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cath-lab-teamThe Cardiac Catheterization Laboratory at DuBois Regional Medical Center provides a full range of diagnostic and interventional cardiac procedures for the evaluation and treatment of adult patients with known or suspected heart disease. The Cath Lab suites use state-of-the-art low radiation, high-resolution digital equipment to maximize both patient safety and image quality. The department performs over 2500 procedures annually.

A collaborative interdisciplinary team approach is utilized to assure comprehensive, personalized care and quality outcomes. Care is provided by highly experienced professionals including board certified cardiologists, nurse practitioners, cardiac nurses and technologists.

Diagnostic Procedures

• Right and left heart catheterization
• Coronary angiography

Interventional Procedures

• Balloon angioplasty
• Coronary artery stenting, including drug eluting stents
• Coronary thrombectomy
• Distal embolic protection technology
• Intra-aortic balloon insertion

Cardiac Rhythm Management Procedures

• Cardioversion
• Permanent pacemaker implantation
• Automated internal cardioverter/defibrillator implantation
• Biventricular pacemaker/AICD implantation for heart failure treatment

Right and Left Heart Catheterization

Left Heart Catheterization (LHC)

A left heart catheterization is a procedure which enables the doctor to look at your heart's arteries to check for any blockages or narrowing caused by a blood clot or plaque. The doctor can also get a picture of how well your heart is pumping blood by injecting contrast into your left ventricle. If a substantial blockage is found, the possibility of percutaneous coronary intervention (PCI) will be considered.

Right Heart Catheterization (RHC)

A right heart catheterization is sometimes performed in addition to a left heart catheterization. This procedure measures the pressure exerted from the blood in the heart and/or vessels. This test can help evaluate your need for a new heart valve.

Percutaneous Coronary Intervention (PCI)

Percutaneous coronary intervention can be performed to open a blocked or narrowed artery found during your left heart catheterization. This can be achieved by using balloons or stents.

Balloon Catheter - A balloon catheter is a catheter with an inflatable balloon at the tip that is inflated in the blockage to open it. Then the balloon is deflated and removed.

Stent- A stent is a small metal scaffold that is on the tip of the balloon catheter. The stent is deployed into the blocked area by the balloon catheter to open it. The balloon catheter is then deflated and removed, but the stent stays in permanently.

Intra-Aortic Balloon Pump Insertion (IABP)

An IABP is a long tube (catheter) with an inflatable balloon at the end that inflates and deflates to help push the blood through the aorta to your heart and body.

An intra-aortic balloon pump is sometimes prescribed pre-coronary artery bypass grafting (CABG), in situations where your heart muscle needs more oxygen or just needs to rest so it does not have to work so hard.

Elective Cardioversion

For patients with an irregular heart beat (most commonly atrial fibrillation) an elective external cardioversion is an option. Using a machine called a defibrillator we are able to externally deliver a, carefully timed, mild electrical shock to stop the arrhythmia and restore a normal heartbeat.

Permanent Pacemaker Insertion

A pacemaker is a small device that is implanted under the skin (typically in the upper left chest area) and is used to start or regulate a slow heartbeat.

• Single Chamber- only pace in the right atrium
• Dual Chamber- pace the right atrium and right ventricle

Automated Internal Cardioverter/Defibrillator (AICD)

An AICD is a small device that is implanted under the skin (typically in the upper left chest area) that monitors your heart rhythm. If it becomes too slow or too fast, the AICD sends electrical signals to bring your heart rhythm back to normal.

• Single Chamber- A lead is attached in the right atrium
• Dual Chamber- Leads are attached in the right atrium and right ventricle
• Biventricular- Leads are attached in the right atrium, right ventricle and left ventricle

Non-invasive Programmed Stimulation (NIPS) for AICD Evaluation

Non-invasive programmed stimulation is a procedure performed on your implanted cardiac defibrillator to further program and test it, ensuring it is functioning optimally. The procedure involves artificially accelerating your heart rate to determine if the device responds appropriately.

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