Pub Date : 2011-10-01DOI: 10.1177/2150133511433992
C. Corbett
For years coronary angiography and intravascular ultrasound (IVUS) system have been relied on to visualize and determine malapposed struts (Figure 2), lumen size, thrombus (Figure 3), and edge dissection (Figure 4). Now there is new technology that has graced the horizon, optical coherence tomography (OCT). OCT is intravascular imaging that uses near-infrared light to image vessels. It can be used preand poststent and gives clarity of coronary artery disease, structure, precise measurements of lesions, and vessel size. St. Jude Medical performed a 1 month introductory trial at Carolinas Medical Center (CMC) in Charlotte, North Carolina. This was the first introduction of this technology within North and South Carolina. OCT has been widely accepted within our lab. It proves to be user friendly among the specialists and doctors here at CMC. Since this technology is fairly new, it is not integrated; but it is mounted on a portable computer that can be easily maneuvered into the procedure room. The computer is set up with two monitors that face opposite each other, one side for the physician and the other for the specialist/nurse operating the equipment. There is a motor drive that is connected to the computer mounting, and it is handed to the scrub specialist in a similar fashion to the motor drive of IVUS. When the computer is powered on, the patient information can be entered and a new case can be started. The OCT catheter, known as the C-7 Dragonfly Imaging Catheter, is 2.7 Fr Rx System, with a 135-cm working length that comes in a hoop within a sterile plastic package. Also, there is a small blue syringe and a plastic sleeve to cover the motor drive, both packaged separately from the C-7 Dragonfly Imaging Catheter. Care must be taken when removing the catheter so as to not bend the catheter at the hub of the hoop. The prep is fairly simple; the blue syringe is filled with pure
{"title":"Optical Coherence Tomography","authors":"C. Corbett","doi":"10.1177/2150133511433992","DOIUrl":"https://doi.org/10.1177/2150133511433992","url":null,"abstract":"For years coronary angiography and intravascular ultrasound (IVUS) system have been relied on to visualize and determine malapposed struts (Figure 2), lumen size, thrombus (Figure 3), and edge dissection (Figure 4). Now there is new technology that has graced the horizon, optical coherence tomography (OCT). OCT is intravascular imaging that uses near-infrared light to image vessels. It can be used preand poststent and gives clarity of coronary artery disease, structure, precise measurements of lesions, and vessel size. St. Jude Medical performed a 1 month introductory trial at Carolinas Medical Center (CMC) in Charlotte, North Carolina. This was the first introduction of this technology within North and South Carolina. OCT has been widely accepted within our lab. It proves to be user friendly among the specialists and doctors here at CMC. Since this technology is fairly new, it is not integrated; but it is mounted on a portable computer that can be easily maneuvered into the procedure room. The computer is set up with two monitors that face opposite each other, one side for the physician and the other for the specialist/nurse operating the equipment. There is a motor drive that is connected to the computer mounting, and it is handed to the scrub specialist in a similar fashion to the motor drive of IVUS. When the computer is powered on, the patient information can be entered and a new case can be started. The OCT catheter, known as the C-7 Dragonfly Imaging Catheter, is 2.7 Fr Rx System, with a 135-cm working length that comes in a hoop within a sterile plastic package. Also, there is a small blue syringe and a plastic sleeve to cover the motor drive, both packaged separately from the C-7 Dragonfly Imaging Catheter. Care must be taken when removing the catheter so as to not bend the catheter at the hub of the hoop. The prep is fairly simple; the blue syringe is filled with pure","PeriodicalId":320506,"journal":{"name":"Cardiac Cath Lab Director","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126052981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-10-01DOI: 10.1177/2150133511429774
Sheila E. Sylvan
{"title":"Why Do I Need To Know About HIPAA 5010 and ICD-10-CM?","authors":"Sheila E. Sylvan","doi":"10.1177/2150133511429774","DOIUrl":"https://doi.org/10.1177/2150133511429774","url":null,"abstract":"","PeriodicalId":320506,"journal":{"name":"Cardiac Cath Lab Director","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126992025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-10-01DOI: 10.1177/2150133511433757
A. Innasimuthu, Sanjay Kumar, C. Gandhi, Sangeetha Nathaniel, S. Chuah
The authors report a case of two congenital coronary artery anomalies in the same patient presenting with symptoms suggestive of angina. These two anomalies have been reported in isolation or with other congenital malformation complexes but not together. On reviewing the literature, the authors report this as the first patient presenting with both these congenital anomalies. In this case report, the authors briefly review presenting symptoms of the patient, coronary angiogram, and the literature regarding these congenital coronary anomalies.
