A procedure that examines the heart and is used to help physicians diagnose a heart problem and choose the most effective treatment. During this procedure, a physician can measure pressures inside the heart, evaluate the arteries delivering blood to the heart, and determine how well the heart is pumping. This is sometimes called a coronary angiogram.
Conducted to identify the location of your heart’s electrical pathways. Electrical wires are inserted into a catheter and guided through blood vessels in your arm or leg to your heart. While inside the chambers of the heart, the wires record abnormal impulses or heartbeats. Once the abnormality is discovered, it may be treated with radiofrequency catheter ablation.
Radiofrequency Catheter Ablation
A procedure used to treat some types of rapid heart beating. A catheter with an electrode at its tip is guided to the area of the heart muscle, where there’s an extra pathway and a mild, painless radiofrequency energy, is transmitted to the pathway and this causes heart muscle cells in a very small area to die, which stops the area from conducting the extra impulses that causes the heart to beat too rapidly.
Pacemaker Implantation and Management
Implantation of a small, battery-operated device that helps the heart beat in a regular rhythm.
Implantable Defibrillator Placement and Management
An ICD is a small electronic device, about the size of a deck of cards , that is placed inside the body. It constantly monitors your heart rhythm. If it senses a dangerous rapid heart rhythm, it delivers one or more pulses or shocks to the heart and restores a more normal rhythm.
Percutaneous Coronary Interventions
Atherectomy is a procedure performed to treat blockages in the arteries. The narrowed arteries are widened by inserting a catheter carrying a device, such as a rotating drill or a cutter into the artery.
Balloon angioplasty, also known as PTCA or coronary angioplasty, is a procedure used to treat blockages in the coronary arteries. A catheter with a small balloon is inserted into the blocked artery and dilated to open the artery that supplies the heart muscle with blood.
A coronary stent is a cylindrical, wire mesh device that is placed by a catheter into a previously blocked artery to help keep it open.
Alcohol Septal Ablation
Alcohol septal ablation is a percutaneous, minimally-invasive treatment performed by an interventional cardiologist to relieve symptoms and improve functional status in severely symptomatic patients with hypertrophic cardiomyopathy who meet strict clinical, anatomic and physiologic selection criteria.
Valvuloplasty is a non-surgical procedure that may be used to open a narrow valve within the heart.
Patent Foreman Ovale
A patent foramen ovale is a small, flap-like opening in the dividing wall (septum) between the upper two chambers of the heart – the left atrium and the right atrium. In most people, the two flap-like sections of septum, which form the foramen ovale, fuse together after birth. However, in approximately 15-20% of individuals, the foramen doesn’t fuse together and remains open or “patent”. If the blood that crosses the PFO contains debris or a clot, it can enter the arteries which supply the brain and cause a stroke or transient ischemic attack (TIA). Nowadays, there is a non-surgical method to treat PFO using a device called a septal repair implant. PFO closure is performed in the cardiac catheterization laboratory by a physician.
Peripheral Vascular Catheterization or Intervention
Peripheral vascular catherterization or intervention is the catheterizations, angioplasties or stent placement performed in a vessel outside the heart, such as those leading to the arms, legs, kidneys or brain.
Transcatheter Aortic Valve Replacement (TAVR)
While open-heart aortic valve replacement surgery is the gold standard treatment for severe symptomatic native aortic valve stenosis, there are patients who are not candidates for open-chest surgery. These inoperable patients may be unable to undergo traditional surgery because of factors such as age, history of heart disease, frailty or other health issues. For these patients, a new therapy called transcatheter aortic valve replacement (TAVR) may be an option. TAVR is a procedure that allows Heart Teams to replace a diseased aortic heart valve without open-heart surgery. This procedure enables the placement of a balloon-expandable heart valve into the body with a tube-based delivery system (catheter), which allows the valve to be inserted through a small cut in the thigh into an artery.
A Heart Team will conduct a comprehensive evaluation to determine whether this procedure is an appropriate therapeutic option. In certain cases, TAVR may not be an option because of co-existing medical conditions or disease processes that would prevent the patient from experiencing the expected treatment benefit or because the risks outweigh the benefits. For those who are candidates for TAVR, this therapy may provide relief from the often debilitating symptoms associated with severe symptomatic native aortic valve stenosis. TAVR is a significant procedure involving general anesthesia, and placement of the valve is associated with specific contraindications as well as serious adverse effects, including risks of death, stroke, damage to the artery used for insertion of the valve, major bleeding, and other life-threatening and serious events. In addition, the longevity of the valve’s function is not yet known.
Venous Reflux Study and Treatment of Varicose Veins
Many people consider varicose veins to be simply a cosmetic issue, so they delay treatment or avoid it completely. The truth is, untreated varicose veins can progress to a more serious form of vein (venous) disease called chronic venous insufficiency (CVI), which can present more serious signs and symptoms such as pain, ankle swelling, fatigue of the legs, skin damage and ulcers.
That’s why a coalition of medical societies is coming together for the Rethink Varicose Veins campaign to encourage the more than 30 million Americans with venous disease, including varicose veins and CVI, to learn more and see a vein specialist for diagnosis and treatment. Fortunately, several minimally-invasive treatment options are available that are covered by many insurance plans.