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Cath Lab Digest

Issue Highlights

Renal Denervation
04/04/2025
Surabhi Madhwal Atreja, MD, FACC, RPVI; Aravinda Nanjundappa MBBS, MD; Wissam Gharib, MD, FACC, FSCAI; Jordan King, MPAS, PA-C; Vamsee M. Yaganti, MD, MA, FACC, FSCAI
Cases shared by Surabhi Madhwal Atreja, MD, FACC, RPVI; Aravinda Nanjundappa, MBBS, MD; Wissam Gharib, MD, FACC, FSCAI, and Jordan King, MPAS, PA-C; and Vamsee Yaganti, MD, MA, FACC, FSCAI.
Cases shared by Surabhi Madhwal Atreja, MD, FACC, RPVI; Aravinda Nanjundappa, MBBS, MD; Wissam Gharib, MD, FACC, FSCAI, and Jordan King, MPAS, PA-C; and Vamsee Yaganti, MD, MA, FACC, FSCAI.
Cases shared by Surabhi Madhwal...
04/04/2025
Cath Lab Digest
New Devices
04/04/2025
Dean J. Kereiakes, MD, FACC, MSCAI
The DynamX Bioadaptor (Elixir Medical) is a coronary prosthesis that circumferentially separates post-implantation, freeing the vessel, and which subsequently provides the essential and necessary mechanism of dynamic support to restore more...
The DynamX Bioadaptor (Elixir Medical) is a coronary prosthesis that circumferentially separates post-implantation, freeing the vessel, and which subsequently provides the essential and necessary mechanism of dynamic support to restore more...
The DynamX Bioadaptor (Elixir...
04/04/2025
Cath Lab Digest
CAse series
04/04/2025
Mehmet Cilingiroglu, MD, FACC, FSCAI, FAHA, FESC, FACP; Thomas E. Milner, PhD; Ibrahim Halil Inanc, MD; Deniz Mutlu, MD; Konstantinos Marmagkiolis, MD, MBA, FACC, FSCAI; Cezar A. Iliescu, MD, FACC, FSCAI
In this case series, Cilingiroglu et al share their extensive experience in the use of OCT in daily clinical practice for PAD and CLTI cases as both a diagnostic and therapeutic tool.
In this case series, Cilingiroglu et al share their extensive experience in the use of OCT in daily clinical practice for PAD and CLTI cases as both a diagnostic and therapeutic tool.
In this case series,...
04/04/2025
Cath Lab Digest
Suggested Technique
04/04/2025
Marie E. Miranda, RN
In the cardiovascular lab, a right heart catheterization requires venous access, but sometimes it is not easy to gain access, which often needs a deft hand and finely tuned skills. I have been a vascular access nurse for 21 years, placing...
In the cardiovascular lab, a right heart catheterization requires venous access, but sometimes it is not easy to gain access, which often needs a deft hand and finely tuned skills. I have been a vascular access nurse for 21 years, placing...
In the cardiovascular lab, a...
04/04/2025
Cath Lab Digest
Renal Denervation
03/05/2025
Amir Kaki, MD, FACC, FSCAI
The Paradise ultrasound Renal Denervation (uRDN) System (Recor Medical, Inc.) uses circumferential ultrasound energy to thermally ablate and disrupt sympathetic nerves along the renal arteries.
The Paradise ultrasound Renal Denervation (uRDN) System (Recor Medical, Inc.) uses circumferential ultrasound energy to thermally ablate and disrupt sympathetic nerves along the renal arteries.
The Paradise ultrasound Renal...
03/05/2025
Cath Lab Digest
Stroke Research: Anatomy
03/05/2025
Subramaniam C. Krishnan, MD, FHRS
Cryptogenic strokes remain a significant problem worldwide. In a recent study from the Fuwai Hospital in Beijing, China, investigators successfully demonstrated that in patients with cryptogenic strokes who also have a structure termed the...
Cryptogenic strokes remain a significant problem worldwide. In a recent study from the Fuwai Hospital in Beijing, China, investigators successfully demonstrated that in patients with cryptogenic strokes who also have a structure termed the...
Cryptogenic strokes remain a...
03/05/2025
Cath Lab Digest
Cath Lab Spotlight
03/05/2025
Caitlyn Nichols, BSN, RN, CCRN-CMC
Rhode Island Hospital’s interventional cardiologists performed the first outpatient cardiac catheterization in New England and were among the first in the United States to perform percutaneous coronary intervention (PCI). We have a cath lab...
Rhode Island Hospital’s interventional cardiologists performed the first outpatient cardiac catheterization in New England and were among the first in the United States to perform percutaneous coronary intervention (PCI). We have a cath lab...
Rhode Island Hospital’s...
03/05/2025
Cath Lab Digest
Case Report
03/05/2025
Aaron Shaikh, MD; Bernardo Cortese, MD
A 54-year-old male with a past medical history of Hodgkin’s lymphoma with previous chemo and radiation therapy 22 years ago and type II diabetes initially presented at an outlying hospital with acute onset dyspnea. An initial...
A 54-year-old male with a past medical history of Hodgkin’s lymphoma with previous chemo and radiation therapy 22 years ago and type II diabetes initially presented at an outlying hospital with acute onset dyspnea. An initial...
A 54-year-old male with a past...
03/05/2025
Cath Lab Digest
BEHIND THE SCENES
03/05/2025
Bernardo Cortese, MD
This was a complex intervention requiring quick decision-making that centered around a heart team approach.
This was a complex intervention requiring quick decision-making that centered around a heart team approach.
This was a complex intervention...
03/05/2025
Cath Lab Digest
Case Report
02/05/2025
Daniel Vilchez, MD
Deliverability of IVL devices can be challenging. Thankfully, the low-profile design coupled with increased pushability of Terumo’s Takeru™ PTCA Balloon Dilatation Catheter facilitates the use of IVL in heavily calcified lesions. 
Deliverability of IVL devices can be challenging. Thankfully, the low-profile design coupled with increased pushability of Terumo’s Takeru™ PTCA Balloon Dilatation Catheter facilitates the use of IVL in heavily calcified lesions. 
Deliverability of IVL devices...
02/05/2025
Cath Lab Digest
Case Report
02/04/2025
Stephan H. Heo, MD, FACC
With an aging population, the need to modify severely calcified coronary lesions prior to stent deployment is as common and difficult as ever. In this case, we highlight the treatment strategy of a tight lesion in a large vessel that was...
With an aging population, the need to modify severely calcified coronary lesions prior to stent deployment is as common and difficult as ever. In this case, we highlight the treatment strategy of a tight lesion in a large vessel that was...
With an aging population, the...
02/04/2025
Cath Lab Digest

