Expert Consensus Statement on Enhanced Radiation Protection: Time for Mandatory and Urgent Action

Join SCAI experts David Baran, Sandeep Nathan, Dharam Kumbhani, and Michele Esposito as they discuss key highlights from the newly published document "2026 SCAI SHOCK Classification Expert Consensus Update: Refined Staging and Incorporation of Clinical Phenotypes and Patient Populations." The conversation emphasizes the updated SCAI stage definitions, components of objective staging assessment, the importance of serial reassessment to determine shock trajectory, and implications for clinical practice. Read the full article in JSCAI here: https://www.jscai.org/article/S2772-9303(26)01483-3/fulltext

Moderated by Mort Kern, this JSCAI Clinical Conversation features presenting author Kevin Haddad alongside panelists Megha Prasad and Larry Dean to explore the clinical implications of “Linking Cardiac and Renal Hemodynamics for the Prevention of Contrast-Induced Nephropathy.” The discussion translates renal and cardiac hemodynamics into practical strategies for reducing contrast-induced acute kidney injury, including volume optimization, LVEDP-guided hydration, and approaches to minimizing contrast exposure.Read the article in JSCAI: https://www.jscai.org/article/S2772-9303(26)01267-6/fulltext

In this discussion, Sahil Parikh, Andrew Holden, Sameh Sayfo, and JD Corl explore the clinical highlights and key takeaways from the FORWARD PAD IDE and feasibility studies evaluating the novel Javelin intravascular lithotripsy (IVL) catheter. They discuss its potential to address challenging, heavily calcified and difficult-to-cross peripheral arterial lesions, with 1-year results demonstrating encouraging patency outcomes and low rates of major amputation, without observed vessel perforation or distal embolization.Read the JSCAI article: https://www.jscai.org/article/S2772-9303(26)01326-8/fulltext

This 30-minute expert panel will explore evolving treatment approaches for long, complex femoropopliteal lesions through the lens of two recent JSCAI articles. Panelists will discuss the long-term outcomes of percutaneous transmural arterial bypass with the DETOUR System alongside contemporary evidence on endovascular revascularization, highlighting durability, safety, reintervention rates, and key factors that influence treatment decision-making in clinical practice.Long Femoropopliteal Lesions Challenge the Limits of Endovascular Technique: Contemporary Systematic Review and Meta-analysis- https://www.jscai.org/article/S2772-9303(25)01604-7/fulltext Durability of the DETOUR System for Long and Complex Femoral-Popliteal Lesions: 3-Year Results From the DETOUR2 Trial- https://www.jscai.org/article/S2772-9303(26)01204-4/fulltext

In this JSCAI Clinical Conversation, Dean Kereiakes, David Rizik, Dipti Ichhaporia, Kenneth Rosenfield, and Arizona State Senator Carine Werner discuss the multisociety SCAI/ASE/HRS/SIR/SVS Expert Consensus Statement on Enhanced Radiation Protection: Time for Mandatory and Urgent Action, which calls for the immediate adoption of enhanced radiation protection technologies to better safeguard catheterization laboratory teams. The panel explores the health, workforce, ethical, legal, and regulatory implications of occupational radiation exposure, including cancer risk, musculoskeletal injury, and barriers to career entry for women in fluoroscopy-based specialties. They also examine Arizona’s landmark legislative efforts and the broader movement to modernize radiation safety standards nationwide. Watch this timely discussion to learn why many leaders believe enhanced radiation protection represents the new standard for occupational safety in the fluoroscopy laboratory.Read the full document here: https://www.jscai.org/article/S2772-9303(26)01202-0/fulltext

Drew Klein, MD and Saraschandra Vallabhajosyula, MD discuss the clinical implications of reduced- versus full-dose direct oral anticoagulation for extended treatment of VTE. Read more in JSCAI: https://www.jscai.org/article/S2772-9303(26)01063-X/fulltext

Moderated by Wayne Batchelor, this discussion features Robert Califf and Megan Coylewright as they explore the articles and themes highlighted in the JSCAI special issue, Strategies to Promote Equity in Interventional Cardiology: Practice, Research, Education, and Policy. Drawing from contributions across the issue, the panel examines persistent disparities in access to care, research participation, and clinical outcomes, while also discussing how emerging technologies, including artificial intelligence, may either help reduce or inadvertently exacerbate existing inequities. Read the full special issue: https://www.jscai.org/issue/S2772-9303(26)X2003-8Dr. Califf's opening editorial: https://www.jscai.org/article/S2772-9303(26)00013-X/fulltext

Dean Kereiakes, John Moriarty, and James Goldstein discuss new findings from the STRIKE-PE study. The conversation explores the study's encouraging safety and effectiveness outcomes, including improvements in right ventricular function, symptoms, functional status, and quality of life, while examining the evolving role of mechanical thrombectomy as a treatment option for patients in whom systemic thrombolysis may not be appropriate.Read the article in JSCAI: https://www.jscai.org/article/S2772-9303(26)00148-1/fulltext

Andrew Goldsweig, MD; Enrique Soltero Mariscal, MD; Atul Sharma, MD; Christian Spaulding, MD; and Ron Waksman, MD, discuss a systematic review and meta-analysis in JSCAI evaluating drug-coated balloons for de novo non–aorto-ostial and coronary bifurcation lesions—areas where stenting remains technically challenging.Read more: https://www.jscai.org/article/S2772-9303(25)01390-0/fulltext

Mohammad Alqarqaz, MD, Dean Kereiakes, MD, and Lorenzo Azzalini, MD discuss the key findings from the study evaluating the role of intravascular ultrasound (IVUS) in optimizing covered stent placement following coronary artery perforation, highlighting its association with reduced target vessel revascularization and the potential implications for clinical practice.Read the article in JSCAI: https://www.jscai.org/article/S2772-9303(25)01361-4/fulltext