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TAVR Center: Catch Up With May Journal Scan and Spring Poll
TAVR is such a fast-evolving therapy, it's tough to keep up with the latest developments. Let the SCAI TAVR Center do the work for you with our monthly journal scans, quarterly polls, case reviews and the latest headlines on the topic.
Catch up with May Journal Scan, a compilation of the past month's top TAVR-related journal articles assembled by Kreton Mavromatis, MD, FSCAI, and George Hanzel, MD, FSCAI, including the review of this top article in JACC: "Percutaneous tricuspid valve implantation: two-center experience with midterm results."
Also, be sure to weigh in our Spring Poll before it closes. We want to know which transcatheter aortic valve you're using. Participate now at www.SCAI.org/TAVRCenter.
The SCAI TAVR Center is supported through an educational grant from platinum sponsor Medtronic. The Society gratefully acknowledges this support while taking sole responsibility for all content developed and disseminated through this effort.
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Remembering Interventional Cardiology Pioneer Liliana Grinfeld, MD, FSCAI
Liliana Rosa Grinfeld, MD, PhD, FSCAI, chief of interventional cardiology at Hospital Español de La Plata (Buenos Aires, Argentina), died May 17 after a long illness. She was 71 years old.
In addition to being the first female cardiologist to perform angioplasty in Argentina, Dr. Grinfeld was the first female president of both the Argentina Society of Cardiology (ASC, 1992) and the Argentine College of Interventional Cardiologists Association (2006-2009). She was a founding member of SOLACI (Latin American Society of Interventional Cardiology) and SCAI's Women in Innovations (SCAI-WIN) initiative. She received training at the Cleveland Clinic working under F. Mason Sones Jr., MD, FSCAI.
"As a young interventionalist, I actually had the honor to receive my membership diploma in the Argentina Society of Cardiology (ASC) from Liliana," said SCAI Trustee Luis Guzman, MD, FSCAI. "I went on to have the opportunity to work with her as part of ASC, SOLACI, as well as investigators in multiple clinical trials. She was not only a colleague but also a friend, a mentor and a role model for many young interventional cardiologists throughout Latin America. Her energies and positive attitude were very inspirational for everyone who worked around her. She was also an extremely hard worker, never missing a single meeting and always with a smile and a positive comment."
A testament to her work ethic and commitment to the specialty, Dr. Grinfeld actively served on SCAI's Credentials and SCAI-WIN committees up until her passing. She played an instrumental role on the latter since its founding in 2009 "When we were first forming SCAI-WIN, Liliana was the very first person I called, and she was right there supporting the effort, not just in Argentina but in all of South America," SCAI 2016 Program Chair Roxana Mehran, MD, FSCAI, said. "That initiative gained its momentum in South America through Liliana's energy and passion to make certain that women were well represented in clinical trials as well as the interventional cardiology specialty."
Dr. Grinfeld is survived by her husband, Dr. Norberto Pallavicini, and their children.
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Don't Forget! Latest SCAI-QIT Tool to Be Unveiled During June 11 Webinar
Join SCAI and the Interventional Community on June 11 at 1 p.m. ET as we continue to tackle quality improvement in the cath lab with the launch of the latest tool in SCAI's Quality Improvement Toolkit (SCAI-QIT) during a special webinar. The Documentation for PCI Procedures module is designed to help your cath lab team bolster its documentation process by better understanding the implications of incomplete or incorrect documentation of PCI with respects to audits, malpractice, quality and reimbursement. Enroll now — it's free for SCAI members.
Related: Sign up to be a SCAI-QIT champion at your cath lab.
Related: Miss a webinar? Catch up with the SCAI-QIT webinar archive.
Unbroken Hearts: SCAI's Campaign to Share the Value of Interventional Cardiology
SCAI 2015 featured the official launch of "Unbroken Hearts," a Society initiative that shares the stories of patients facing serious or unique heart conditions and and the stories about how their conditions were successfully treated through fast action, the latest technology and the skills and problem-solving acumen of interventional cardiologists and their cath lab teams. The stories help evoke the drama of the life-and-death situations often faced in interventional cardiovascular medicine while also bringing better understanding to the science and technology of treating heart disease and showing what patients may experience during their heart journeys. Learn more about the impressive traction this campaign is gaining and how you can help!
