Routine clinical Practice: Knobology and Beyond." It is presented by Teerapat Yingchocharoen, M.D., FASE, from Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. He is also a co-director of the Echo ASE ASEAN conference. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.

VIDEO: Echocardiography Strain Fundamentals Made Easy
/videos/video-ep-lead-extraction-strategies
Leads Implantable Devices | May 25, 2017
VIDEO: EP Lead Extraction Strategies

Bruce Wilkoff, M.D., director of cardiac pacing and tachyarrhythmia devices at Cleveland Clinic, discusses advancements in lead management technology at the 2017 Heart Rhythm Society (HRS) annual meeting. Read the article “ Study Shows Occlusion Balloon Saves Lives During Lead Extraction.”  Read the articles “Advances in Transvenous Lead Extraction,” and  “Strategies, New Technologies Aid Lead Management.”

 

VIDEO: EP Lead Extraction Strategies
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Pacemakers | May 23, 2017
VIDEO: Current State of Leadless Pacemaker Technology

Vivek Reddy, M.D., director of cardiac arrhythmia services and professor of medicine, cardiology, Mount Sinai Hospital, N.Y., discusses advancements in leadless pacemaker technology at the 2017 Heart Rhythm Society (HRS) annual meeting. Read the articles “Leadless Endocardial CRT Pacing Effective for Heart Failure Patients,” and “New Data Showcases Long-term Benefits of Nanostim Leadless Pacemaker.”

 

VIDEO: Current State of Leadless Pacemaker Technology
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Cardiac Resynchronization Therapy Devices (CRT) | May 23, 2017
VIDEO: How to Implant a Leadless CRT LV Pacing System

This video, provided by ERB, demonstrates the function and implantation of the WiSE CRT (Wireless Stimulation Endocardially for cardiac resynchronization therapy) leadless CRT pacing system for heart failure patients. Read the article “Leadless Endocardial CRT Pacing Effective for Heart Failure Patients.” 

VIDEO: How to Implant a Leadless CRT LV Pacing System
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Atrial Fibrillation | May 17, 2017
VIDEO: Current State of Atrial Fibrillation Ablation Technologies

Hugh Calkins, M.D., FACC, FAHA, FHRS, director of cardiac arrhythmia services and professor of medicine at Johns Hopkins Hospital, discusses advancements in AF ablation at the 2017 Heart Rhythm Society (HRS) annual meeting. Read about the new AF expert consensus statement released at HRS 2017.

VIDEO: Current State of Atrial Fibrillation Ablation Technologies
/videos/video-demonstration-how-bridge-occlusion-balloon-seals-svc-tears
EP Lab | May 17, 2017
VIDEO: Demonstration of How the Bridge Occlusion Balloon Seals SVC Tears

This video, provided by Spectranetics, demonstrates how to deploy the Bridge Occlusion Balloon used to seal accidental tears in the superior vena cava (SVC) during EP device lead extraction procedures. A review of post-market release data shown it can bridge the patient to open surgical repair and significantly reduce the usual 50 percent mortality associated with this complication. Read the article about the late-breaking clinical trial presentation from Heart Rhythm 2017.

VIDEO: Demonstration of How the Bridge Occlusion Balloon Seals SVC Tears
/videos/video-how-implant-micra-leadless-pacemaker
Pacemakers | May 16, 2017
VIDEO: How to Implant the Micra Leadless Pacemaker

This video, provided by Medtronic, demonstrates the implantation of Micra transcatheter pacing system (TPS). The device is a leadless pacemaker for single chamber pacing and eliminated the need for a surgical pocket or transvenous leads. The design concept is to simplify pacemaker implantation and eliminate the need for leads, which open the patient up to additional device and infection complications. Read the article “Safety, Performance of the World's Smallest Pacemaker Reinforced in Real-world Patients.”
 

VIDEO: How to Implant the Micra Leadless Pacemaker
/videos/video-macras-impact-cardiology
Business | May 03, 2017
VIDEO: MACRA's Impact on Cardiology

Kim A. Williams, Sr., M.D., chief of cardiology at Rush University Medical Center, Chicago and former president of both the American College of Cardiology (ACC) and the American Society of Nuclear Cardiology (ASNC), explains the impact of healthcare reform on cardiology and specifically on nuclear perfusion imaging. Read the article "HHS Finalizes Cardiology Bundled Payment Model to Lower Healthcare Costs."

