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Last year, we treated a 73-year-old patient with an occluded left subclavian artery. After performing a surgical bypass from the left common carotid to the left subclavian, she developed a severe narrowing of the left common carotid origin. This put her left hemisphere and left upper limb at risk, causing some TIAs. We were able to treat her by stenting her left common carotid open using a Sentinel filter via a left radial approach. This filter simultaneously protected both the left CCA and the left subclavian during angioplasty and stenting. Our team learned about this filter while helping interventional cardiology with some LVAD thrombus stenting procedures. We came away enriched by the experience of pitching in to help another specialty take care of their patients. It's such a wonderful device, and cardiologists often use it with TAVR procedures. #medicalinnovation #patientcare #teamwork #CAS #carotidarterystenting #sentinelfilter #interventionalcardiology #SNIS #RamuTummala Andrew W. Grande M.D.

Arterial dissections can occur after lower extremity arterial angioplasty procedures. When they are both technically and clinically significant, they require treatment. Common methods of treatment include stents or Tacks, with stents being the more prevalent option. However, the Tack Endovascular System is a newer device that has received FDA approval for treating superficial femoral artery (SFA) or proximal popliteal artery dissection complications following percutaneous transluminal angioplasty (PTA). Dr. John Phillips, an interventional cardiologist from Ohio Health, introduces the components of the Tack catheter, pearls to remember when deploying Tacks, and how to choose the correct Tack size to deploy. Read the article: https://ow.ly/uu3c50PZBwS

here iam sharing my article about catheter ablation Title: Understanding Catheter Ablation: A Treatment Journey Towards Heart Health Introduction: Catheter ablation is a minimally invasive procedure used to treat certain heart rhythm disorders, also known as arrhythmias. These irregular heartbeats can cause symptoms like palpitations, dizziness, and shortness of breath, impacting one's quality of life. In this article, we'll delve into what catheter ablation entails, its benefits, and what patient can expect during after the procedure. Definition: Catheter ablation involves the insertion of thin, flexible wires (catheters) into blood vessels, usually in the groin area, and guiding them to the heart. Once in position, these catheters deliver energy, such as radiofrequency or cryotherapy, to destroy small areas of heart tissue causing the abnormal electrical signals responsible for the arrhythmia. Empathy: For many individuals, the prospect of undergoing a medical procedure, especially one involving the heart, can evoke feelings of apprehension and concern. It's essential to acknowledge these emotions and understand that they are entirely natural. However, it's also crucial to remember that catheter ablation is a well-established and effective treatment option that has helped countless patients regain control over their heart health and quality of life. Process: Before the procedure, patients typically undergo thorough evaluation, including medical history review, physical examination, and diagnostic tests such as electrocardiogram (ECG) and echocardiogram. Once deemed suitable candidates, patients are informed about the procedure, including potential risks and benefits, and given the opportunity to ask questions and address any concerns. During the procedure, patients are usually awake but sedated to ensure comfort. The entire process is performed in a specialized cardiac catheterization laboratory, commonly known as a cath lab, under the supervision of a skilled cardiac electrophysiologist and their team. Using advanced imaging technology, the catheters are carefully maneuvered within the heart to identify and target the abnormal tissue causing the arrhythmia. Post-procedure: After catheter ablation, patients are typically monitored for a brief period to ensure stability before being transferred to a recovery area. While some individuals may experience mild discomfort or fatigue following the procedure, these symptoms usually resolve quickly. Patients are often advised to refrain from strenuous activities for a short period and to follow up with their healthcare provider as scheduled. #snsdesignthinker #snsinstitution

Novel Device for Heart Failure With Reduced Ejection Fraction (HFrEF) Patients: Baroreflex Activation Therapy With Barostim CLD talks with Christina H. Economides, MD, MM, FSCAI. Interventional cardiologist Dr. Christina Economides shares her experience treating patients with Barostim™ (Baroreflex Activation Therapy). The majority of her patients who have received Barostim have improved their functional and exercise capacity. https://okt.to/vLnfCt

Endovascular treatment of pulmonary embolism is reserved for patients who are intermediate or high risk, which means they are having significant symptoms and their PE is affecting their right heart. Read the latest Cath Lab Digest feature with Rohit Bhatheja MD, MBA, FACC, FSCAI, "Computer Assisted Vacuum Thrombectomy (CAVT) for Pulmonary Embolism: Penumbra’s Lightning Flash 2.0™." "In our institution, mostly it is a combination of interventional cardiologists and interventional radiologists that do the interventional procedures," Dr. Bhatheja said. "We have a very good working relationship across the entirety of the workforce, including hospitalists, critical care, and ED physicians. If they need help from cardiologists with an expertise in pulmonary embolism, we will respond to them." Learn more: https://okt.to/ya4Tdz #cardiovascular #pulmonaryembolism #healthcaremadepractical AdventHealth Medical Group University of Central Florida AdventHealth