Unbroken Hearts is supported by grants from Abbott and Abiomed. SCAI gratefully acknowledges this support while taking sole responsibility for all content developed and disseminated through this effort.
Image of the Week: What Happened to the Valve?
Daniel H. Steinberg, MD, FSCAI, of the Medical University of South Carolina reviews a rare case of ventricular embolization in TAVR performed in an 89-year-old patient with a history of chronic systolic heart failure. This case features many learning points. Review it and tell us what you would do next.
Society Opposes CMS's Plan to Regulate Dissemination of Scientific Literature
Last week, SCAI joined more than 100 national medical specialty societies and state medical societies in support of legislation that would block a proposal by the Centers for Medicare and Medicaid Services (CMS) to require companies that distribute peer-reviewed literature to physicians to report those distributions as payments to physicians. CMS's proposal would also require that such distributions be reported on CMS's Open Payments website. H.R. 293, introduced by Congressman Michael Burgess, MD, R-Texas, would halt CMS's planned expansion.
Read the comments letter.
SCAI Joins Organizations Commenting on Tobacco Cessation Recommendations
This week, approximately 30 public health and medical organizations, including SCAI, delivered recommendations to the U.S. Preventive Services Task Force (USPSTF) on behavioral and pharmacotherapy interventions for tobacco smoking cessation in adults and pregnant women. The commenting organizations urge the USPSTF to strengthen its recommendations statement to encourage use of both pharmacotherapy and behavioral interventions to help tobacco users quit. They also encourage the USPSTF to develop materials for insurers, clinicians and patients to ensure that the recommendation is used as intended by the Affordable Care Act for insurance coverage decisions. The five-page comments letter was developed in response to a request by the USPSTF.
Read the comments letter.
Will Warfarin Remain the Cornerstone Anticoagulant?
The use of warfarin will likely remain common for the foreseeable future. But, considering the newest generation of oral anticoagulants, warfarin's status as a mainstay anticoagulation therapy is uncertain, says Yekaterina Opsha, PharmD, BCPS-AQ Cardiology, a clinical specialist of cardiovascular medicine at Saint Barnabas Medical Center.
Mercy Cath Labs Receive Accreditation
Des Moines Business Record
Des Moines, Iowa, and Mercy West Lakes recently received accreditation for their cardiac catheterization lab and percutaneous coronary intervention program from Accreditation for Cardiovascular Excellence, an organization dedicated to ensuring adherence to the highest quality standards for cardiovascular and endovascular care. Mercy said in a release that it is the first hospital in central Iowa to earn ACE accreditation.
Fast-Track Medical Treatments Offer a Chance
It can take years for the Food and Drug Administration to approve a new medical device. Critics say that process leaves the U.S. lagging behind other countries in developing products that could be saving lives.
New Data Highlight Use of Ticagrelor for Ad-hoc PCI
In this video, Roxana Mehran, MD, FSCAI, professor of medicine at Icahn School of Medicine at Mount Sinai, program co-chair for the 2015 Society for Cardiovascular Angiography and Interventions Scientific Sessions and Cardiology Today's Intervention associate medical editor, discusses the results of a trial comparing ticagrelor and clopidogrel for reduction of platelet activity in patients with ACS undergoing ad-hoc PCI. The trial, which was presented at SCAI 2015, included 100 troponin-negative, low-risk patients with stabilized ACS who received a loading dose of ticagrelor or clopidogrel with aspirin at the time of PCI.
Study Supports Use of Low-Dose Aspirin After Acute MI
Most patients undergoing stenting for acute MI in the United States receive high-dose aspirin at discharge despite this strategy being associated with higher rates of bleeding but no accompanying reduction in MACE compared with a lower dose. The bleeding difference is driven by minor events not requiring hospitalization, according to a study published online May 20 ahead of print in Circulation.
