CCI: Protocol gets TAVR patients home faster without harming care | New cholesterol-lowering drugs poised to be the next specialty blockbuster | Emerging geriatric cardiology programs focus on special needs of elderly patients
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December 9, 2014
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News for Invasive/Interventional Cardiologists
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CCI: Protocol gets TAVR patients home faster without harming care
A fast-track protocol designed to get patients moving sooner and out of the hospital faster after transcatheter aortic valve replacement results in lower costs and shorter stays without compromising the quality of care, according to a report in Catheterization and Cardiovascular Interventions. The approach was tested at two sites, where 40% of TAVR patients met fast-track criteria. TCTMD.com (12/8)
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New cholesterol-lowering drugs poised to be the next specialty blockbuster
The makers of PCSK9 inhibitors are encouraging doctors to identify the estimated 1.5 million U.S. residents who have familial hypercholesterolemia, a condition that causes dangerously high cholesterol and often responds inadequately to statins. The injectable drugs could bring in more than $2 billion annually for companies that make them, analysts say. Bloomberg (12/5)
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Policy & Professional News
Protective cabin cuts radiation exposure to operators
Use of the Cathpax CRM full-body radioprotective cabin during extraction of cardiac devices resulted in lower radiation exposure to operators, according to a study published in the Canadian Journal of Cardiology. Exposure to the thorax and back was similar with use of the cabin or standard gear, but "exposure of the head and the feet were respectively 68 and 390 times less in the cabin group than in the control group," the authors wrote. The authors suggest the cabin may also be useful for coronary angiography and revascularization procedures. CardiovascularBusiness.com (12/5)
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Modest health spending increase is lowest since 1960, CMS reports
U.S. health care spending rose 3.6% in 2013, the lowest increase since tracking began in 1960, according to a CMS Office of the Actuary report in the journal Health Affairs. Last year's total retail prescription drug sales reached $271 billion, making up 9.3% of overall health spending. This share has not changed significantly in recent years because of the wider use of both less-expensive generics and costlier specialty drugs. The New York Times (tiered subscription model) (12/4), The Idaho Statesman (Boise)/McClatchy Newspapers (12/3), Kaiser Health News (12/3), The Dallas Morning News (free content) (12/3)
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5 positive ways to respond to negative comments.
Social media is a great way to connect with your customers, but what do you do when the conversation takes a negative turn? With 5 tips, you can learn how to positively respond and help direct the conversation. Read the article and learn the 5 ways to respond positively.

Medical Developments
What is the role of renal denervation in hypertension care?
Renal denervation and an intensified drug regime including spironolactone were similarly effective for resistant hypertension, according to results from the PRAGUE-15 trial. Experts say the study of 106 randomized patients, which was prematurely stopped after results from the SYMPLICITY HTN-3 were released, is of particular interest because rigorous patient selection criteria ensured only patients with truly resistant hypertension were enrolled. The results confirm the safety of renal denervation and raise questions about the role of patient choice in determining whether to treat invasively or with spironolactone. TCTMD.com (12/5)
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CathPCI Registry study explores bleeding data
Post-PCI bleeding rates varied among 1,292 hospitals that performed 50 or fewer procedures annually between 2009 and 2012, according to an assessment of CathPCI Registry data published in Circulation: Cardiovascular Quality and Outcomes. More non-white patients, STEMI, history of MI and use of heparin and glycoprotein IIb/IIIa inhibitors were associated with higher rates of bleeding, according to the study. Lower bleeding rates were seen in hospitals that more often employed radial access, use of bivalirudin and vascular closure devices, suggesting an opportunity for dissemination of best practices. CardiovascularBusiness.com (12/2)
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SCAI News
SCAI 2015 early-bird discount deadline is next week
If you can only attend one Interventional Cardiology education meeting in 2015, shouldn't it be the Best of the Best? "SCAI 2015 Scientific Sessions is where interventional cardiologists and their cath lab teams will go to reach their top potential," says Program Committee Chair Michael R. Jaff, DO, FSCAI. "Whether you are an interventional cardiologist, cath lab nurse, technician or administrator, you'll choose from a wide range of sessions that will deliver the training you need for your team." The SCAI 2015 Program Committee has assembled a comprehensive curriculum that lets teams work together or on their own, immersing themselves in a topic track (choose from five tracks: Congenital, Coronary, Peripheral, Quality and Structural) or expanding their knowledge about procedural techniques, the latest technology or leadership skills. Find out more and enroll now.
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Don't miss SCAI's 2015 Coding & Payment Policy Update Webinar on Monday
Are YOU up to date on last-minute changes by the CMS affecting interventional cardiology in 2015? You can't afford to miss SCAI's 2015 Interventional Cardiology Coding & Payment Policy Update on Monday, Dec. 15, at 4 p.m. ET. Featuring nationally recognized experts, this webinar will focus on late-breaking issues related to CMS payment policies that your cath lab must know about, including the CMS' new specialty designation for interventional cardiology, new TMVR codes and more. Be sure to encourage your cath lab's coding staff to attend! RSVP now.
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SmartQuote
Knowing your own darkness is the best method for dealing with the darknesses of other people."
-- Carl Jung,
Swiss psychiatrist
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The news summaries appearing in SCAI SmartBrief are based on original information from news organizations and are produced by SmartBrief, Inc., an independent e-mail newsletter publisher. SCAI is not responsible for the content of sites external to SCAI, nor do reports in SCAI SmartBrief constitute the official opinion of SCAI.
The SCAI SmartBrief news roundup is provided as a timely update for SCAI members and other healthcare professionals. Links to articles are provided for readers' convenience and may be of use in discussions with patients or colleagues. Questions and comments about SCAI SmartBrief may be directed to SmartBrief at scai@smartbrief.com.
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