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History of Cardiac Catheterization
History of Cardiac Catheterization Aorta Catheter coronary artery Catheter Catheter inserted here (femoral artery) Path of catheter into coronary artery Catheter in left ventricle Catheterization = Putting a hollow tube into a lumen ➣ 3000 B.C. – Egyptions performed bladder catheterizations using metal pipes ➣ 400 B.C. – Catheters fashioned from hollow reeds and pipes were used in cadavers to study the function of cardiac valves ➣ 1711 – Hales conducted the first cardiac catheterization of a horse using brass pipes, a glass tube and the trachea of a goose ➣ 1844 – French physiolologist Bernard coined the term “cardiac catheterization” and used the catheters to record intracardiac pressures in animals ➣ 1844 : 1st cardiac right and left heart catheterization: Claude Bernard in a horse: RV entered via jugular vein LV entered via carotid artery Claude Bernard: French physician & professor of physiology ➣ Followed by period of investigations of CV physiology in animals: pressure manometry Fick cardiac output ➣ 1929: 1st documented cardiac catheterization in human . Werner Forssmann, in Eberswald, Germany, on himself . Catheter in L antecubital vein, guided by fluoroscopy into RA . Walked to Radiology, on a different floor . Documented on CXR ➣ 1941 – Cournand and Richards employed the cardiac catheter as a diagnostic tool for the first time, utilising catheter techniques to measure cardiac output Cardiac Catheterization Passage of a catheter through peripheral arteries or veins into cardiac chambers and coronary arteries Can be used to -
David M. Tabriz, MD
Interventional Radiology: what we do. October 17, 2015 Interventional Radiology: what we do. David M. Tabriz, MD University of Florida College of Medicine Department of Interventional Radiology What is an Interventional Radiologist? Newest recognized medical specialty Separate from diagnostic radiology 6 years of post-graduate medical training: Clinical internship (1 year) Diagnostic and Interventional radiology residency (4 years) Interventional radiology fellowship (1 years) What is Interventional Radiology? Diagnostic Radiology trained (head to toe) - Image interpretation (including prior studies) - Image consultation and protocolling - Disease process management - Recommended follow up (imaging, physician, etc.) Interventional Radiology additional training (head to toe) - Pre-operative consultation - Image interpretation (including prior studies) - Procedure - Diagnostic (minority) & therapeutic procedures - Post-procedure care Benefits: Decreased cost & post-procedural care Decreased morbidity & mortality Faster recovery Only Option Coding Fiesta 2015 David M. Tabriz, MD 1 University of Florida College of Medicine Interventional Radiology: what we do. October 17, 2015 IR: tools of the trade. Needles Guidewires Catheters Contrast Agents Drainage catheters/tubes Stents Angioplasty Balloon Many, many more Tools: Access Needles IR: tools of the trade – Seldinger technique Coding Fiesta 2015 David M. Tabriz, MD 2 University of Florida College of Medicine Interventional Radiology: what we do. October 17, 2015 Tools: Guidewires Material Thickness Stiffness Length Tools: Catheters Material Thickness Stiffness Length Flow rate Tools: Contrast Agents Iodinated Contrast MRI (Gadolinium) Contrast Carbon Dioxide (Gas) Coding Fiesta 2015 David M. Tabriz, MD 3 University of Florida College of Medicine Interventional Radiology: what we do. October 17, 2015 Tools: Drainages catheters/tubes Type Material Length/Diameter Tools: Stents Type Material Covered Length/Diameter Confusing… Coding Fiesta 2015 David M. -
Cardiovascular Radiology and Intervention
