Cardiac Catheterization
Cardiac Catheterization is a diagnostic procedure
in which narrow flexible tubes called “catheters” are placed into the
arteries of the heart. From this point, the Physician can manipulate
the “catheter” into each of the two (2) main arteries of the heart. Using this technique, the Physician will inject contrast through the
catheter, and at that time is able to visualize the flow of blood in the arteries in the
heart.
Balloon Angioplasty
Balloon Angioplasty is an interventional
procedure to open arteries that are blocked using a balloon. To achieve
this, the Physician uses a long metal wire to navigate through the
blockage in the artery. Then, after passing the wire, the Physician will
track a balloon catheter along the wire to the blockage. After the
Physician places the balloon in the correct position, he inflates the
balloon thereby opening the blocked artery. The balloon is then removed
from the artery.
Coronary Stent Placement
Most often when a Physician finds a
blockage in an artery, they will elect to use a stent to open the
blockage. A stent is an expandable wire mesh-type tube that is mounted onto a
balloon. As with Balloon Angioplasty, the Physician will pass a wire
through the blockage in the artery and then track the stent, which is
mounted on the balloon, over the wire and position it through the
blockage. The balloon is inflated opening the stent, then only the
balloon is deflated. The balloon is then removed, but the stent stays in the
artery forever to keep the artery from closing back up.
Coronary Atherectomy
This procedure is used when the Physician can’t use
conventional balloons or stents to open a blockage. There are two main
types of Coronary Atherectomies, Laser and Rotoblator. The Laser uses a
cool-tip Excimer laser pulse to literally vaporize the plaque or calcium
in the artery causing the blockage. The Rotoblator uses a
special diamond-tipped “burr” to actually drill out the plaque and
calcium causing the blockage.
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