Interventional Procedures

Interventional cardiac procedures performed at Community Regional Medical Center include:

Coronary Angiography
During coronary angiography a very small tube (catheter) is inserted into a blood vessel in the upper thigh (groin area) or arm. The tip of the tube is positioned either in the heart or at the beginning of the arteries supplying the heart and a special fluid (called a contrast medium or dye) is injected. This fluid is visible by X-ray and the images are called angiograms.

Coronary Angioplasty and Stenting of Arteries
Coronary angioplasty and stenting of arteries is a procedure to treat the heart's stenotic (narrowed) coronary arteries found in coronary heart disease. These stenotic segments are caused by the buildup of cholesterol-laden plaques that form due to atherosclerosis.

Directional Coronary Atherectomy
The directional coronary atherectomy is a catheter intervention that allows us to shave out specific types of narrowing in the coronary artery. This procedure may be preferable to balloon angioplasty. Some of the factors that determine angioplasty versus atherectomy are the location of the blockage, shape of the blockage, size of the artery and whether clots are present.

Electrophysiology Studies
During an electrophysiology (EP) study, a specially trained cardiac specialist tests the electrical activity of the heart to find where an arrhythmia (abnormal heartbeat) is coming from.

Insertion of Implantable Defibrillators and Biventricular Pacemakers
The CRT pacing device (also called a biventricular pacemaker) is an electronic, battery-powered device that is surgically implanted under the skin. The device has two or three leads (wires) that are positioned in the heart to help it beat in a more balanced way.

Myocardial Biopsy
Myocardial biopsy or cardiac biopsy, is a procedure that involves using a bioptome (a small catheter with a grasping device on the end) to obtain a small piece of heart muscle tissue to send to a laboratory for analysis.

Pacemaker Insertion
Internal or permanent pacemakers are used when the slow heart rate becomes chronic or is believed to be irreversible. The pacemaker is implanted into the chest or abdomen. It's a device that uses electrical impulses to regulate or reproduce the heart rhythm. An internal pacemaker is one in which the electrodes into the heart, the electric circuitry and the power supply are implanted internally within the body.

Peripheral Angiogram
Often used to determine if a patient has peripheral artery disease, this procedure provides a map of the patient’s vascular system to determine if narrowed or blocked arteries are present and where they are located.

Peripheral Artery Disease (PAD)
A serious condition caused by the restriction of blood flow in the arteries of the legs. Increasing your risk for heart attacks and stroke, the disease alone is painful and can result in immobility, non-healing wounds, loss of limbs, and even death. It is very important to talk to your doctor about treatment options, especially if you are obese or have diabetes. Community Regional has many options of treatment for PAD. Read the brochure.

  • Carotid Stenting - a minimally invasive procedure in which a stent is inserted into the carotid vessels of the neck to increase blood flow to the head and brain.
  • Peripheral Angiogram - this procedure provides a map of the patient’s vascular system to determine if narrowed or blocked arteries are present and where they are located.
  • Peripheral Intervention - uses minimally invasive techniques to increase blood flow through blocked arteries.
  • Laser Therapy - lasers are used to carefully clear the plaque and calcium buildup around blocked arteries, providing relief and restoring blood flow.


Removing Abnormal Fluid or Blood Around the Heart
This is a procedure where a doctor uses a sterile needle or a small tube (catheter) to remove and drain the excess fluid from the pericardial cavity. The patient receives a local anesthetic before undergoing pericardiocentesis, which is often done with echocardiogram monitoring and ultrasound guidance.

Transcatheter Aortic Valve Replacement (TAVR)
Aortic valve stenosis, a disease in which the largest valve of the heart is narrowed, is a common condition that causes a dangerous decrease in blood flow out of the heart. Despite the seriousness of this condition, about one-third of patients diagnosed with it are not eligible for open-heart surgery. Community Regional now offers Transcatheter Aortic Valve Replacement (TAVR) which allows surgeons to replace the aortic valve without opening the chest. We are the only hospital in the region that offers this life-altering and relatively low-impact procedure. With nothing but a small incision in the leg,  this procedure gives you the start towards improved heart function, better blood circulation, and a longer life. To begin your case evaluation to apply for this procedure, contact TAVR coordinator Tim Winslow at (559) 459-4AVR (4287) or email Read the brochure.