News

Radiation Protection Systems
04/24/2025
Rampart IC, a medical technology company developing market-leading radiation safety and orthopedic protection solutions for the interventional suite, announced the successful completion of its $21.6M Series B financing round. The round was...
Rampart IC, a medical technology company developing market-leading radiation safety and orthopedic protection solutions for the interventional suite, announced the successful completion of its $21.6M Series B financing round. The round was...
Rampart IC, a medical technology...
04/24/2025
Cath Lab Digest
Venous Leg Ulcers
04/24/2025
Results from study indicate strong healing rate of chronic venous ulcers when VenaSeal™ is used in patients with advanced superficial venous disease Medtronic, the global leader in health care technology, today announced the primary and...
Results from study indicate strong healing rate of chronic venous ulcers when VenaSeal™ is used in patients with advanced superficial venous disease Medtronic, the global leader in health care technology, today announced the primary and...
Results from study indicate...
04/24/2025
Vascular Disease Management
MEeting Update
04/24/2025
Whether you’re focused on clinical care, innovation, or training the next generation, there’s something here to support your clinical, research, and career goals,” said SCAI President James B. Hermiller, MD, MSCAI.  
Whether you’re focused on clinical care, innovation, or training the next generation, there’s something here to support your clinical, research, and career goals,” said SCAI President James B. Hermiller, MD, MSCAI.  
Whether you’re focused on...
04/24/2025
Cath Lab Digest
Scientific Statement
04/24/2025
This document draws on global clinical data and real-world evidence to evaluate the impact of a cardiac ablation SDD strategy on patient safety, access, operational efficiencies, and healthcare costs. It also outlines best practices based on...
This document draws on global clinical data and real-world evidence to evaluate the impact of a cardiac ablation SDD strategy on patient safety, access, operational efficiencies, and healthcare costs. It also outlines best practices based on...
This document draws on global...
04/24/2025
EP Lab Digest
(Reproduced with permission from NEJM AI, Lampert, 2025. Copyright 2025 Massachusetts Medical Society)
AI: HCM
04/24/2025
Using the model to analyze patients’ ECG results could allow cardiologists to prioritize the highest-risk patients to bring them in sooner for an appointment and treatment before symptoms begin or exacerbate.
Using the model to analyze patients’ ECG results could allow cardiologists to prioritize the highest-risk patients to bring them in sooner for an appointment and treatment before symptoms begin or exacerbate.
Using the model to analyze...
04/24/2025
Cath Lab Digest
Peripheral Arterial Disease
04/23/2025
EFEMORAL I is a first-in-human clinical trial evaluating the performance of the Efemoral Vascular Scaffold System (EVSS) for the treatment of patients suffering symptomatic peripheral arterial occlusive disease from atherosclerosis of the...
EFEMORAL I is a first-in-human clinical trial evaluating the performance of the Efemoral Vascular Scaffold System (EVSS) for the treatment of patients suffering symptomatic peripheral arterial occlusive disease from atherosclerosis of the...
EFEMORAL I is a first-in-human...
04/23/2025
Cath Lab Digest
Large-Bore Vascular Closure
04/22/2025
The PerQseal® Elite vascular closure system is a sutureless and fully bioresorbable large-bore vessel closure device. The company plans to launch the product in select European markets this summer.
The PerQseal® Elite vascular closure system is a sutureless and fully bioresorbable large-bore vessel closure device. The company plans to launch the product in select European markets this summer.
The PerQseal® Elite vascular...
04/22/2025
Cath Lab Digest
Lower-extremity intervention
04/22/2025
The first patient in its ELITE-BTK pivotal trial was treated by Dr. Brian DeRubertis, FACS, Chief of the Division of Vascular & Endovascular Surgery at NewYork-Presbyterian and Weill Cornell Medicine in New York City.
The first patient in its ELITE-BTK pivotal trial was treated by Dr. Brian DeRubertis, FACS, Chief of the Division of Vascular & Endovascular Surgery at NewYork-Presbyterian and Weill Cornell Medicine in New York City.
The first patient in its...
04/22/2025
Cath Lab Digest
Uncontrolled Hypertension
04/22/2025
“Patients at higher risk for mortality and morbidity associated with high blood pressure are the core of the population we are actively enrolling in the BACKBEAT global pivotal study of hypertensive pacemaker-indicated patients in...
“Patients at higher risk for mortality and morbidity associated with high blood pressure are the core of the population we are actively enrolling in the BACKBEAT global pivotal study of hypertensive pacemaker-indicated patients in...
“Patients at higher risk for...
04/22/2025
Cath Lab Digest
Cardiomyopathy
04/21/2025
Camzyos is an FDA-approved cardiac myosin inhibitor for the treatment of adults with symptomatic New York Heart Association (NYHA) Class II-III obstructive hypertrophic cardiomyopathy (oHCM) to improve functional capacity and symptoms.(1)
Camzyos is an FDA-approved cardiac myosin inhibitor for the treatment of adults with symptomatic New York Heart Association (NYHA) Class II-III obstructive hypertrophic cardiomyopathy (oHCM) to improve functional capacity and symptoms.(1)
Camzyos is an FDA-approved...
04/21/2025
Cath Lab Digest

