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Cardiac Catheterization Services

The following are Cardiac Catheterization services that the Avera Heart Hospital offers.

Cardiac Catheterization

Cardiac Catheterization involves passing a thin flexible tube (catheter) into the right or left side of the heart, usually from the groin or the arm. 

During these procedures, doctors usually gain access to the heart’s arteries by placing the catheter in the femoral artery and threading it up and into the heart. The femoral artery is a major artery in your groin area. After their procedure, patients need to lie very still for up to 6 hours to make sure that the puncture site in the femoral artery does not start to bleed again.

Doctors at Avera Heart Hospital also use the radial artery, which is an artery in your wrist. Because the radial artery in the wrist is smaller than the femoral artery in the groin, it easier to apply direct pressure to the puncture site to stop the bleeding. In some patients, radial access does not cause as much discomfort as femoral access does. Also, radial artery access allows many patients to get out of bed and walk around right after their procedure.  Not every patient will qualify for radial access.  Talk with your physician about the different options available to you.

Watch Dr. Raymond Allen with North Central Institute preform a radial access procedure: radial access stent

The Avera Heart Hospital has 4 state-of-the-art cardiac catheterization labs specializing in cardiac catheterization, electrophysiology and vascular medicine. Avera Heart Hospital and North Central Heart Institute have enrolled in over 150 research studies, helping to drive the future of heart care.

Coronary Stents

A stent is a tiny tube placed into an artery, blood vessel, or other duct (such as one that carries urine) to hold the structure open. Most of the time, stents are used to treat conditions that result when arteries become narrow or blocked. Angioplasty is a procedure to open narrowed or blocked blood vessels that supply blood to the heart. These blood vessels are called the coronary arteries.

coronary stent is a small, metal mesh tube that expands inside a coronary artery. A stent is often placed after angioplasty. It helps prevent the artery from closing up again. A drug eluting stent has medicine in it that helps prevent closing of the artery.

The Avera Heart Hospital has 4 state-of-the-art cardiac catheterization labs specializing in cardiac catheterization, electrophysiology, and vascular medicine. Avera Heart Hospital and North Central Heart Institute have enrolled in over 150 research studies, helping to drive the future of heart care. Avera Heart has some of the lowest mortality and readmission rates for heart attack treatment in the nation.

PCI and PTCA

PCI (Percutaneous Transluminal Intervention) & PTCA (Percutaneous Transluminal Coronary or "Balloon" Angioplasty)

Angioplasty is a procedure to open narrowed or blocked blood vessels that supply blood to the heart. These blood vessels are called the coronary arteries.

A coronary artery stent is a small, metal mesh tube that expands inside a coronary artery. A stent is often placed after angioplasty. It helps prevent the artery from closing up again. A drug eluting stent has medicine in it that helps prevent closing of the artery.

The Avera Heart Hospital has 4 state-of-the-art cardiac catheterization labs specializing in cardiac catheterization, electrophysiology, and vascular medicine. Avera Heart Hospital and North Central Heart Institute have enrolled in over 150 research studies, helping to drive the future of heart care. Avera Heart has some of the lowest mortality and readmission rates for heart attack treatment in the nation.

Right Heart Catheterization

Cardiac catheterization involves passing a thin flexible tube (catheter) into the right or left side of the heart, usually from the groin or the arm.  Learn more about Right Heart Catheterization.

The Avera Heart Hospital has 4 state-of-the-art cardiac catheterization labs specializing in cardiac catheterization, electrophysiology, and vascular medicine. Avera Heart Hospital and North Central Heart Institute have enrolled in over 150 research studies, helping to drive the future of heart care.

Intracardiac Pressure Measurements

Blood pressure is a measurement of the force applied to the walls of the arteries as the heart pumps blood through the body. The pressure is determined by the force and amount of blood pumped and the size and flexibility of the arteries. Blood pressure is continually changing depending on activity, temperature, diet, emotional state, posture, physical state and medication use.

The Avera Heart Hospital has 4 state-of-the-art cardiac catheterization labs specializing in cardiac catheterization, electrophysiology, and vascular medicine. Avera Heart Hospital and North Central Heart Institute have enrolled in over 150 research studies, helping to drive the future of heart care. Avera Heart has some of the lowest mortality and readmission rates for heart attack treatment in the nation.

IVUS

Intravascular ultrasound (IVUS) is a test that uses sound waves to see inside the coronary arteries, which are the blood vessels that supply the heart. A tiny ultrasound wand is attached to the top of a tiny, hollow tube called a catheter. During the IVUS procedure, the ultrasound catheter is inserted into an artery in your groin area and moved up to the heart. This gives the health care provider a look at your arteries from the inside-out.

The Avera Heart Hospital has 4 state-of-the-art cardiac catheterization labs specializing in cardiac catheterization, electrophysiology, and vascular medicine. Avera Heart Hospital and North Central Heart Institute have enrolled in over 150 research studies, helping to drive the future of heart care. Avera Heart has some of the lowest mortality and readmission rates for heart attack treatment in the nation.

DCA, Rotobladder and TEA

Directional Coronary Atherectomy (DCA) is a minimally invasive procedure to remove the blockage from the coronary arteries and allow more blood to flow to the heart muscle and ease the pain caused by blockages.  TEA Atherectomy involves techniques similar to those used for angioplasty. The difference is that atherectomy uses a cutting device (a blade, or a whirling blade called a rotoblade, and occasionally a laser beam) to remove the plaque buildup from the artery wall.

The Avera Heart Hospital has 4 state-of-the-art cardiac catheterization labs specializing in cardiac catheterization, electrophysiology, and vascular medicine. Avera Heart Hospital and North Central Heart Institute have enrolled in over 150 research studies, helping to drive the future of heart care. Avera Heart has some of the lowest mortality and readmission rates for heart attack treatment in the nation. 

STEMI Treatment

STEMI is a dangerous type of heart attack. STEMI stands for ST-Segment Elevation Myocardial Infarction, referring to what is seen on the EKG when someone is having a STEMI. Angioplasty, also called percutaneous coronary intervention (PCI), is a procedure that should be performed within 90 minutes of a full-thickness (STEMI) heart attack. Patients suffering a heart attack should be transported by emergency services to hospitals equipped to perform PCI.

Avera Heart Hospital is an experienced STEMI treatment facility. The hospital is the regions first Accredited Chest Pain Center, meeting stringent protocols to achieve this designation.

Avera Medical Minute - Watch the Avera Heart Hospital team treat a STEMI.

Treatment of Heart Attack

The Avera Heart Hospital of South Dakota is the state's first hospital to receive accreditation as a Chest Pain Center by the Society of Chest Pain Centers, meeting stringent guidelines to achieve this designation.

The Chest Pain Center's protocol driven and systematic approach to patient management allows physicians to reduce time to treatment during the critical early stages of a heart attack, when treatments are most effective, and to better monitor patients when it is not clear whether or not they are having a coronary event. Such observation helps ensure that a patient is neither sent home too early nor needlessly admitted.

Avera Medical Minute - Watch the Avera Heart Hospital team treat a heart attack.

The Avera Heart Hospital:
Your Best Choice

You want the best for your heart, and so do we. Cutting edge technology. A national leader in cardiovascular care. Because it's about advanced technology for better outcomes. But it's also about advanced care.

A Strong Partnership

The Avera Heart Hospital is a cooperative venture between Avera McKennan and North Central Heart.

Accredited by IAC Carotid Stenting