{"title":"Congenital Absence of Left Circumflex Artery With Origin of Left Anterior Descending Artery From Right Sinus of Valsalva","authors":"A. Innasimuthu, Sanjay Kumar, C. Gandhi, Sangeetha Nathaniel, S. Chuah","doi":"10.1177/2150133511433757","DOIUrl":"https://doi.org/10.1177/2150133511433757","url":null,"abstract":"The authors report a case of two congenital coronary artery anomalies in the same patient presenting with symptoms suggestive of angina. These two anomalies have been reported in isolation or with other congenital malformation complexes but not together. On reviewing the literature, the authors report this as the first patient presenting with both these congenital anomalies. In this case report, the authors briefly review presenting symptoms of the patient, coronary angiogram, and the literature regarding these congenital coronary anomalies.","PeriodicalId":320506,"journal":{"name":"Cardiac Cath Lab Director","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130302557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-08-01DOI: 10.1177/2150133511419200
A. Yehya, L. Sperling, S. Jacobs, W. Mashman
Takotsubo cardiomyopathy (TCM) is an increasingly described form of transient cardiomyopathy in which patients develop a distinct left ventricular apical ballooning typically following a significant emotional or physical stress. The etiology of this syndrome is not clear, but it is likely that direct catecholamine toxicity to the susceptible myocardium plays a role. The syndrome is most common in women and has been described in association with a variety of forms of physiologic or emotional stress. In general, the prognosis is favorable and complete recovery is common. The authors report the case of a young woman with presumed autoimmune polyendocrine syndrome II (APS II) who developed TCM after presenting with adrenal insufficiency. APS II is an endocrine disorder in which Addison’s disease can occur with autoimmune thyroid disease, type 1 diabetes mellitus, premature ovarian failure, vitamin B12 deficiency, vitiligo, and other manifestations. Hormonal preconditioning and psychological stress may trigger TCM.
{"title":"Takotsubo Cardiomyopathy in a Patient With Presumptive Autoimmune Polyendocrine Syndrome II","authors":"A. Yehya, L. Sperling, S. Jacobs, W. Mashman","doi":"10.1177/2150133511419200","DOIUrl":"https://doi.org/10.1177/2150133511419200","url":null,"abstract":"Takotsubo cardiomyopathy (TCM) is an increasingly described form of transient cardiomyopathy in which patients develop a distinct left ventricular apical ballooning typically following a significant emotional or physical stress. The etiology of this syndrome is not clear, but it is likely that direct catecholamine toxicity to the susceptible myocardium plays a role. The syndrome is most common in women and has been described in association with a variety of forms of physiologic or emotional stress. In general, the prognosis is favorable and complete recovery is common. The authors report the case of a young woman with presumed autoimmune polyendocrine syndrome II (APS II) who developed TCM after presenting with adrenal insufficiency. APS II is an endocrine disorder in which Addison’s disease can occur with autoimmune thyroid disease, type 1 diabetes mellitus, premature ovarian failure, vitamin B12 deficiency, vitiligo, and other manifestations. Hormonal preconditioning and psychological stress may trigger TCM.","PeriodicalId":320506,"journal":{"name":"Cardiac Cath Lab Director","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122149661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-08-01DOI: 10.1177/2150133511407442
D. Scharbach
A series of articles regarding management techniques.
关于管理技术的一系列文章。
{"title":"The Value of a Mentor","authors":"D. Scharbach","doi":"10.1177/2150133511407442","DOIUrl":"https://doi.org/10.1177/2150133511407442","url":null,"abstract":"A series of articles regarding management techniques.","PeriodicalId":320506,"journal":{"name":"Cardiac Cath Lab Director","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117123759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-08-01DOI: 10.1177/2150133511423390
L. Matheson, Elizabeth Levi
The highly specialized skills of registered nurses (RNs) in the cardiac catheterization laboratory pose unique problems for administrators when dealing with staffing shortages. Faced with a temporary reduction of 25% of the total RN labor and 50% of the procedural RN labor, a cardiac catheterization laboratory in north central Illinois resorted to cross-training RNs through all the phases of care, including preadmission, preprocedural, intraprocedural, and postprocedural care. This creative staffing solution solved the short-term staffing issue and had the added benefit of improving interpositional team knowledge and morale.
{"title":"Optimal Utilization of Registered Nurses Through All Phases of Care in the Cardiac Cath Lab","authors":"L. Matheson, Elizabeth Levi","doi":"10.1177/2150133511423390","DOIUrl":"https://doi.org/10.1177/2150133511423390","url":null,"abstract":"The highly specialized skills of registered nurses (RNs) in the cardiac catheterization laboratory pose unique problems for administrators when dealing with staffing shortages. Faced with a temporary reduction of 25% of the total RN labor and 50% of the procedural RN labor, a cardiac catheterization laboratory in north central Illinois resorted to cross-training RNs through all the phases of care, including preadmission, preprocedural, intraprocedural, and postprocedural care. This creative staffing solution solved the short-term staffing issue and had the added benefit of improving interpositional team knowledge and morale.","PeriodicalId":320506,"journal":{"name":"Cardiac Cath Lab Director","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131910967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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