Clinical Editor's Corner

Clinical Editor's Corner
04/04/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA
A critical part of a cardiology consultation and review in preparation for a cardiac catheterization should include the chest x-ray (CXR). How should we approach reading the CXR?
A critical part of a cardiology consultation and review in preparation for a cardiac catheterization should include the chest x-ray (CXR). How should we approach reading the CXR?
A critical part of a cardiology...
04/04/2025
Cath Lab Digest
Clinical Editor's Corner
03/05/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA; David A. Cox, MD; Stephen Jenkins, MD; Dean J. Kereiakes, MD, FACC, MSCAI; Gary S. Mintz, MD; Jeffrey W. Moses, MD; Stephen R. Ramee, MD; Kenneth Rosenfield, MD, MHCDS; Barry F. Uretsky, MD
Stenting across a coronary aneurysm invariably leaves free-floating struts which remain of concern to the operators despite good antiplatelet regiments after the procedure. Most of the time, this is a benign percutaneous coronary intervention...
Stenting across a coronary aneurysm invariably leaves free-floating struts which remain of concern to the operators despite good antiplatelet regiments after the procedure. Most of the time, this is a benign percutaneous coronary intervention...
Stenting across a coronary...
03/05/2025
Cath Lab Digest
Clinical Editor's Corner
02/05/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA; Paul S. Teirstein, MD, FACC
"I hope this brief collection of tips and tricks for easy PCI in 2025 is helpful," says Dr. Kern. "If you identify a tip or trick that makes PCI or intervention or cardiac cath easier in your lab, please consider sending it along to me."
"I hope this brief collection of tips and tricks for easy PCI in 2025 is helpful," says Dr. Kern. "If you identify a tip or trick that makes PCI or intervention or cardiac cath easier in your lab, please consider sending it along to me."
"I hope this brief collection of...
02/05/2025
Cath Lab Digest
Clinical Editor's Corner
01/08/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA
"A good apron is a critical element of our profession and we should make every effort to maintain them for our safety," says Dr. Kern. "Because I was surprised by my own lack of knowledge on the care and ‘feeding’ of our PPA, I thought I...
"A good apron is a critical element of our profession and we should make every effort to maintain them for our safety," says Dr. Kern. "Because I was surprised by my own lack of knowledge on the care and ‘feeding’ of our PPA, I thought I...
"A good apron is a critical...
01/08/2025
Cath Lab Digest
Clinical Editor's Corner
12/06/2024
Morton J. Kern, MD, MSCAI, FACC, FAHA; Phillip Mumford, MHA, MBA, RCIS; Duane S. Pinto, MD, MPH; Stephen R. Ramee, MD; Kenneth Rosenfield, MD, MHCDS; Curtiss P. Stinis, MD; Zoltan G. Turi, MD
I received a query about hemostasis after inadvertent entry into the inferior epigastric artery. A percutaneous coronary intervention (PCI) was completed without a problem.
I received a query about hemostasis after inadvertent entry into the inferior epigastric artery. A percutaneous coronary intervention (PCI) was completed without a problem.
I received a query about...
12/06/2024
Cath Lab Digest
Clinical Editor's Corner
11/07/2024
Morton J. Kern, MD, MSCAI, FACC, FAHA
The consensus document conscientiously reviews the current thinking on the best diagnostic and therapeutic interventions to treat a patient with STEMI in the catheterization laboratory. Addressing some controversial areas to provide a...
The consensus document conscientiously reviews the current thinking on the best diagnostic and therapeutic interventions to treat a patient with STEMI in the catheterization laboratory. Addressing some controversial areas to provide a...
The consensus document...
11/07/2024
Cath Lab Digest
Clinical Editor's Corner
10/01/2024
Morton J. Kern, MD, MSCAI, FACC, FAHA
As I understand it, SDM is an information exchange between the physician and the patient, usually with the family, discussing the underlying problem (eg, aortic stenosis), and current clinical status, followed by recommendations for treatment...
As I understand it, SDM is an information exchange between the physician and the patient, usually with the family, discussing the underlying problem (eg, aortic stenosis), and current clinical status, followed by recommendations for treatment...
As I understand it, SDM is an...
10/01/2024
Cath Lab Digest
Clinical Editor's Corner
09/01/2024
Morton J. Kern, MD, MSCAI, FACC, FAHA
We recently had a patient who presented us with a challenge to know whether the informed consent was valid, something I thought we’d address in this editor’s page. 
We recently had a patient who presented us with a challenge to know whether the informed consent was valid, something I thought we’d address in this editor’s page. 
We recently had a patient who...
09/01/2024
Cath Lab Digest
Clinical Editor's Corner
07/22/2024
Morton J. Kern, MD, MSCAI, FACC, FAHA
For teaching centers, July 1st brings new faces to the cath lab, mostly in the form of cardiology trainees. Working with a brand-new cardiology fellow assigned to the cath lab prompted me to review how cath labs become great and how great...
For teaching centers, July 1st brings new faces to the cath lab, mostly in the form of cardiology trainees. Working with a brand-new cardiology fellow assigned to the cath lab prompted me to review how cath labs become great and how great...
For teaching centers, July 1st...
07/22/2024
Cath Lab Digest
Clinical Editor's Corner
07/02/2024
Morton J. Kern, MD, MSCAI, FACC, FAHA
In a 2010 editor’s page, I summarized the opinions of several prominent interventionalists who expressed their interest and belief that the nil per os (NPO) order has outlived its usefulness. In our current environment, NPO does not have to...
In a 2010 editor’s page, I summarized the opinions of several prominent interventionalists who expressed their interest and belief that the nil per os (NPO) order has outlived its usefulness. In our current environment, NPO does not have to...
In a 2010 editor’s page, I...
07/02/2024
Cath Lab Digest

