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In This Section Texas Health Dallas
Heart

Services and Procedures

Advanced Heart & Vascular Surgical Procedures

Texas Health Presbyterian Hiospital Dallas now offers an alternative, cutting-edge surgical procedure for patients with aortic stenosis. The TAVR procedure is an advanced, minimally invasive surgical option for patients diagnosed with severe aortic stenosis who are too sick or high-risk for open-heart surgery.

TAVR is less invasive than a traditional open-heart aortic valve replacement surgery. Based on medical condition and other contributing factors, the group of physicians who specialize in the TAVR procedure on the medical staff at Texas Health Dallas can determine if you are a candidate for this procedure by providing a thorough evaluation at the TAVR clinic.

The minimally invasive TAVR procedure can be performed through two approaches: through an incision in the leg (transfemoral) or through an incision in the chest between the ribs (transapical). A physician on the medical staff at Texas Health Dallas will help determine which approach is most appropriate.

Innovations in Cardiac Catheterization - Radial Artery Access

Cardiac catheterization – a procedure to diagnose and treat common heart and blood vessel problems – is traditionally performed through the femoral artery in the groin. Texas Health Dallas now offers an advanced, minimally invasive cardiac catheterization procedure in which physicians on the medical staff perform the procedure through the artery in the wrist/forearm, also known as the radial artery.

Radial catheterization can be performed on most patients who need a cardiac catheterization, and can reduce recovery time and complications compared to the femoral (groin) approach. Instead of going through the femoral artery in the groin, specially trained interventional cardiologists are able to perform cardiac catheterization and coronary stents from the radial artery in the wrist. Currently, less than 5 percent of procedures in the United States are being performed using this new innovative approach, even though it can be safer and more comfortable for patients.

Benefits include:

  • Faster recovery time
  • Decreased risk of bleeding complications than cardiac catheterizations performed through the groin
  • Often a more comfortable procedure than the femoral approach
  • Patients can sit upright immediately and regain mobility sooner
  • Most patients are discharged the same day as the procedure

The radial artery catheterization program at Texas Health Dallas provides specialized training for board-certified interventional cardiologists in performing cardiac catheterizations from the radial artery approach.

Subcutaneous Implantable-Cardiac Defibrillator (Subcutaneous ICD)

Texas Health Dallas is the first hospital in Texas to perform this procedure. For patients who are at risk for sudden cardiac death, a subcutaneous ICD is now an option for treatment. The device, a major technological advancement in implantable defibrillators, allows for more individuals to be candidates for implantable defibrillators and reducing the risk of complications.

The subcutaneous ICD is similar to a traditional defibrillator in that it delivers an electric shock to the heart if it detects abnormal cardiac rhythm. But the new subcutaneous ICD does so without the electrical leads placed directly into the heart.

Advanced Cardiac Catheterization Procedures

A focal point of the heart and vascular program at Texas Health Dallas is the cardiac catheterization laboratory, where advanced minimally invasive techniques are used to detect and treat life-threatening blockages of the circulatory system. Common procedures include:

  • Lariat atrial fibrillation
  • Balloon angioplasty
  • Carotid artery stenting
  • Laser angioplasty
  • Percutaneous transluminal coronary angioplasty (PCTA)
  • Peripheral vascular angioplasty
  • Rotoblation
  • Stenting
  • Thrombolytic drug therapy
  • Vascular brachytherapy

Additional treatments and therapies:

  • Abdominal aortic aneurism
  • Aortic valve repair/replacement
  • Atrial septal defect
  • Coronary bypass (MIDCAB)
  • Cryoablation
  • Endovascular aortic aneurysm repair
  • Lower extremity stents

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