SERVICES/TREATMENTS

Coronary Interventions:

• Cardiac Catheterization and coronary angiography – radial and femoral approach 
• Right heart catheterization
• Coronary angioplasty and stenting
• Per-cutaneous coronary intervention (PCI)
• Coronary atherectomy
• Coronary physiological testing
• Fractional Flow Reserve (FFR)
• IntraVascular UltraSound (IVUS)
• Optical coherence tomography (OCT)
• Chronic total occlusion (CTO) interventions
• Complex high risk indicated coronary procedures (CHIP)
• Left Main coronary artery stenting
• Pericardiocentesis
• Impella heart pump placement

Peripheral Vascular Interventions:

• Peripheral artery angiography
• Peripheral vascular interventions – angioplasty, atherectomy and stent placement. 
• Aortic arch angiography
• Abdominal angiography
• Catheter directed thrombolysis for pulmonary embolism (EKOS)
• Percutaneous mechanical thrombectomy of pulmonary emboli(Penumbra/Inari)
• Renal artery angiography and stenting
• Subclavian artery angiography and stenting
• IVC Filter Insertion and Removal
• Varicose vein treatment with in-office vein ablations

Structural heart interventions:

• Transcatheter aortic valve replacement/Implantation (TAVR/TAVI)
• Balloon aortic valvuloplasty (BAV)
• Percutaneous mitral balloon valvuloplasty
• Percutaneous mitral valve repair (MitraClip)
• Transcatheter mitral valve replacement.
• Intra-cardiac echocardiography
• Atrial septal defect (ASD) closure
• Patent foramen ovale (PFO) closure
• Left atrial appendage occlusion device placement (Watchman)
• Alcohol septal ablation
• Percutaneous thrombi/emboli extraction (AngioVac)
• CardioMEMS heart failure sensor implantation and follow up. 

Abdominal Aortic Aneurysm-Abdominal aortic aneurysms often grow slowly and usually without symptoms, making them
difficult to detect. See doctor if:

• A pulsating feeling near the navel
• Deep, constant pain in your abdomen or on the side of your abdomen
• Back pain

Acute Coronary Syndrome-The signs and symptoms of acute coronary syndrome, which usually begin abruptly, include the
following:

• Chest pain (angina) or discomfort, often described as aching, pressure, tightness or burning
• Pain radiating from the chest to the shoulders, arms, upper abdomen, back, neck or jaw
• Nausea or vomiting
• Indigestion
• Shortness of breath (dyspnea)
• Sudden, heavy sweating (diaphoresis)
• Lightheadedness, dizziness or fainting
• Unusual or unexplained fatigue
• Feeling restless or apprehensive

Angina-Chest pain caused by reduced blood flow to the heart muscle. Angina is a symptom of coronary artery disease. Angina is typically described as squeezing, pressure, heaviness, tightness or pain in your chest.

Aortic valve disease-Aortic valve disease is a condition in which the valve between the main pumping chamber of your heart (left ventricle) and the main artery to your body (aorta) doesn’t work properly.

Atrial fibrillation-Some people with atrial fibrillation have no symptoms and are unaware of their condition until it’s discovered during a physical examination. Those who do have atrial fibrillation symptoms may experience signs and symptoms such as:

• Palpitations, which are sensations of a racing, uncomfortable, irregular heartbeat or a flip-
  flopping in your chest
• Weakness
• Reduced ability to exercise
• Fatigue
• Lightheadedness
• Dizziness
• Confusion
• Shortness of breath
• Chest pain

Cardiomyopathy-In the early stages, people with cardiomyopathy may not have any signs and symptoms. But as the condition advances, signs and symptoms usually appear. Cardiomyopathy signs and symptoms may include:

• Breathlessness with exertion or even at rest
• Swelling of the legs, ankles and feet
• Bloating of the abdomen due to fluid buildup
• Cough while lying down
• Fatigue
• Irregular heartbeats that feel rapid, pounding or fluttering
• Chest pain
• Dizziness, lightheadedness and fainting

Coronary Artery Disease-If your coronary arteries narrow, they can’t supply enough oxygen-rich blood to your heart —especially when it’s beating hard, such as during exercise. At first, the decreased blood flow may not cause any coronary artery disease symptoms. As plaque continues to build up in your coronary arteries, you may develop these symptoms:

• Chest pain
• Shortness of breath
• Heart attack

Carotid Artery Disease-Carotid artery disease occurs when fatty deposits (plaques) clog the blood vessels that deliver blood to your brain and head (carotid arteries). The blockage increases your risk of stroke, a medical emergency that occurs when the blood supply to the brain is interrupted or seriously reduced.

Deep Vein Thrombosis (DVT)-Deep vein thrombosis (DVT) occurs when a blood clot (thrombus) forms in one or more of the deep veins in your body, usually in your legs. Deep vein thrombosis can cause leg pain or swelling, but may occur without any symptoms.

Heart Arrhythmia-Arrhythmias may not cause any signs or symptoms. In fact, your doctor might find you have an arrhythmia before you do, during a routine examination.

Heart Attack-A heart attack occurs when the flow of blood to the heart is blocked, most often by a build-up of fat, cholesterol and other substances, which form a plaque in the arteries that feed the heart (coronary arteries). The interrupted blood flow can damage or destroy part of the heart muscle.

Heart Failure-Heart failure, sometimes known as congestive heart failure, occurs when your heart muscle doesn’t pump blood as well as it should. Certain conditions, such as narrowed arteries in your heart (coronary artery disease).

Ischemic Cardiomyopathy-Ischemic cardiomyopathy is a condition that occurs when the heart muscle is weakened due to insufficient blood flow to the heart’s muscle. This inhibits the heart’s ability to pump blood and can lead to heart failure.

Mitral Valve Prolapse-Mitral valve prolapse (MVP) occurs when the valve between your heart’s left upper chamber(left atrium) and the left lower chamber (left ventricle) doesn’t close properly.

Peripheral Artery Disease (PAD)-While many people with peripheral artery disease have mild or no symptoms, some peoplehave leg pain when walking (claudication). Symptoms include:

• Painful cramping in your hip, thigh or calf muscles after certain activities, such as walking or
  climbing stairs (claudication)
• Leg numbness or weakness
• Coldness in your lower leg or foot, especially when compared with the other side
• Sores on your toes, feet or legs that won’t heal
• A change in the color of your legs
• Hair loss or slower hair growth on your feet and legs
• Slower growth of your toenails
• Shiny skin on your legs
• No pulse or a weak pulse in your legs or feet
• Erectile dysfunction in men

Pulmonary Embolism-Pulmonary embolism is a blockage in one of the pulmonary arteries in your lungs. In most cases, pulmonary embolism is caused by blood clots that travel to the lungs from the legs or, rarely, other parts of the body (deep vein thrombosis).

Renovascular Disease-Renovascular disease is a progressive condition that causes narrowing or blockage of the renal arteries or veins. These are the blood vessels that take blood to and from the kidneys. It’s the general term used for three disorders: renal artery occlusion, renal vein thrombosis, and renal atheroembolism.

Stroke-Watch for these signs and symptoms if you think you or someone else may be having a stroke. Note when your signs and symptoms begin, because the length of time they have been present may guide your treatment decisions:

• Trouble with speaking and understanding
• Paralysis or numbness of the face, arm or leg
• Trouble with seeing in one or both eyes
• Headache
• Trouble with walking

Varicose Veins-Varicose veins may not cause any pain. Signs you may have with varicose veins include:

• Veins that are dark purple or blue in color
• Veins that appear twisted and bulging; often like cords on your legs