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Interventional Cardiology

Interventional cardiology is a medical specialty that uses catheters to treat heart and blood vessel conditions like coronary artery disease, valvular heart disease and cardiac defects. This minimally invasive approach lets people receive lifesaving heart procedures without the need for open heart surgery.

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Catheter-guided heart care

You don’t always need major surgery for serious heart conditions. Many complex heart problems can be treated with catheters, which are thin tubes, smaller than a piece of spaghetti.  

These treatments are less invasive than open heart surgery, so you’ll have smaller cuts and a quicker recovery. They can help fix blood flow, close holes in the heart, put in lifesaving devices and lower the risk of heart attack or stroke.

Cardiologist Omar Ali, MD, FACC in a heart and vascular surgery in Lowell General Hospital's Cath Lab talking to nurse while pointing to a large screen showing a heart scan.
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Conditions

You might benefit from interventional cardiology if you have one or more of these heart conditions:

 

 

 

Aortic aneurysm
Atrial fibrillation
Cardiac arrhythmia
Congenital heart defects
Coronary artery disease
Heart attack
Hypertrophic cardiomyopathy (HCM)
Mitral valve regurgitation
Peripheral arterial disease
Valvular heart disease
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Testing

Interventional cardiology focuses on keeping your blood flowing properly in and out of your heart. We check for blockages that could stop healthy blood flow and listen for irregular heart rhythms. To help diagnose heart conditions, we use a variety of tests, including:

Cath lab

A cath lab, short for a catheterization laboratory, is a specialized room with advanced equipment for evaluating serious heart and blood vessel conditions. Your doctor may send you to the cath lab for tests like right heart catheterization, a minimally invasive procedure where a catheter is inserted into the heart to check how well it's pumping.

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Treatments

As the first medical center in New England to treat hypertrophic cardiomyopathy (HCM) with alcohol septal ablation, you can trust that we’re leading the way in interventional cardiology and in your heart care.

Interventional cardiologists perform the following catheter-based procedures and surgeries:

Patent foramen ovale (PFO) closure

A patent foramen ovale (PFO) is a small hole between the heart’s upper chambers that is present at birth. This hole usually closes after birth, but if it doesn’t, it’s called a PFO. While a PFO doesn’t often cause problems, it can increase the risk of a stroke later in life.

To help reduce the risk of strokes for people with a PFO, our experts in cardiovascular care are leading clinical trials to find new, non-surgical ways to repair PFOs.

Transcatheter aortic valve replacement (TAVR)

We can replace diseased heart valves using a non-surgical approach called transcatheter aortic valve replacement (TAVR). This lifesaving procedure is a great option for people who can’t have open heart surgery.

TMVR with MitraClip

Not everyone with a leaky heart valve (called mitral valve regurgitation) is a candidate for heart surgery. That’s where a less-invasive, non-surgical treatment called transcatheter mitral valve repair (TMVR) with MitraClip™ therapy comes in.

The goal is to tightly close the leaky valve so your heart doesn’t have to work harder to pump blood.

During the TMVR with MitraClip™ procedure, the doctor makes a small incision in the thigh to reach the femoral artery. Using imaging tools like X-rays or ultrasounds, the doctor guides the catheter through the vein to the mitral valve in your heart. The MitraClip™ is then threaded up through the catheter to clip the valve tighter. After the procedure, the doctor removes the catheter.

Ventricular assist device (VAD)

When the heart can’t work properly on its own, your doctor may recommend a ventricular assist device (VAD). This small mechanical device helps the heart pump blood from its lower chambers (ventricles) to the rest of the body.

We’re also researching new designs and uses for these lifesaving devices, including less invasive, catheter-based methods to place them.

WATCHMAN device

The WATCHMAN™ device helps reduce the risk of stroke by closing off a part of the heart called the left atrial appendage (LAA) to prevent blood clots from escaping. This device eliminates the need for blood thinners like Warfarin, reduces bleeding risks, reduces the need for regular blood tests and reduces food and drink restrictions.

In clinical trials, 92% of people stopped taking Warfarin just 45 days after the WATCHMAN™ procedure and 99% were completely off it within a year. After the procedure, you'll take blood thinners for 45 days while the heart tissue grows over the device. If healing goes well, your doctor may stop the blood thinners and give you clopidogrel (Plavix®) and aspirin for 6 months, then you’ll continue taking aspirin regularly.

With these innovative, life-changing treatments, we’re here to support your heart health every step of the way.

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FAQs

What are the risks of implanting the WATCHMAN™ device?

The WATCHMAN™ device is a permanent implant designed to close your heart's left atrial appendage (LAA) to reduce the risk of stroke.

There are risks associated with all medical procedures and implanting the WATCHMAN™ device is no exception. The risks include but are not limited to:

  • Accidental heart puncture
  • Air embolism
  • Allergic reaction
  • Anemia
  • Anesthesia risks
  • Arrhythmias
  • AV (arteriovenous) fistula
  • Bleeding or throat pain from the TEE (transesophageal echo) probe
  • Blood clot or air bubbles in the lungs or other organs
  • Bruising at the catheter insertion site
  • Clot formation on the WATCHMAN™ closure device
  • Cranial bleeding
  • Excessive bleeding
  • Gastrointestinal bleeding
  • Groin puncture bleed
  • Hypotension
  • Infection/pneumonia
  • Pneumothorax
  • Pulmonary edema
  • Pulmonary vein obstruction
  • Renal failure
  • Stroke
  • Thrombosis
  • Transient ischemic attack

In rare cases death can occur. Be sure to talk with your doctor so that you thoroughly understand all of the risks and benefits associated with a WATCHMAN™ implantation.

Anasuya Gunturi MD, PhD talks with patient at Lowell General Hospital's Women's Wellness Center clinic appointment.
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