• SCAI This Week
  • March 1, 2013

    In This Issue:

     


     

     


     


    AUC Changes Stress Importance of Documentation & Clinical Judgment

    Last week we told you that the ACC had announced changes to its process for developing appropriate use criteria (AUC), including changes to frequently misinterpreted terminology for describing the levels of appropriateness of care.

    This week SCAI leaders responded stressing the importance of clinical judgment in applying the AUC.

    Quality improvement Committee Co-Chair Sunil Rao, MD, FSCAI and Ajay Kirtane, MD, FSCAI discussed key takeaways from the changes to the AUC. Both agreed this latest development in the AUC process underscores the importance of documentation in the cath lab — using tools such as the SCAI-QIT AUC App — especially when it comes to real-world clinical scenarios that fall into gray areas.

    SCAI President J. Jeffrey Marshall, MD, FSCAI also discussed the new AUC lexicon with Cardiovascular Business Today in the article, "Was appropriate use's makeover enough?". In the piece Dr. Marshall calls for more research looking at the AUC process.

    "There is a concern that the AUC could actually push the pendulum too far the other way. If we underuse certain procedures or tests, we could harm patients," said Dr. Marshall. "Unfortunately, the underserved populations, along with minorities and women, tend to experience underuse the most. Doing less isn’t necessarily always the best path."

    Drs. Sunil Rao & Ajay Kirtane Discuss the Importance of Documentation

    Need an AUC Documentation Tool at Your Fingertips? There's an App for That

    Read the Cardiovascular Business Today Article on the New AUC Lexicon

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    SCAI Objects to MedPAC's Call to Shift Payments From Specialists

    Late last week SCAI responded to comments from prominent cardiologist Rita Redberg, MD, ScD, FACC, who in her position on Congress's Medicare Payment Advisory Commission recommended further "rebalancing" of payments between specialists and primary care physicians.

    In these comments, SCAI President J. Jeffrey Marshall, MD, FSCAI points out that while the Society is supportive of higher pay for primary care, it should not be at the expense of specialists who have faced an onslaught of recent cuts.

    Read SCAI's Comments to the Medicare Payment Advisory Commission

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    CCI: Discussing New Approach to Managing Vascular Complication in TAVI

    The March 2013 issue of Catheterization & Cardiovascular Interventions (CCI) is now available online. Headlining this issue is the Editor's Choice article submitted by Raffaele Scientific Institute in Milan, Italy, "A “modified crossover technique” for vascular access management in high-risk patients undergoing transfemoral transcatheter aortic valve implantation".

    CCI Editor-in-Chief Steven R. Bailey, MD, FSCAI recently discussed the advantages of this new technique with one of the article's co-authors, Alaide Chieffo, MD, FSCAI. Click here to access this must-see video on how this heart team used left radial access to reduce vascular complications.

    Also, be sure not to miss the accompanying editorial comments by Lowell Satler, MD, FSCAI and Danny Dvir, MD as well studies as out of the United Kingdom and Germany examining similar access issues. Not to be missed are several TAVR case reports.

    Member Login to Access the March Issue of CCI

    Access the Editor's Choice Article

    View Video on the Key Learning Points With This New Technique for TAVR

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    Society Responds to CTAF on Revascularization of Diabetics and IABPs

    SCAI has suggested improvements to two draft assessments by the California Technology Assessment Forum (CTAF) on the revascularization of diabetics with multi-vessel disease (MVD) and IABPs for the treatment of diabetic shock.

    David P Lee MD, FSCAI will represent the Society at the CTAF's next meeting on March 6, where these and two other cardiovascular technology assessments will be considered.

    The two other topics are Transcatheter Aortic Valve Replacement In Patients With Severe Aortic Stenosis Who Are At High Risk For Surgical Complications and The Use of Thrombectomy Devices for the Emergent Treatment of Acute Ischemic Stroke. Comments on those technology assessments are still in development. The CTAF’s decisions are widely cited by insurance companies in their coverage decisions.

    Read SCAI Comments Regarding Revascularization of Diabetics With MVD

    Read SCAI Comments Regarding IABP for the Treatment of Cardiogenic Shock

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    2013-15 ELM Fellows a Mix of Private / Academic ICs from U.S. and Beyond

    On Monday, SCAI announced its 2013-15 class of ELM Fellows, selecting 12 early-career interventionalists from private and academic practice to participate in an intense, hands-on, two-year mentorship program to improve and refine their skills as leaders in medicine, ambassadors for their specialty and advocates for their patients.

    This year’s Emerging Leaders were carefully selected by a steering committee from a group of 135 applicants. They are a diverse group of adult and pediatric interventional cardiologists from academic and private practices in three countries. All were chosen for their leadership potential and motivation to excel both regionally and nationally in the areas of clinical care, scholarship, education and/or advocacy.

    Congratulations to the 2013-15 ELM class:

    Herbert Aronow, MD, MPH, FACC, FSCAI
    Private Practice

    Director, Peripheral Vascular Intervention & Peripheral Vascular Catheterization Laboratory
    St. Joseph Mercy Hospital
    Ypsilanti, Michigan

    Anita Asgar, MD, FACC
    Academic Practice

    Director Transcatheter Valve Therapy Clinic
    Institut de Cardiologie de Montreal
    Montreal, Quebec, CANADA

    John Breinholt, MD, FACC
    Academic Practice

    Director, Pediatric Cardiology Fellowship Program and Director of Education,
    Division of Pediatric Cardiology, Indiana University School of Medicine, Pediatrics (Cardiology)
    Indianapolis, Indiana

