As part of DAIC's continuing Thought Leadership Series, this month Editorial Director Melinda Taschetta-Millane sits down with Philip B. Adamson, MD, MSc, FACC, Chief Medical Officer of CVRx, to talk about health equity — starting at the beginning of clinical trials, and including how medical device manufacturers need a clear roadmap from the get-go to achieve success.
As Chief Medical Officer of CVRx, Dr. Adamson will spearhead efforts to drive awareness and appropriate use of Barostim therapy among clinicians. He will guide comprehensive medical education, outreach and guideline integration initiatives to establish Barostim as the standard of care for patients with heart failure. Dr. Adamson previously was with Abbott Laboratories, where he served as Divisional Vice President and Chief Medical Officer of the Heart Failure division. A renowned expert in heart failure, he has nearly three decades of experience in academia as a professor and as a practicing cardiologist, during which time he authored over 150 manuscripts and book chapters. Dr. Adamson earned his MD with distinction from the University of Oklahoma College of Medicine and MSc in physiology from the University of Oklahoma.
His clinical interests focus on developing more efficient and effective disease management systems for patients with chronic heart failure, specifically focusing on remote monitoring of physiologic signals from implanted devices. He has also served as the principal investigator on the steering committees of several large randomized clinical trials over the past decade.
DAIC Thought Leadership Series: Practical Realities of Artificial Intelligence in Echocardiology
DAIC Thought Leadership Series: Collaboration Challenges in Complex Cardiology Settings
Emanuel Kanal, M.D., director of MRI services and professor of radiology and neuroradiology at the University of Pittsburgh Medical Center, explains the new mobile application he developed, which lets users visually model the forces at work during an MRI exam on patients with implanted medical devices, at the 2017 Radiological Society of North America (RSNA) meeting.
Read the related article “The Changing Relationship Between MRIs and Pacemakers.”
Dianna Bardo M.D., director of body MR and co-director of the 3-D Innovation Lab at Phoenix Children's Hospital, discusses how 3-D printing and other advanced imaging modalities can help improve outcomes in complex cases. Read the article “The Use of 3-D Printing in Cardiology.” Watch the WEBINAR “Innovation and Success in 3D-inspired Development of the Business and Clinical Practice,” presented by Bardo.
Shimadzu demonstrated its Trinias Interventional X-ray System at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) conference. The system offers several features to enable improved patient access and procedural guidance at a lower radiation dose than previous generation angiography systems. For more information visit www.shimadzu.com/med/products/angio.
Mladen I. Vidovich, M.D., FACC, FSCAI, chief, section of cardiology, Jesse Brown VA Medical Center, Chicago, and associate professor of medicine at the University of Illinois at Chicago, discusses some of the current techniques and issues involved with radial artery access. DAIC spoke to him at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) conference. Read articles he authored, including “Radiation Exposure Related to Transradial Access” and “Vascular Closure Devices Aid Closure of Large Access Sites.”
Find more news and on transradial access technique and technology
Dee Dee Wang, M.D., director, structural heart imaging at Henry Ford Hospital, Detroit, explains how her center uses 3-D printing and computer aided design (CAD) software to improve patient outcomes. She spoke to DAIC at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) annual meeting. Read the articles “The Use of 3-D Printing in Cardiology” and “Henry Ford Hospital Study Shows 3-D Imaging Improves Fixing Broken Hearts.”
Philippe Genereux, M.D., co-director of the structural heart program at the Gagnon Cardiovascular Institute at Morristown Medical Center, part of Atlantic Health System, explains his experience with the Tryton Side Branch stent in both clinical practice and as an investigator in the Tryton Pivotal IDE Trial. Read the article “Data Published for Pivotal Trial for Tryton Side Branch Stent,” and about the regulatory clearance “FDA Clears First Dedicated Coronary Bifurcation Stent.”
DAIC Editor Dave Fornell shows some of the innovations displayed on the expo floor at the 2017 Transcatheter Cardiovascular Therapeutics (TCT). Hear what Cardiovascular Research Foundation (CRF) President and CEO Juan Granada, M.D., feels are the hottest technologies to watch.
A discussion with William Fearon, M.D. director of interventional cardiology, Stanford University Medical Center, about the FAST-FFR Trial he is heading. It is comparing wire-based fractional flow reserve (FFR) to angiography image-derived FFR. The technology may open the door to wider use of FFR by eliminating costs, disruption and extra time in the cath lab workflow, the use of pressure wires and eliminate the need for adenosine.
