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Interventional Cardiology

The Interventional Cardiology department at Baylor Jack and Jane Hamilton Heart and Vascular Hospital provides advanced technology for the diagnosis and treatment of heart and vascular conditions. Equipped with seven cardiac and endovascular labs and four electrophysiology labs, Baylor Hamilton Heart and Vascular Hospital performs more than 14,000 interventional procedures a year.

All of our catheterization and electrophysiology labs are equipped with advanced technology, including digital subtraction imaging, intravascular ultrasound, intracardiac echocardiography, and coronary flow wire, all of which enhance accuracy and accessibility of data for physicians caring for our patients. Three of our labs are specifically dedicated to the treatment and diagnosis of vascular disease. Each lab features advanced image quality and radiation-lowering equipment for patient and staff safety.

Dr. Jeffrey Schussler

Baylor Hamilton Heart and Vascular Hospital interventional cardiologist, Dr. Jeffrey M. Schussler, speaks with National Public Radio affiliate station KERA 90.1’s host Sam Baker about living with heart stents and helpful tips living with heart stents.
Listen to the interview

Transradial Approach to Heart Catheterization Explained

Medical Director for Critical Care Cardiology for Baylor Hamilton Heart and Vascular Hospital, Jeffrey M. Schussler, MD, provides an overview for using the wrist approach to heart catheterization.

Catheterization Lab

Treatment facility in the Interventional Cardiology department

Known throughout the Metroplex as a quality hospital for treatment of heart attacks, our lab is fully accredited and board certified. You know you are in good hands with us, as we bring years of experience to your care. At Baylor, we have access to the advanced generation of all interventional devices including cardiac, carotid, and vascular stents, which means you are being treated with quality technology that is available for your care.

We have programs in place that provide urgent access directly to our cardiac catheterization labs 24 hours daily. We achieved and maintained the national goal of an open artery within 90 minutes of arrival to our facility. We have the highest volume of percutaneous coronary interventions in North Texas, and we are one of the most experienced institutions in the area with left main percutaneous coronary intervention, transcatheter aortic valve replacement (TAVR), and chronic total occlusions.

At Baylor, we have access to the advanced generation of all interventional devices including cardiac, carotid, and vascular stents, which means you are being treated with quality technology that is available for your care.

How the test is performed

Interventional cardiologists diagnose and treat heart conditions using minimally invasive techniques often involving catheters, which are small, flexible tubes inserted into the body. The catheter is carefully threaded into the heart using an x-ray machine that produces real-time images (fluoroscopy). Once the catheter is in place, contrast material is injected and images of your heart are taken. Click Here to Launch Cardiac Catheterization Animation

Angioplasty, also known as percutaneous coronary intervention (PCI), is a procedure in which a narrowed section of a coronary artery is dilated with a balloon catheter. Click Here to Launch Coronary Angioplasty Animation. In most cases a stent is placed at the same time. Click Here to Launch Stent Placement Animation. With these techniques, the physicians on the medical staff at Baylor Hamilton Heart and Vascular Hospital can often achieve results similar to those of more invasive methods like open heart surgery, while minimizing pain, recovery time, and complications. Our services include:

  • Advanced generation of stents. Over time, the design and functionality of stents have improved.
  • Atrial septal defect (ASD) and patent foramen ovale (PFO) closure. ASD is a type of congenital heart defect in which a hole occurs between the heart's upper chambers or a natural opening between the atria fails to close. The hole allows blood to seep from the left atrium to the right atrium. We can repair these openings.
  • Balloon valve repair. If a heart valve fails to open and close properly, physicians will attempt to fix the valve or, if necessary, replace it. These procedures are generally effective in restoring healthy blood flow.
  • Cardiac assist device. We offer a variety of assist devices, which may be necessary to support a weakened heart.
  • Carotid stenting. Stents, slender metal-mesh tubes that fit inside an artery to keep it open and allow blood to flow past blockages, can be used in the carotid arteries. Through this procedure, we are often able to prevent stroke.
  • Coronary angioplasty and stenting. This procedure is designed to re-open a blocked artery in the heart. A tiny balloon is inflated and deflated within the artery, to compress plaque buildup and improve blood flow.
  • Coronary atherectomy. This refers to the removal of plaque from a heart artery via a specially equipped catheter.
  • Peripheral angiography and angioplasty. During angiography, physicians inject dye through a catheter that allows them to create x-ray images of blood vessels to identify blockages. This can be done on peripheral arteries in the arms or legs. Angioplasty is sometimes a next step, if narrowing or blockages are apparent.
  • Peripheral atherectomy. This is the removal of plaque from an artery in the arm or leg via a catheter.

We frequently provide second opinions to patients seen at other facilities and would be happy to provide this service if desired.

To obtain a report or request copies of your films, please call Health Information Management at 214.820.0655.

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Bringing Innovation to Interventional Cardiology

In the department of Interventional Cardiology, we take great pride in our work. Our number one priority is the health and well-being of you and your family. That is the reason we are consistently at the forefront of innovation in cardiovascular disease. We are involved in clinical trials in the Metroplex and are a top 10 enroller in national studies as the principal investigator, including left main stenting, renal artery stenting, new generation stents, same day discharge for PCI, as well as others.

Physicians on the medical staff have published numerous articles on important research in the field. The first drug-eluting stent in Texas was placed in our catheterization lab as part of the SIRIUS trial. Our trials include:

  • Treatment of coronary artery disease with the newest generations of drug-eluting stents
  • New dosing strategies for medications used to prevent clots in stents
  • Gene therapy for coronary disease not treatable with balloons and stents
  • Treatment of stenosis in the renal (kidney) arteries in patients with refractory high blood pressure
  • New devices and stents to treat peripheral arterial disease (blockages in the arteries supplying the legs and abdomen)
  • Stents for the carotid arteries, which supply blood to the brain
  • Closure for atrial septal defects and patent foramen ovale (small holes in the top of the heart)

Physicians on the medical staff of Baylor Hamilton Heart and Vascular Hospital have served as teachers and proctors for other physicians, as well as acted as a resource to outlying communities. We have served as the echocardiography Core Lab for multicenter trials. One of our recent protocols involved nonsurgical mitral valve repair (the E clip) guided by echocardiography, which is performed in one of our seven catheterization labs.

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