Council on Cardiovascular Radiology and Intervention Dear CVRI Council Members Antoinette S. Gomes, MD, FAHA, Chair International Congress on embers of the CVRI Council were active Cardiovascular participants at Scientific Sessions 2008. A Imaging Mhighlight of the meeting was the well- attended International Congress on Cardiovascular he International Congress on Radiology Imaging co-sponsored by CVRI and Clinical TCardiovascular Imaging, Cardiology. This set of sessions, which began Saturday a joint effort of the Councils on and ran concurrently with Scientific Sessions, featured the Cardiovascular Radiology most internationally renowned investigators in Imaging and Intervention and cardiovascular imaging. Clinical Cardiology, ran concurrently with Scientific The Dotter Lecture by Dr. Geoffrey Rubin was very well received and provided the Sessions. This set of sessions audience with a comprehensive overview of the present and potential future kicked off with a pre-session applications of CT in the diagnosis of cardiovascular disease. symposium on Saturday with an address on the “Present The Melvin Judkins Young Investigator Award scientific session consisted of a group and Future of Cardiovascular of high-quality scientific papers by young investigators. There were five finalists, and Imaging” by AHA Past President Raymond Gibbons, Dr. Aravindan Kolandaivelu was the winner of the 2008 Melvin Judkins Young MD. The congress featured the Investigator Award. most internationally renowned At the Council Reception and Annual Business Meeting, the CVRI Council awarded investigators in imaging. Co- chairs were Pamela Woodard, the AHA Distinguished Achievement Award to Barry Katzen, MD. Every three years MD, Elyse Foster, M.D., and the Council has the opportunity to present this award and Dr. -
CACI Revista 20140228 (2).Indd
ISSN 2250-7531 Colegio Argentino de Cardioangiólogos Intervencionistas CONTIENE ABSTRACTS Revista Argentina de SELECCIONADOS CardioangiologíaSOLACI CACI’14 Intervencionista Enero - Marzo 2014 | Año 5 | Número 1 Artículos Originales Entrenamiento, acreditación y recertifi cación en Cardioan- giología Intervencionista. Veinticinco años de experiencia: 1989-2014 Ruda Vega M, Londero HF, Cherro A Revascularization strategies for patients with multiple ves- sel coronary disease and unprotected left main. A prospec- tive, multicenter and controlled Argentina registry with a co- balt-chromium rapamycin eluting stent, FIREBIRD 2™: Protocol Design and Methods of the ERACI IV Registry Fernández-Pereira C, Santaera O, Larribau M, Haiek C, Sarmiento R, Mie- res J, Lloveras J, Pocoví A, Carlevaro O, Rifourcat I, Chen J, Zheng K, Ro- dríguez-Granillo AM, Antoniucci D, Rodríguez AE; on behalf of ERACI IV Investigators Caso Clínico Bifurcaciones coronarias: técnica stent pull-back modifi cada como estrategia alternativa en pacientes con revascularización previa Dionisio G, Puerta L, Carlevaro O, Kevorkián R, Centeno S Revista Argentina de Cardioangiología Intervencionista Enero - Marzo 2014 | Año 5 | Número 1 Editor en Jefe Marcelo Halac Jorge Leguizamón Eulogio García Traductor Alfredo E. Rodríguez Carlos Miranda Hugo Londero Joan Gómez Alejandro Fernández Pedro Lylyk Editores Asociados Alejandro Peirone Eberhard Grube Representante CACI Esteban Mendaro Liliana Grinfeld Sergio Sierre Luis Guzmán Ernesto M. Torresani Oscar Mendiz Rubén Piraino Pablo Stutzbach Ziyad Hijazi Alejandro Palacios Representante Carrera Antonio Pocoví León Valdivieso Mark Hlatky Juan Parodi Gastón Rodríguez-Granillo Héctor Vetulli Adnan Kastrati UBA-CACI Alfredo E. Rodríguez Gregg Stone José Vicario Kem Morton Guillermo Migliaro Jorge Wisner Omar Santaera Consejo de Redacción Carlos Sztejfman Pedro Lemos Relaciones José Alonso Secretaría Científi ca Alberto Tamashiro Carlos Macaya Institucionales CACI Rosana Ceratto Carla Agatiello David Vetcher Roxana Mehran Lic. -
Innovation at Work
congRress news CIRSE 2012 - Lisbon Saturday, September 15, 2012 Michael J. Lee CIRSE President InnovatIon at Work ... Welcome to CIRSE 2012, a congress Robert Morgan dedicated to excellence in IR! This is Scientific Programme neatly encapsulated by our slogan Committee Chairman “Innovation, Education, Inter ven - tion.” Innovation is the key build - ing block of the discipline, which from its earliest days has been cha rac ter ised by inspired new ap proaches to treating acute and chronic diseases. Paulo Almeida Local Host Committee Chairman The birth of IR Excellence and Innovation Continuing the Legacy of Innovation 1963 was an important year for radiology, due Dotter and like-minded radiologists continued In recognition of the continuing importance of As can be seen by the growing list of topics to a speech made at the first Czechoslovak Ra - to explore the possibilities