Interventional Cardiology

This cardiac subspecialty uses minimally invasive, catheter-based technologies in a cath lab to diagnose and treat coronary artery disease (CAD). The main focus in on percutaneous coronary interventions (PCI) to revascularize patients with CAD that is causing blockages resulting in ischemia or myocardial infarction. PCI mainly consists of angioplasty and implanting stents. Interventional cardiology has greatly expanded in scope over recent years to include a number of transcatheter structural heart interventions.

Study: Nurses deflect medical errors in cardiac OR

Administrators may want to think twice before reducing nursing staff if they care about patient safety in their cardiovascular operating rooms. Circulating nurses prevented or corrected on average 11.11 medical errorseither potentially harmful incidents or incidents they stopped before harm was donerelated to cardiac surgical procedures, according to a recently published study.

FDA sets stage for Sapien's review

The FDAs Circulatory Systems Devices Panel is scheduled to meet June 13 to discuss the safety and efficacy of Edwards Lifesciences' Sapien Heart Valve System. In preparation for the meeting, the FDA has posed a series of questions for panel members to consider.

MedAxiom: Use strategic planning to build CV programs from ground up

CHICAGOWhen building regional cardiovascular service lines, focus on cost, speed and quality, said Gregory D. Timmers, CEO of Prairie Cardiovascular, during a presentation June 7 at the 2nd annual MedAxiom Cardiovascular Service Line Symposium. However, when starting from the ground up, Timmers recommended mastering two goals and the third will come soon after.

On-call comp: Interventional cards fare best

Invasive-interventional cardiologists earn more in median compensation per holiday, weekend and per day of on-call coverage than did most of their cardiology bretheren, according to a report released June 4. The median daily rate for invasive-interventional cardiologists was $650, equal to on-call pay for noninvasive cardiologists but $450 more than what other invasive cardiologists received.

Circ: Statewide STEMI systems are a 'no-brainer' due to positive outcomes

Everyone is in a hurry these days, but the emergency medical services (EMS) may not have enough pep in its step when it comes to treating STEMI patients. In fact, James G. Jollis, MD, told Cardiovascular Business that nearly 90,000 patients in the U.S. are not treated according to the guidelines. Now, statewide STEMI care networks may provide a solution to help cut time to reperfusion and improve outcomes.

Feature: Inappropriate PCI use varies, patient selection needs improvement

The number of nonacute PCIs deemed inappropriate varies broadly across the U.S. However, a study found that a hospitals proportion of inappropriate PCI use was not linked to in-hospital mortality, periprocedural bleeding and medication use post-PCI. The studys lead author, Steven M. Bradley, MD, MPH, told Cardiovascular Business that the results show room for improvement, especially in terms of patient selection.

Circ: Cardiac mortality ranking systems are imprecise

While hospitals are constantly ranked on performance, how accurate are these assessments? Based on research published in the May issue of Circulation: Cardiovascular Quality and Outcomes that found these methods may be imprecise, rankings should not be used for comparisons of risk-adjusted cardiac mortality rates, the authors wrote.

Q&A | Breaking the Code for Vascular Surgery Reimbursement

Several vascular surgery codes have undergone changes and more coding modifications will occur this year. With the Centers for Medicare & Medicaid Services (CMS) moving toward bundled payments, vascular surgeons are facing dwindling reimbursement. How can they ensure adequate payments? Teri Romano, RN, MBA, a consultant at Karen Zupko & Associates in Chicago, provides tips.

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