• July 19, 2013

    In This Issue:





    SCAI Continues to Engage House Energy & Commerce Committee on SGR

    SCAI continues to engage the House Energy and Commerce Committee on legislation to repeal and replace Medicare's sustainable growth rate (SGR) formula, a movement which is picking up steam at a whirlwind pace.

    Late yesterday afternoon the House Committee on Energy & Commerce released a revised draft legislation to repeal SGR incorporating many of SCAI's recommendations and requests. While the draft represents significant progress from previous versions of the legislation, there is still much work that remains. SCAI and its Alliance of Specialty Medicine partners have had nearly a dozen meetings on Capitol Hill this week to discuss this bill and met with Energy & Commerce Committee staff again today.

    RELATED: SCAI Reiterates Concerns on Draft Legislation to Repeal SGR

    RELATED: Alliance Submits Testimony on SGR

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    CCI: New Early View Content on Valvular and Structural Heart Diseases

    In order to get critical information to members as soon as possible, SCAI's official journal Catheterization & Cardiovascular Interventions (CCI) offers accepted manuscripts online in its Early View Section prior to inclusion of that manuscript in a print issue.

    The following Early View articles in Valvular & Structural Heart Diseases are now available online - just log in at www.SCAI.org:

    Valvular & Structural Heart Diseases

    Original Studies


    Implementation of real-time three-dimensional transesophageal echocardiography for mitral balloon valvuloplasty
    Marvin H. Eng, Ernesto E. Salcedo, Michael Kim, Robert A. Quaife and John D. Carroll
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Percutaneous edwards SAPIEN valve implantation for significant pulmonary regurgitation after previous surgical repair with a right ventricular outflow patch
    Marcin Demkow, Witold Rużyłło, Elżbieta Katarzyna Biernacka, Łukasz Kalińczuk, Mateusz Śpiewak, Mirosław Kowalski, Ewa Sitkowska, Mariusz Kuśmierczyk, Jacek Różanski, Sławomir Banaś, Zbigniew Chmielak and Piotr Hoffman
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Emergency cardiac surgery during transfemoral and transapical transcatheter aortic valve implantation: Incidence, reasons, management, and outcome of 411 patients from a single center
    Daniel P. Griese, Wilko Reents, Sebastian Kerber, Anno Diegeler and Jörg Babin-Ebell
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Three-dimensional multidetector computed tomography versus conventional 2-dimensional transesophageal echocardiography for annular sizing in transcatheter aortic valve replacement: Influence on postprocedural paravalvular aortic regurgitation
    Nicolaj C. Hansson, Leif Thuesen, Vibeke E. Hjortdal, Jonathon Leipsic, Henning R. Andersen, Steen H. Poulsen, John G. Webb, Evald H. Christiansen, Lars E. Rasmussen, Lars R. Krusell, Kim Terp, Kaj E. Klaaborg, Mariann Tang, Jens F. Lassen, Hans E. Bøtker and Bjarne L. Nørgaard
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Transseptal antegrade transcatheter aortic valve replacement for patients with no other access approach—A contemporary experience
    Mauricio G. Cohen, Vikas Singh, Claudia A. Martinez, Brian P. O'Neill, Carlos E. Alfonso, Pedro O. Martinezclark, Alan W. Heldman and William W. O'Neill
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Estimation of oxygen consumption in elderly patients with aortic stenosis
    Zachary M. Gertz, Brian D. McCauley, Amresh Raina, William O'Donnell, Charlene Shellenberger, Judi Willhide, Paul R. Forfia and Howard C. Herrmann
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Differences in recovery of left and right ventricular function following aortic valve interventions: A longitudinal echocardiographic study in patients undergoing surgical, transapical or transfemoral aortic valve implantation
    Lena M. Forsberg, Éva Tamás, Farkas Vánky, Jan Engvall and Eva Nylander
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Automated 3D analysis of Multislice Computed Tomography to Define the Line of Perpendicularity of the Aortic Annulus and of the Implanted Valve: Benefit on planning transcatheter aortic valve replacement
    Mariam Samin, Francis Juthier, Camille Van Belle, Pierfrancesco Agostoni, Jolanda Kluin, Pieter R. Stella, Faiez Ramjankhan, Ricardo P.J. Budde, Gertjan Sieswerda, Emanuela Algeri, Ahmed Elkalioubie, Anouar Belkacemi, Michel E. Bertrand, Pieter A. Doevendans and Eric Van Belle
    ABSTRACT | Members CLICK HERE to Access Full Issue