of angioplasty, and innovative approaches to IR, Prof. Rolf Günther covered at every CIRSE meeting, innovation is diologic Congress by a certain Charles Dotter. to overcome the clinical obstacles presented. has established an Award for Excellence and still going strong, and has broadened the disci - The meeting, held at Karlovy Vary, was a large Doctors such as Melvin Judkins, Josef Rösch, Innovation, which will be presented at today’s pline to cover all manner of interventions, from international event, and the many delegates Stanley Baum, Sidney Wallace and Caesare Award Ceremony (see page 3) . This year, the the original vascular interventions, to encom - present listened in awe as Dotter explained his Gianturco, and many others besides, were all to award goes to Dr. -
Trends of Increasing Medical Radiation Exposure in a Population Hospitalized for Cardiovascular Disease (1970–2009)
Trends of Increasing Medical Radiation Exposure in a Population Hospitalized for Cardiovascular Disease (1970–2009) Clara Carpeggiani*, Patrizia Landi, Claudio Michelassi, Paolo Marraccini, Eugenio Picano CNR, Institute of Clinical Physiology, Pisa, Italy Abstract Background: High radiation doses employed in cardiac imaging may increase cancer frequency in exposed patients after decades. The aim of this study was to evaluate the relative trends in medical radiation exposure in a population hospitalized for cardiovascular disease. Methods and Results: An observational single-center study was conducted to examine 16,431 consecutive patients with heart disease admitted to the Italian National Research Council Institute of Clinical Physiology between January 1970 and December 2009. In all patients, the cumulative estimated effective dose was obtained from data mining of electronic records of hospital admissions, adopting the effective dose typical values of the American Heart Association 2009 statement and Mettler’s 2008 catalog of doses. Cumulative estimated effective dose per patient in the last 5 years was 22 (12–42) mSv (median, 25th–75th percentiles), with higher values in ischemic heart disease (IHD), 37 (20–59) vs non-IHD, 13 (8–22) mSv, p,0.001. Trends in radiation exposure showed a steady increase in IHD and a flat trend in non-IHD patients, with variation from 1970–74 to 2005–2009 of +155% for IHD (p,0.001) and 21% in non-IHD (NS). The relative contribution of different imaging techniques was remodeled over time, with nuclear cardiology dominating in 1970s (23% of individual exposure) and invasive fluoroscopy in the last decade (90% of individual exposure). Conclusion: A progressive increase in cumulative estimated effective dose is observed in hospitalized IHD patients. -
Edical School
NIVERSITY OF OREGON EDICAL SCHOOL PORTLAND, OREGON UNIVERSITY OF OREGON BULLETIN NUMBER 124 AUGUST 1964 Entered as second-class matter. January 18. 1950, at the post office at Eugene, Oregon, under act of August 24, 1912. Issued eight times a year. in January (two numbers), February. March. May, June, JulY, and August. Published by the Oregori State Board of Higher Education, at the University of Oregon. Eugene. Oregon. UNIVERSITY OF OREGON MEDICAL SCHOOL 1964-65 CATALOG 3181 S.W. Sam Jackson Park Road PORTLAND, OREGON 97201 Table of Contents Page OREGON STATE SYSTEM OF HIGHER EDUCATION........................................................ 5 STATE BOARD OF HIGHER EDUCATION ,................................................ 6 ADMINISTRATIVE OFFICERS, STATE SySTEM.............................................................. 7 MEDICAL SCHOOL CALENDAR, 1964-65 _............... 8 OFFICERS OF ADMINISTRATION...................................................................................... 10 FACULTY 12 HOSPITALS AND CLINICS................................................................................................ 47 GENERAL INFORMATION " , , ,.......... 51 History ,................................................................................... 51 Physical Facilities................................................................................................... 51 Philosophy and Objectives.................................................................................... 54 Accreditation _...................................................................................... -
