Transitioning to the radial artery as the preferred access site for cardiac catheterization: An academic medical center experience

2011 ◽  
Vol 80 (2) ◽  
pp. 247-257 ◽  
Author(s):  
Samuel Turner ◽  
Matthew Sacrinty ◽  
Michael Manogue ◽  
William Little ◽  
Sanjay Gandhi ◽  
...  
Keyword(s):  
Radial Artery ◽  
Cardiac Catheterization ◽  
Medical Center ◽  
Academic Medical Center ◽  
Access Site ◽  
Academic Medical

Abstract 230: Factors Associated with Postarrest Withdrawal of Life-Sustaining Therapy

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Anne V Grossestreuer ◽  
David F Gaieski ◽  
Benjamin S Abella ◽  
Douglas J Wiebe ◽  
Jason S Haukoos ◽  
...  
Keyword(s):  
Cardiac Catheterization ◽  
Multivariate Regression ◽  
Medical Center ◽  
Academic Medical Center ◽  
Multivariate Regression Analysis ◽  
Patient Demographics ◽  
Shockable Rhythm ◽  
Academic Medical ◽  
Initial Rhythm ◽  
Hospital Stays

Background: Most successfully resuscitated cardiac arrest patients do not survive to hospital discharge. Many of those have withdrawal of life sustaining therapy (WLST) as a result of a poor neurologic prognosis. Objectives: Determine characteristics of patients who have WLST post-arrest and the differences in their post-arrest care. Methods: We identified comatose post-arrest adult patients from 27 hospitals between 2000-2014. We stratified patients by whether they had WLST and analyzed demographic, arrest, and post-arrest variables. Results: Of 1439 patients analyzed, 558 (39%) patients had WLST. These patients differed in demographic, arrest, and post-arrest characteristics and treatments (Table 1). In multivariate regression analysis, patients who had WLST were more likely to have post-arrest neurology consults (OR 3.5; 95% CI: 2.3-5.3), less likely to go to the cardiac catheterization (OR 0.3; 95% CI: 0.2-0.5) or electrophysiology labs (OR 0.3; 95% CI: 0.1-0.8), and had shorter hospital stays (OR 0.9; 95% CI: 0.8-0.9). When multivariate regression was limited to patient demographics and arrest characteristics, patients with WLST were older (OR 1.01; 95% CI: 1.00-1.02), had longer downtime (OR 1.01, 95% CI: 1.01-1.02), were more likely to be female (OR: 1.5; 95% CI: 1.2-2.0), were less likely to have an initial rhythm of VF/VT (OR 0.5; 95% CI: 0.4-0.7), and were less likely to have a witnessed arrest (OR 0.7; 95% CI: 0.5-0.9). Patients were less likely to have WLST at an academic medical center (OR 0.6, 95% CI: 0.4-1.0, p=0.04). Conclusions: Comatose post-arrest patients who had WLST in the hospital were older, were more likely to have a longer arrest downtime, be female, have an initial non-shockable rhythm, have an unwitnessed arrest, and less likely to be at an academic medical center. They are more likely to have post-arrest neurology consults, less likely to go to the cardiac catheterization or electrophysiology labs, and have a shorter hospital stay.

scholarly journals CATH LAB UTILIZATION DURING TRANSITION TO THE RADIAL ARTERY AS PREFERRED ACCESS: THE WAKE FOREST ACADEMIC MEDICAL CENTER EXPERIENCE

2011 ◽  
Vol 57 (14) ◽  
pp. E1269
Author(s):  
Samuel Turner ◽  
Matthew T. Sacrinty ◽  
William C. Little ◽  
Sanjay K. Gandhi ◽  
Michael A. Kutcher ◽  
...  
Keyword(s):  
Radial Artery ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical

scholarly journals Daily cardiac catheterization procedural volume and complications at an academic medical center

