SCAI This Week
Apr. 9, 2015

Society Offering Free Education to Reduce Vascular Access Complications in the Cath Lab
SCAI
Vascular access complications are among the most common problems negatively impacting interventional outcomes, yet adequate attention to this issue has been lacking.

The solution? SCAI Vascular Access Safety Course (SCAI VASC) in San Diego on Wednesday, May 6. A satellite course at SCAI 2015, this program will feature experts presenting the best practices for all commonly used vascular access sites and techniques with the goal of providing you an advanced understanding of the intricacies of vascular access. "Over the years, many SCAI members have expressed the need for a common vascular access symposium. VASC is the response to that request," said Samir B. Pancholy, MD, FSCAI, who will co-chair the course with Sunil Rao, MD, FSCAI, and Adhir Shroff, MD, FSCAI.

Attendance is free; however advance enrollment is encouraged. Find out more and reserve your spot now at www.SCAI.org/VASC.More

SCAI Publishes Expert Consensus Statement Offering Guidance on Use of Heart Pumps
SCAI


Greater availability of percutaneous mechanical circulatory support devices for treatment of heart failure is helping expand treatment options for a rapidly growing number of acutely and chronically ill cardiac patients who could benefit from the devices. An expert consensus statement released by SCAI and other societies provides new guidance to help physicians match the right device with the right patient. "PMCS devices are revolutionizing the treatment of high-risk cardiac patients," said Charanjit S. Rihal, MD, FSCAI, lead author of the paper. "In certain patients, these devices can mean the difference between recovery and the need for heart transplant or death, and they may be used to maintain hemodynamic stability during interventional procedures and as a bridge to longer-term treatment. The new consensus statement will help physicians select devices for the patients who are most likely to benefit." Above, watch as co-author Srihari S. Naidu, MD, FSCAI, discusses the key takeaways from the document. Learn more about this document.

Related: Statement Clarifies Use of Heart Pumps in High-risk Patients (Cardiovascular Business)
Catheter-based VAD an Option for Cardiogenic Shock (MedPage Today)
Leading Cardiovascular Societies Release New Guidance on Use of Heart Pumps (Medical Xpress) More

SCAI Survey: Interventionalists Continue to Face Risk of Work-related Injury Despite Increased Awareness
SCAI
Nearly half of over 300 interventional cardiologists responding to a survey conducted by SCAI this past fall reported at least one work-related orthopedic complication. The findings, published in Catheterization and Cardiovascular Interventions, indicate that occupational health issues are on the rise among interventional cardiologists.

The survey focused on orthopedic injuries to the spine, hips, knees and ankle, as well radiation-associated problems including cataracts and cancers. "The results of the SCAI survey highlight the unique health risks that interventional cardiologists and cath lab staff face as they diagnose and treat cardiovascular disease," said Lloyd W. Klein, MD, FSCAI, lead author of the paper. "Most concerning is the fact that these risks have increased since interventional cardiologists were last surveyed in 2004. The health and safety of our patients is always our top priority, but these findings point to a very real need to address workplace safety for interventional cardiologists and cath lab staff." Find out more about the results.More

Introducing the SCAI.org Structural and Valvular Clinical Interest Section
SCAI
Looking for a go-to online resource for structural and valvular interventions?

Then be sure to check out the all-new SCAI.org Structural and Valvular Clinical Interest Section.

There, you'll find section editors Kreton Mavromatis, MD, FSCAI, and George Hanzel, MD, FSCAI, discussing the key takeaways from ACC.15, journal scans reviewing the latest literature in the field, the latest structural and valvular articles from Catheterization and Cardiovascular Interventions and plenty of interesting images such as the following:

Watchman
Sameer Gafoor, MD, reviews the use of a Watchman device in the case of an elderly patient with permanent atrial fibrillation. Review


Residual Ventricular Septal Defect
Christopher End, MD, reviews a case involving residual ventricular septal defect seven years following myocardial infarction and percutaneous closure. Review


Recurrent VSD Post-Surgical Repair
Anita W. Asgar, MD, reviews the transcatheter management of a 68-year-old patient with an acute inferior myocardial infarction. Review