 

 

VIDEO: MACRA's Impact on Cardiology
/videos/video-shimadzus-trinias-interventional-x-ray-system
Angiography | May 03, 2017
VIDEO: Shimadzu's Trinias Interventional X-ray System

Tom Kloetzly, sales and marketing VP for Shimadzu Medical Systems USA, explains the evolution of Shimadzu Corporation since its founding 142 years ago. Kloetzly focuses on the Trinias Interventional X-ray line shown at RSNA 2016. Kloetzly states “A key feature of Trinias, is the ability to image from fingertip to fingertip during a transradial approach which makes for much shorter hospital stay with the patient up and moving almost immediately after the procedure. Features Like RSM-DSA, a type of motion correction subtraction, eliminates patient movement during acquisition while STENTVIEW, is an enhanced visualization during stent placement in real-time."

VIDEO: Shimadzu's Trinias Interventional X-ray System
/videos/video-resolute-onyx-drug-eluting-stent-procedural-animation
Stents Drug Eluting | May 01, 2017
VIDEO: Resolute Onyx Drug-Eluting Stent Procedural Animation

This video, provided by Medtronic, demonstrates the Resolute Onyx coronary stent. It was cleared by the FDA and launched into the U.S. market May 1, 2017. The stent is designed for greater deliverability and conformability to the vessel wall. It uses a radiopaque inner core wire to enhance visibility for accurate placement. Read the article "FDA Approves Medtronic’s Resolute Onyx Drug-eluting Stent."
 

 

VIDEO: Resolute Onyx Drug-Eluting Stent Procedural Animation
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Nuclear Imaging | April 28, 2017
VIDEO: Trends in Nuclear Cardiology Imaging

David Wolinsky, M.D., director of nuclear cardiology at Cleveland Clinic Florida and past-president of the American Society of Nuclear Cardiology (ASNC), discusses advancements in nuclear imaging and some of the issues facing the subspecialty. Read the article “PET vs. SPECT — Will PET Dominate Over the Next Decade?”

VIDEO: Trends in Nuclear Cardiology Imaging
/videos/video-cardiogenic-shock-supported-impella-shows-good-outcomes
Ventricular Assist Devices (VAD) | April 14, 2017
VIDEO: Cardiogenic Shock Supported With Impella Shows Good Outcomes

A discussion with William O'Neill, M.D., FACC, FSCAI, medical director of the Center for Structural Heart Disease at Henry Ford Hospital, Detroit. He presented a late-breaking study on the outcomes for 15,259 U.S. patients with acute MI in cardiogenic shock supported with the Impella percutenous ventricular assist device. Read more about the Detroit Cardiogenic Shock Initiative.

VIDEO: Cardiogenic Shock Supported With Impella Shows Good Outcomes
/videos/lumedx-cardiovascular-performance-program-new-approach-managing-quality-and-cost
Analytics Software | April 13, 2017
Lumedx Cardiovascular Performance Program: A New Approach to Managing Quality and Cost

The shift to value-based payment models requires focused attention on quality and cost. Lumedx’s Cardiovascular Performance Program offers a new approach to managing this transition so hospitals can improve outcomes — and dramatically reduce costs. See how complications reduction, cost-per-case variations and other key metrics delivered in real-time can drive radical change.  For more information, visit www.lumedx.com.

Lumedx Cardiovascular Performance Program: A New Approach to Managing Quality and Cost
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EP Lab | April 10, 2017
VIDEO: Advances in Electrophysiology Technology

A discussion with Heart Rhythm Society (HRS) President Michael Gold, M.D., Ph.D., director of cardiology and associate dean at the Medical University of South Carolina (MUSC), at the American College of Cardiology 2017 annual meeting. Read more about EP advances over the past couple years. 

