Editor’s Choice • 2018 Top Ten • The Journal of Invasive Cardiology
Comparison of Radial Access, Guided Femoral Access and Non-Guided Femoral Access Among Women Undergoing Percutaneous Coronary Intervention
Linda M. Koshy, MD; Laura H. Aberle, BSPH; Mitchell W. Krucoff, MD; Connie N. Hess, MD, MHS; Ernest Mazzaferri, Jr, MD; Sanjit S. Jolly, MD, MSc; Alice Jacobs, MD; C. Michael Gibson, MD; Roxana Mehran, MD; Ian C. Gilchrist, MD; Sunil V. Rao, MD
While the radial approach has been shown to be superior to femoral approach in reducing bleeding and vascular complications, whether the use of micropuncture, fluoroscopy, or ultrasound mitigates these differences is unknown. This study was conducted to determine the association between radial access, guided femoral access, and non-guided femoral access on postprocedural bleeding and vascular complications after percutaneous coronary intervention.
Current Perspectives and Practices on Chronic Total Occlusion Percutaneous Coronary Interventions
Siddharth M. Patel, MD; Rohan V. Menon, MD; M. Nicolas Burke, MD; Farouc A. Jaffer, MD, PhD; Robert W. Yeh, MD, MBA; Minh Vo, MD; Dimitri Karmpaliotis, MD, PhD; Lorenzo Azzalini, MD; Mauro Carlino, MD; Kambis Mashayekhi, MD; Alfredo R. Galassi, MD; Stephane Rinfret, MD; Stephen G. Ellis, MD; Mitul Patel, MD; Bavana V. Rangan, BDS, MPH; Aris Karatasakis, MD; Barbara A. Danek, MD; Judit Karacsonyi, MD; Erica Resendes, BS, MPH; Subhash Banerjee, MD; Emmanouil S. Brilakis, MD, PhD
We sought to examine contemporary perspectives and practices on chronic total occlusion percutaneous coronary intervention.
Lower Repeat Revascularization Rates Among Patients With Prior Coronary Artery Bypass Graft Surgery are Due to Lack of Adequate Target Vessels
Anirudh Kumar, MD; John F. Wagener, MD; Daniel Wojdyla, MS; W. Schuyler Jones, MD; Manesh R. Patel, MD; Sunil V. Rao, MD
Patients with multivessel coronary artery disease who received coronary artery bypass graft (n = 861) or percutaneous coronary intervention (n = 694) were enrolled in the Duke Databank for Cardiovascular Disease (2003-2012). Incidence of major adverse cardiovascular and cerebrovascular events between the two groups was compared.
Occupational Hazards in the Cath Lab – Physician, Protect Thyself!
Lloyd W. Klein, MD and Enrique Padilla Campos, MD
In interventional cardiology, the safety of the men and women who work in the cath lab must keep pace with a rapidly growing field. The onus remains with physicians to minimize workplace hazards, but administrative and organizational roadblocks need to be negotiated in order to address the rising health-related costs of working in the cath lab. New insights at the level of hospital administration are essential to revise labor practices and prioritize investments in updated safety technologies.
Short-Term Outcome After Left Main Interventions in Patients Presenting With Acute Coronary Syndrome
Slayman Obeid, MD; Nooraldaem Yousif, MD; Andreas Schelldorfer, MD; Mohammady Shahin, MD; Lorenz Räber, MD; Baris Gencer, MD; François Mach, MD; Marco Roffi, MD; Christian M. Matter, MD; Stephan Windecker, MD; Thomas F. Lüscher, MD, FRCP
A group of 2899 patients with acute coronary syndromes was studied to compare the safety and efficacy of those with LMCA disease vs those without LMCA disease. The primary endpoints of independently adjudicated major adverse cardiovascular and cerebrovascular events and net adverse clinical events were determined at 30-day follow-up.
Suggested Bony Landmarks for Safe Axillary Artery Access
Mohammad Thawabi, MD; Rajiv Tayal, MD, MPH; Zain Khakwani, MD; Michael Sinclair; Marc Cohen, MD; Najam Wasty, MD
Axillary artery cannulation is an important alternate access site for catheter-based procedures in selected patients. Our objective was to identify a fluoroscopic bony landmark for safe percutaneous axillary artery cannulation.
Safety and Feasibility of a Novel, Second-Generation Robotic-Assisted System for Percutaneous Coronary Intervention: First-in-Human Report
Christopher C. Smitson, MD; Lawrence Ang, MD; Ali Pourdjabbar, MD; Ryan Reeves, MD; Mitul Patel, MD; Ehtisham Mahmud, MD
The goal of this study is to evaluate the safety and efficacy of the secondgeneration robotic-assisted system Cor- Path GRX (Corindus) for percutaneous coronary intervention.
Radiation Safety in the Catheterization Laboratory: Current Perspectives and Practices
Rohan Menon, MD; Aris Karatasakis, MD; Siddharth Patel, MD; Barbara Anna Danek, MD; Judit Karacsonyi, MD; Bavana V. Rangan, BDS, MPH; Tayo Addo, MD; Dharam Kumbhani, MD; Samir Kapadia, MD; Michael Luna, MD; Ehtisham Mahmud, MD; Charles Chambers, MD; Subhash Banerjee, MD; Emmanouil S. Brilakis, MD, PhD
There is great variability in radiation safety practices in cardiac catheterization laboratories around the world. To better understand current safety protocols, we performed an international online survey on radiation safety including interventional cardiologists, electrophysiologists, interventional radiologists, and vascular surgeons.
Bacterial Contamination of Lead Aprons in a High-Volume Cardiac Catheterization Laboratory and Disinfection Using an Automated Ultraviolet-C Radiation System
Lawrence Ang, MD; Abdullah Almasoud, MD; Samhita Palakodeti; Ehtisham Mahmud, MD
Bacterial contamination and ineffective disinfection of personal protective equipment in medical centers pose potential health risks to patients and medical staff. The contamination burden of lead aprons and a reliable disinfection strategy are unknown. The goal of this study is to quantify and characterize bacterial contamination of lead aprons in a high-volume catheterization laboratory, and to evaluate the efficacy of decontamination using an ultraviolet-C radiation system.
Hematomas, Compartment Syndrome, and Boney Infarcts: Potential Melancholy for Dorsal Radial Access?
Ian C. Gilchrist, MD
A discussion on the report by Koutouzis et al addressing the concerns related to the unique technical and anatomical components of the hand.