2016 ◽  
Vol 6 (5) ◽  
pp. 446-452 ◽  
Author(s):  
Kipp Slicker ◽  
Wesley G. Lane ◽  
Ola O. Oyetayo ◽  
Laurel A. Copeland ◽  
Eileen M. Stock ◽  
...  
Keyword(s):  
Cardiac Catheterization ◽  
Medical Center ◽  
Academic Medical Center ◽  
Procedural Volume ◽  
Academic Medical

scholarly journals BLEEDING AVOIDANCE STRATEGY: TRANSITION FROM FEMORAL TO RADIAL ARTERY AS THE PREFERRED ACCESS FOR CARDIAC PROCEDURES. THE WAKE FOREST ACADEMIC MEDICAL CENTER EXPERIENCE

2011 ◽  
Vol 57 (14) ◽  
pp. E1057
Author(s):  
Michael R. Manogue ◽  
Matthew T. Sacrinty ◽  
William C. Little ◽  
Sanjay K. Gandhi ◽  
Michael A. Kutcher ◽  
...  
Keyword(s):  
Radial Artery ◽  
Medical Center ◽  
Academic Medical Center ◽  
Cardiac Procedures ◽  
Academic Medical ◽  
Avoidance Strategy

Abstract 258: Adherence To The AHA / ACCF / SCAI / ASE /ASNC - 2012 Appropriate Use Criteria For Diagnostic Cardiac Catheterization In An Academic Medical Center.

2014 ◽  
Vol 7 (suppl_1) ◽  
Author(s):  
SHANMUGAM UTHAMALINGAM ◽  
Taraka V Gadiraju ◽  
Jennifer Frederici ◽  
Khawar Maqsood ◽  
Ankur Gupta ◽  
...  
Keyword(s):  
Cardiac Catheterization ◽  
Stress Testing ◽  
Medical Center ◽  
Academic Medical Center ◽  
New York State ◽  
Appropriate Use Criteria ◽  
Appropriate Use ◽  
Non Invasive ◽  
Diagnostic Cardiac Catheterization ◽  
Academic Medical

Objective: To examine the adherence to the published appropriate use criteria (AUC) for diagnostic cardiac catheterization (DCC) in an academic medical center. Background: In May 2012, the American Heart Association and other subspecialty societies have developed AUC for DCC to address the growing rational use of cardiac catheterization in delivering high quality health care. The application of all the subsets of AUC indications to examine the adherence of cardiologists in academic center has not been well studied. Methods: We retrospectively examined a random sample of 499 patients who underwent DCC in our institution between January 1, 2013 to June 30, 2013, seven months after the publication of AUC for DCC; and classified as appropriate, uncertain and inappropriate categories according to the AUC. Indications not addressed in the AUC were considered unclassified. Results: The mean age of the study population was 65 (± 13) years with 67% males. Distribution of DCC according to AUC is shown in Table-1. Most DCC were appropriate (93%; n= 462), 6% (n=31) were uncertain and none were inappropriate. Approximately 1% (n=6) DCC were unclassifiable and all had known obstructive coronary artery disease (CAD) with worsening or limiting symptoms without non invasive stress testing and did not meet criteria for unstable angina. About one quarter (22%; n= 21/86) of DCC performed for patients in the suspected CAD with or without prior non invasive stress testing group were uncertain, 78% (n= 65/86) were appropriate and none were inappropriate. Most DCC (92%) were performed by interventional cardiologists (Figure 1). Conclusions: Most DCCs performed at this academic hospital are adherent with AUC criteria, however variability exists by indication and provider type. Unclassified patients as mentioned above who got referred for DCC by treating cardiologists led to a significant change in their management plan, thereby suggesting these group of patients which currently do not fit to any subset AUC criteria need consideration for further subset AUC categorization. About 22% of the DCC performed in the suspected CAD group were uncertain, none were inappropriate which make our results prominently discordant to recent findings observed among DCC procedures performed for suspected CAD in New York State.

Gender differences in career progress and satisfaction in an academic medical center

2002 ◽  
Vol 2 (3) ◽  
pp. 95-104 ◽  
Author(s):  
JoAnn Manson ◽  
Beverly Rockhill ◽  
Margery Resnick ◽  
Eleanor Shore ◽  
Carol Nadelson ◽  
...  
Keyword(s):  
Gender Differences ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical ◽  
Career Progress
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