Clinical Services: Cath Lab

Services Offered

The Catheterization Lab at DHMC combines highly skilled staff and state-of-the-art equipment in offering the region's highest level of diagnostic and therapeutic options in interventional cardiology. In addition to offering standard-of-care technology, ongoing clinical trials at DHMC may allow appropriate patients to benefit from new devices and medications under evaluation in the Catheterization Lab.

The Cardiac Catheterization Laboratories operate 24 hours a day for emergency and urgent procedures.

Acute MI Management Protocol: An aggressive program of angioplasty for acute myocardial infarction and acute coronary syndrome has been developed by DHMC Cardiology and is supported by the Dartmouth-Hitchcock Advanced Response Team (DHART). To learn more about the Acute MI Management Protocol, follow these links:

  • Overview of the Acute MI Protocol
  • Review Current Version of Full
  • Management Protocol
    Activating DHART

Routinely Performed Procedures in DHMC's Catheterization Lab include:

Diagnostic Cardiac Procedures

Right and left heart catheterization
Coronary Angiography
Bypass Graft Angiography
Ventriculography
Atriography
Aortography
Pulmonary angiography
Venography
Intravascular and intracardiac ultrasound
Transseptal catheterization
Femoral, radial, brachial, axiallary vascular access
Vascular cut downs
Oxygen consumption
Ergonovine challenge
Vasodilator challenge for pulmonary hypertension
Pressure wire measurements
Endomyocardial biopsy
Electromechanical mapping
Cardiac fluoroscopy

Interventional Procedures

Coronary Angiography
Coronary Stenting
Graft stenting
Distal protection
Rotational atherectomy
Directional atherectomy
Cutting balloon angioplasty
Rheolytic thrombectomy
Coronary and graft brachytherapy
Aortic, mitral, pulmonic and tricuspid valvuloplasty
Alcohol septal ablation
Intraaortic balloon pump
Cardiopulmonary bypass
Temporary pacemaker placement
Pericardiocentesis
Percutaneious pericardial window
Foreign body removal

Congenital Interventional Procedures

Septosomy
PDA Closure
ASD/PFO closure
Coil embolization
Pulmonary angioplasty
Coarctation angioplasty
Valvuloplasty


Peripheral Procedures

Peripheral angiography
Vascular closure
Peripheral intravascular ultrasound
Digital stenosis assessement
Endovascular PTA and stenting of renal, iliac, subclavian (in conjuntion with Interventional Radiology and Vascular Surgery)