CCI study finds similar short-term efficacy among TAVR devices | Study: Sleep deprivation doesn't appear to harm IC performance | Sedentary lifestyle tied to twice as many early deaths as obesity
January 20, 2015
SCAI SmartBrief
News for Invasive/Interventional Cardiologists

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CCI study finds similar short-term efficacy among TAVR devices
Thirty-day efficacy outcomes associated with three transcatheter aortic valve replacement devices were comparable, according to a study published in Catheterization and Cardiovascular Interventions. Safety rates were 67.5% for the Medtronic CoreValve, 82.5% for the Edwards Lifesciences Sapien XT and 95% for a device from Direct Flow Medical, while effectiveness was 92.5%, 92.5% and 100%, respectively. Each implant was matched to 40 patients with severe aortic stenosis between 2011 and 2014. (1/19)
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Study: Sleep deprivation doesn't appear to harm IC performance
Mortality and bleeding complications from daytime PCI were no higher when performed by interventionalists who had been on call the previous night, according to an analysis of registry data. Such scenarios were also uncommon, with 2.4% of daytime PCI cases meeting those criteria. "Even though it's not common for operators to perform procedures after performing PCI procedures the previous night, when it did occur, we found no signal of harm associated with doing so," said Dr. Herbert Aronow, the lead investigator. Medscape (free registration) (1/19)
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How Physicians Can Use Technology To Bring A Mega Group To Life
In an increasingly complex business environment, U.S. Physicians are banding together into mega groups that gain leverage with payers without sacrificing independence. Innovative technology platforms are playing a major role in making it happen. One leading mega-group shares its story in this whitepaper.

Policy & Professional News
CMS recognition of IC crucial under value-based models, Duffy says
As the health care system moves to value-based compensation models and increasingly scrutinizes quality performance, interventional cardiologists will benefit from CMS recognition of the specialty sought by SCAI, according to SCAI Secretary Dr. Peter Duffy. "We're always looking to get better, and the only way to do that is to know where we are," he said. The change will also clear up problems with reimbursement to practices where interventional and general cardiologists both treat the same patient, he said. Medscape (free registration) (1/16)
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Keys to advancing adoption of radial access
Dr. Sunil Rao says it takes commitment from the whole cath lab team to move to a radial access approach to PCI. Radial access accounts for about 20% of PCI in the U.S. Rao, who co-directs SCAI's Transradial Intervention Program known as SCAI TRIP, says the technique is part of a remarkable change in interventional procedures that has cut complications and improved efficiency. Medscape (free registration) (1/15)
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Is Pricing Low Your Strategy to Success? Think again.
Pricing is the heart of a business. It affects everything you do and is affected by everything you do. Economists talk of supply and demand as key factors behind pricing—successful entrepreneurs manipulate demand by making their products more desirable. These six steps will help you determine the right price for your product or service, read the article and learn how to get pricing right.

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3-year outcomes after stenting, bypass comparable for certain patients
Three-year rates of mortality, stroke and MI were similar for patients with isolated proximal left anterior descending coronary artery disease regardless of whether they were treated with bypass surgery or PCI with a drug-eluting stent, according to findings of an observational study. The study analyzed the outcomes of 5,340 patients who were treated with DES and 724 who underwent CABG. There were some health and demographic differences between the cohorts. Healio (free registration)/Cardiology Today's Intervention (1/14)
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AstraZeneca blood thinner beneficial in patients with history of heart attacks
A clinical trial of 21,000 patients who suffered a heart attack more than one year and less than three years ago found that AstraZeneca's blood thinner Brilinta cut the risk of another heart attack or death. The drugmaker is also studying the use of Brilinta in diabetes, stroke and peripheral artery disease. Yahoo/Reuters (1/14)
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How to Achieve IT Agility: A Survival Guide for IT Decision Makers
When business teams add new apps and services to already-strained networks, IT departments are accountable for making everything work. Is your team ready for this challenge? Read this eGuide to learn how IT teams are automating their networks, why they're utilizing Ethernet fabrics and SDN, and what success looks like as they regain network control and business relevance.

Don't miss SCAI Cath Lab Leadership Boot Camp 2.0 at SCAI 2015
Until recently, cath lab directors, managers and other staff have had to develop the skills needed to successfully run their labs on their own, with no formal pathway and no consistent job description. Now this significant training gap has been filled by SCAI's Cath Lab Leadership Boot Camp, which won acclaim from an enthusiastic standing-room audience when it debuted last year. In response to attendees' feedback, Boot Camp is being expanded into a full-day program at the SCAI 2015 Scientific Sessions in San Diego, May 6-9. Learn more and enroll.
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SCAI Imaging Center is your online resource for the latest on FFR, IVUS, OCT and more
Need a go-to resource to keep abreast of the latest information on FFR, IVUS, OCT and other imaging modalities? Then look no further than the SCAI Imaging Center. Organized by Imaging Center Editors Arnold H. Seto, MD, MPH, FSCAI, and Hoang M. Thai, MD, FSCAI, this all-new online center is aimed at helping interventional cardiologists and other members of the cardiovascular care team become proficient in the latest imaging modalities, whether at a beginner or advanced training level. Check it out now.
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Conformity is the jailer of freedom and the enemy of growth."
-- John F. Kennedy,
35th U.S. president
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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
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