EP Lab Digest

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CLINICAL EVENTS CALENDAR

  • Saturday, November 8, 2008 - 15:00
    The American Heart Association Scientific Sessions
    http://www.scientificsessions.org
  • Wednesday, November 19, 2008 - 00:00
    Brisbane, Australia
    http://www.aameda.org
  • Friday, November 21, 2008 - 00:00
    EnSite 3D Mapping System Workshop
    http://www.tcainstitute.com
  • Thursday, November 27, 2008 - 15:00
    1st Asia-Pacific Heart Rhythm Society Scientific Session (APHRS 2008)
    http://www.aphrs2008.com


practical EP

Spotlight Interview

Spotlight Interview: Carilion Clinic

VOLUME: 9 PUBLICATION DATE: Jan 05 2009

What is the size of your EP lab facility and number of staff members? What is the mix of credentials at your lab?
We currently have 3 electrophysiologists: Dr. William Welch, Director, Dr. Terry May, and Dr. Alex Vigh. Our staff includes 1 RN Manager, 3 RNs, 1 flex-time RN, 3 cardiovascular techs (all radiology techs at present) and 2 scrub techs.

When was the EP lab started at your institution?
Dr. William Welch came to Carilion Roanoke Memorial Hospital in the summer of 1991 from the Medical College of Virginia.

What types of procedures are performed at your facility?
We do 1,000 invasive procedures annually, including ablations, EP studies, and pacemaker, loop recorder, AICD, and Bi-V implants. We also do tilt table testing and DC cardioversions.

Approximately how many are performed each week? What complications do you find during these procedures?

Spotlight Interview: Via Christi Regional Medical Center

VOLUME: 8 PUBLICATION DATE: Dec 01 2008

What is the size of your EP lab facility and number of staff members? What is the mix of credentials at your lab?
We have one EP lab, with a second under construction, and two procedure rooms. We have nine staff members and a working supervisor. There are seven full-time and two part-time staff members, with one PRN staff member who helps out with vacations and time off. Two of our staff are IBHRE-certified in EP.
In total, we have seven RNs, two LPNs and one RT.

When was the EP lab started at your institution?
We started in 1984 in a small room at the end of the ICU. In the beginning, we used reams and reams of paper on the VR 16. Only the older EP people will remember that huge machine! In 1992, we became a dedicated EP lab and continue to be so today. One of our employees who worked in the EP lab in 1984 is still working with us.

What types of procedures are performed at your facility?

Spotlight Interview: Mayo Clinic

VOLUME: 8 PUBLICATION DATE: Nov 01 2008

What is the size of your EP lab facility and number of staff members? What is the mix of credentials at your lab?

We operate 5-6 EP labs per day, and have a separate non-invasive room for tilt table studies and any ICD follow-up examinations that require DFT testing. Along with our lab facilities, we operate the Heart Rhythm Center, which includes our Implantable Device Clinic, Arrhythmia Clinic, Atrial Fibrillation Clinic, Long QT/Inherited Arrhythmia Clinic, Pediatric and Adolescent Arrhythmia Clinic, and Syncope Clinic.

When was the EP lab started at your institution?

Our laboratory was started in 1972; the first case was for arrhythmia mapping during open-heart surgery.

What types of procedures are performed at your facility?

With year-to-date volumes available through September 2008, we are projecting to perform over 850 ablations, which includes over 400 PVI and 95 ventricular tachycardia ablations. We are estimating 500 ICD implants and 750 pacemaker implants.

Medical Center Hospital

VOLUME: 8 PUBLICATION DATE: Oct 07 2008

What is the size of your EP lab facility and number of staff members? What is the mix of credentials at your lab?

We have one EP lab that is in a department with three other labs — two cardiac labs and one special procedures lab. We currently have five RNs who do EP and two fully trained technicians.

When was the EP lab started at your institution?

We opened the EP lab in 1999, in an old cath lab, with one electrophysiologist on staff.

What types of procedures are performed at your facility?