    Kevin Croce, MD, PhD
    Academic Practice

    Director, Brigham and Women's Hospital CTO Program
    Brigham/Harvard, Cardiovascular Division
    Boston, Massachusetts

    Dmitriy Feldman, MD, FACC, FSCAI
    Academic Practice

    Director, Endovascular Services, Interventional Cardiac and Endovascular Laboratory
    Weill Cornell Medical College, New York Presbyterian Hospital, Medicine
    New York, New York

    Stephen Hoole, MBChB, MRCP, DM
    Academic Practice

    Consultant, Papworth Hospital
    Cambridge, UNITED KINGDOM

    Farouc Jaffer, MD, PhD, FACC
    Academic Practice

    Director, Vascular Imaging, Cardiovascular Molecular Imaging Program
    Massachusetts General Hospital
    Boston, Massachusetts

    Marc Jolicoeur, MD, MSc, MHS, FACC
    Academic Practice

    Assistant Professor of Medicine
    Montreal Heart Institute, Interventional Cardiology
    Montreal, Quebec, CANADA

    Jason Kovacic, MD, PhD, FACC, FSCAI
    Academic Practice

    Assistant Professor of Medicine
    Mount Sinai School of Medicine, Cardiology
    New York, New York

    Sahil Parikh, MD, FACC, FSCAI
    Academic Practice

    Assistant Professor of Medicine
    University Hospitals Case Medical Center
    Cleveland, Ohio

    John Petersen, MD, MHS, FACC
    Private Practice

    Medical Director of Cardiovascular Research and Chief Medical Officer
    Seattle Science Foundation, Swedish Medical Center
    Seattle, Washington

    Jeffrey Schussler, MD, FACC, FSCAI
    Private Practice

    Medical Director of Baylor Heart and Vascular Hospital ICU
    Baylor University Medical Center, Cardiology
    Dallas, Texas

    More On This Announcement

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    SCAI 2013: Late-Breaking Clinical Trial Submissions Due March 20

    Don't wait! The deadline for Late-Breaking Clinical Trial Submissions for SCAI 2013 Scientific Sessions is March 20!

    Here's why your science should be presented at the Best of the Best in Interventional Education:

    YOUR RESULTS WILL BE HEARD LOUD & CLEAR
    SCAI will promote your clinical trial at its on-site newsroom, in its robust media kit and to its extensive list of mainstream and trade journalists. Following your presentation, SCAI will also publicize your findings on its web sites directed to the Interventional community as well as the general public.

    LBCT’s presented at SCAI Scientific Sessions have been prominently featured in The Wall Street Journal, USA Today, Washington Post, L.A. Times and more!

    A FOCUS ON INTERVENTIONAL CARDIOLOGY
    SCAI’s attendees are exactly those you want your results to reach and they won’t be distracted by headliners from other subspecialties or general cardiology.

    EASY TO NAVIGATE
    SCAI 2013 is just the right size to foster collegial education, dialogue and collaboration. You’ll find yourself discussing your findings long after your presentation.

    Submit Your Clinical Trial Now! Submission Deadline is March 20

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    How Can We Get Interventional Cardiology Back on Track?, Asks Blogger

    Why should young physicians enter interventional cardiology at a time when they will undoubtedly feel persecuted, the salary is decreasing, and “you can’t even get the new tools and techniques on time”? This is one of the questions asked in a newly posted blog by Srihari S. Naidu, MD, FSCAI, founder of the SCAI Emerging Leader Mentorship (ELM) program and a SCAI Trustee. While he believes that physicians should choose their specialties based on the personal and intellectual satisfaction derived from patient care, he also worries that talented young doctors will decide “there are plenty of other that are personally and intellectually gratifying without the stress, duty hours, malpractice concerns, general persecution and drastically declining remuneration.”

    In his blog for The Journal of Invasive Cardiology, Dr. Naidu goes beyond pointing out the problems that could disrupt the depth and talent of the interventional cardiology workforce. “[W]e’re at a potential inflection point. We can cower and go quietly into the night, or we can stand up for what we believe to be true based on our day-to-day interaction with real-world patients,” he insists. And then he lists five ways that interventionalists can help the specialty, now and for the young doctors who will enter Interventional Cardiology in the future.

    Read the Blog, and Then Join the Conversation in the Comments Section

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    eLearning Spotlight: Get Started on Mastering FFR-IVUS Online Course

    In response to requests from SCAI members, SCAI is happy to announce the launch of its Mastering FFR-IVUS Online Curriculum, the newest addition to the Society's menu of online educational offerings.

    "The FFR and IVUS curriculum will appeal to physicians at all stages of their careers," said Program Director Morton Kern, MD, FSCAI. "Achieving a balance between basic and advanced concepts is a critical component of this program. Fellows-in-training will get a great deal out of the course by working in conjunction with their program directors to understand and relate the material, and practicing physicians will benefit from the overview of rudimentary concepts before devolving into more cutting-edge material."

    Like other courses in SCAI's growing eLearning Library, the FFR/IVUS course material will be a complimentary benefit available to all SCAI members, who can also purchase CME credit at a discounted rate as they successfully complete each model.

    The program will feature 10 modules that will overview both basic and advanced information in this increasingly recognized area of interventional cardiology.

    A new twist to this online course, the FFR/IVUS modules will be released on a monthly basis to ensure learners master the curriculum and build on competencies as they are introduced. The release schedule will also allow for flexibility to continuously enhance the program while ensuring the content remains both current and comprehensive.

    Sign Up for the Mastering FFR-IVUS Online Curriculum Today

    Visit SCAI's eLearning Library

    Acknowledgments:

    SCAI would like to recognize the following partners for providing an educational grants in support of the Mastering IVUS-FFR Online Course:

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