Watch/Listen

Cath Lab Conversations
Podcasts
04/17/2025
Cath Lab Digest
Binita Shah, MD, FSCAI
SCAI 2025
04/17/2025
Binita Shah, MD, MS
SCAI 2025 Program Chair Binita Shah, MD, MS, FSCAI, shares some of the cutting-edge educational topics and enriching sessions planned for the meeting.
SCAI 2025 Program Chair Binita Shah, MD, MS, FSCAI, shares some of the cutting-edge educational topics and enriching sessions planned for the meeting.
SCAI 2025 Program Chair Binita...
04/17/2025
Cath Lab Digest
James B. Hermiller, MD, MSCAI
Radiation Safety
04/16/2025
James B. Hermiller, MD, FACC, MSCAI
Listen in as SCAI President James B. Hermiller, MD, MSCAI, shares more about his focus on radiation and occupational safety, and looks ahead to the upcoming SCAI Scientific Sessions, to be held May 1-3 in Washington, D.C.
Listen in as SCAI President James B. Hermiller, MD, MSCAI, shares more about his focus on radiation and occupational safety, and looks ahead to the upcoming SCAI Scientific Sessions, to be held May 1-3 in Washington, D.C.
Listen in as SCAI President...
04/16/2025
Cath Lab Digest
Arnold Seto, MD, MPA, Morton Kern, MD, and Bailey Estes, MSN
clinical trials discussion
04/10/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA; Arnold H. Seto, MD, MPA, CCDS, FACC, FSCAI; Bailey Ann Estes, AGNP-C, MSN, RN-BC, RCIS, RNFA
Drs Mort Kern and Arnold Seto, and Bailey Estes, AGNP-C, discuss the results of 4 trials presented at ACC.25 and how decision making in the cath lab will be affected by the trial results.
Drs Mort Kern and Arnold Seto, and Bailey Estes, AGNP-C, discuss the results of 4 trials presented at ACC.25 and how decision making in the cath lab will be affected by the trial results.
Drs Mort Kern and Arnold Seto,...
04/10/2025
Cath Lab Digest
Srihari Naidu, MD
SCAI
04/09/2025
Srihari S. Naidu, MD
Incoming SCAI President Srihari S. Naidu, MD, FSCAI, shares what he most values about the Society, his goals in founding the Emerging Leaders Mentorship (ELM) program, and plans for the upcoming year.
Incoming SCAI President Srihari S. Naidu, MD, FSCAI, shares what he most values about the Society, his goals in founding the Emerging Leaders Mentorship (ELM) program, and plans for the upcoming year.
Incoming SCAI President Srihari...
04/09/2025
Cath Lab Digest
Zola M. N'Dandu, MD
Research
04/04/2025
Zola N'Dandu, MD
How can we design peripheral arterial disease (PAD) and chronic limb-threatening ischemia (CLTI) trials that actually reflect the patients we treat every day? In his CRT 2025 presentation, Dr. Zola M. N'Dandu addressed the urgent need to...
How can we design peripheral arterial disease (PAD) and chronic limb-threatening ischemia (CLTI) trials that actually reflect the patients we treat every day? In his CRT 2025 presentation, Dr. Zola M. N'Dandu addressed the urgent need to...
How can we design peripheral...
04/04/2025
Cath Lab Digest
Morton J. Kern, MD, MSCAI
Clinical Trial Update
04/03/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA
At CRT 2025 in Washington, D.C., Dr. Morton J. Kern discussed his prediction around the FLAVOUR II trial: would AI-driven angioFFR prove to be noninferior to intravascular ultrasound (IVUS) in guiding percutaneous coronary intervention for...
At CRT 2025 in Washington, D.C., Dr. Morton J. Kern discussed his prediction around the FLAVOUR II trial: would AI-driven angioFFR prove to be noninferior to intravascular ultrasound (IVUS) in guiding percutaneous coronary intervention for...
At CRT 2025 in Washington, D.C.,...
04/03/2025
Cath Lab Digest
Sacharias von Koch, MD
Drug-Coated Balloons
04/02/2025
Sacharias von Koch, MD
Dr. Sacharias von Koch presented an analysis of data from the Swedish Coronary Angiography and Angioplasty Registry (SCAAR) on the Prevail™ coronary paclitaxel drug-coated balloon (DCB) from Medtronic as a late-breaking clinical trial at...
Dr. Sacharias von Koch presented an analysis of data from the Swedish Coronary Angiography and Angioplasty Registry (SCAAR) on the Prevail™ coronary paclitaxel drug-coated balloon (DCB) from Medtronic as a late-breaking clinical trial at...
Dr. Sacharias von Koch...
04/02/2025
Cath Lab Digest
Joachim Weil, MD
RF RDN
04/02/2025
Joachim Weil, MD
Joachim Weil, MD, presented a pooled analysis from the SPYRAL HTN-ON and OFF MED studies assessing blood pressure changes in 388 RDN patients stratified by Medicare-eligible age — those under 65 years and those 65 years and older, over a...
Joachim Weil, MD, presented a pooled analysis from the SPYRAL HTN-ON and OFF MED studies assessing blood pressure changes in 388 RDN patients stratified by Medicare-eligible age — those under 65 years and those 65 years and older, over a...
Joachim Weil, MD, presented a...
04/02/2025
Cath Lab Digest
Milner, Cilingiroglu, Inanc
Intravascular Imaging
04/01/2025
Thomas E. Milner, PhD; Mehmet Cilingiroglu, MD, FSCAI, FACC, FESC, FAHA; Ibrahim Halil Inanc, MD
Dr. Thomas Milner, Dr. Mehmet Cilingiroglu, and Dr. Ibrahim Halil Inanc explore the emerging role of intravascular optical coherence tomography (OCT) in the treatment of peripheral arterial disease (PAD).
Dr. Thomas Milner, Dr. Mehmet Cilingiroglu, and Dr. Ibrahim Halil Inanc explore the emerging role of intravascular optical coherence tomography (OCT) in the treatment of peripheral arterial disease (PAD).
Dr. Thomas Milner, Dr. Mehmet...
04/01/2025
Cath Lab Digest

