Happy 100th Anniversary to the RSNA

Mason Sones in a Philips cath lab of the 50's

Mason Sones in a Philips cath lab of the 50’s

This week the Radiological Society of North America, a.k.a. RSNA, is holding its annual meeting in Chicago. RSNA is an international society of radiologists, medical physicists and other medical professionals with more than 54,000 members from 136 countries across the globe. And this year the 55,000 attendees in Chicago are celebrating something special: the 100th anniversary of the RSNA.

To help honor the work of the Society, Angioplasty.Org would like to offer the video below which details the impact that imaging had on our field: the treatment of coronary artery disease. Continue reading

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Filed under ACC, Angiograms, History, Imaging, Innovators, Meetings & Conferences, Video

COURAGE: Does 15-Year Data Have Any Clinical Relevance?

pills_vs_stent_140sqThis past week saw publication of an update to the 2007 COURAGE trial which compared optimal medical therapy (OMT) to stenting (PCI) as the initial management strategy for stable coronary artery disease. (Please note the phrase “initial management strategy.” This will not be the last time you see it in this post.)

Appearing in the New England Journal of Medicine and titled “Effect of PCI on Long-Term Survival in Patients with Stable Ischemic Heart Disease,” this study, performed by Dr. Steven P. Sedlis and other COURAGE trial investigators, is described as “an extended survival analysis to examine the potential long-term survival benefit from initial PCI among the patients with stable ischemic heart disease who were followed for up to 15 years after initial enrollment in the COURAGE trial.”

This new analysis concluded: “…we did not find a difference in survival between an initial strategy of PCI plus medical therapy and medical therapy alone in patients with stable ischemic heart disease.” This also was the finding of the original COURAGE trial at five years. Continue reading

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Filed under Appropriate Use Criteria (AUC), Bare Metal Stents, Clinical Trials / Studies, COURAGE, Drug-Eluting Stents, FAME I / FAME II, FFR, Intravascular Guidance, IVUS, OCT, Optimal Medical Therapy, Stent

AimRADIAL Masterclass IV in Liverpool

Next week, on September 17-18, 2015, the 4th Advanced International Masterclass on the Transradial Approach will be held in Liverpool, England and, if you already perform or want to start using the wrist approach to diagnostic or interventional procedures, you need to attend. Where else will you be able to spend two-days with the most expert and experienced radial practitioners in the world?

I went to the last two AimRADIAL courses in New York City and Chicago and witnessed something I hadn’t really seen since the early days of angioplasty: a relatively small meeting (i.e. less than 300) attended by the pioneers of the procedure, cardiologists who have the largest experience in the radial approach, talking among themselves and trading their latest findings and techniques with each other, and sharing this information with the newer generation of physicians in attendance.It felt like an actual community! Continue reading

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Filed under Global Trends, Medical Education, Meetings & Conferences, Transradial Approach

Frontiers in Cardiology – One Day Course in New Jersey

MMC_Course_2015_140sq If you’re a cardiologist, Fellow, or in the allied health fields, and you weren’t able to make it to London for the five-day-long European Congress of Cardiology meeting, you can get a quick dose of the latest and greatest in a single day on Saturday, September 19, in Short Hills, New Jersey.

Titled “Frontiers in Cardiology,” this symposium is presented by the Morristown Medical Center, part of the Atlantic Health System, and features a stellar international faculty, including Maurice Buchbinder, Roxana Mehran, James Udelson, Nanette Wenger, and more. A range of contemporary topics are on the agenda, from atrial fibrilation to coronary artery disease, imaging and heart disease in women. Continue reading


Filed under ACC, Medical Education, Meetings & Conferences

Radial Revolution in the U.S.

Seton Medical Center

Seton Medical Center

It was over a dozen years ago that I saw my first transradial PCI. I had booked a photo shoot with Dr. Felix Millhouse at Seton Medical Center in Daly City, California, to get some shots for our web site. I did one case and was told that Dr. Millhouse was doing an urgent PCI in cath lab #2. So I went over to shoot it, but by the time I got to the lab, I was too late. I saw a man with his arm extended off the table. And Dr. Millhouse was removing his gloves. “Sorry,” he said. “We’re all done.” Continue reading

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Filed under Business & Industry, Global Trends, History, Transradial Approach

“A Type of Interventional Radiology”: A Quaint Memory from the New York Times

1983_NYT_Mag_280sqI recently was rifling through some old files of news clippings (you remember those pesky things, don’t you?) and came across a major New York Times Magazine feature from 1983. It was titled, “Toward the Conquest of Heart Disease.”

Three decades ago, as the article describes, the main treatments were surgical: valve replacement and the “far more complicated, technically demanding” bypass graft surgery. The author, Harry Schwartz, also identifies some exciting new advances in heart disease treatment: artificial hearts, heart transplants, new drugs, something called nuclear magnetic resonance (N.M.R.) that was “being used in a handful of hospitals” (today we call it MRI!). Continue reading

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Filed under History, Media Coverage

iFR and iFR Scout to be Featured in Live Case from Hammersmith

Dr. Justin Davies discusses value of using physiology-guided PCI

Dr. Justin Davies discusses value of using physiology-guided PCI

If you’ve been wondering what iFR (Instant wave-Free Ratio) is, how it works, how it compares to FFR (Fractional Flow Reserve) and, most importantly, how it affects clinical outcomes, then click here to register for a free, online, interactive live case being done on Monday, April 13, 2:30pm-3:30pm London Time, 9:30am-10:30am New York Time).

Interactive: that means you can ask questions!

Dr. Justin E Davies, interventional cardiologist at Imperial College NHS Trust, and developer of iFR, will be performing and guiding the worldwide audience through a live complex PCI multivessel case, using physiology to guide his procedure. Continue reading

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Filed under FAME I / FAME II, FFR, Global Trends, iFR, Imaging, Intravascular Guidance, Medical Education, Meetings & Conferences, Stent