Procedures performed here include ICD and PPM implants, EP studies, tilt table studies, cardioversions, and ablations (for AVNRT, atrial flutter, PVCs, PACs, and WPW). We do transseptal ablations, but do not ablate atrial fibrillation.

Approximately how many are performed each week? What is your complication rate?

The Levinson Heart Hospital at CJW Medical Center-Chippenham Campus

VOLUME: 8 PUBLICATION DATE: Sep 01 2008

When was the EP lab started at your institution?

The Levinson Heart Hospital at CJW Medical Center opened its first electrophysiology lab in January of 1990 by Dr. Roosevelt Gilliam. CJW Medical Center was the first private hospital in the area to open an EP lab, with the first electrophysiology study performed in March of 1990. In 1997, Dr. Gilliam was the first electrophysiologist to implant Guidant’s dual-chamber automatic cardioverter defibrillator. In 2008, Dr. David Gilligan was the first to implant the Medtronic Reveal DX insertable cardiac monitor.

We recently also added a new entry to CJW Medical Center’s timeline. On August 4, 2008 at 6:37 AM, Dr. Gilligan implanted Boston Scientific’s COGNIS, the first newly released CRT device implant in the United States. Tish Snider, RTR is our EP lab historian; her records date back to September 1979, which was the opening of CJW Medical Center’s first cardiac cath lab.

Spotlight Interview: The Ohio State University’s Richard M. Ross Heart Hospital

VOLUME: PUBLICATION DATE: Aug 01 2008

When was the EP lab started at your institution? What is the size of your EP lab facility and number of staff members? What is the mix of credentials at your lab? Has your EP lab recently expanded in size and patient volume, or will it be in the near future?

Spotlight Interview: University of Michigan Health System

Dr. Morady, the founding medical director of the U of M EP program. He is still active clinically and as a professor.EP staff (from left to right): Peg Samways, RN, EP Charge Nurse, Dan Bochinski, RN, Renee Monacel, EP Tech, Sheryl Wagner, RN, Manager, Jackie Cook, RN, Sally Greenlees, RN, Barb Ibach, RN, Tammy Lemmerand, RCES, EP Technical Education Coordinator, AnthonRenee Monacel, EP Tech, Dan Bochinski, RN, Tammy Caron, RN, Dawn Rusek, EP Charge Nurse, Carrie Graft, RN, Kathy Ziegler, RN, Cindy King, RN, and Elizabeth Huether, EP Tech.All our Fellows (except for Dr. Krit Jongnarangsin, who is an Attending): Michael Kuhne, Srikar Veerareddy, Nagib Chalfoun, Dr. Krit Jongnarangsin, Daryl Wells, Warangkna Boonyapisit, and Thomas Crawford.Michele Derheim MSN, RN - Director of Clinical Operations, and Suzanne Benloucif-Moore, NP.
VOLUME: PUBLICATION DATE: Dec 31 1969

What is the size of your EP lab facility and number of staff members? What is the mix of credentials at your lab?
There are five labs total, including one with Stereotaxis, two biplane labs, and one procedure room for tilt table tests, cardioversions etc. There is also a sixth lab available (currently a shelled space) when needed.
In total we have 28 staff members, 1 technical supervisor and 1 nursing supervisor. There are seven attending physicians, 10 fellows and 1 NP. In addition, six of the 13 techs are RCES or RCIS, and 12 of the 13 techs are graduates of an accredited program.

When was the EP lab started at your institution?
Our EP program was created 25 years ago by Dr. Fred Morady.

What types of procedures are performed at your facility?
We have an all-inclusive EP service, with a special focus on atrial fibrillation and atrial flutter cases.

