CardioExchange Archive

September 18th, 2013

Disparities in Rate of Inappropriate Use of PCI

Paul S. Chan, MD, MS

Paul Chan answers questions about his new study in JACC that found a surprising pattern of both overuse and underuse of PCI among different populations in the US.

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September 18th, 2013

Both Overuse and Underuse Explain Disparities in Coronary Revascularization

Larry Husten, PHD

A new study finds that groups who have often been found to receive less medical care — non-whites, women, and people without private insurance or who are from urban and rural areas — are less likely to undergo coronary revascularization. But the same study finds that this disparity may be in no small part due to […]

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August 28th, 2013

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

Richard A. Lange, MD, MBA and L. David Hillis, MD

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.

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August 19th, 2013

Look Before Leaping to Conclusions About Bush’s Stent

Ajay J Kirtane, MD, SM

Ajay Kirtane shares his thoughts on the publicity surrounding Bush’s stent and what it means for the public perception of PCI.

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June 10th, 2013

Dramatic Increase in Use of Radial Artery Access for PCI in the U.S.

Larry Husten, PHD

In the last six years interventional cardiologists have dramatically increased their use of radial access for PCI, according to a retrospective study published in Circulation. Using data from the CathPCI registry on more than 2.8 million procedures between January 2007 and September 2012, Dmitriy Feldman and colleagues found that radial access PCI increased 13-fold, from a negligible 1.2% at the beginning of the study […]

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May 6th, 2013

Meta-analysis Finds Same-Day Discharge for Low-Risk PCI May Be Feasible

Larry Husten, PHD

Although elective PCI for most low-risk patients is extremely safe, overnight observation is still standard practice in the U.S., largely due to the lack of evidence demonstrating that same-day discharge is safe. Now a new meta-analysis, published online in the Journal of the American College of Cardiology, provides support for same-day discharge in carefully selected […]

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April 11th, 2013

Bleeding Avoidance Strategies for PCI in Women vs. Men

Stacie Luther Daugherty, MD, MSPH and John Ryan, MD

John Ryan interviews Stacie Daugherty, lead author of a study recently published online by JACC on differences in rates of bleeding and bleeding avoidance strategies (BAS) between women and men undergoing PCI. THE STUDY Investigators used data from the CathPCI registry to analyze the use of BAS (radial access, bivalirudin, vascular closure devices, or any combination) and […]

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April 8th, 2013

Selections from Richard Lehman’s Literature Review: April 8th

Richard Lehman, BM, BCh, MRCGP

This week’s topics include an article on open science through data sharing, primary prevention of CVD with a Mediterranean diet, atherosclerosis found in mummies, and more.

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April 2nd, 2013

Selections from Richard Lehman’s Literature Review: April 2nd

Richard Lehman, BM, BCh, MRCGP

This week’s topics include the TACT study of chelation therapy, off-pump vs. on-pump CABG, clopidogrel with or without aspirin in those taking oral anticoagulants and undergoing PCI, and more.

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March 15th, 2013

How Good Is Your Eye for Coronary Angiography?

Brahmajee Kartik Nallamothu, MD, MPH and John Ryan, MD

Brahmajee Nallamothu discusses his study group’s analysis comparing the accuracy of visually interpreted coronary angiography and quantitative coronary angiography.

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