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VIDEO: Trends in Nuclear Cardiology Imaging

Nuclear Imaging | April 28, 2017

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?”

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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
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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
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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
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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
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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

The Abiomed Impella percutaneous ventricular assist devices (pVAD) offer 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
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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
/videos/editors-choice-most-innovative-technology-himss-2017
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

The Tryton Side Branch Stent 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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Heart Failure | February 06, 2017
How to Implant the Transcatheter Revivent TC Left Ventricular Remodeling System for Heart Failure

This video demonstrates how to implant the Revivent TC System to reduce the volume of the left ventricle (LV) in heart failure patients. Reducing the size of the LV can help make pumping more efficient, helping to reduce the workload of a failing heart. It is a minimally invasive, catheter-based, closed-chest alternative to conventional surgical ventricular restoration (SVR). It uses catheter-deployed anchors designed to exclude scarred myocardial tissue from the LV to help restore its more natural conical shape. Read about the system gaining European approval.  Read about system starting its U.S. clinical trial. 

 

 

How to Implant the Transcatheter Revivent TC Left Ventricular Remodeling System for Heart Failure
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EP Mapping and Imaging Systems | February 01, 2017
How the CardioInsight Electro-anatomical Mapping System Works

The FDA approved the Medtronic CardioInsight electro-anatomical mapping system in early 2017. It uses an ECG lead vest to noninvasively create a 3-D electrophysiology (EP) electro-map of the heart to help identify arrhythmia and plan catheter ablation procedures. Read the related article on the technology. 

How the CardioInsight Electro-anatomical Mapping System Works
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Cardiovascular Ultrasound | January 13, 2017
GE Healthcare Cardiovascular Ultrasound for Interventions

Detailed imaging is needed to support complex interventions for the assessment and procedure guidance.  See how the GE Healthcare cardiovascular ultrasound systems fit into the in Interventional space – from the Vivid E95 with cSound premium system to the Vivid iq compact system.

 

GE Healthcare Cardiovascular Ultrasound for Interventions
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Cardiac Imaging | January 06, 2017
Editor’s Choice of Most Innovative New Technologies at RSNA 2016

ITN and DAIC Editor Dave Fornell takes a tour of some of the most innovative new technologies being displayed on the expo floor at the Radiological Society of North America (RSNA) 2016 meeting. For key take away trends at RSNA, watch the video "Key Trends, New Technology at RSNA 2016."

Editor’s Choice of Most Innovative New Technologies at RSNA 2016
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Heart Valve Technology | January 03, 2017
How to Implant the Transcatheter CardioBand Mitral Annuloplasty System

The Valtech Cardioband transcatheter mitral annuloplasty system allows transcatheter repair of functional mitral regurgitation (FMR). It has a CE mark in Europe and a study to evaluate its safety and efficacy is planned in the United States. Read the article “Transcatheter Annuloplasty For Repair Versus Replacement in Functional Mitral Regurgitation.”
 

 

 

How to Implant the Transcatheter CardioBand Mitral Annuloplasty System
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Radiation Dose Management | December 19, 2016
VIDEO: Radiation Dose Monitoring in Medical Imaging

Mahadevappa Mahesh, MS, Ph.D., chief physicist and professor of radiology and radiological science at Johns Hopkins Hospital, explains the basics of medical imaging dose monitoring technologies. This includes monitoring and recording software meet new Joint Commission requirements, state dose laws and to improve patient safety regarding X-ray radiation exposure. Read the article “The Role of Dose Tracking Systems in Radiation Safety Programs.”

VIDEO: Radiation Dose Monitoring in Medical Imaging
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Artificial Intelligence | December 19, 2016
VIDEO: Examples of Artificial Intelligence in Medical Imaging Diagnostics

At RSNA 2016, the key buzzwords were “deep learning,” “machine learning” and “artificial intelligence.” Vendors and major academic centers are developing a wide array of artificial intelligence neuro networks to aid radiologists in clinical diagnosis and clinical decision support. Here are two examples of how the IBM Watson system examines a mammography and cardiac patient imaging studies. Watch the VIDEO “Development of Artificial Intelligence to Aid Radiology,” an interview with Mark Michalski, M.D., director of the Center for Clinical Data Science at Massachusetts General Hospital, explaining the basis of artificial intelligence in radiology.