Spotlight Interview: Hillcrest Medical Center

The EP lab staff at Hillcrest Medical Center. Front: Dr. Craig Cameron (left) and Dr. David Sandler. Back (from left to right): Stephanie Schuessler, RT, Ruth Wilson, RN, Sharon Jackson, RN, Jauna Green, RT, Giles Mason, RT, La Wanda Dunn, RN, Matt Lee, ADr. David Sandler (pointing) and staff.Electrophysiologist Dr. Craig Cameron during a procedure.Dr. David Sandler and staff during a case.
VOLUME: 8 PUBLICATION DATE: Jun 01 2008

 What is the size of your EP lab facility and number of staff members?

Spotlight Interview: Adventist Hinsdale Hospital

The EP Medical and Clinical Team at Adventist Hinsdale Hospital.Radiology Tech Michael Esposito assists Dr. Bonhomme with cauterizing a pacemaker patient.Andrew Lawrence, MD reviews mapping on Carto workstation during an ablation with Joseph Zimmer, EP tech.Medical Director Chad Bonhomme, MD reviews blueprints for the new EP lab with Director of Cardiology Services Pat Maita, Regional Executive Ted Paarlberg and EP Lab Manager Chris Anna.The EP Medical Team at Adventist Hinsdale Hospital (from left): Andrew Lawrence, MD, Krishna Malineni, MD, Greg Lewis, MD, Chad Bonhomme, MD, and Saurabh Shah, MD.Dr. Lawrence performing an ablation on a patient with a pacemaker.The floor plan for our new EP lab.
VOLUME: 8 PUBLICATION DATE: Jul 01 2008

When was the EP lab started at your institution? We’ve been doing device implants and EP studies for years, but we did not have a dedicated EP lab when Dr. Bonhomme joined us in December of 2006. With Dr. Bonhomme’s guidance, we developed a vision, needs assessment and strategic plan in January of 2007. An educational curriculum was designed with Dr. Bonhomme, C. R. Bard, Inc. and some of our device vendors. In February of 2007, a recording system was purchased from C. R. Bard, Inc. and the first EP study/ablation was performed a few weeks later. Prior to initiating left-sided procedures, the staff received training at Aurora Sinai Medical Center in Milwaukee. Transseptal, anticoagulation, and patient preparation protocols were borrowed and established. We started left-sided procedures in July of 2007. By September our procedure volume had grown so dramatically that we went to the Hospital Board with a proposal to build a dedicated EP lab.

Spotlight Interview: University of Pennsylvania (Penn Presbyterian Medical Center)

Kim Matarazzo, RN.Colleen Bendotti, RN, Paula Drexel, RN, Fiorenzo Bendotti, RN, and Andrea Russo, MD.Kurt Raup, RN and Stephen Garafolo, CVT.Standing, Left to right: Kurt Raup, RN, Paula Drexel, RN, Fiorenzo Bendotti, RN, Colleen Bendotti, RN, Andrea Russo, MD. Sitting, left to right: Debbie Persky, RN, Michael Calabro, CVT, Kim Matarazzo, RN, John Wilkes, RN.Kurt Raup, RN and Debbie Persky, RN.
VOLUME: 7 PUBLICATION DATE: Feb 01 2007

What is the size of your EP lab facility and number of staff members?

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CME Showcase


The Use of Remote Robotic Navigation
in Complex Arrhythmias

Complimentary Accredited Web Archive
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Diagnosing Coronary Artery Disease: Advanced Cardiovascular Imaging Solutions

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Symposium for Advances on
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Treatment Options for the AF Patient
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This activity has been developed for physicians, nurses, and technologists who treat patients with arrythmias.


A-fib Ablation:
Practical Solutions
for the Real World

Complimentary Accredited Lunch Symposium
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New Standards of Care for CRMD Antibiotic Protection

Complimentary CME Accredited Webcast

Dates:
November 18, 2008
Time: 6:00 pm ET
November 19, 2008
Time: 3:00 pm ET

This activity is sponsored by the North American Center for Continuing Medical Education.

LUMEN 2009 - THE SYMPOSIUM ON OPTIMAL TREATMENTS FOR ACUTE MI

Live Symposium

Date: February 26-28
Location: Loews Miami Beach Hotel
Miami Beach, Florida 33139

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