Other Treatments and Surgical Procedures
At St. Vincent’s Regional Heart and Vascular Center, we offer a range of cardiac treatments and surgical procedures for you and your loved ones performed by our expert cardiac care team. These include:
Angiogram (Coronary Catheterization)
The most precise test to determine the extent of coronary artery disease is an angiogram. A catheter or long, thin, flexible tube is inserted into an artery in your leg or wrist and guided to your heart using X-ray imaging. A dye is then injected, and blockages in your arteries become visible, which most often can be treated immediately using angioplasty or stent placement.
A peripheral angiogram is a test that uses X-rays and dye to help your doctor find narrowed or blocked areas in one or more of the arteries that supply blood to your legs. The test is also called a peripheral arteriogram.
This special type of X-ray may be used if the ultrasound results are unclear or don't give your doctor enough information. For this test, your doctor will inject a substance (called contrast dye) into a vein, most often in your leg. The dye travels to your carotid arteries and highlights them on X-ray pictures.
Aortic Aneurysm Treatment
Aneurysms are an abnormal widening or ballooning of a part of an artery due to weakness in the wall of the blood vessel and when detected in time can be electively repaired with cardiac surgery to prevent rupture. Even in cases requiring emergency surgery, St. Vincent’s surgeons have the expertise and experience to offer the best possible outcomes for you and your loved ones.
Arterial Venous (AV) Fistulas
Arterial venous (AV) fistulas is surgery to sewing together an artery and a vein in order to create an access point for hemodialysis to treat kidney failure.
Atrial Septal Defect (ASD) Repair
The atrial septum is the wall between the left and right atria (upper chambers) of the heart. A hole in that wall is called an ASD. In the presence of this defect, blood with and without oxygen can be mixed up and over time cause medical problems and arrhythmias. Sometimes, an ASD can be closed without open-heart surgery. First, the surgeon makes a tiny cut in the groin, followed by the insertion of a wire into a blood vessel that goes to the heart. Next, two small umbrella-shaped "clamshell" devices are placed on the right and left sides of the septum. These two devices are attached to each other. This closes the hole in the heart.
Temporal Artery Biopsy
If you are diagnoses with giant cell arteritis (GCA) your physician may order a temporal artery biopsy. Giant cell arteritis can occur at various points along an artery. To test for giant cell arteritis, your doctor may ask a surgeon to take a sample of a blood vessel on your temple and test it for inflammation. If a temporal artery biopsy shows no inflammatory signs, but your symptoms strongly suggest giant cell arteritis, you and your doctor will discuss the risks and benefits of treatment versus no treatment.
Catheterization is the insertion of a catheter into a chamber or vessel of the heart, which is performed for both investigational and interventional or treatment purposes. Dye is injected into the arteries. From the images produced, your doctor can then determine if there is a blockage. Subsets of this technique are mainly coronary catheterization involving the catheterization of the coronary arteries and catheterization of cardiac chambers and valves.
Carotid Artery Surgery/Carotid Endarterectomy
Carotid artery surgery restores proper blood flow to the brain. Carotid arteries, located on each side of your neck, bring a needed blood supply to your brain and face. If blood flow in these arteries become partly or totally blocked by fatty material, or plaque, this can cause a stroke. Surgeons at St. Vincent’s perform an endarterectomy by making a cut (incision) on your neck over your carotid artery. A flexible tube (catheter) is put in the artery. Blood flows through the catheter around the blocked area during surgery. Your carotid artery is opened and the surgeon removes the plaque inside the artery before closing it with stitches.
Circulatory Assist Devices
Impella - St. Vincent’s was the first hospital in the region to introduce the Impella®, a non-surgical finely engineered circulatory-assist device used to take over the blood circulating duties of the heart during high risk angioplasty and open heart surgery. We also offer Tandem Heart Circulatory Assist Device, which is being used in the Hybrid-OR for high-risk cardiac procedures.
Cardiac | Ventricular Assist Devices (VADs) - A ventricular assist device is a mechanical circulatory device that is used to partially or completely replace the function of a failing heart. Some VADs are intended for short term use, typically for patients recovering from heart attacks or heart surgery, while others are intended for long term use (months to years and in some cases for life), typically for patients suffering from congestive heart failure. VADs have improved significantly in terms of providing survival and quality of life among patients at St. Vincent’s.
St. Vincent’s utilizes state-of-the-art medical advances, including therapeutic arterial stents treated with medications that can effectively prevent disease from progressing. These drug-eluting stents slowly release medications to help keep the artery open.
Ligation and Vein Stripping
Vein stripping is surgery to remove varicose veins in the legs. Normally, valves in your veins keep your blood flowing up toward the heart, so the blood does not collect in one place. If valves in varicose veins are either damaged or missing, the veins become filled with blood, especially when standing. Vein stripping occurs when your doctor removes or ties off a large vein in the leg called the superficial saphenous vein.
Valve repair and replacement
A surgeon can repair or replace the four valves of the heart: aortic, mitral, pulmonic or tricuspid.
Mitral Valve Replacement
Mitral valve surgery repairs or replaces the mitral valve in your heart. Blood flows between the different chambers in the heart through valves that connect the chambers. One of these is the mitral valve. The mitral valve opens so blood can flow from the left atrium to the left ventricle. The valve then closes, keeping blood from flowing backwards.
Mitral Valve repair is done through the TMVR procedure.
Peripheral Artery Bypass Graft
Peripheral artery bypass is surgery to reroute the blood supply around a blocked artery in one of your legs. Fatty deposits can build up inside the arteries and block them. Your doctor uses a graft to replace or bypass the blocked part of the artery. The graft may be a plastic tube, or it may be a blood vessel taken from your body (most often the opposite leg) during the same surgery.
During a thrombectomy procedure your surgeon removes blood clots in the veins.
Vena Cava Filter
An interventional radiologist utilizes a vena cava filter, a tiny cage-like device that is inserted in a blood vessel to break up clots and prevent them from reaching the heart or lungs in order to prevent pulmonary embolism.
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