Percutaneous Cardiovascular Interventions
PERCUTANEOUS CARDIAC INTERVENTIONS 2016: state of the art R. Thomas McLaughlin, MD, FACC, FSCAI Purpose of this Talk Milestones in the treatment of cardiovascular disease We cannot appreciate what we have today unless we understand the contributions of those who paved the way To describe the evolution of Coronary Artery Bypass Surgery Percutaneous Coronary Intervention (PCI) Pharmacology in PCI Realizing the Generalized Nature of Atherosclerosis and expanding Endovascular Therapy To demystify what is done in the Catheterization Lab To describe the procedures we presently perform To discuss new procedures that we should bring to Yakima Milestones in the Care of Cardiovascular Disease 1953 Dr. John Gibbon performs the first open heart surgery using a cardiopulmonary bypass machine at Jefferson Medical Center in Philadelphia, PA. He developed the cardiopulmonary bypass machine with the help of the IBM corporation. Thus began the present day surgical therapy of heart disease. 1953 Dr. Sven-Ivar Seldinger in Stockholm, Sweden developed the technique we use today to safely access arteries percutaneously. 1964 Dr. Vasilii Kolesov, a Russian surgeon, performs the first coronary artery bypass with suture technique. It was done using the internal thoracic artery (IMA) on a beating heart. 1968 Dr. Rene Favolaro publishes data on 171 patients he performed coronary artery bypass grafting at Cleveland Clinic, using principally SVGs. With advances in bypass pump technology, CABG flourishes for the next decade, as the only treatment for patients with chronic stable angina. Milestones in the Care of Cardiovascular Disease 1958 Dr. Mason Sones, a Pediatric Cardiologist at Cleveland Clinic, accidentally performs the first coronary angiogram of the RCA when performing an aortic root angiogram. -
Correlation with Left Ventricular Ejection Fraction Determined by Radionudide Ventriculography
J AM cou, CARDIOl 417 1983.1(2):417-20 Reliability of Bedside Evaluation in Determining Left Ventricular Function: Correlation With Left Ventricular Ejection Fraction Determined by Radionudide Ventriculography STEVEN J. MATTLEMAN, MD, A-HAMID HAKKI, MD, ABDULMASSIH S. ISKANDRIAN, MD, FACC, BERNARD L. SEGAL, MD, FACC, SALLY A. KANE, RN Philadelphia. Pennsylvania Ninety-nine patients with chronic coronary artery dis• correctly predicted in only 19 patients (53%) in group ease were prospectively evaluated to determine the reo 2 and in only 9 patients (47%) in group 3. Stepwiselinear liability of historical, physical, electrocardiographic and regression analysis was performed. The single most pre• radiologic data in predicting left ventricular ejection dictive variable was cardiomegaly as seen on chest roent• fraction. The left ventricular ejection fraction measured genography (R2 = 0.52). Four optimal predictive vari• by radionuclide angiography was normal (:::::50%) in 44 ables-cardiomegaly, myocardial infarction as seen on patients (group 1) and abnormal «50%) in 55 patients; electrocardiography, dyspnea and rales-could explain 36 of those 55 patients had an ejection fraction between only 61% of the observed variables in left ventricular 30 and 49% (group 2) and the remaining 19 patients ejection fraction. Thus, radionuclide ventriculography had an ejection fraction of less than 30% (group 3). adds significantly to the discriminant power of the clin• The ejection fraction was correctly predicted in 33 of ical, radiographic and electrocardiographic character• the 44 patients (75%) in group 1 and in 47 of the 55 ization of ventricular function in patients with chronic patients (85%) with abnormal ejection fraction (groups coronary heart disease. -
Biographical and Bibliographic Information