Related FFR-Angio Content:
CathWorks Receives CPT Code for Non-invasive FFRangio Measurements During PCI
Ted Feldman, M.D., MSCAI FACC FESC, director of the cardiac cath lab, Evanston Hospital, is the principal investigator for the Lotus valve’s U.S. pivotal trial. He explains what the clinical data to date has been for this new transcatheter aortic valve replacement (TAVR) device, which will likely become the third available on the U.S. market. Read the article "Lotus TAVR System Shows Superior Efficacy to CoreValve in Global REPRISE III Trial."
Vivek Reddy, M.D., director of cardiac arrhythmia services and professor of medicine, cardiology, Mount Sinai Hospital, N.Y., explains the latest Watchman left atrial appendage (LAA) occluder study data presented at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) conference.
Watch the VIDEO “Post-FDA Approval Experience of LAA Occluders,” with David Holmes, M.D.
Watch a VIDEO interview with Reddy at Heart Rhythm Society (HRS) 2017 on leadless pacing technologies.
A discussion with Peter L. Duffy, M.D., MMM, FACC, FSCAI CPE, interventional cardiologist and former director of quality for the cardiovascular service line at FirstHealth of the Carolinas Reid Heart Institute, at Moore Regional Hospital in Pinehurst, N.C. Read the article with Duffy “Interventional Cardiologist Redefines Value for Everyday Medical Practice.” Read the article “Preparing Hospitals for Mandatory Medicare Cardiac Bundled Payments.”
A discussion with William W. O’Neill, M.D., medical director, Center for Structural Heart Disease, Henry Ford Hospital, Detroit, about the creation of a national initiative to start percutaneous hemodynamic support first before beginning revascularization. O’Neill started the Detroit Cardiogenic Shock Initiative with several hospitals in 2016 and saw a 50 percent drop in mortality. Read the article “Detroit Cardiogenic Shock Initiative Goes National at TCT 2017.” Watch the VIDEO “Cardiogenic Shock Supported With Impella Shows Good Outcomes.”
Related Cardiogenic Shock Content:
VIDEO: How to Reduce Cardiogenic Shock Mortality by 50 Percent — Interview with h Babar Basir, D.O.
SCAI Releases New Consensus Document on Classification Stages of Cardiogenic Shock
VIDEO: The Importance of Ventricular Unloading in AMI and Cardiogenic Shock — Interview with Nevin Kapur, M.D.
10 Reasons Why it is Time to Learn More About Cardiogenic Shock — by Emmanouil S. Brilakis, M.D.
New Approaches to Reduce Cardiogenic Shock Mortality
John Rhodes, M.D., co-director of the adult congenital heart program, Medical University of South Carolina, is the principal investigator for the REDUCE Trial, the FDA pivotal study using the Cardioform for PFO closure to prevent cryptogenic stroke. He discusses some of the data showing benefit for patients and debate around all the trials for PFO closure.
The FDA cleared the additional indication for PFO in April 2018.
Read about the results of the REDUCE trial in the article “PFO Closure Shows Positive Results from REDUCE Clinical Study.” Read about the approval of the first PFO closure device in 2016. Watch the VIDEO "Addressing Adult Congenital Heart Referrals."
Related PFO Closure Content:
SCAI Offers Recommendations for Safe Use of PFO Closure Technologies
VIDEO: An Overview of PFO Closure to Treat Cryptogenic Stroke — Interview with Karen Orjuela, M.D.
VIDEO: Transcatheter Closure of Holes in the Heart — Interview with Ziyad Hijazi, M.D.
VIDEO: Demonstration of a Transcatheter PFO Occluder Implantation
VIDEO: Addressing Adult Congenital Heart Referrals — Interview with Ami Bhatt, M.D.
Juan Granada, M.D., Cardiovascular Research Foundation president and chief executive officer, shares his insights on what technologies he predicts will become main stream therapies in the coming years. DAIC spoke to him at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) conference. Read the article “The Future of Cardiology: 17 Technologies to Watch.” Watch other VIDEOS with Granada, “Transcatheter Mitral Valve Therapies in Development.” “The Evolution of TAVR Technology,” and “Bioresorbable Stent Failure Modes, Technique, Patient Selection and Future Development.”
