Rebuttal: Turf Wars andSilos—The effect of DisruptiveTechnologic Innovation in theTreatment of Cerebral andperipheral Vascular Disease

TO THE EDITOR

We appreciate enormously your Letter to the Editoron our editorial titled ‘‘Turf Wars and Silos.’’

We agree entirely with it. Your statement that the col-laboration between disciplines fosters clinical problemsolving and will improve patient care is right to thepoint. It remains a source of incredible concern thatmost institutions do not embrace the same concepts.Congratulations on your ability to meld the some-

what different elements together in optimizing outcomeof patients. One could only wish that this approachwill spread throughout the field of healthcare delivery.

David Holmes, MDCardiovascular Diseases, Mayo Clinic,Rochester, Minnesota

Received 11 June 2007; Revision accepted 11 June 2007

DOI 10.1002/ccd.21309

Published online 24 October 2007 in Wiley InterScience (www.

interscience.wiley.com).

' 2007 Wiley-Liss, Inc.

Catheterization and Cardiovascular Interventions 70:771 (2007)