    Case Reports


    Leaflet length and left main coronary artery occlusion following transcatheter aortic valve replacement
    Kazuaki Okuyama, Hasan Jilaihawi and Raj R. Makkar
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Successful percutaneous mitral valve repair with the mitraclip system of acute mitral regurgitation due to papillary muscle rupture as complication of acute myocardial infarction
    Mehmet Bilge, Recai Alemdar and Ayse Saatci Yasar
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Recurrent dyspnea following multiple ablations for atrial fibrillation explained by the "stiff left atrial syndrome"
    Chance Witt, Brian Powell, David Holmes and Oluseun Alli
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Development of mitral stenosis after single mitraclip insertion for severe mitral regurgitation
    James Cockburn, Paraskevi Fragkou and David Hildick-Smith
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Compassionate use of the self-expandable medtronic corevalve prosthesis for the treatment of pure aortic regurgitation in a patient at prohibitive risk for surgical valve replacement
    H.A. Hildebrandt, R. Erbel and P. Kahlert
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Late embolization of a vascular plug III device after mitral paravalvular leak closure
    Dabit Arzamendi, Chi Hion Li and Antoni Serra
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Transcatheter trans-apical closure of paravalvular mitral and aortic leaks using a new device: First in man experience
    Omer Goktekin, Mehmet Akif Vatankulu, Abdurrahman Tasal, Osman Sönmez, Halil Başel, Ufuk Topuz, Mehmet Ergelen and Ziyad M. Hijazi
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Management of severe aortic regurgitation in a patient with cardiogenic shock using a percutaneous left ventricular assist device and transcatheter occlusion of the failed aortic valve homograft as a bridge to surgical valve replacement
    Peter Pollak, D. Scott Lim and John Kern
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Pre-emptive positioning of a coronary stent in the left anterior descending artery for left main protection: A prerequisite for transcatheter aortic valve-in-valve implantation for failing stentless bioprostheses?
    Tarun Chakravarty, Hasan Jilaihawi, Mamoo Nakamura, Mohammad Kashif, Saibal Kar, Wen Cheng and Raj Makkar
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Percutaneous ventricular septal defect closure with amplatzer devices resulting in severe tricuspid regurgitation
    Robina Matyal, Angela Wang and Feroze Mahmood
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Successful transfemoral aortic valve replacement in a bicuspid aortic stenotic valve: Requirements for a safe implant
    Gabriel Maluenda, Mario Araya and Rodrigo Ibañez-Arenas
    ABSTRACT | Members CLICK HERE to Access Full Issue


    A novel technique to remove a right atrial thrombotic mass attached to a patent foramen ovale (PFO) closure device
    N. Wunderlich, J. Franke and H. Sievert
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Snare vegetectomy for right-sided endocarditis
    Swee-Chong Seow, Wei-Qin Lin and Raymond C.C. Wong
    ABSTRACT | Members CLICK HERE to Access Full Issue


    Percutaneous coronary intervention in TAVI: The "proboscis" catheter
    Massimo Mancone, Mauro Pennacchi and Gennaro Sardella
    ABSTRACT | Members CLICK HERE to Access Full Issue


    New frontier for intracardiac devices: Endobronchial occlusion of bronchopleural fistula with CERA device
    Francisco Chamié, David Henrique Nigri and Rui Haddad
    ABSTRACT | Members CLICK HERE to Access Full Issue

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    Will You Be Ready to Pass the Interventional Cardiology Boards?

    Will you be able to pass the Interventional Cardiology Boards?  Are you up to date with the latest interventional science? If you're not quite sure, don't miss the ACCF/SCAI Premier Interventional Cardiology Overview and Board Preparatory Course on Amelia Island, FL on August 16-18, 2013. Leading interventionalists will guide you through the best course available for preparing for board certification/recertification and keeping current with the latest updates by providing:

    • Opportunities for you to email your questions to faculty before, during and for 2 weeks after the course to assist you in closing your knowledge gaps.  We will even provide free internet access in the meeting room for you during the course!
    • Free study session in late September.  You will have a chance to get your last minute Board questions answered by our expert faculty.
    • Syllabus materials that you can take with you anywhere:
      • Full color syllabus containing all of the presentation slides to allow you to follow along during the course
    • Thumb drive containing all course presentations so you can easily study anywhere you have access to a computer or tablet
    • Plus access to all final course presentation materials on the course website
    • In addition, we will provide hundreds of opportunities for you to test your knowledge through case study questions.

    Time is Running Out -- Register Today!

