Richard A. Lange, MD, MBA

All posts by Richard A. Lange, MD, MBA

July 11th, 2014

Do FFR and IVUS Feed the Elephant?


Rick Lange and David Hillis wonder whether the debate about the role of FFR and IVUS in patient selection for PCI is a red herring in the larger issue of revascularization in patients with stable CAD.

June 4th, 2014

Transcatheter Mitral Valve Programs: No Volume Data


The Society for Cardiac Angiography and Interventions (SCAI), the American Association for Thoracic Surgery (AATS), the American College of Cardiology (ACC), and the Society of Thoracic Surgeons (STS) recently joined together to provide recommendations for institutions that are considering starting and/or maintaining a transcatheter mitral valve (MV) program. Unlike PCI, for which abundant data show a […]

November 18th, 2013

What’s the Moral from CORAL?


Rick Lange and David Hills ask, “Should we stop screening for renal artery stenosis?”

October 31st, 2013

Does OPTIMIZE Reveal the Optimal DAPT Time Frame?


Rick Lange and David Hillis pose several important questions triggered by the OPTIMIZE findings.

September 20th, 2013

My Stent Is Better Than Your Stent


Interventionalists have many choices when it comes to coronary stents. Rick Lange and David Hillis want to know: “How do you decide which stent to use?”

September 13th, 2013

Should We Treat Nonculprit Lesions During PCI for STEMI?

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CardioExchange’s Rick Lange and David Hillis interview David Wald about his group’s recently published findings from the PRAMI trial of “preventive” PCI in STEMI patients. Based on results of previous nonrandomized, observational studies, stenting non-infarct coronary stenoses during primary PCI has been discouraged. The Preventive Angioplasty in Acute Myocardial Infarction (PRAMI) trial in 465 STEMI patients assessed whether […]

September 1st, 2013

Inside the ACCOAST Trial of Pretreatment Prasugrel

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Gilles Montalescot, lead investigator of the ACCOAST trial, discusses why prasugrel pretreatment did not benefit patients with non–ST-segment elevation acute coronary syndromes.

August 28th, 2013

Platelet Reactivity Testing: Do You or Don’t You?


In light of recent findings from the ADEPT DES study, Richard Lange and David Hillis want to know: Do you test PCI patients for platelet reactivity, and if so, why? React to reactivity in our latest poll.

August 26th, 2013

Practice Variations and Quality: Ask the “Uber” Expert


In light of reported variation in practice and outcomes of elective PCI, Rick Lange asks Harlan Krumholz to elaborate on what constitutes high-quality decision making.

August 5th, 2013

Poll: What Would You Recommend?

Take the poll: What would you recommend for a patient who is about to undergo CABG for multivessel CAD and is found to have severe carotid stenosis?