Interventional Cardiology

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HeartDeborah’s Interventional Cardiology Department includes a team of specially-trained interventionalists utilizing highly advanced technologies and devices to open blockages, offering minimally-invasive techniques and an array of interventional treatment options give their patients optimal outcomes.

Atherosclerosis is the process of building plaque in arteries. The plaque-building process can be identified early with vascular risk factor assessment, which helps detect initial and sometimes preventable blockages. With early identification and treatment by highly-trained physicians and nurse practitioners, less-invasive treatment options can be offered. An individual strategy plan can also be developed for the best possible long-term outcomes. Vascular health and maintenance are the foundation of prevention!

Vascular health can be maintained with therapeutic lifestyle changes including exercise training, dietary modification, sometimes medication, and tobacco abstinence/cessation. Atherosclerosis in the leg arteries affects the supply of blood and oxygen to the leg muscles. By making a “stress-free” environment in the arteries, plaque buildup is less likely. Improved and sustained vascular-healthy behaviors can help prevent blockages. This is the cornerstone and main building block for excellent vascular health. People who are actively involved in the decision-making and management of their artery health overall make better informed choices.  Knowledge is a powerful weapon to save limbs. The treatment for Peripheral Artery Disease has a number of different options and decision points. Join the movement!

Peripheral Arterial Disease (PAD)

PAD is a common yet serious disease, affecting 8 to 12 million people in the United States, particularly those over age 50. The disease develops when arteries in your legs become clogged with plaque—fatty deposits that limit blood flow to your legs.

The five-year mortality rate of PAD is 64%. Yet early detection and appropriate intervention can help prevent disease progression, leg ischemia and amputation, as well as cardiac and cerebral events. On the positive side, once PAD is detected, it can be managed or even reversed with proper care.

Lifestyle changes, such as smoking cessation, dietary management and the introduction of regular exercise, are often the beginnings of PAD management. For many patients, intervention is an essential part of disease management, and can range from catheter-based modalities such as angioplasty to bypass grafting/surgery, major reconstructive surgery and in severe cases, amputation. Following treatment, lifelong vascular disease follow-up, including non-invasive surveillance imaging, is undertaken to optimize the longevity of any interventions and to encourage persistence with lifestyle modifications.

Symptoms

PAD does not always cause symptoms. Common symptoms of chronic PAD include painful muscle cramping in the hips, thighs or calves or pain/tiredness in the leg or hip muscles while walking, climbing stairs or exercising. Typically, this pain goes away with rest and returns when you walk again.

Common symptoms of acute PAD include leg pain that does not go away when you stop exercising, foot or toe wounds that won’t heal or heal very slowly, gangrene and a marked decrease in the temperature of the lower leg or foot­—“cold feet.”

Deborah’s Interventional Cardiologists perform many interventional procedures; these are just a sampling:

  • Peripheral Procedures—Angiography and intervention to open arteries from head to toe
  • Balloon Angioplasty
  • Rotational Atherectomy
  • Directional Coronary Atherectomy (DCA)
  • Stent Deployment
  • Angiojet Thrombectomy
  • Balloon Valvuloplasty
  • Excimer Laser Angioplasty (ELCA)
  • Transcutaneous Pericardiocentesis
  • Right Ventricular Biopsy
  • Intra-Vascular Ultrasound
  • Minimally-Invasive AAA Stent Graft Repair
  • LARIAT Procedure
  • Orbital Atherectomy for the Coronary Arteries
  • TAVR Procedure
  • Closures for PFO, VSD, ASD and PDA
  • Paravalvular Leak Closure
  • CTO Procedures
  • Parachute Procedure
  • Watchman Procedure

Visit our Innovations pages to read about the most recent innovations at Deborah Heart and Lung Center.

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