Philippe Genereux, M.D., co-director of the structural heart program at the Gagnon Cardiovascular Institute at Morristown Medical Center, part of Atlantic Health System, explains the EARLY TAVR trial evaluating the use of transcatheter aortic valve replacement compared to surveilLance for patients With asymptomatic severe aortic stenosis. Genereux is the principal investigator for the trial. Read more about the EARLY TAVR trial.
Stephen Worthley, MB, BS, Ph.D., director of cardiac catheterization, University of Adelaide, Australia, presents the MAVERIC Trial six-month outcomes using the Arto System at a press conferences at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) annual meeting. Read more about the trial in the article “Arto System Shows Promise as Less-Invasive Therapy for Heart Failure Patients.” Watch a VIDEO interview with Worthley on “Drug-Filled Stents as an Alternative to Polymer Drug Carriers.”
A discussion with Ajay Kirtane, M.D., SM, director of the cardiac catheterization laboratories at New York-Presbyterian Hospital/Columbia University Medical Center, on the ABSORB III 3-year outcomes and other Absorb data presented at TCT 2017. He explains more on the poor outcomes for the bioresorbable stent compared to the Xience metallic stent and procedural issues based on operator technique and experience.
Read the article “Abbott Will End Sales of Absorb Bioresorbable Stent.”
Ted Feldman, M.D., MSCAI FACC FESC, director of the cardiac cath lab, Evanston Hospital, explains the current state of transcatheter mitral valve technologies in development and in trials. He is involved in some of these trials and was the principal investigator for the pivotal MitraClip trial. Watch the VIDEO “Transcatheter Mitral Valve Technology, Anatomical Challenges” with Juan Granada, M.D.. Read the articles “Advances and Future Directions for Transcatheter Valves,” and “Transcatheter Mitral Valve Replacement Devices in Development.”
Adam Greenbaum, M.D., co-director of the structural heart program at Henry Ford Health System in Detroit, discusses the innovative approach to transcatheter aortic valve replacement (TAVR) being pioneered at HFHS. Read the article "How to Perform Transcaval TAVR Access."
VIDEO: Transcaval Access in TAVR Procedures — Interview with Adam Greenbaum, M.D.
How to Perform Transcaval TAVR Access
VIDEO: Walk Through of the Henry Ford Hospital Structural Heart Cath Lab
Study Deems Transcaval Valve Replacement Pioneered at Henry Ford Hospital Successful
First Transcaval Aortic Valve Replacement Performed in Europe
This video, provided by Acutus Medical, demonstrates a patient case showing the use of the AcQMap high-resolution electrophysiology (EP) mapping system. The system was cleared by the U.S. Food and Drug Administration (FDA) in October 2017. Read about the FDA approval. See more about this system in the VIDEO "Editor's Choice of Most Innovative New Technology at HRS 2017."
A discussion with Mario Goessl, M.D., Ph.D., director of research and education at the Minneapolis Heart Institute. He presented research at the American College of Cardiology (ACC) 2017 meeting on the cost savings and reduced patient recovery time achieved by using conscious sedation during transcatheter aortic valve repair (TAVR) procedures.
Learn more about the different aspects of the structural heart team at Minneapolis Heart Institute in these videos:
VIDEO: Transcatheter Mitral Valve Replacement Planning — Interview with Joao Cavalcante, M.D., director of structural heart CT and cardiac MRI
VIDEO: Minneapolis Heart Institute Saves With Analytics Software — Interview with Pam Rush, RN, clinical program director, cardiovascular service line, and Craig Strauss, M.D., MPH, medical director,
Related Articles on TAVR Conscious Sedation:
Conscious Sedation TAVR Reduced Length-of-Stay and Hospital Costs
Moderate Sedation Shows Promise for TAVR Patients
Sharon Mulvagh, M.D., FRCPC, FACC, FAHA, FASE, professor, Division of Cardiology, Department of Medicine, Dalhousie University, Nova Scotia Health Authority, Halifax, Canada, and emeritus professor at Mayo Clinic, discusses how ultrasound can be used to assess plaque burden at the 2017 American Society of Echocardiography (ASE) annual meeting. Read the article highlighting new technologies at ASE 2017 "A Glimpse Into the Future of Cardiac Ultrasound." Watch her presentation on the use of point-of-care echo for plaque burden risk assessment from ASE 2017.
