Private practice with Dr Seth Bilazarian

View all posts »

Radial access for PCI: Community hospitals bettering academic institutions

Mar 25, 2012 08:30 EDT


In the US, interventionalists in community hospitals appear to have adopted the radial approach more rapidly than their colleagues in larger academic institutions. Why?





« Previous Post
Renal-nerve denervation to combat resistant hypertension
Mar 26, 2012 17:25 EDT Next post »
TRA 2ºP-TIMI 50 (vorapaxar): Are we any closer to improving on clopidogrel post-ACS?
Mar 24, 2012 09:00 EDT



Your comments
Radial access for PCI: Community hospitals bettering academic institutions
# 1 of 3
March 25, 2012 07:30 (EDT)
Gerald barbeau
Inertia of the teachers 
# 2 of 3
March 26, 2012 12:35 (EDT)
Elliott Lichtstein MD FACC
This is not an entirely new phenomenon.. It was seen in the early 1980's when PTCA was just starting... Cardiologists such as Dr.  Geoffrey Hartzler  (mid America, Kansas City) were innovative and became leaders in the field much before the Jniversity programs in the major cities (of course, with exceptions).
# 3 of 3
March 27, 2012 02:02 (EDT)
João Pipa
The reason is obvious: we are used for a long time to work without net, so, if we see, like it is the case, a way to perform a tecnic with less complications and same results, we prompt adopt it!

You must be a member (with full membership) to post a comment.
Already a member?
Enter your login information below:
 Remember me on this computer
Forgot your username and/or password?
        Login        
Enjoy all the benefits of theheart.org

With full membership, you can check out our educational and editorial content, search the site, receive our newsletters, join discussions, download slides and much more.

Membership is free!

    Join now for full access    
About Dr Seth Bilazarian
Seth Bilazarian MD has been a Clinical and Interventional Cardiologist at Pentucket Medical Associates in Massachusetts since 1993. He is board certified in Internal Medicine, Cardiovascular Medicine, Nuclear Cardiology, Vascular Ultrasound, Interventional Cardiology, and Vascular and Endovascular Medicine.

Dr Bilazarian performs coronary and peripheral interventions at Lahey Clinic and Massachusetts General Hospital. He has been an investigator in the interventional laboratory for new devices including drug-eluting stents, distal protection devices, imaging devices (OCT and InfraRed), and anticoagulant pharmacotherapy.

Dr Bilazarian is an active participant in clinical trials in congestive heart failure, hypertension, coronary disease prevention, prediabetes management, anemia, atrial fibrillation, and anticoagulation/antiplatelet therapies in the outpatient setting. He has authored numerous papers and book chapters in clinical cardiology. He was appointed as a physician advisor to the circulatory device panel of the FDA in 2008.
About this blog
My intent is to create a forum for dialogue on issues pertinent to private practice cardiology around topics such as:

  • Integration of new data and guidelines on inpatient and outpatient practice in clinical and interventional cardiology
  • Practice approaches to the extra clinical issues in dealing with managed care insurers
  • Strategies for navigating the restrictions of pharmacy benefits managers (PBMs) on pharmacologic therapies for our patients
  • Experiences with restrictions on testing and imaging
The video blog (VLOG) will provide an opportunity to share broadly different approaches to the common conundrums we face in caring for patients. My hope is that this forum will provide useful data points for practice outside of tertiary and academic centers and a look inside community hospitals and physician?s practice patterns in the office, starting with mine.