Interventional Services and Procedures

Interventional Cardiology deals specifically with the catheter-based treatment of structural heart diseases. A large number of procedures can be performed in the heart and vascular (veins and arteries) system through minimally invasive procedures performed in a Catheterizaton Lab.

These minimally invasive procedures most often involve the insertion of a catheter (hollow tube) into the femoral artery in the upper leg. The catheter is guided toward the heart or vascular area through the use of real-time X-ray.

Interventional cardiology procedures are considered to be minimally invasive because they do require an instrument to enter the body or large incisions.

Heart and Vascular Balloon Angioplasty involves creating space in a blocked artery by inserting and inflating a tiny balloon, which compresses the plaque blocking the artery against the wall of the artery, opening the artery so blood can flow more freely. The balloon does not remain in the body. This procedure can be done electively at a scheduled time or emergently during a heart attack.

Intracoronary Stents involves permanently inserting a tiny stainless-steel wire-mesh tube called a stent which is used to keep arteries open following a balloon angioplasty. Both bare-metal and drug-eluting stents are available.

Carotid Stents and Stroke Intervention involves the insertion of a stent to expand the carotid artery to increase blood flow in areas blocked by plaque. The carotid arteries are located on each side of your neck and extend from your aorta in your chest to the base of your skull. These arteries supply blood to your brain. If a clot or plaque blocks the blood flow to your brain, it can cause an ischemic stroke, which can cause brain damage or death.

Intravascular Ultrasound involves passing a small catheter into a coronary artery to emit sound waves that produce an image of the blockage. This image provides the physician with needed information as to how to best manage the blockage.

Pacemaker Insertion involves inserting wires, called leads, into the chambers of the heart and then connecting an analyzer to confirm proper positioning and conduction. After the lead has been placed, a small generator is connected to the leads and permanently placed just under the skin.

Peripheral Arterial Disease Intervention involves the evaluation of diseases of the blood vessels outside the heart, known as peripheral arterial disease (PAD). Balloon angioplasty and stenting may be used similarly to heart procedures.

Peripheral Atherectomy involves cutting through plaque in the blood vessels outside the heart. The plaque is reduced to particles smaller than red blood cells. The result is a smoother inner surface of the vessel, resulting in increased blood flow through the artery.