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Interventional Cardiac Services at Palomar Health

Interventional (Non-Surgical) Cardiac Procedures

Our state-of-the-art cardiac catheterization lab at Palomar Health is utilized by a multidisciplinary team of health-care professionals who perform a wide array of interventional procedures. Using state-or-the-art technology, our specialists offer comprehensive treatments for residents of the North County region of San Diego County, including:

Balloon angioplasty

A small balloon is inflated inside a blocked coronary artery to open the narrowed area.

Atherectomy

A blocked area inside the coronary artery is shaved away by a tiny device on the end of a small tube.

Stent placement

A tiny coil is expanded inside the blocked artery to open the narrowed area and is left in place to keep the artery open.

Drug-eluting stent placement

Stents are placed to open a blocked coronary artery, but also slowly release a drug into the artery. These stents have been proven to significantly reduce the rate of re-blockage that can occur with stents.

Intravascular ultrasound

A tiny ultrasound camera is threaded into the coronary arteries and provides a cross-sectional view from the inside out to show where the normal artery wall ends and the plaque begins.

Pacemaker and biventricular pacemaker

A pacemaker is inserted into the upper chest to provide a reliable heartbeat when the heart’s own rhythm is too fast, too slow or irregular. A pacemaker is usually inserted while the patient is in the electrophysiology lab. New technology has expanded the use of traditional pacemakers to that of biventricular pacing. A traditional pacemaker may have only one or two leads, pacing only the ventricles or the atria. A biventricular pacemaker uses three leads to treat the delay in heart ventricle contractions. Automatic internal cardiac defibrillator placement: A defibrillator is inserted into the patient’s heart and chest to send out a small amount of electricity when needed to jolt the heart rhythm back to normal.

Intra-aortic balloon pump placement (IABP)

Patients who are at high risk when undergoing balloon angioplasty, or who are at risk of decompensating (heart fails to maintain adequate blood circulation) during interventional procedures, may have an IABP placed. A small narrow tube with a balloon at the tip is placed in the thoracic aorta and is inflated and deflated in timing with contractions of the heart to reduce cardiac work and increase coronary blood flow.

Cardiopulmonary support

Patients who have decompensated before, during or after a procedure may be placed on portable CPS. This allows complete support of both heart and lung function for a short term until the patient is stabilized.

 

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