The Mayo Clinic Cardiac Catheterization Laboratory by Unknown

The Mayo Clinic Cardiac Catheterization Laboratory by Unknown

Language: eng
Format: epub
ISBN: 9783030793296
Publisher: Springer International Publishing

The cardiovascular innovation laboratory continued to provide excellent bench-to-bedside support and facilitated Mayo Clinic-developed first-in-human studies within the cath lab. Examples of a few studies include percutaneous pericardotomy, autologous cell therapy for coronary vasospasm, stenotic aortic valve crossing devices, and novel pharmacologics for acute MI and circulatory failure among others. Collaboration with device companies also led to an expansion of early feasibility studies for structural heart disease innovations, leading to greater academic opportunities and cutting-edge technologies being made available to help patients who lacked other therapeutic options.

Education continued to be a very strong focus with Dr. Andre Lapeyre establishing a highly organized level 1 and level 2 general cardiology training pathway for fellows. All consultants in the lab contributed in numerous ways toward the technical, clinical, and research mentorship of our trainees. In parallel, Dr. Abhi Prasad and the cath lab education committee established one of the first formal 2-year fellowships for teaching interventional cardiology and structural heart disease in an academic setting. Besides an outstanding and well-rounded education, departing fellows continued to be provided mentorship several years after graduating from Mayo Clinic. Drs. Greg Barsness, Guy Reeder, and John Bresnahan made valuable contributions as former program directors, with Drs. Patti Best, Barry Borlaug, and Rajiv Gulati providing consistent support for the programs and mentorship for the trainees.

The Mayo Clinic interventional cardiology board review course continued to strengthen over the decade and became the premier course for interventional cardiologists, including those who attended regularly to refresh their clinical knowledge. Numerous physicians played a part in this with enduring contributions by Dr. Barsness, Dr. Bell, and several others. Cath lab grand rounds went online and were recorded for external sharing during this decade. A rarely known fact is that the cath lab also had a CV invasive tech training school and this was expanded to include EP training, with Dr. Reeder and subsequently Dr. Best serving as the directors of this invaluable program that contributes toward supplying high-quality graduates nationwide.

Simultaneously, educational and other efforts were made to improve radiation safety for personnel. This included required radiation safety education for all new fellows and technical staff that was managed by Dr. Ken Fetterly. Besides optimizing the utilization of physical shielding for proceduralists, we also incorporated similar protection in new labs for our echo colleagues to improve safety during extended structural heart disease procedures. Additionally, personal radiation exposure, as well as patient radiation, for each consultant was shared with the entire group. This made it easier for each consultant to compare their numbers with the numbers of colleagues doing a similar volume and complexity of procedures and led to substantial declines in personal radiation exposure for all consultants. Simultaneously, efforts were made on an ongoing basis to optimize image quality in all rooms using the lowest possible levels of radiation. Adjustments optimized at Mayo Clinic were shared with manufacturers for deployment at other centers. Radiation protection aprons and vests from vendors were also systematically studied to identify the best balance of maximally protective lightweight garments.


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