Coronary Obstruction During TAVR
Christian Spies, MD, FSCAI, reviews the case of a 83-year-old patient with severe, symptomatic aortic stenosis. ReviewMore

Meet Janice Baker, MSN, RN, CEPS, FHRS: SCAI's 1st Cardiovascular Professional Member
SCAI
Since Jan. 1, when SCAI began established its new Cardiovascular Professional Membership category, nearly 100 cath lab nurses, technologists and administrators have joined SCAI. In the coming months, SCAI News & Highlights will introduce some of these new members, including Janice Baker, MSN, RN, CEPS, FHRS, who was the first cath lab nurse and administrator to join SCAI via the new membership category. Meet Janice Baker.More

How Does CMS's New Interventional Cardiology Designation Affect E&M Coding?
SCAI
Don't miss the latest Real-World Coding column, where SCAI Director of Reimbursement and Regulatory Affairs Dawn Gray (Hopkins) explains the impact of the new designation on "consultative" evaluation and management coding and payment. Access this Real-World Coding column.More

Image of the Week: This Isn't Your Grandfather's Valve
SCAI

Chad Kliger, MD, of Lenox Hill Heart and Vascular Institute in New York City, reviews the use of a sutureless, rapid deployment heart valve in a patient with a history of severe aortic stenosis. It quickly becomes clear this isn't your grandfather's traditional surgical or transcatheter valve.More

Catheter-based Pulmonary Valve Recommendations Stress Heart Team
MedPage Today
Transcatheter pulmonary valve replacement is a less invasive option for children and adults whose congenital heart repair is starting to fail, but it still should be decided on by a multidisciplinary team, according to an expert consensus document published by SCAI and other organizations. The treatment recommendation should be made with a heart team that includes interventional cardiologists, cardiac surgeons, noninvasive cardiologists and cardiac anesthesiologists and radiologists, it said.More

Sports-related Cardiac Arrest Seen as Rare in Middle Age
Medscape
Occurrences of sports-associated sudden cardiac arrest in middle-aged athletes appear to be few, especially in those without previous cardiovascular risk factors or symptoms, new research suggests. Further results from the Oregon Sudden Unexpected Death Study, which were published in Circulation, showed that only 5 percent of 1,247 cases of sudden cardiac arrest in individuals between the ages of 35 and 65 years happened during some form of sports activity.More

Study: More Young Adults Would Take Statins Under Pediatric Guidelines
The American Journal of Managed Care
When treating a young person age 17 to 21, which clinical guidelines apply? Should physicians follow pediatric guidelines or those for adults? Would it make a difference? In the case of statins, 400,000 more young people might be taking them for elevated levels of low-density lipoprotein cholesterol if physicians followed pediatric guidelines for this age group, according to a study published by JAMA Pediatrics.More

Strokes Can Double the Likelihood of Attempted Suicide
Health Canal
Stroke patients can be up to twice as likely to commit suicide compared with the rest of the population, and the risk of attempted suicide is highest within the first two years of illness. These are the findings of a study from Umeå University published in the journal Neurology.More

BP Targets Loosened in Coronary Disease
MedPage Today
Treatment should target under 140/90 mmHg for most hypertensive patients with known coronary artery disease, according to a new statement from the American Heart Association, the American College of Cardiology and the American Society of Hypertension. The last AHA recommendations in 2007 had advocated more aggressive targets of 130/80 mmHg in patients with a history of stable angina or acute coronary syndromes and of 120/80 mmHg in left ventricular dysfunction.More

The Link Between Dietary Sugar Intake and Cardiovascular Disease Mortality
Journal of the American Medical Association
Epidemiologic studies have suggested that higher intake of added sugar is associated with cardiovascular disease risk factors. Few prospective studies have examined the association of added sugar intake with cardiovascular disease mortality.More

High-risk Acute MI Patients Less Likely to Stay on Guideline-recommended Therapies After Hospital Discharge
Cardiovascular Research Foundation
High-risk patients who have had an acute MI are less likely than their low-risk counterparts to adhere to guideline-recommended therapy over the year after hospital discharge, according to a registry study published online March 23 ahead of print in Heart. The finding extends the "risk-treatment paradox" previously documented during hospitalization.More