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    CMS Beefing Up Carotid Stenting Oversight

    All physicians and hospitals providing carotid stenting must comply with a very detailed Medicare coverage policy including “self-accreditation” and it appears that CMS is beefing up oversight of compliance with these requirements by announcing a new encrypted re-accreditation process effective October 1.

    Requirements include standards regarding physician training, facility device inventory and support, and data collection to evaluate outcomes during a required reevaluation period. Medicare also requires facilities to submit data to CMS upon request, and perform an internal analysis of data every 6 months.  Recertification is required every two years. 

    Need accreditation or external reviews of your CAS program? Check out The Accreditation for Cardiovascular Excellence (ACE) program on CAS sponsored by SCAI and ACCF.

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    SCAI-QIT Tip of the Month on Post-Procedure Time Out & Debriefing

    The pre-procedure “time out” is a standard of practice for cardiac cath labs and a requirement from The Joint Commission. To take this concept a step further, interventional attendings may look for opportunities to have a “post-procedure time out and debriefing” with the cath lab staff immediately after complex procedures or those with complications. In a short, focused huddle, the attending can discuss the rationale for a particular strategy and invite input from the cath lab staff. The “who, where, why, and when” of a particular case can be reviewed and steps taken for a more comprehensive review later, if necessary. This “post-procedure debriefing” can be a powerful format for quality improvement. In addition, it will engender a team approach to foster better problem solving and communication.

    The SCAI-QIT team has developed a slide deck to outline certain settings and issues for the “post-procedure debriefing”.

    Download it Now!


    The SCAI Quality Improvement Toolkit was developed with support from founding supporter Daiichi Sankyo, Inc. and Lilly USA, LLC and AstraZeneca. The Society gratefully acknowledges this support, while taking sole responsibility for all content developed and disseminated through this effort.

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    Help Us Identify the Very Best; Make Your MSCAI Nomination(s) Today

    SCAI is now accepting nominations for its new Master Fellow of SCAI (MSCAI) designation!

    The MSCAI designation was developed to acknowledge SCAI Fellows who have been recognized by their peers as “having demonstrated excellence in Invasive/Interventional Cardiology over a career, manifested by a commitment to the highest levels of clinical care, innovation, publication, and teaching.”

    “Considering SCAI’s maturity as an organization and the contributions of its past and present leaders, we felt it was time to recognize a new category of members – those who have achieved excellence in their professional accomplishments or their contributions, over a career,” said SCAI Past President Christopher J. White, MD, FSCAI, who spearheaded this effort along with Past President and Credentials Committee Chair Barry Uretsky, MD, FSCAI.

    Once each year, starting at the SCAI 2014 Scientific Sessions in Las Vegas, a new group of Fellows will be awarded MSCAI status. “For the first six years, SCAI will recognize a maximum of 20 new Master Interventionalists, and from that point forward, we’ll elect 10 per year,” said Dr. Uretsky. “The Credentials Committee, with input from the Board of Trustees, has developed a rigorous and competitive process for MSCAI selection. To be named an MSCAI will be a great honor.”

    More Information on Nominations and Eligibility

    Make Your Nomination(s) Now!

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    Don't Be Left Behind — SCAI TRIP Chicago Expected to Fill Fast

    A study published in Circulation last month suggests we're in the midst of growing adoption of transradial interventions in the U.S..

    In an analysis of 3 million coronary interventions performed in the U.S. researchers found that use of radial access in angioplasty procedures has risen from 1.2% in 2007 to 16.1% in 2012.

    Are YOU ready?

    If not, plan now to attend SCAI's Transradial Interventional Program (TRIP) Chicago on October 12. SCAI TRIP Chicago will build upon the basics taught during previous TRIP programs, focusing on advanced techniques and best practices. This series is designed for both past TRIP attendees as well as those who’ve not previously attended.

    Advanced Content Includes:

    • Traversing difficult anatomy
    • Difficult interventional substrates
    • Transradial peripheral intervention
    • Nursing / tech symposium
    • Case based education
    • Structured simulator curriculum with one-on-one faculty interaction

    Nurse/Tech Content Includes:

    • Equipment needs
    • Room arrangements for radial vs. femoral
    • Radial artery policy
    • TR band policy and competency
    • Hemostasis removal documentation flow sheets
    • Same day PCI
    • Staff education requirements and plan for implementation
    • Financial investments/savings
    Full Enrollment is Expected - Make Your Reservations Now

    View the Agenda

    Information on Accommodations at Sheraton Chicago Hotel & Towers

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