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.

Low-Volume Cath Labs without Surgical Backup are Here to Stay

Some research has demonstrated that performing elective percutaneous coronary interventions (PCI) in low-volume facilities, especially those without onsite cardiac surgery, can result in positive outcomes. Critics say, however, that these studies are mostly single-center investigations, which do not reflect the real risk of performing elective PCI without onsite surgical backup. In fact, critics point to studies using Medicare data, which do show an increase in mortality for patients treated at facilities without surgical backup.

Longer-Term Data, Better Patient Selection Lead to DES Comeback

Three recent clinical studies rebuke the previously held belief that drug-eluting stents (DES) led to higher rates of stent thrombosis (ST). As concerns over DES have begun to dissipate, their utilization is already increasing in the first half of 2008, and many experts think this trend will continue.

First Word: A Stent is a Stent is a Stent...or is It?

Drug-eluting stents (DES) would not be used if they did not benefit patients. To that end, vendors conduct clinical studies to show that their product is equal to or better than a previous-generation product or a current competitor’s product.

The Back Page: Outpatient Cath Labs Fight for Survival

In recent months, at least three non-hospital outpatient cath labs performed their last cardiac catheterization procedures. Faced with rising costs and looming reimbursement cuts, these physician-driven independent outpatient facilities made the difficult decision to close their doors for good.

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Planning for the Ideal Cath Lab Requires the Multidisciplinary Approach

Planning and creating the best cath lab for your facility and market requires a wide range of considerations, from current and future business patterns to space design to workflow and communication concerns. A good plan that includes input from all the relevant stakeholders goes a long way toward a successful long-term venture.

Roundtable Discussion: The Big 4 Stentmakers

Cardiovascular Business invited representatives from the four major stent manufacturers to discuss the challenges and future outlook for drug-eluting stents (DES).

Overcoming Barriers to Cath Lab Inventory Control

As multifunctional cardiac catheterization labs see new cardiovascular products constantly arriving and old ones getting pushed to the back shelves, administrators need a well-organized storage space, as well as a sophisticated method for integrated inventory management to control costs and revenue.

Can Off-Hour D2B Times be Reduced Without Breaking the Bank

The persistent discrepancy between the door-to-balloon times of on-hours versus off-hours in STEMI patients undergoing PCI procedures can be solved through cost-effective means; however, some argue that an expensive and complex pre-activation program is needed to bring off-hour times in line with those of on-hours.

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