Biographical and Bibliographic Information Phillip Chung-Ming Yang A. Academic history: Colleges and universities attended, degrees received, dates: 9/1980-6/1984 B.A.S. East Asian Studies and Biology Stanford University, Stanford, CA 9/1984-6/1985 M.A. East Asian Studies Stanford University, Stanford, CA 9/1985-6/1989 M.D. Yale University New Haven, CT Scholarships and honors: 1980 Cum Laude, Deerfield Academy Deerfield, MA 9/1983 Senator, Association of Students Stanford University, Stanford, CA 6/1984 University Honors, Biology and East Asian Studies Stanford University, Stanford, CA 9/1988 Research Fellowship, Yale University School of Medicine New Haven, CT 5/1989 Cum Laude, Yale University School of Medicine New Haven, CT Post-doctoral and residency training: 7/1989-6/1990* Internship in Medicine, University of California Los Angeles, CA 7/1991-6/1993 Residency in Medicine, University of California Los Angeles, CA 7/1994-6/1997 Fellowship, Cardiovascular Medicine Program Stanford University School of Medicine, Stanford, CA 7/1997-6/1999 Fellowship, Cardiac MRI Program Stanford University School of Medicine, Stanford, CA * Dr. Yang spent a year in Japan from 7/1990 – 6/1991, helping with family matters. Other study and research opportunities: 1 of 52 Phillip C. Yang, MD Curriculum Vitae Positions and Employment 1990-1993 Internal Medicine Resident, Department of Medicine University of California, Los Angeles, CA 1994 -1999 Cardiovascular Medicine Fellow, Division of Cardiovascular Medicine Stanford University School of Medicine, -
| Hai Lama Mtandao Wa Wananchi Wana Haiti
|HAI LAMA MTANDAO US009757411B2WA WANANCHI WANA HAITI (12 ) United States Patent ( 10 ) Patent No. : US 9 ,757 ,411 B2 Emanuele et al. ( 45) Date of Patent: Sep. 12, 2017 ( 54 ) POLOXAMER THERAPY FOR HEART 5 ,080 , 894 A 1 / 1992 Hunter .. .. .. .. .. .. .. 424 / 83 5 ,089 , 260 A 2 / 1992 Hunter .. 424 / 83 FAILURE 5 ,523 , 492 A 6 / 1996 Emanuele et al . .. .. .. 568 /606 5 ,567 , 859 A 10 / 1996 Emanuele et al . 568 /624 @(71 ) Applicant : Mast Therapeutics , Inc . , San Diego , 5 ,605 ,687 A 2 / 1997 Lee . 424 /78 . 06 CA (US ) 5 ,691 , 387 A 11/ 1997 Emanuele et al . .. .. .. .. 568 / 723 5 ,696 , 298 A 12 / 1997 Emanuele et al. .. .. 568 /623 @(72 ) Inventors : R . Martin Emanuele , San Diego , CA 5 , 800 , 711 A 9 / 1998 Reeve et al. 210 /639 5 ,990 ,241 A 11/ 1999 Emanuele et al . .. 525 / 88 (US ) ; Santosh Vetticaden , San Diego , RE36 ,665 E 4 /2000 Emanuele et al. 568 /624 CA (US ) ; Patrick Keran , Cardiff , CA RE37 , 285 E 7 / 2001 Emanuele et al. 514 / 723 (US ) 6 , 359, 014 B1 3 / 2002 Emanuele et al. 514 / 723 6 , 747 , 064 B2 6 / 2004 Emanuele et al. 514 / 44 @( 73 ) Assignee : Aires Pharmaceuticals , Inc. , Austin , RE38 , 558 E 7 / 2004 Emanuele et al. .. .. .. .. 568 /623 6 ,761 , 824 B2 7 / 2004 Reeve et al. .. .. .. .. .. .. 210 /639 TX (US ) 6 , 977, 045 B2 12 / 2005 Reeve et al . .. .. .. .. 210 /639 7 , 846 , 426 B2 12 / 2010 Metzger et al. .. .. .. 424 / 78 . 38 ( * ) Notice: Subject to any disclaimer, the term of this 8 ,372 , 387 B2 2 / 2013 Markham et al. -
University of California, San Francisco CURRICULUM VITAE
Prepared: October 27, 2015 University of California, San Francisco CURRICULUM VITAE Name: Randall T Higashida, M.D. Position: Professor of Clinical Radiology, Step 7 Radiology School of Medicine Clinical Professor of Radiology & Biomedical Imaging, Neurological Surgery, Neurology, and Anesthesiology Address: Box 0628 505 Parnassus Ave, Long 349 University of California, San Francisco San Francisco, CA 94143 Voice: 415-353-1863 Fax: 415-353-8606 email: [email protected] www: http://www.radiology.ucsf.edu/people/faculty-directory/randall-higashida- bio EDUCATION 1972 - 1976 University of Southern B.S. Biological California, Los Angeles, CA Sciences with emphasis in Biochemistry and Mathematics 1976 - 1980 Tulane University School of Medical Medicine Albert Hyman, Medicine, New Orleans, LA Doctor M.D.; Philip Kadowitz, Ph.D. 1980 - 1981 Harbor/UCLA Medical Center, Internship Internal Medicine Torrance, CA 1981 - 1984 UCLA Medical Center, Los Residency Diagnostic Lawrence Angeles, CA Radiology Bassett, M.D. 1983 - 1983 Armed Forces Institute of Fellowship Diagnostic Pathology (AFIP), Washington, Radiology D.C. 1984 - 1985 UCLA Medical Center, Los Fellowship Neuroradiology/ Grant Hieshima, Angeles, CA Diagnostic and M.D.; John Interventional Bentson, M.D. Neuroradiology LICENSES, CERTIFICATION 1980 Medical Board of California, Physician and Surgeon 1980 Basic Cardiopulmonary Resuscitation 1 of 193 Prepared: October 27, 2015 1980 Advanced Life Support in Cardiopulmonary Resuscitation 1980 Federal Licensure Examination for Medical Boards