Our expert team of physicians perform the following procedures to evaluate and treat heart and blood vessel disease.
Structural and functional evaluation
- Echocardiography. Utilizing ultrasound waves to create realtime Two and Three dimensional images of the heart to examine its’ function and structure.
- Nuclear Cardiology. Evaluation of the relative blood flow to the heart muscle during rest and stress. This procedure uses radiation emitting nuclear particles which are injected to the blood stream and images are created using a gamma ray camera.
- Cardiac MRI. Assessment of heart structure, vavle and muscular function and viability, chamber size and spatial relationships using magnetic resonance imaging.
Arrhythmia detection and therapy
- Holter monitor, Event monitor, Implantable Loop Recorder (ILR)
- Permanent pacemaker. A permanent pacemaker is an electronic device surgically implanted on the chest wall or inside the heart chamber and using electrodes, detects heart rhythm and if necessary, delivers electrical impulses to maintain adequate heart rate.
- Implantable cardioverter defibrillator (ICD). A defibrillator is a life saving device surgically implanted on the chest wall and monitors and treats heart hythm using electrodes. This device delivers defibrillation therapy and is used in treatment of specific cardiac conditions where a malignant arrhythmia may cause cardiac arrest.
- Ablation. Using heat or cold to change the electrical function of the heart with intention to terminate any arrhythmias. This procedure is performed by heart specialists that are experts in heart rhythm (Electrophysiologists).
Procedures for heart disease
- Cardiac catheterization. Evaluation of the blood vessels of the heart using cathters and x-ray to identify blockages.
- Coronary angioplasty. Treatment of blocked heart blood vessels using ballon tipped catheters.
- Coronary artery stent. Treatment of blocker heart blood vessels using thin wire scaffolds similar to the spring at the tip of a ball point pen, to maintain long term patency and continued blood flow through diseased blood vessels.
- Atherectomy. Reshaping the cholesterol plaque build up inside the heart blood vessels with the intention of delivering stents to achieve and maintain maximal patency. This treatment modality can be delivered via dedicated laser pulse generator, ultrasound or rotational mechanical devices.
- Coronary artery bypass. This surgical therapy is used to create a bypass route for the blood to flow into the heart blood vessels. This modality is reserved for severely occluded blood vessels in patients which may not be the ideal candidate for minimally invasive percutaneous angioplasty or stenting.
Procedures for valve disease
- Valvuloplasty. In patients with severe valve obstruction, a balloon tipped catheter is used to stretch the stuck leaflets and allow for the passage of the blood. This procedure is usually a temporizing measure until a more permanent valve replacement can be safely accomplished.
- Valve repair. Traditional or minimally invasive surgical and non surgical techniques are available to treat certain severely incompetent and leaky valves. This
- Valve replacement. Replacement of a damaged valve. Depending on the patient characteristics a mechanical or tissue valve may surgically be placed inside the heart to allow for normal blood flow across the intended valve structure. In certain patients who meet the criteria to undergo TAVR (transcatheter aortic valve replacement), a new aortic valve can be placed across the existing diseased valve through leg blood vessels without surgically opening the chest.