VIDEO: Advances in Electrophysiology Technology
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ACC | April 03, 2017
VIDEO: Editor's Choice of Most Innovative New Technology at ACC.17

DAIC Editor Dave Fornell takes a tour of some of the interesting new technologies from the vendor booths on the expo floor at the 2017 meeting of the American College of Cardiology (ACC). For key technology trends at ACC.17, watch the VIDEO "Cardiac Technology Trends at ACC.17."

VIDEO: Editor's Choice of Most Innovative New Technology at ACC.17
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Stents Bioresorbable | March 30, 2017
VIDEO: Bioresorbable Stent Comparable to Xience at Two Years, With Concerns

Stephen Ellis, M.D., professor of medicine and director of interventional cardiology at Cleveland Clinic, discusses the two year outcomes of the ABSORB III trial of Absorb vs. Xience. The late-breaking trial was presented at ACC 2017. Read the article on the ABSORB III results.  Watch a VIDEO with Gregg Stone, M.D., "Poor Outcomes for Bioresorbable Stents in Small Coronary Arteries."

VIDEO: Bioresorbable Stent Comparable to Xience at Two Years, With Concerns
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Cath Lab | March 28, 2017
VIDEO: Cardiac Technology Trends at ACC.17

MDBuyline analyst Tom Watson shares some of the most important trends in cardiac technology he saw at the 2017 American College of Cardiology (ACC) Scientific Sessions. For a list of late-breaking trials and links to related articles read "ACC 2017 Late-Breaking Trials." Watch a VIDEO of Watson's assessment of trends at ACC.16.

VIDEO: Cardiac Technology Trends at ACC.17
/videos/video-tavr-stands-equal-surgical-valve-replacement
Heart Valve Technology | March 24, 2017
VIDEO: TAVR Stands Equal to Surgical Valve Replacement

Michael Reardon, M.D., professor of cardiothoracic surgery at Houston Methodist DeBakey Heart and Vascular Center, discusses the positive results of the SURTAVI trial that were presented at ACC.17. Reardon was the principal investigator for the SURTAVI trial. Read the article "TAVR Stands Equal to Surgical Valve Replacement." 

VIDEO: TAVR Stands Equal to Surgical Valve Replacement
/videos/video-ifr-equal-ffr-outcomes-coronary-lesion-evaluation
FFR Catheters | March 23, 2017
VIDEO: iFR Equal to FFR Outcomes in Coronary Lesion Evaluation

Justin Davies, MBBS, of Imperial College London, and Matthias Götberg, M.D, Ph.D., of Skane University Hospital, detail the positive results of the DEFINE-FLAIR and IFR-SWEDEHEART trials presented at ACC.17. Read the article “Easier to Use iFR Equal to Outcomes of FFR in Coronary Lesion Evaluation.”

VIDEO: iFR Equal to FFR Outcomes in Coronary Lesion Evaluation
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Hemodynamic Support Devices | March 21, 2017
VIDEO: Demonstration of the Impella Percutaneous Hemodynamic Support Device

This video, provided by Abiomed, demonstrates the Impella percutaneous ventricular assist devices (pVAD). It offers between 2.5 and 5 liters of flow per minute to help off load the heart and aid organ perfusion in patients with significantly compromised cardiac output. The Impella has an FDA indication for cardiogenic shock and is the key device being used in the Detroit Cardiogenic Shock Initiative, which was launched in 2017. Read the article "Collaboration by Metro Detroit Cardiologists Increases Cardiogenic Shock Survival Rate."

VIDEO: Demonstration of the Impella Percutaneous Hemodynamic Support Device
/videos/video-minneapolis-heart-institute-saves-analytics-software
Analytics Software | March 15, 2017
VIDEO: Minneapolis Heart Institute Saves With Analytics Software

Pam Rush, RN, MS, clinical program director, cardiovascular service line, and Craig Strauss, M.D., MPH, medical director, explain how MHI achieved significant savings by leveraging analytics software for reductions in patient complications, better vendor negotiations and other areas. Read the article “Advanced Analytics Software for Cardiology.”
 

VIDEO: Minneapolis Heart Institute Saves With Analytics Software
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HIMSS | March 10, 2017
Editor's Choice of Most Innovative Technology at HIMSS 2017

ITN Editor Dave Fornell takes a tour of some of the most innovative new technology that was displayed on the expo floor at the 2017 Healthcare Information and Management Systems Society (HIMSS) annual meeting. The two most significant technology advances are discussed in Fornell's blog "Two Technologies That Offer a Paradigm Shift in Medicine at HIMSS 2017."

