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Interventional Cardiology

Expert cardiologists at the PeaceHealth St. Joseph Cardiovascular Center provide a full range of the most advanced interventional cardiology. 

Coronary Angioplasty

Angioplasty is the opening of heart blood vessels that have become narrowed by plaques. Among them is:
  • Balloon dilation: A very small balloon is used to expand a narrowed artery. 
  • Mechanical stripping of the interior of the blood vessel.
  • Injection of materials designed to dissolve blood clots.

Stents

Stents are small wire tubes that ensure arteries remain open after an angioplasty is performed.

We use the latest in stent technology, including drug-eluting stents to decrease the chances of an artery reclogging. A drug-eluting stent is just like a traditional stent, except it is coated with an antibiotic and anti-inflammatory substance that helps prevent re-clogging. Drug-eluting stents reduce the instances and need for more interventions or procedures such as bypass surgery. 

Click here to learn more about angioplasty and stents

FilterWire EX Embolic Protection System

FilterWire treats saphenous vein graft disease (SVG). SVG happens when the saphenous vein from the leg used in coronary artery bypass surgery develops atherosclerosis (a buildup of plaque that clogs the vein). The FilterWire System is designed to reduce complications during angioplasty and stent procedures in those with SVG by capturing the plaque that becomes dislodged during these procedures that might otherwise cause a heart attack.

Chronic Total Occlusion

A chronic total occlusion (CTO) is an artery that has been completely occluded (blocked) for more than 30 days. Currently, there are three methods for treatment of CTOs:
  • Percutaneous intervention: The minimally invasive use of a conventional guidewire technique to slowly push through the blockage and insert a stent to maintain arterial flow. 
  • Coronary artery bypass surgery (CABG)
  • Medical management, including nitrates, calcium and beta blockers. 


Dr. William Lombardi (Associate Medical Director for Interventional Cardiology & STEMI at PeaceHealth St. Joseph Medical Center) is a world-recognized leader in performing the highly complex CTO percutaneous intervention procedure. He performs more of these procedures than any other operator in the United States. Only a very small group of cardiologists in the world are skilled in this minimally invasive technique, which has recently been shown to reduce mortality rates, as well as to reduce the need for more invasive bypass surgery. Click here to learn more

Transradial Access

Transradial access uses the radial artery, found in the wrist, as an entry point for diagnostic and interventional cardiac procedures. While the primary method for gaining access to the arteries in the United States is through the femoral artery, found in the groin, transradial access has been shown to offer a number of benefits, including reduced site bleeding, a more efficient procedure and quicker recovery.

Other Interventional Procedures

  • Endomyocardial biopsy (samples of heart muscle are removed for anlaysis)
  • Pericardiocentesis (removal of fluid around the heart)

 
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