VIDEO: Examples of Artificial Intelligence in Medical Imaging Diagnostics
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Magnetic Resonance Imaging (MRI) | December 19, 2016
VIDEO: MRI Gadolinium Contrast Retention in the Brain

Emanuel Kanal, M.D., director of MRI services and professor of radiology and neuroradiology at the University of Pittsburgh Medical Center, explains what is known about MRI contrast retention in the brain and other MRI safety concerns. He spoke to ITN at RSNA 2016. Read the article "Gadolinium May Remain in Brain after Contrast MRI."

VIDEO: MRI Gadolinium Contrast Retention in the Brain
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Artificial Intelligence | December 19, 2016
VIDEO: Development of Artificial Intelligence to Aid Radiology

Mark Michalski, M.D., director of the Center for Clinical Data Science at Massachusetts General Hospital, explains the basis of the utilization of artificial intelligence (aka deep learning and machine learning) in radiology. He also explains where things are at in development of these neuro networks at RSNA 2016. Watch the VIDEO “Examples of Artificial Intelligence in Medical Imaging Diagnostics.” 

VIDEO: Development of Artificial Intelligence to Aid Radiology
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RSNA 2016 | December 19, 2016
Key Trends, New Imaging Technology at RSNA 2016

A post-game roundup by Imaging Technology News (ITN) Contributing Editor Greg Freiherr and Diagnostic and Interventional Cardiology (DAIC) and ITN Editor Dave Fornell on the trends and new tech seen on the show floor at the Radiological Society of North America (RSNA) 2016 meeting.

Key Trends, New Imaging Technology at RSNA 2016
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Angiography | December 07, 2016
VIDEO: Enhanced Interventional Imaging With Shimadzu's Trinias Angiography System

Shimadzu's latest generation interventional lab angiography imaging system, the Trinias, enables advanced imaging capabilities, including reduced patient dose, 3-D rotation angiography acquisitions table side, and stent enhancement software. This video tour of the system was created at the 2016 Transcatheter Cardiovascular Therapeutics (TCT) meeting.

VIDEO: Enhanced Interventional Imaging With Shimadzu's Trinias Angiography System
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Robotic Systems | November 22, 2016
Introduction to CorPath GRX: Next Generation Cardiovascular Robotics

Corindus Vascular Robotics received U.S. Food and Drug Administration (FDA) 510(k) clearance for its CorPath GRX, the second generation of its vascular robotic system. The system builds upon the original CorPath platform, adding a significant number of key upgrades that increase precision, improve workflow and extend the capabilities and range of interventional procedures that can be performed robotically. These features include Active Guide Management, which enables control of the guide catheter along with robotic control of the guidewire and balloon or stent catheter, with 1 millimeter advancement, from the Control Console. This precise positioning will enable physicians to adjust guide catheter position during PCI procedures, and may expand use of CorPath to more complex cases. The new system also features a completely redesigned Bedside Unit, featuring an Extended Reach Arm and a touchscreen display to streamline workflow. The CorPath GRX was displayed for the first time at the Transcatheter Cardiovascular Therapeutics (TCT) 2016 conference. Read more about the FDA approval.

Introduction to CorPath GRX: Next Generation Cardiovascular Robotics
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TCT | November 18, 2016
Editor’s Choice of the Most Innovative Cardiology Technology at TCT 2016

DAIC Editor Dave Fornell takes a video tour of some of the most innovative new interventional cardiology technologies he found at the Transcatheter Cardiovascular Therapeutics (TCT) 2016 meeting. Watch the related VIDEO “Editor's Choice of the Most Innovative New Technologies at TCT 2015.”

 

Editor’s Choice of the Most Innovative Cardiology Technology at TCT 2016
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Heart Valve Technology | November 18, 2016
VIDEO: Transcatheter Mitral Valve Technology, Anatomical Challenges

A discussion with Juan Granada, M.D., about transcatheter mitral valve advancements and device challenges at the Transcatheter Cardiovascular Therapeutics (TCT) 2016 annual meeting. Granada is executive director and chief scientific officer of the Cardiovascular Research Foundation's Skirball Center for Innovation. Read the articles “Advances and Future Directions for Transcatheter Valves,” and “Transcatheter Mitral Valve Replacement Devices in Development.”

VIDEO: Transcatheter Mitral Valve Technology, Anatomical Challenges
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Heart Valve Technology | November 18, 2016
VIDEO: Transcatheter Valve Technology Advancements at TCT 2016

A discussion with Torsten Vahl, M.D., about advancements in transcatheter valve repair technology, including new devices for the aortic, mitral and tricuspid valves.  Vahl is director of experimental and translational research and assistant professor of medicine, Columbia University Medical Center, Center for Interventional Vascular Therapy. The interview took place at the Transcatheter Cardiovascular Therapeutics (TCT) 2016 annual meeting. Read the articles “Advances and Future Directions for Transcatheter Valves,” and “Transcatheter Mitral Valve Replacement Devices in Development.”