Quality Improvement in Pediatric Cardiac Catheterization: An Update
Congenital Cardiology Today
Improving outcomes for patients living with
congenital heart disease is a national priority. In
2012, the Centers for Disease Control and
Prevention tasked experts to identify the
major public health gaps related to congenital
heart disease and to suggest methods for
addressing these gaps. According to the CDC
expert consensus, "Simply identifying the key
strategies to improve quality will not be enough;
these efforts must be widely disseminated,
adopted and tracked."
Related: Pediatric SCAI Quality Improvement (SCAI)
Radiation Risks in Procedures Prompt Calls for Solutions
The growth of fluoroscopic imaging in cardiovascular and orthopedic interventional procedures is raising fears that institutional safety protocols are not adequate to protect medical staff from increased health risks resulting from radiation exposure.
Emerging technological solutions are reducing those risks, but most are in early stages of development and not yet in widespread use, at least partly because of their costs.
Related: SCAI 2015: Occupational Health Hazards of Interventional Cardiologists in the Current Decade (SCAI)
Imaging Change Cuts Radiation Exposure During TAVR Procedures
Operators performing transcatheter aortic valve replacement procedures reduced radiation dose by 27 percent by modifying imaging settings. Using a lower setting didn't affect screening time, procedure time, contrast use or procedural outcomes.
Related: TAVR's Chance to Improve Safety (Cardiovascular Business)
Defining the Value of Cardiac Catheterization Lab Accreditation
Diagnostic and Interventional Cardiology
Cardiac catheterization laboratory administrators, regulators, payers and other stakeholders frequently ask about the value of accreditation of their facilities through Accreditation for Cardiovascular Excellence (ACE). For the first time, stakeholders have quality metrics, presented at SCAI 2015 Scientific Sessions, that confirm the diverse benefits of achieving ACE accreditation for cardiac catheterization laboratories, clinicians and patients. While no cath lab is perfect, several studies presented at SCAI 2015 indicate that ACE-accredited facilities are significantly more likely than non-accredited centers to meet nationally established standards for multiple structural, process-related and procedural domains. In addition to providing credible data for stakeholders, these studies provide important guidance on how to evaluate cath/PCI programs against accepted quality standards. More on this new data and what it means for your cath lab.
Can 'Moderate' Drinking Damage Aging Hearts?
Despite the reported cardioprotective effects of moderate alcohol consumption, seniors who consume two or more drinks a day may be doing some damage to their hearts, according to a large imaging study published online in Circulation: Cardiovascular Imaging May 26. Led by Alexandra Goncalves, MD, PhD, a postdoctoral research fellow at Brigham and Women's Hospital in Boston, the analysis correlated weekly alcohol consumption in almost 4,500, mainly white, subjects — average age 76, 60 percent women, 20 percent black — to the size, structure and function of the heart.
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||SCAI-QIT Webinar: Documentation of PCI Procedures
||SCAI Fellows Course at LWSIC
||SCAI TAVR Session @ SOLACI
||Mexico City, MEXICO
||SCAI China Fellows Course
||SCAI CPVI - Complex Peripheral Vascular Interventions
SCAI at Great Wall International Congress of Cardiology
SCAI Fellows Course at AICT 2015
||SCAI 2015 Fall Fellows Courses
||SCAI Session at CardioEgypt 2016
|May 4-7, 2016
||SCAI 2016 Scientific Sessions
The news summaries appearing in SCAI This Week are based on original information from news organizations and are produced by Multibriefs, an independent e-mail newsletter publisher. SCAI is not responsible for the content of sites external to SCAI, nor do reports in SCAI This Week constitute the official opinion of SCAI.
The SCAI This Week news roundup is provided as a timely update for SCAI members and other healthcare professionals. Links to articles are provided for readers' convenience and may be of use in discussions with patients or colleagues. Questions and comments about SCAI This Week may be directed to Multibriefs at email@example.com.
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