Simple Test After Heart Attack Predicts Heart Failure

heartattackThe University of Glasgow presented research at the British Cardiovascular Society's annual conference, yesterday that proves a pressure- and temperature-sensitive wire inserted into a coronary artery after a heart attack can predict heart failure.

The standard assessment, a coronary angiogram, "can only identify narrowed vessels and cannot tell the doctor if, or how much, heart blood vessel damage has occurred," writes Medical News Today. Using the wire, the level of damage to arteries after a heart attack can be assessed in minutes -- a key indicator of high risk for heart failure.

The new assessment could lead to quicker treatment of patients at greatest risk for heart failure and improve outcomes.

One simple procedural change reduces mortality in the cath lab

An international study published mid-March in the Lancet showed that using the wrist as an access point for heart catheterization reduced bleeding and lowered mortality rates as opposed to using the groin as an access point.

While previous studies have demonstrated that wrist access reduces incidents of bleeding, this is the first to demonstrate the connection with incidents of mortality.

The change lowers mortality at no additional cost beyond necessary additional training and expertise---insertion through the wrist is more technically demanding than insertion through the groin, as the artery is smaller.

Special Report (4): Robotics improve efficiency and reduce radiation exposure

In 2011, the Society of Cardiovascular Angiography and Interventions published new guidelines for a Radiation Safety Program for the Cardiac Catheterization Laboratory.

With regards to procedures, they recommended limiting exposure duration, reducing dosage, limiting high-dose high contrast use, reducing magnification, and increasing distance from the x-ray beam to name a few.

Mayo Clinic reduced doses by 40 percent over a 3-year period in a case study released in 2012, where researchers noted that "the physician's expectations [had to] change from a desire for excellent image quality to a desire for low radiation dose and acceptance of clinically adequate image quality."

Technology itself might not be able to change culture, but it can significantly improve many relevant factors, as demonstrated by trials and testimonials of Corindus's CorPath system.

Continue reading Special Report (4): Robotics improve efficiency and reduce radiation exposure

Impella RP Approved, Impella CP Devices Continue Roll-Out

Pictured: Impella CP.

Cardiovascular technology has been all over financial news recently as Abiomed's Impella CP roll-out continued to be strong last quarter and their Impella RP (Right Percutaneous) system received FDA approval under a Humanitarian Device Exemption.

The Impella devices, tiny heart pumps introduced via catheter by the femoral artery, allow cardiovascular professionals to support the heart in a minimally invasive way, avoiding open heart surgery in many cases. The devices mark a significant advancement in cardiovascular treatment for patients with extreme surgical risk.

Continue reading Impella RP Approved, Impella CP Devices Continue Roll-Out