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Hospital-Based Invasive/Interventional Services:

 

Diagnostic Cardiac Catheterization can include: Right and/or left heart catheterization, coronary arteriography, left ventriculography, ascending aortography, specific arterial vascular arteriography [coronary bypass grafts], ileofemoral angiography [for vascular closure], selective infusion of therapeutic medications, diagnostic intravascular ultrasound, Doppler coronary flow velocity determination, deployment of a vascular closure device, measurement of right and left heart pressure, and determination of cardiac output (by thermodilution and/or Fick method). Routine vascular access methods include: femoral (Judkins), brachial (Sones), and radial (wrist).

Percutaneous Coronary Intervention (PCI) can include: Percutaneous transluminal coronary angioplasty, endovascular coronary stent deployment (with bare-metal and/or “drug-eluting” stents), rotational atherectomy [percutaneous transluminal coronary rotational ablation - using a Rotablator], directional coronary atherectomy, excimer laser coronary angioplasty, transluminal extraction atherectomy, thrombectomy [using an Angiojet], cutting-balloon angioplasty, foreign body retrieval, counterpulsation [using an intra-aortic balloon pump]

Peripheral Arterial Vascular Angiography and Intervention can include: Diagnostic arteriography [by selective injection or contrast runoff] of the abdomen [descending aorta, renal, celiac, superior mesenteric, inferior mesenteric], lower extremities [iliac,femoral, superficial femoral, popliteal, and tibial, peroneal], upper extremities [subclavian, axillary, brachial] cervical [carotid, vertebral], and cerebral vessels. Device intervention options for peripheral procedures include the devices listed above, and cryoplasty (Polarcath)

Pacemaker/Cardioverter-Defibrillator [ICD] Implantation: Implantation of a single or dual-chamber permanent [or temporary] pacemaker; bi-ventricular pacemaker implantation (single or dual chamber), implantation of a single or dual-chamber implantable defibrillator [ICD]; and bi-ventricular ICD implantation (single or dual chamber).

Loop Recorder Insertion: Surgical insertion of an implantable loop recorder (for long-term detailed arrhythmia monitoring)

 
   

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