Online Exclusives

Journal Highlight
04/16/2025
Mohammad Reza Movahed, MD, PhD, FACP, FACC, FSCAI
Sympathetic Crashing Acute Pulmonary Edema (SCAPE) is sometimes referred to as flash pulmonary edema. A protocol developed by Mohammad Reza Movahed, MD, PhD, uses repeated buccal administration of nitroglycerin ointment as a non-invasive,...
Sympathetic Crashing Acute Pulmonary Edema (SCAPE) is sometimes referred to as flash pulmonary edema. A protocol developed by Mohammad Reza Movahed, MD, PhD, uses repeated buccal administration of nitroglycerin ointment as a non-invasive,...
Sympathetic Crashing Acute...
04/16/2025
Cath Lab Digest
Intravascular ultrasound (IVUS) imaging of a left anterior descending artery showing in-stent restenosis (black circle).
DCB USE
04/15/2025
Ivana Kumar; Anshita Kumari; Kusum Lata, MD, FACC, FSCAI
With coronary DCB use increasing in popularity, we should all remain aware of the financial impact. Widespread use of coronary DCB in ISR could be costly for our patients.
With coronary DCB use increasing in popularity, we should all remain aware of the financial impact. Widespread use of coronary DCB in ISR could be costly for our patients.
With coronary DCB use increasing...
04/15/2025
Cath Lab Digest
Bhattad Figure 1
Anomalies
04/14/2025
Pradnya Brijmohan Bhattad, MD; Joseph C. Hannan, MD, FACC
Drs. Bhattad and Hannan review coronary artery fistula management and identification, and share videos of a coronary artery fistula encountered as an incidental finding.
Drs. Bhattad and Hannan review coronary artery fistula management and identification, and share videos of a coronary artery fistula encountered as an incidental finding.
Drs. Bhattad and Hannan review...
04/14/2025
Cath Lab Digest
hemostasis
12/10/2024
Jon E. Jenkins, RN, RCIS
In the era of vascular closure devices, the skill of achieving hemostasis by manual compression is almost becoming a lost art. It concerns me to see cath lab personnel that do not have a good technique for manual compression. When those...
In the era of vascular closure devices, the skill of achieving hemostasis by manual compression is almost becoming a lost art. It concerns me to see cath lab personnel that do not have a good technique for manual compression. When those...
In the era of vascular closure...
12/10/2024
Cath Lab Digest
Anomalies
12/10/2024
Luigi Pacifico, DO; Pradnya Brijmohan Bhattad, MD
Drs. Bhattad and Pacifico share views of a rare coronary anomaly involving an anomalous left main coronary artery originating from the right sinus of Valsalva.
Drs. Bhattad and Pacifico share views of a rare coronary anomaly involving an anomalous left main coronary artery originating from the right sinus of Valsalva.
Drs. Bhattad and Pacifico share...
12/10/2024
Cath Lab Digest