Editor's Choice of Most Innovative Technology at HIMSS 2017
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Computed Tomography (CT) | March 09, 2017
VIDEO Example of a TAVR CT Planning Dataset
VIDEO Example of a TAVR CT Planning Dataset
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Stents Bifurcation | March 06, 2017
VIDEO: Demonstration of the Tryton Dedicated Bifurcation Stent

This video, provided by Tryton, demonstrates the implantation of the Tryton Side Branch Stent. It became the first bifurcation stent cleared by the FDA in March 2017. The stent is deployed in the side branch artery using a standard single wire balloon-expandable stent delivery system. A conventional drug eluting stent is then placed in the main vessel. Read the articles "FDA Clears First Dedicated Coronary Bifurcation Stent" and "New Designs May Ease Bifurcation Stenting."
 

 

VIDEO: Demonstration of the Tryton Dedicated Bifurcation Stent
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Enterprise Imaging | March 03, 2017
VIDEO: How to Build An Enterprise Imaging System

Enterprise imaging system expert Louis Lannum was in charge of Cleveland Clinic's efforts to connect images and other data from 33 of its departments into a single, centralized database that could deliver the content through a viewer in the electronic medical record. He spoke on the key requirements for enterprise imaging systems at HIMSS 2017. Read the article and watch related videos at "RSNA Technology Report 2016: Enterprise Imaging."

VIDEO: How to Build An Enterprise Imaging System
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Artificial Intelligence | March 01, 2017
VIDEO: Expanding Role for Artificial Intelligence in Medical Imaging

Machine learning is now being commercialized in medical imaging products designed to help improve workflow efficiency and augment the clinical user, not replace them. Steve Holloway with the U.K.-based healthcare market intelligence firm Signify Research discussed the expanding roles of artificial intelligence in imaging applications at the 2017 HIMSS healthcare IT conference. Read the article from HIMSS 2017 "How Artificial Intelligence Will Change Medical Imaging."

VIDEO: Expanding Role for Artificial Intelligence in Medical Imaging
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Heart Failure | February 27, 2017
VIDEO: Cutting Heart Failure Length of Stay With Information Technology

Ursula Wright, MSN/MBA, FNP-BC, from Mercy Health System, explains how the nation's fifth largest Catholic health system used heart failure pathways and order sets to reduce length of stay and $14 million in costs to treat heart failure patients. Mercy earned the 2016 HIMSS Enterprise Davies Award for its leverage of information technology to impact its clinical outcomes and reduce healthcare costs. Read the article “Device Technologies to Reduce Heart Failure Readmissions.”
 

VIDEO: Cutting Heart Failure Length of Stay With Information Technology
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Inventory Management | February 17, 2017
Uncover Supply Waste and Control Costs With Data Analytics

The supplies you use in your cath lab are complex and very valuable. Protecting your investment and uncovering new opportunities to cut waste and help improve the total cost of care means it’s more important than ever before to have a strong pulse on your inventory. Using data analytics, you can uncover trends for product standardization, optimize par levels and better control costs.

Uncover Supply Waste and Control Costs With Data Analytics
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3-D Printing | February 09, 2017
VIDEO: Children’s Hospital Uses 3-D Printing To Tailor Stents in Complex Congenital Heart Case

When a pediatric patient at Children’s Hospital Los Angeles needed a custom-build stent to repair his pulmonary artery, pediatric interventional cardiologist Frank Ing, M.D., used 3-D printed models from the patient's CT scans. The model helped make sure the stent they made would fit. The model also was used to plan and guide the procedure. This video is made up of clips complied by the hospital and includes some narration of the case by Ing, ending with the final angiographic result with the new stent. Read the article “Children's Hospital Los Angeles Cardiologist Creates Modified Stent for 18-month-old Using Printed 3-D Model.”
 

 

VIDEO: Children’s Hospital Uses 3-D Printing To Tailor Stents in Complex Congenital Heart Case
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