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Procedures

Left Heart Catheterization Is performed to evaluate the heart and blood vessels for problems such as clogged arteries or irregular heartbeats. During this procedure, the interventional cardiologist will insert a thin flexible tube (catheter) into the left side of the heart. Cardiac catheterization gives important details about the heart muscle, heart valves and blood vessels of the heart. During the procedure, the doctor can test the pressures in the heart or do treatments such as opening a narrowed artery to improve blood flow. Typically the patient is awake during the procedure with medicines given to help promote relaxation.

Percutaneous Coronary Intervention ( PCI) Typically a cardiac catheterization procedure is performed to evaluate the patient’s heart health. If an artery has become narrowed with restricted blood flow and the interventional cardiologist believes the narrowed artery can be re-opened then a tiny balloon will be inserted into the vessel and expanded. To keep the vessel open, a small wire mesh tube called a stent that has been treated with medicine that will keep the artery open will be inserted and placed where the artery has become narrowed.

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Pacemaker Insertion and Generator Changes A pacemaker insertion is the implantation of a small electronic device that is usually placed in the chest, just below the collarbone, to help regulate electrical problems in the heart that may cause the heart to beat too slowly. Pacemakers are equipped with a pulse generator that is a small metal case that contains electronic circuitry with a small computer and a battery. After many years of operation, the generator may need to be replaced with a new unit.

Loop Recorder Implants An implantable loop recorder (ILR) is a small device that monitors the heart’s electrical activity over an extended period of time by being implanted under the skin of the chest. It is also known as an insertable cardiac monitor. ILR’s are often used to evaluate a variety of conditions, including:

  • Fainting episodes or palpitations
  • Very fast or slow heartbeats
  • Hidden rhythms that can cause strokes
  • Unexplained falls
  • A stroke without a clear reason Epilepsy that hasn’t responded to medicine


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