Case Reports

Bhattad Figure 1
Anomalies
04/14/2025
Pradnya Brijmohan Bhattad, MD; Joseph C. Hannan, MD, FACC
Drs. Bhattad and Hannan review coronary artery fistula management and identification, and share videos of a coronary artery fistula encountered as an incidental finding.
Drs. Bhattad and Hannan review coronary artery fistula management and identification, and share videos of a coronary artery fistula encountered as an incidental finding.
Drs. Bhattad and Hannan review...
04/14/2025
Cath Lab Digest
Case Report
03/05/2025
Aaron Shaikh, MD; Bernardo Cortese, MD
A 54-year-old male with a past medical history of Hodgkin’s lymphoma with previous chemo and radiation therapy 22 years ago and type II diabetes initially presented at an outlying hospital with acute onset dyspnea. An initial...
A 54-year-old male with a past medical history of Hodgkin’s lymphoma with previous chemo and radiation therapy 22 years ago and type II diabetes initially presented at an outlying hospital with acute onset dyspnea. An initial...
A 54-year-old male with a past...
03/05/2025
Cath Lab Digest
BEHIND THE SCENES
03/05/2025
Bernardo Cortese, MD
This was a complex intervention requiring quick decision-making that centered around a heart team approach.
This was a complex intervention requiring quick decision-making that centered around a heart team approach.
This was a complex intervention...
03/05/2025
Cath Lab Digest
Case Report
02/05/2025
Daniel Vilchez, MD
Deliverability of IVL devices can be challenging. Thankfully, the low-profile design coupled with increased pushability of Terumo’s Takeru™ PTCA Balloon Dilatation Catheter facilitates the use of IVL in heavily calcified lesions. 
Deliverability of IVL devices can be challenging. Thankfully, the low-profile design coupled with increased pushability of Terumo’s Takeru™ PTCA Balloon Dilatation Catheter facilitates the use of IVL in heavily calcified lesions. 
Deliverability of IVL devices...
02/05/2025
Cath Lab Digest
Case Report
02/04/2025
Stephan H. Heo, MD, FACC
With an aging population, the need to modify severely calcified coronary lesions prior to stent deployment is as common and difficult as ever. In this case, we highlight the treatment strategy of a tight lesion in a large vessel that was...
With an aging population, the need to modify severely calcified coronary lesions prior to stent deployment is as common and difficult as ever. In this case, we highlight the treatment strategy of a tight lesion in a large vessel that was...
With an aging population, the...
02/04/2025
Cath Lab Digest
Case Report
01/09/2025
Yashwant Agrawal, MD, FACC, FSCAI; Dominika M. Zoltowska, MD; Anthony Elghoul; Anwita Reddy Nimma; Tim A. Fischell, MD, FACC, FSCAI
Spontaneous or trauma-related coronary intramural hematoma, a subset of coronary artery dissection, is a rare, challenging, and under-recognized diagnosis constituting 1% to 4% of all myocardial infarctions.(1)
Spontaneous or trauma-related coronary intramural hematoma, a subset of coronary artery dissection, is a rare, challenging, and under-recognized diagnosis constituting 1% to 4% of all myocardial infarctions.(1)
Spontaneous or trauma-related...
01/09/2025
Cath Lab Digest
Case Report
01/05/2025
Pradnya Brijmohan Bhattad, MD; Anderson Ariaga, MD; Arnav Jain; Luigi Pacifico, DO
Pacemaker-mediated tachycardia (PMT) also known as endless loop tachycardia, is an iatrogenic arrhythmia that occurs primarily in patients with dual chamber pacemakers with at least atrial-sensing and ventricular pacing functions.
Pacemaker-mediated tachycardia (PMT) also known as endless loop tachycardia, is an iatrogenic arrhythmia that occurs primarily in patients with dual chamber pacemakers with at least atrial-sensing and ventricular pacing functions.
Pacemaker-mediated tachycardia...
01/05/2025
Cath Lab Digest
Case Report
11/08/2024
Sreejit Nair, MD; Ashwani Sastry, MD; Janardhan Srinivasan, MD; Michael Canavan, DPM; Fadi Saab, MD, FACC, FSCAI; John H. Rundback, MD, FAHA, FSIR
Retrograde pedal access has been well-described in the literature to facilitate complex arterial revascularization when a traditional antegrade approach fails. This is useful for infrapopliteal disease that is often seen in patients with CLI.
Retrograde pedal access has been well-described in the literature to facilitate complex arterial revascularization when a traditional antegrade approach fails. This is useful for infrapopliteal disease that is often seen in patients with CLI.
Retrograde pedal access has been...
11/08/2024
Vascular Disease Management
Case Report
10/01/2024
Prasanna Sengodan, MD; Ahmed Hassaan Qavi, MD
Drs Qavi and Sengodan share a successful radial access intervention in a retroflexed left circumflex artery lesion with challenging subclavian anatomy. 
Drs Qavi and Sengodan share a successful radial access intervention in a retroflexed left circumflex artery lesion with challenging subclavian anatomy. 
Drs Qavi and Sengodan share a...
10/01/2024
Cath Lab Digest
Chronic Limb-Threatening Ischemia (CLTI)
08/31/2024
Nader Chadda, MD, FACC; IIyas Chadda
The patient is a 77-year-old man with diabetes mellitus, congestive heart failure, and abdominal aortic aneurysm status post repair with stent graft placement, who has been suffering from bilateral foot wounds that have been nonhealing. The...
The patient is a 77-year-old man with diabetes mellitus, congestive heart failure, and abdominal aortic aneurysm status post repair with stent graft placement, who has been suffering from bilateral foot wounds that have been nonhealing. The...
The patient is a 77-year-old man...
08/31/2024
Cath Lab Digest