VIDEO: Transcatheter Valve Technology Advancements at TCT 2016
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Guidewires | November 18, 2016
VIDEO: The Basics of Interventional Guidewire Design and Function

A discussion with guidewire expert Dimitri Karmpaliotis, M.D., Ph.D., FACC, about the basics of interventional guidewire design and function. He is, assistant professor of medicine, Columbia University Medical Center, and director of CTO, complex and high-risk angioplasty program at the Center for Interventional Vascular Therapy, NewYork Presbyterian Hospital. He spoke with DAIC at the Transcatheter Cardiovascular Therapeutics (TCT) 2016 annual meeting. Read the article “Understanding the Design and Function of Guidewire Technology.”

VIDEO: The Basics of Interventional Guidewire Design and Function
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CT Angiography (CTA) | November 18, 2016
VIDEO: Early U.S. Experience With FFR-CT in Evaluating ED Chest Pain Presentation

A discussion with Simon Dixon, M.D., MBChB, on the use of fractional flow reserve-computed tomography (FFR-CT) to evaluate chest pain patients in the emergency department. He is chairman of the Department of Cardiovascular Medicine at Beaumont Health System and a professor of Medicine at the Oakland University William Beaumont School of Medicine. He discussed the first year of experience with FFR-CT at Beaumont Hospital in Royal Oak, Mich., during the Transcatheter Cardiovascular Therapeutics (TCT) 2016 annual meeting. Read the article “Clinical Applications of FFR-CT.”

 

VIDEO: Early U.S. Experience With FFR-CT in Evaluating ED Chest Pain Presentation
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Balloon Catheter | November 16, 2016
VIDEO: Breaking Up Calcified Lesions Without Vessel Trauma

A discussion with Todd Brinton, M.D., about the newly FDA-cleared Shockwave Medical Lithoplasty System, at the Transcatheter Cardiovascular Therapeutics (TCT) 2016 annual meeting. Brinton is clinical associate professor and adjunct associate professor of bioengineering at Stanford University Medical Center. Read the article “FDA Clears Lithoplasty Balloon That Shatters Calcified Lesions With Ultrasound.”
 

VIDEO: Breaking Up Calcified Lesions Without Vessel Trauma
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Heart Valve Technology | November 14, 2016
VIDEO: Technologies to Reduce Heart Failure Readmissions

William Abraham, M.D., FACC, discusses advances in heart failure device treatment technologies at the Transcatheter Cardiovascular Therapeutics (TCT) 2016 annual meeting. He is director of the division of cardiovascular medicine and a professor of internal medicine, physiology and cell biology at The Ohio State University Wexner Medical Center. He also served as principal investigator of the CHAMPION Trial for the CardioMEMS device. Read the article "Reducing Heart Failure Readmissions."

VIDEO: Technologies to Reduce Heart Failure Readmissions
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Heart Valve Technology | November 09, 2016
VIDEO: The State of TAVR in 2016

A discussion with Michael Reardon, M.D. about the state of transcatheter aortic valve replacement (TAVR) as of late 2016. He is a professor of cardiothoracic surgery at Houston Methodist DeBakey Heart and Vascular Center, was the chairman of the patient screening committee for the CoreValve U.S. pivotal trial, nation PI on the Lotus Pivotal Trial, and the national PI of the ongoing the CoreValve intermediate and low-risk trials. Read more in the article "Trends in Transcatheter Aortic Valve Replacement (TAVR)."

VIDEO: The State of TAVR in 2016
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Stents Bioresorbable | November 09, 2016
VIDEO: Bioresorbable Stent Failure Modes, Technique, Patient Selection and Future Development

Juan Granada, M.D., executive director and chief scientific officer of the Cardiovascular Research Foundation's Skirball Center for Innovation, explains the shortcomings of the first bioresorbable stent on the U.S. market, proper patient selection and what new BRS technologies are in development. Granada presented numerous sessions on bioresorbable scaffolds at TCT 2016. Read more about bioresorbable stents in "Tempering the Bioresorbable Stent Euphoria Following FDA Clearance of the Absorb."

 

VIDEO: Bioresorbable Stent Failure Modes, Technique, Patient Selection and Future Development
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