Bill Lombardi, M.D., director of complex coronary artery interventions at the University of Washington, discusses the principles, training and technologies required for treating chronic total occlusions (CTOs) at the American College of Cardiology (ACC) 2017 meeting. Lombardi is an expert in CTOs and is among the top speakers in this area at cardiology conferences.
Related Chronic Total Occlusion Content:
VIDEO: New Technology to Treat Chronic Total Occlusions (CTOs), an interview with Farouc Jaffer, M.D., Ph.D.
When to Consider Revascularization of Coronary Chronic Total Occlusions
VIDEO: Treating Chronic Total Occlusions, an interview with Bill Lombardi, M.D.
Understanding the Design and Function of Guidewire Technology
VIDEO: Basics of Interventional Guidewire Design and Function, an interview with Dimitri Karmpaliotis, M.D., Ph.D., FACC
Study Examines Use of CrossBoss Catheter for Chronic Total Occlusion PCI
VIDEO: The Evolution of Complex PCI at University of Colorado — Interview with John Messenger, M.D., and Kevin Rogers, M.D.
VIDEO: How to Treat CTOs and Complex PCI Cases — Interview with Khaldoon Alaswad, M.D.
Farouc Jaffer, M.D., Ph.D., director of coronary interventions at Massachusetts General Hospital, discusses the newest advances and technologies for treating chronic total occlusions (CTOs) at ACC.17. Read the article "When to Consider Revascularization of Coronary Chronic Total Occlusions."
Ziyad Hijazi, M.D., MPH, MSCAI, FACC, director of the cardiac program and chair of the Department of Pediatrics at Sidra Medical and Research Center in Doha, Qatar, discusses the latest technologies for ASD and PFO closure at ACC.17. Read the article “Closing Holes in the Heart.”
Related PFO Closure Content:
VIDEO: How Transcatheter PFO Closure Can Reduce Cryptogenic Stroke — Interview with John Rhodes, M.D.
SCAI Offers Recommendations for Safe Use of PFO Closure Technologies
VIDEO: An Overview of PFO Closure to Treat Cryptogenic Stroke — Interview with Karen Orjuela, M.D.
VIDEO: Demonstration of a Transcatheter PFO Occluder Implantation
VIDEO: Addressing Adult Congenital Heart Referrals — Interview with Ami Bhatt, M.D.
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "Vascular Ultrasound in Subclinical Disease." It is presented by Valentin Fuster, M.D., Ph.D., chief of the Division of Cardiology and director of Mount Sinai Heart, the Zena and Michael A. Wiener Cardiovascular Institute, and the Marie-Josée and Henry R. Kravis Center for Cardiovascular Health at Icahn School of Medicine at Mount Sinai.. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.
For more educational videos on echocardiography, visit the DAIC education channel.
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "Future of Strain Imaging." It is presented by James Thomas, M.D., FASE, FACC, director, Center for Heart Valve Disease, Bluhm Cardiovascular Institute, professor of medicine, Feinberg School of Medicine, Northwestern University, Chicago. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.
For more educational videos on echocardiography, visit the DAIC education channel.
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "Atherosclerosis Assessment by Ultrasound in Everyday Practice." It is presented by Sharon Mulvagh M.D., FASE, FACC, FRCPC, professor of medicine, Dalhousie University, Halifax, Nova Scotia, Canada, and Mayo Clinic. This is one of the sessions presented at the ASE 2017 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.
For more educational videos on echocardiography, visit the DAIC education channel.
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "What is Myocardiac Strain Imaging?" It is presented by Steven Lester M.D., FRCP(C), FASE, FACC, Mayo Clinic, Phoenix, Arizona. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.
For more educational videos on echocardiography, visit the DAIC education channel.
Azeem Latib, M.D., MBBCh, FCP, interventional cardiologist at Columbus Hospital in Milan, Italy, discusses the latest innovations in mitral and tricuspid valve repair technologies at ACC.17. Read an article by Latib, “Transcatheter Annuloplasty For Repair Versus Replacement in Functional Mitral Regurgitation.” Watch the related VIDEO with Rebecca Hahn, M.D., "Transcatheter Tricuspid Valve Repair and Replacement Technologies."
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "Predicting Right Ventricular (RV) Failure: 2D? 3D? Strain?" It is presented by James Kirkpatrick, M.D., FASE, FACC, director, echocardiography laboratory, ethics consultation service, University of Washington Medical Center. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.