This blog will allow us to take a peek beyond the curtain to see what happens after you transfer care of the STEMI patient. In many systems the best practice is to completely bypass the ED and go straight to the cardiac catheterization lab for definitive care. STEMI and its many equivalents are time sensitive emergencies, and it is important to reinforce that minutes matter when you're trying desperately to save myocardial tissue and keep overall morbidity/mortality low. Reductions in Door to balloon (D2B) and first medical contact (EMS) to balloon times are known to correlate nicely with improved patient outcomes. ⠀ Your coronary vessels have a pretty important job. They are in direct physical contact with the epicardium and their main focus is to supply the myocardium with oxygen during the diastolic period. Their origins come from the aorta directly. Of note, if you have an occlusion near this opening they are referred to ostial lesions and they can be difficult, but not impossible to fix. It may also be important to have a working knowledge of coronary dominance as well. Coronary arterial dominance is defined by the vessel which gives rise to the posterior descending artery (PDA), which supplies the myocardium of the inferior third of the interventricular septum. Most hearts (80-85%) are right dominant where the PDA is supplied by the right coronary artery (RCA). The remaining 15-20% of hearts are roughly equally divided between left dominant (~10%) and codominant (~20%). So - your pre-hospital tracing has confirmed the presence of an acute infarction pattern (STEMI). The proceed emergently to the cath lab. In the lab with imaging and dye they confirm that a vessel is 100% occluded. The occlusion could be from plaque rupture and/or coronary thrombus. As with our line of work the situation and circumstances around a particular case dictates what actions are taken. In some cases, cardiology will perform a thrombectomy only (via suction) and not provide any drug-eluting stents. Read the full article at www.passwithpass.com/blog Author: Joshua Ishmael MBA, MLS(ASCP), NRP Pass with PASS, LLC

Why Remote Patient Monitoring for Cardiology? Remote patient monitoring (RPM) services are essential in a majority of cardiology patients. The traditional route of providing RPM services through frequent in-office visits for follow-ups can be time-consuming and difficult for both patients and physicians. Remote patient monitoring (RPM) increases the odds of early detection of abnormalities and early interventions, leading to better outcomes, reduced rates of hospital admission, and shorter hospital stays. To learn more, visit https://lnkd.in/g8_GTq4W. #KencorCares #RemotePatientMonitoring #Cardiology

Choosing the correct Cardiac Catheterization Code can be challenging, along with coding other cardiovascular procedures. It's crucial to ensure accuracy in coding to maintain compliance, optimize reimbursement, and provide the best care for patients. #Cardiology #MedicalCoding #AAPC #Healthcare #CardiacCatheterization #MedicalBilling #HealthcareCompliance #CodingTips https://lnkd.in/gs6ddNv3

Hii connections. I am happy to share my article about CAG #snsdesignthinkers #snsinstitutions #snsdesignthinking Coronary angiography is a medical procedure used to visualize the blood vessels of the heart. It involves injecting a contrast dye into the coronary arteries and taking X-ray images to assess blood flow and identify any blockages or abnormalities. It's commonly performed to diagnose and treat coronary artery disease.l Coronary angiography indication: Coronary angiography is typically indicated for various reasons related to heart health. Some common indications include: Angina or Chest Pain: When a person experiences chest pain or angina, especially if it persists or worsens, angiography may be used to identify any blockages or narrowed arteries. Heart Attack (Myocardial Infarction): After a heart attack, angiography can help assess the extent of damage to the heart muscle and identify the location and severity of blockages. Abnormal Stress Test Results: If a stress test indicates potential issues with blood flow to the heart, angiography may be recommended for a more detailed evaluation. Unexplained Heart Failure: In cases of heart failure without an obvious cause, angiography can reveal problems with the coronary arteries. Valve Disease: Sometimes, coronary angiography is combined with other procedures to evaluate heart valve function and assess overall heart health. Preoperative Evaluation: Before certain heart surgeries, angiography may be performed to provide detailed information about the coronary arteries. It's important to note that the decision to undergo coronary angiography is made on an individual basis, considering a patient's specific symptoms, medical history, and overall health. This procedure is typically done under medical supervision and guidance. Always consult with a healthcare professional for personalized advice.

🌟 Understanding Prior Authorization for Cardiac Procedures 🌟 🔍 As a prior authorization outsourcing professional, it's crucial to grasp the nuances of various specialties. Today, let's delve into the realm of cardiology and explore the intricate prior authorization process for cardiac procedures. 🔍 Cardiology encompasses a wide array of diagnostic tests and treatment options, from stress tests and echocardiograms to cardiac catheterizations and pacemaker implantations. Each of these procedures requires prior authorization to ensure proper reimbursement and smooth patient care. 🔍 Case Study: Consider a scenario where a patient presents with symptoms suggestive of coronary artery disease. The cardiologist recommends a cardiac catheterization to evaluate the extent of blockages. Before proceeding, obtaining prior authorization is essential to confirm coverage for this invasive procedure. 🔍 Key Points: 1. Understanding the clinical indications for each cardiac procedure is crucial in justifying the necessity of prior authorization. 2. Effective communication between providers and payers is essential to streamline the prior authorization process. 3. Timely submission of accurate clinical documentation is paramount to avoid delays in approval. 🔍 Whether it's a routine stress test or a complex ablation procedure, navigating the prior authorization maze in cardiology requires expertise and attention to detail. By mastering the intricacies of prior authorization for cardiac procedures, outsourcing professionals can facilitate efficient approvals and enhance patient care outcomes. #Cardiology #PriorAuthorization #HealthcareBilling #MedicalBilling #CardiacProcedures #OutsourcingServices If you are looking for Prior Authorization Outsourcing Services, please connect with me via email at dan@staffinglyhealthcare.com or by scheduling a Meeting at https://lnkd.in/e4nbe7jV