From the Experts

Renal Denervation
03/05/2025
Amir Kaki, MD, FACC, FSCAI
The Paradise ultrasound Renal Denervation (uRDN) System (Recor Medical, Inc.) uses circumferential ultrasound energy to thermally ablate and disrupt sympathetic nerves along the renal arteries.
The Paradise ultrasound Renal Denervation (uRDN) System (Recor Medical, Inc.) uses circumferential ultrasound energy to thermally ablate and disrupt sympathetic nerves along the renal arteries.
The Paradise ultrasound Renal...
03/05/2025
Cath Lab Digest
Cardiovascular ASCs
02/04/2025
Ann E. Honeycutt, MSN
Ann Honeycutt, MSN, Executive Director of the Virginia Cardiovascular Specialist group, describes her experience building an ASC, the VCS Heart and Vascular Center, that first opened with a focus on electrophysiology and peripheral vascular...
Ann Honeycutt, MSN, Executive Director of the Virginia Cardiovascular Specialist group, describes her experience building an ASC, the VCS Heart and Vascular Center, that first opened with a focus on electrophysiology and peripheral vascular...
Ann Honeycutt, MSN, Executive...
02/04/2025
Cath Lab Digest
Structural Heart & EP
12/06/2024
Mark Metzl, MD; Mark J. Ricciardi, MD, FAHA
"We have to approach these patients from multiple perspectives, which is why this topic is so important for both electrophysiologists and for our structural colleagues," says Mark D. Metzl, MD. Read more from Dr. Metzl and Mark J. Ricciardi,...
"We have to approach these patients from multiple perspectives, which is why this topic is so important for both electrophysiologists and for our structural colleagues," says Mark D. Metzl, MD. Read more from Dr. Metzl and Mark J. Ricciardi,...
"We have to approach these...
12/06/2024
Cath Lab Digest
Structural Heart
12/06/2024
CLD talks with Nish Harshadkumar Patel, MD, about his presentation at Baptist Health’s Echocardiography and Structural Heart Symposium, which took place September 27th-28th in Coral Gables, Florida.
CLD talks with Nish Harshadkumar Patel, MD, about his presentation at Baptist Health’s Echocardiography and Structural Heart Symposium, which took place September 27th-28th in Coral Gables, Florida.
CLD talks with Nish Harshadkumar...
12/06/2024
Cath Lab Digest
Atul Gupta, MD
Structural Heart
11/27/2024
Atul Gupta, MD
Atul Gupta, MD, has a unique perspective on advancement in the growth of structural heart disease treatment, the miniaturization and automation of echocardiography, and how AI is set to revolutionize the field.
Atul Gupta, MD, has a unique perspective on advancement in the growth of structural heart disease treatment, the miniaturization and automation of echocardiography, and how AI is set to revolutionize the field.
Atul Gupta, MD, has a unique...
11/27/2024
Cath Lab Digest
Dr. Morton Kern, Dr. Jacqueline Tamis-Holland, and Dr. Arnold Seto
KERN LIVE
11/12/2024
Listen in as Jacqueline E. Tamis-Holland, MD, FSCAI, of the Cleveland Clinic Heart, Vascular & Thoracic Institute and chair of the consensus statement working group, joins Morton Kern, MD, and Arnold H. Seto, MD, to discuss the 2024 Society...
Listen in as Jacqueline E. Tamis-Holland, MD, FSCAI, of the Cleveland Clinic Heart, Vascular & Thoracic Institute and chair of the consensus statement working group, joins Morton Kern, MD, and Arnold H. Seto, MD, to discuss the 2024 Society...
Listen in as Jacqueline E....
11/12/2024
Cath Lab Digest
STRUCTURAL HEART & EP
11/07/2024
Laurence M. Epstein, MD; Rebecca T. Hahn, MD
"A heart team approach is mandatory, because these patients are very complicated and the leads may or may not be contributing to the tricuspid regurgitation," says Laurence Epstein, MD. Read more from Dr. Epstein and Rebecca Hahn, MD.
"A heart team approach is mandatory, because these patients are very complicated and the leads may or may not be contributing to the tricuspid regurgitation," says Laurence Epstein, MD. Read more from Dr. Epstein and Rebecca Hahn, MD.
"A heart team approach is...
11/07/2024
Cath Lab Digest
THROMBECTOMY
11/05/2024
Jeffrey E. Silpe MD, MS-HPEd
CLD talks with Jeffrey E. Silpe MD, MS-HPEd, about his use of the Aspirex™ Mechanical Aspiration Thrombectomy System. Dr. Silpe notes, "The recent strategy for venous thrombectomy is definitely moving away from pharmaco-mechanical...
CLD talks with Jeffrey E. Silpe MD, MS-HPEd, about his use of the Aspirex™ Mechanical Aspiration Thrombectomy System. Dr. Silpe notes, "The recent strategy for venous thrombectomy is definitely moving away from pharmaco-mechanical...
CLD talks with Jeffrey E. Silpe...
11/05/2024
Cath Lab Digest
cutting edge
11/04/2024
Stephen H. Little, MD
Dr. Little discusses the present and future of the structural echocardiographer on the heart team, as well as an evolving addition to the structural field, the application of percutaneous, image-guided electrosurgery.
Dr. Little discusses the present and future of the structural echocardiographer on the heart team, as well as an evolving addition to the structural field, the application of percutaneous, image-guided electrosurgery.
Dr. Little discusses the present...
11/04/2024
Cath Lab Digest
Interview
09/19/2024
Mary Yost, MBA, president and cofounder of The Yost Group, spoke with VDM about her AMP 2024 presentation on the consequences of amputation as a treatment for patients with CLI.
Mary Yost, MBA, president and cofounder of The Yost Group, spoke with VDM about her AMP 2024 presentation on the consequences of amputation as a treatment for patients with CLI.
Mary Yost, MBA, president and...
09/19/2024
Vascular Disease Management