For more educational videos on echocardiography, visit the DAIC education channel.
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "Strain Imaging - Common Errors and Artifacts." It is presented by Zoran Popovic M.D., Ph.D., staff, cardiovascular imaging section, Heart and Vascular Institute, Cleveland Clinic. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.
For more educational videos on echocardiography, visit the DAIC education channel.
Prem Soman, M.D., director of nuclear cardiology at the Heart and Vascular Institute, University of Pittsburgh, and president-elect of the American Society of Nuclear Cardiology (ASNC), explained advances in PET and SPECT imaging and the learning curve involved in reading scans from the new CZT SPECT cameras. Watch the VIDEO: Trends in Nuclear Cardiology Imaging, an iknterview with David Wolinsky, M.D., director of nuclear cardiology at Cleveland Clinic Florida. Read the related article "Advances in Cardiac Nuclear Imaging."
Read the article “PET vs. SPECT — Will PET Dominate Over the Next Decade?”
6 Trends in Cardiac Nuclear Imaging at the ASNC 2019 Meeting
How to Start a Cardiac PET-CT Imaging Program
Find more content from the ASNC
Randy Thompson, M.D., attending cardiologist, St. Luke’s Mid-America Heart Institute, Kansas City, explains protocols and what to consider when working with the newer generation CZT-SPECT camera systems for nuclear cardiology. He spoke during the 2017 American Society of Nuclear Cardiology (ASNC) Today technology update meeting. Watch the related VIDEO "PET vs. SPECT in Nuclear Cardiology and Recent Advances in Technology." Read the related articles "Managing Dose in PET and SPECT Myocardial Perfusion Imaging," and "Advances in Cardiac Nuclear Imaging."
This video case study, provided by Gore Medical, is titled "Tackling Complex Cases in Dialysis Access," by John Ross, M.D., director, Dialysis Access Institute, The Regional Medical Center, Orangeburg, S.C. It demonstrates in a recorded case how to surgically implant a Gore Hybrid Vascular Graft. To view the entire series of complex peripheral disease cases, visit medicalmastery.goremedical.com.
DAIC and ITN Editor Dave Fornell discusses some of the most innovative new computed tomography (CT) technology and trends at the Society of Cardiovascular Computed Tomography (SCCT) 2017 meeting. Read the article "Advances in Cardiac CT Technology" and watch VIDEO: Advances in Cardiac CT Imaging.
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "Surgical Options for Right Ventricular (RV) Dysfunction and Tricuspid Regurgitation (TR) in Left Ventricular Assist Device (LVAD) Patients." It is presented by Nahush Mokadam, M.D., FACC, FACS, LeRoss Endowed Professor of cardiovascular surgery, director of heart transplant and mechanical circulatory support, program director cardiothoracic residency, University of Washington. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "Ramping it Up: Left Ventricular Assist Device (LVAD) Echo Assessment in the ICU." It is presented by Jerry Estep, M.D., FASE, FACC, associate professor of clinical medicine, section head of heart transplant and mechanical circulatory support, division of heart failure, medical director of the Heart Transplant and LVAD Program, Houston Methodist Debakey Heart and Vascular Center. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org. Estep was involved in the ROADMAP LVAD Study of the HeartMate II. Read the article “Leading Cardiovascular Societies Release New Guidance on Use of Heart Pumps.”
Leslee Shaw, Ph.D., director of clinical research and professor of medicine at Emory University, Atlanta, and past-president of the Society of Cardiovascular Computed Tomography (SCCT), discusses how cardiac computed tomography angiography (CTA) offers value in today's cost-conscience environment at the SCCT 2017 meeting.
Watch the VIDEO: Value–based Imaging, an interview with Daniel Berman, M.D., Cedars-Sinai Medical Center.
Watch the VIDEO: The Value of the Cardiovascular Service Line, an interview with Linda Gillam, M.D., Atlantic Health System, who suggests how cardiology-related services can demonstrate their value to providers and patients.
Matthew Budoff, M.D., FACC, professor of medicine, David Geffen School of Medicine at UCLA, endowed chair of preventive cardiology, Harbor-UCLA Medical Center, discusses the PROMISE and PICTURE trials at the Society of Cardiovascular Computed Tomography (SCCT) 2017 meeting. Watch the VIDEO "The Role of Cardic CT in Value-based Medicine."