Interventional Cardiology

This cardiac subspecialty uses minimally invasive, catheter-based technologies in a cath lab to diagnose and treat coronary artery disease (CAD). The main focus in on percutaneous coronary interventions (PCI) to revascularize patients with CAD that is causing blockages resulting in ischemia or myocardial infarction. PCI mainly consists of angioplasty and implanting stents. Interventional cardiology has greatly expanded in scope over recent years to include a number of transcatheter structural heart interventions.

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X-ray photon trajectory during the simulation phantom study from the side and top views. Due to scattering of the X-rays when they hit the lower end of the patient bed, exposure in mainly to the lower body of the interventional echocardiographer performing transesophageal echocardiography. The green lines are the scattered photon trajectories calculated by Monte Carlo simulation in the study.

Radiation exposure in the cath lab: Tracking the impact on interventional echocardiographers

Researchers found that echocardiographers in the cath lab are exposed to high doses of radiation on the right half of their body, especially the waist and lower body. 

April 28, 2023
The ACC released a new guideline asking interventional cardiologists to use intravascular imaging to improve outcomes in percutanous coronary intervention (PCI). Intravascular ultrasound (IVUS) is a catheter-based imaging technology that allows physicians to visualize blood vessels from the inside out. Image courtesy of Philips. 

ACC urges all interventional cardiologists to use intravascular imaging during PCI

New recommendations from the American College of Cardiology detail how intravascular imaging can help clinicians before, during and after PCI procedures. 

February 16, 2023
The Shimadzu Trinias SCORE Opera Angiography system at RSNA 2022. It offers dose lowering technologies and workflow efficiencies. #RSNA #RSNA22

VIDEO: Shimadzu lowers dose and speeds workflow with new Trinias SCORE Opera angiography system

Sponsored by Shimadzu

Shimadzu Medical Systems USA released the latest version of its Trinias angiography system at the Radiological Society of North America (RSNA) 2022 meeting to address radiation concerns and to help improve workflow.
 

January 6, 2023
The Shimadzu Trinias SCORE Opera F12 angiography system (unveiled at RSNA 2022) has dose lowering technologies and automation to speed workflow.

Radiation and workflow concerns addressed in new Shimadzu angiography system

To address radiation concerns by interventionalists and to help speed workflows in cath labs, Shimadzu released new AI features and single button push features for table and C-arm movement. 

January 4, 2023
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Newly approved radiation protection system said to reduce exposure by 90%

The U.S. Food and Drug Administration’s latest radiological clearance should come as welcome news to radiologists and cardiologists who perform interventional procedures.

October 27, 2022
Coronary CT Angiography (CCTA) has evolved into a much more helpful resource than interventional cardiologists may have originally believed. In fact, the Society of Cardiovascular Computed Tomography (SCCT) emphasized in a new expert consensus statement that CCTA provides specialists with an effective tool in the preparation and optimization of coronary procedures. The 2021 chest pain guidelines elevated CTA to a class 1A recommendation. Harold Litt , MD, explains the use of CCTA in the ED.

CCTA a helpful tool for interventional cardiologists planning coronary procedures

A new consensus statement from the Society of Cardiovascular Computed Tomography emphasized the increasing importance of CCTA among interventional cardiologists. It is no longer seen as “a mere diagnostic tool," the group observed. 

August 30, 2022
Illustration of a left atrial appendage occlusion (LAAO) procedure using a Watchman device. Image courtesy of Johns Hopkins Medicine. #LAA #LAAO

Pre-procedure CT imaging benefits LAA occlusion in Henry Ford study

There is not agreement among the top structural heart experts if CT is required for left atrial appendage occlusion (LAAO), but a Henry Ford Hospital study shows it can improve outcomes.

August 5, 2022
The Society for Cardiovascular Angiography and Interventions (SCAI) has responded to the U.S. Food and Drug Administration’s (FDA’s) recommendation that all infants and young children who receive iodinated contrast media (ICM) undergo thyroid testing. The group pushed back against this proposal, emphasizing that implementation would have “far-reaching consequences.”

Cardiologists push back on FDA’s thyroid monitoring/contrast media proposal

According to a new SCAI statement, the FDA's recommendation would result in "far-reaching consequences" across multiple specialties. 

June 24, 2022
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