CCI study: 9 in 10 CTO patients treated successfully with hybrid PCI approach | Stents dramatically improve stroke outcomes, studies find | Study: Carotid stenting outcomes tied to volume, not specialty
 
February 17, 2015
SCAI SmartBrief
News for Invasive/Interventional Cardiologists
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CCI study: 9 in 10 CTO patients treated successfully with hybrid PCI approach
A hybrid PCI approach that utilized four characteristics from angiographic findings was used to successfully treat 91.3% of patients with chronic total occlusions, according to a study of 380 such cases at four American facilities. The unsuccessful procedures took more time and involved patients with more difficult characteristics, according to the researchers, whose work is reported in Catheterization and Cardiovascular Interventions. TCTMD.com (2/12)
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Stents dramatically improve stroke outcomes, studies find
Ischemic stroke patients treated with stents designed to trap and remove blockages were significantly more likely to survive and live independently at three months than those treated with conventional clot-busting medications, according to three studies presented at an American Stroke Association conference. The dramatic results, including mortality that was nearly halved by stent treatment, prompted researchers to stop the studies early. "This has taken stroke therapy to the same place that heart attack therapy is now," said Dr. Walter Koroshetz, acting director of the National Institute of Neurological Disorders and Stroke. Star Tribune (Minneapolis-St. Paul, Minn.)/The Associated Press (2/11), Medscape (free registration) (2/11)
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Other News
A Large Practice Moves to a Modern Practice Management System
(... and Doesn't Look Back)

Somerset Orthopedic Associates has always been on the cutting edge of medicine, however, when it came to practice management software, it had been holding onto an outdated system for too long. Learn about how they became more nimble to support their practice and their doctors, as well as healthcare reform and ICD-10. Read the case study.

Policy & Professional News
Analysis finds regional variation in catheterization rates
Some cardiologists practicing outside of major urban areas in the U.S. ordered more heart catheterization procedures for heart disease patients than their counterparts working in urban hospitals, including major heart centers, according to an analysis of Medicare data from 2012. Interventional cardiologists and legal experts say there are numerous possible explanations for differences in utilization, such as legitimate referral patterns and practice structures. U.S. News & World Report (2/11), U.S. News & World Report (2/11)
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CBO: Cost of replacing SGR could be $174.5B over 10 years
A report from the Congressional Budget Office found replacing Medicare's sustainable growth rate formula for physician payment could cost the U.S. $174.5 billion over a decade. Legislation to do so was introduced in both houses of Congress last year. BeckersHospitalReview.com (2/13)
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Other News
Selling your business? Here are 7 things you should do now.
If you're considering selling your business, you should be doing everything you can to get the best possible price. In just 7 simple steps you can improve your chances of attracting buyers and getting big bucks for your business. Read the article and learn the 7 steps.

Medical DevelopmentsAdvertisement
Catheter-based treatment with Parachute life-changing, patient says
CardioKinetix's cardiac Parachute is being investigated as a way of restoring normal function to hearts weakened by MI or heart failure. The device, which is delivered to the heart via femoral artery, works by resizing the ventricle and blocking damaged tissue. Dr. Frederick Welt, director of the cath lab at University Hospital in Utah, says some patients experience lasting symptoms after a heart attack that medication can't treat. Life has turned around for one such patient, Larry Davis, who underwent treatment: "I hardly feel like I even had a heart attack," he said. The Deseret News (Salt Lake City) (2/15)
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Does a drink a day keep the doctor away? Probably not, data suggest
Women ages 65 and older who drink moderately are more likely to live longer than those who don't drink alcohol, but researchers stress that the general health benefits of drinking are unclear. The study, published in BMJ, looked at adults ages 50 and older and found that drinking didn't have any impact on lifespan for women ages 50 to 64, or for men ages 65 and up, though men ages 50 to 64 lived longer than those of that age group who never drank. And a companion editorial warns, "In health as elsewhere, if something looks too good to be true, it should be treated with great caution." USA Today (2/15), LiveScience.com (2/10)
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Cancer group says smoking-related deaths are higher than estimated
American Cancer Society research estimates 540,000 Americans die from smoking-related causes annually, a figure that is considerably higher than the U.S. surgeon general's estimate of 480,000 deaths. The study in The New England Journal of Medicine suggested the additional deaths may be attributed to diseases not usually linked to tobacco, such as kidney failure, intestinal disease, heart disease tied to hypertension, and breast and prostate cancers. HealthDay News (2/11)
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Building Workplace Trust 2015
Interaction Associates' 6th annual research study tracking trust on the job, Building Workplace Trust, is out, and more than half of employees surveyed give their organizations low marks for trust and leadership. Yet this year's findings again point to how high trust leads to better outcomes and financial results — and even boosts innovation.

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Have a great case to share at SCAI 2015? Be sure to submit by March 1
Here's your chance to get more involved at SCAI 2015: Interventional Cardiology's Annual Meeting. Back by popular demand is the Intervention, Interaction and Input (i3) Session, featuring a series of coronary, structural and endovascular cases, an open-mike forum for discussion and critical input from expert faculty. So what are you waiting for? Show your great cases: therapeutic dilemmas, disasters, saves, close calls, creative approaches, YOU NAME IT. Find out more.
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Pediatric QIT Webinar to focus on Conferences on Quality on Feb. 25
All pediatric interventionalists and their cath lab teams are invited to participate in the third of the four-part Pediatric SCAI-Quality Improvement Toolkit (SCAI-QIT) Webinar Series. Want to make sure your institution's Joint Commission-required quality conferences are successful in improving care? Then be sure to attend the webinar that takes a close-up look at Pediatric SCAI-QIT's module on "Conferences on Quality" on Wednesday, Feb. 25, at 1 p.m. Eastern time. This webinar will highlight the purposes of key conferences and why they are important, principles of quality conferences and why all cath labs should have case reviews. Enroll now -- tuition is free!
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How SDN Makes Campus Networks Better
When should agencies adopt SDN? IDC reports that SDN provides immediate benefits for government campus networks, including modernized IT infrastructures that are more agile, cost-effective, and collaborative.
Read this new IDC paper to learn more.

SmartQuote
There are stars whose radiance is visible on Earth though they have long been extinct. There are people whose brilliance continues to light the world even though they are no longer among the living. These lights are particularly bright when the night is dark. They light the way for humankind."
-- Hannah Szenes,
Hungarian soldier
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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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