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Interventional Cardiology

Deborah’s Interventional Cardiology Department includes a team of specially-trained interventionalists utilizing highly advanced technologies and devices to open blockages. Offering minimally-invasive techniques and an array of interventional treatment options, Deborah’s Interventionalist give their patients optimal outcomes
 
Atherosclerosis is the process of building plaque in arteries. The plaque-building process can be identified early with vascular risk factor assessment, which helps detect initial and sometimes preventable blockage. With early identification and treatment by highly-trained physicians and nurse practitioners, less-invasive treatment options can be offered. An individual strategy plan can also be developed for the best possible long-term outcomes. Vascular health and maintenance are the foundation of prevention!
 
Vascular health can be maintained with therapeutic lifestyle changes including exercise training, dietary modification, sometimes medication, and tobacco abstinence/cessation. Atherosclerosis in the leg arteries affects the supply of blood and oxygen to the leg muscles. By making a "stress-free" environment in the arteries, plaque buildup is less likely. Improved and sustained vascular-healthy behaviors can help prevent blockages. This is the cornerstone and main building block for excellent vascular health. People who are actively involved in the decision making and management of their artery health overall make better informed choices.  Knowledge is a powerful weapon to save limbs. The treatment for PAD has a number of different options and decision points. Join the movement!

Deborah performs the following interventional procedures: Balloon Angioplasty, Rotational Atherectomy, Directional Coronary Atherectomy (DCA), Stent deployment, Angiojet Thrombectomy, Balloon Valvuloplasty and Excimer Laser Angioplasty (ELCA), Transcutaneous Pericardiocentesis, Right Ventricular Biopsy and Intra-vascular ultrasound.

LARIAT Procedure
Deborah now offers the LARIAT procedure. Used in treating atrial fibrillation, this novel procedure offers hope to patients who cannot take blood thinners to reduce the risk of stroke from this irregular heart rhythm. Two magnetic wires are threaded to the heart's left atrial appendage. One magnetic wire is advanced into the appendage from the inside via a trans-septal heart catheterization. A second magnetic wire is manipulated to the outside tip of the appendage through a catheter inserted via a puncture through the skin, and advanced into the space between the ribs and the heart. When the wires get close to each other, their magnetic attraction joins them together. The appendage is then "lassoed" by a loop stitch advanced over the outer wire to the base of the atrium and tightened. This permanently seals off the left atrial appendage and blocks stroke-causing blood clots from traveling to the brain.



Orbital Atherectomy for the Coronary Arteries
The Orbital Atherectomy is an approved FDA device for clearing calcified blockages in the coronary arteries.  Deborah is the first New Jersey hospital—and first in the Philadelphia region—to offer this minimally-invasive technology. Deborah has been doing orbital atherectomy for several years in peripheral arteries, but this is the first time blockages in the heart have been treated using the same technology.

 

 

 

 


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Carotids: Before and Aftercarotids

Aorto-Iliacs: Before and After

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Coronary Occlusion: Before and After
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Closures for PFO, VSD, ASD
Deborah interventional cardiologists are actively involved and very experienced in the treatment of structural heart disease. More specifically, we can treat abnormal communications or holes between the left and right side of the heart (including ASDs –atrial septal defects; PFO’s –patent foramen ovale; VSDs –ventricular septal defects) non-surgically using special closure or occluder devices inserted through a small puncture in the groin. From a patient’s perspective, it is similar to undergoing a heart cath or angioplasty. We can also non-surgically repair leaks around prosthetic aortic and mitral valves using similar devices.

TAPAS™ Catheter
The TAPAS Catheter is designed for use in peripheral vascular disease treatment. It is an innovative system with two compliant occlusion balloons that can deliver a controlled therapeutic -- or diagnostic -- agent and dose. This therapeutic infusion system has an adjustable length, so that long vessels can be treated with one device. It also offers the capability of extracting the medicine out of the vascular treatment zone if necessary, so there is no drug run-off during a localized intravascular treatment. The TAPAS Catheter can be used in conjunction with other interventional devices.



Minimally-invasive AAA Stent Graft Repair

Deborah’s Interventional Team recently performed a fully percutaneous (using catheters through a puncture in the groin with no incision) abdominal aortic stent graft repair on Albert Walzer of Waretown. Mr. Walzer was thrilled about the outcome of his procedure, having undergone two previous failed attempts for the repair at other prominent hospitals. Shown with Mr. Walzer are Troy Trayer, DO, Richard Kovach, MD, Jon George, MD, and John Cooper, DO.  (Not shown: Kane Chang, MD). These types of repairs, now routinely done at Deborah with these minimally-invasive techniques, hold great promise for patients moving forward.

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