Read More

Bhattad Figure 1
Anomalies
04/14/2025
Pradnya Brijmohan Bhattad, MD; Joseph C. Hannan, MD, FACC
Drs. Bhattad and Hannan review coronary artery fistula management and identification, and share videos of a coronary artery fistula encountered as an incidental finding.
Drs. Bhattad and Hannan review coronary artery fistula management and identification, and share videos of a coronary artery fistula encountered as an incidental finding.
Drs. Bhattad and Hannan review...
04/14/2025
Cath Lab Digest
Clinical Editor's Corner
04/04/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA
A critical part of a cardiology consultation and review in preparation for a cardiac catheterization should include the chest x-ray (CXR). How should we approach reading the CXR?
A critical part of a cardiology consultation and review in preparation for a cardiac catheterization should include the chest x-ray (CXR). How should we approach reading the CXR?
A critical part of a cardiology...
04/04/2025
Cath Lab Digest
Clinical Editor's Corner
03/05/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA; David A. Cox, MD; Stephen Jenkins, MD; Dean J. Kereiakes, MD, FACC, MSCAI; Gary S. Mintz, MD; Jeffrey W. Moses, MD; Stephen R. Ramee, MD; Kenneth Rosenfield, MD, MHCDS; Barry F. Uretsky, MD
Stenting across a coronary aneurysm invariably leaves free-floating struts which remain of concern to the operators despite good antiplatelet regiments after the procedure. Most of the time, this is a benign percutaneous coronary intervention...
Stenting across a coronary aneurysm invariably leaves free-floating struts which remain of concern to the operators despite good antiplatelet regiments after the procedure. Most of the time, this is a benign percutaneous coronary intervention...
Stenting across a coronary...
03/05/2025
Cath Lab Digest
Case Report
03/05/2025
Aaron Shaikh, MD; Bernardo Cortese, MD
A 54-year-old male with a past medical history of Hodgkin’s lymphoma with previous chemo and radiation therapy 22 years ago and type II diabetes initially presented at an outlying hospital with acute onset dyspnea. An initial...
A 54-year-old male with a past medical history of Hodgkin’s lymphoma with previous chemo and radiation therapy 22 years ago and type II diabetes initially presented at an outlying hospital with acute onset dyspnea. An initial...
A 54-year-old male with a past...
03/05/2025
Cath Lab Digest
BEHIND THE SCENES
03/05/2025
Bernardo Cortese, MD
This was a complex intervention requiring quick decision-making that centered around a heart team approach.
This was a complex intervention requiring quick decision-making that centered around a heart team approach.
This was a complex intervention...
03/05/2025
Cath Lab Digest
Case Report
02/05/2025
Daniel Vilchez, MD
Deliverability of IVL devices can be challenging. Thankfully, the low-profile design coupled with increased pushability of Terumo’s Takeru™ PTCA Balloon Dilatation Catheter facilitates the use of IVL in heavily calcified lesions. 
Deliverability of IVL devices can be challenging. Thankfully, the low-profile design coupled with increased pushability of Terumo’s Takeru™ PTCA Balloon Dilatation Catheter facilitates the use of IVL in heavily calcified lesions. 
Deliverability of IVL devices...
02/05/2025
Cath Lab Digest
Clinical Editor's Corner
02/05/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA; Paul S. Teirstein, MD, FACC
"I hope this brief collection of tips and tricks for easy PCI in 2025 is helpful," says Dr. Kern. "If you identify a tip or trick that makes PCI or intervention or cardiac cath easier in your lab, please consider sending it along to me."
"I hope this brief collection of tips and tricks for easy PCI in 2025 is helpful," says Dr. Kern. "If you identify a tip or trick that makes PCI or intervention or cardiac cath easier in your lab, please consider sending it along to me."
"I hope this brief collection of...
02/05/2025
Cath Lab Digest
Case Report
02/04/2025
Stephan H. Heo, MD, FACC
With an aging population, the need to modify severely calcified coronary lesions prior to stent deployment is as common and difficult as ever. In this case, we highlight the treatment strategy of a tight lesion in a large vessel that was...
With an aging population, the need to modify severely calcified coronary lesions prior to stent deployment is as common and difficult as ever. In this case, we highlight the treatment strategy of a tight lesion in a large vessel that was...
With an aging population, the...
02/04/2025
Cath Lab Digest
Case Report
01/09/2025
Yashwant Agrawal, MD, FACC, FSCAI; Dominika M. Zoltowska, MD; Anthony Elghoul; Anwita Reddy Nimma; Tim A. Fischell, MD, FACC, FSCAI
Spontaneous or trauma-related coronary intramural hematoma, a subset of coronary artery dissection, is a rare, challenging, and under-recognized diagnosis constituting 1% to 4% of all myocardial infarctions.(1)
Spontaneous or trauma-related coronary intramural hematoma, a subset of coronary artery dissection, is a rare, challenging, and under-recognized diagnosis constituting 1% to 4% of all myocardial infarctions.(1)
Spontaneous or trauma-related...
01/09/2025
Cath Lab Digest
Clinical Editor's Corner
01/08/2025
Morton J. Kern, MD, MSCAI, FACC, FAHA
"A good apron is a critical element of our profession and we should make every effort to maintain them for our safety," says Dr. Kern. "Because I was surprised by my own lack of knowledge on the care and ‘feeding’ of our PPA, I thought I...
"A good apron is a critical element of our profession and we should make every effort to maintain them for our safety," says Dr. Kern. "Because I was surprised by my own lack of knowledge on the care and ‘feeding’ of our PPA, I thought I...
"A good apron is a critical...
01/08/2025
Cath Lab Digest