Clinical Cardiology Deborah's clinical cardiology services provide consultations for all patients with acute and chronic heart diseases. The scope of care includes congenital and acquired heart diseases, coronary artery disease, rheumatic heart disease, other forms of valvular and myocardial disease, cardiomyopathy and hypertensive heart disease, disorders of the coronary and non-coronary circulation systems, myocardial function, cardiac conduction system and cardiac valves.
Deborah physicians also focus on issues relating to women and heart disease and risk factor evaluation and modification. After assessment, the cardiologist always consults with the referring physician to determine the most appropriate therapy for the patient.
Deborah's physicians are specialists in both managing cardiac diseases and determining the appropriate time for surgical intervention.
Adult Congenital Heart Disease Deborah's unique adult congenital heart disease program combines the expertise of physicians trained in adult and pediatric cardiovascular medicine and surgery, with tailored management of the disease. Using a multidisciplinary approach, Deborah's physicians evaluate both the physical limitations of the disease and psychosocial issues as well as reproductive and genetic issues. Through the ambulatory care clinic, each patient undergoes a detailed diagnostic work-up. Cardiac caths and EP evaluations are also available. Follow up visits vary from monthly to yearly as required by the consulting physician.
Cardiac Catheterizations Catheterizations are the most widely—performed procedure at Deborah Heart and Lung Center, used both as a diagnostic and interventional tool. A new state-of-the-art cath lab at the Center is the first in Southern New Jersey to install the Siemens Artis Zee – a system that allows physicians to visualize vessels and diseases from all sides with unprecedented flexibility and precision. This advanced technology permits rotation of a large C-arm to various positions around a patient’s body and—with high velocity—create a CT or 3-D reconstructed image, showing blood flow into the heart, brain, arms, abdomen, kidneys and legs to the toes. The created images are consolidated in real time on one large monitor that combines the patient’s vitals as well as allowing for simultaneous comparison with any previous scans. This newest technology in the cath lab’s arsenal of diagnostic and treatment options-also offers additional patient comfort and peace of mind, being quieter and using less radiation.
Elective and emergent cardiac catheterizations are performed at Deborah. The majority of elective diagnostic catheterizations are outpatient procedures in which the patient arrives early in the morning, has the procedure, and is monitored until discharge (usually 4-5 hours).
Fast Track Catheterization
This program enables referring physicians to send patients for cardiac catheterization without a preliminary evaluation at Deborah. To enroll a patient, call the physician referral number, 1-800-214-3452 and inform the operator you have a 'Fast Track patient.' Records/test results can be sent via mail or fax. Patients are admitted for caths at 7am, and barring complications, are discharged by 5:30pm. Patients who do not qualify for Fast Track Catheterization typically include those with significant kidney dysfunction, or complex cardiovascular problems.
Wrist Catheterizations Procedure
The “radial artery approach” threads a cath line to a patient’s heart through the artery in their wrist rather than the groin, as has been traditionally done for years. Patients who receive their catheterizations through the wrist see immediate benefits in this procedure.
• Greatly improves patient comfort
• Reduces patient risk
• Fewer complications
• Shortens recovery time
• Allows for quicker patient discharge (sometimes in as little as 90 minutes)
Catheterization is a key diagnostic tool for cardiac health. Traditionally, a line is threaded through the femoral artery in the groin and up into the heart, requiring patients to lie flat for several hours, and remain flat and immobile for some time after the procedure.
DEBORAH is performing almost all types of procedures through the radial artery, including caths for complex bifurcation stenting, vein graft stenting, and emergency care during heart attack. We also perform peripheral procedures such as kidney artery stenting, subclavian stenting, and in selected cases Iliac artery intervention through this approach. This procedure is of extreme benefit to those patients who cannot lay flat for long hours, those with back pain issues, emphysema, and congestive heart failure, among other conditions.
Deborah Physicians Expand
Use of Wrist Catheterizations
Deborah has been a regional leader in performing Transradial Artery Catheterizations – wrist caths -- instead of through the groin. Deborah’s physicians have now expanded the use of wrist caths to treat peripheral vascular disease in different vascular distributions. Blockages of the shoulder artery (Subclavian), kidney artery (Renal), abdominal artery (Superior Mesenteric Artery), and arteries to the legs (Iliac, External Iliac, and Femoral) can be treated through the wrist approach in appropriate patients. This new application is a tremendous plus for patients who have diseased and blocked leg arteries, and who face a much higher risk of bleeding and complications when treating peripheral artery disease with a traditional groin catheterization.
To schedule a catheterization, call Deborah's physician referral number at 609-621-2080
or call 1-800-555-1990 for information.
Patients may be admitted or transferred to Deborah for a diagnostic catheterization 24 hours a day, seven days a week.