Many of our cardiovascular procedures are performed in the ambulatory surgery center located next door to Heart and Vascular Clinics. Manhattan Specialists Center operates as an ambulatory surgery center and an outpatient cath lab. It is accredited by the AAAHC and is independently owned by Dr. Priyantha Ranaweera.
An electrical cardioversion uses an electrical current to interrupt irregular heartbeat and restore normal heart rhythm. It is useful for patients with atrial fibrillation or ventricular tachycardia.
Cardiac catheterizations are used to investigate coronary heart disease. A heart cath involves passing a soft tube, or catheter, through a vein or artery into the heart. The heart can be accessed from the left or right side during this procedure.
Pacemaker and Defibrillator Implants
To treat arrhythmias and regulate heartbeat, patients may have a pacemaker implanted. The pacemakers can supply electrical impulses at a fixed rate to regulate the heartbeat, or they can be programmed to work on an as-needed basis such as if the heart misses a beat or slows down.
Implantable cardiac defibrillators (ICDs) return a rapidly beating heart to a normal speed and rhythm. This is most useful in patients with repeated episodes of tachycardia, the heart beating faster than normal.
Peripheral angioplasty opens the arteries of the legs to restore blood flow to lower extremities. This procedure is sometimes needed to save lower limbs in advanced cases of peripheral artery disease.
Renal angioplasty is an interventional procedure to open renal arteries using a balloon, or catheter, to improve blood pressure and protect kidney function.
Stents are used to keep arteries and vessels open after they have been inflated to allow sufficient blood flow using a catheter. Stents are routinely placed during coronary interventions.
Transesophageal Echocardiogram (TEE)
A transesophageal echocardiogram (TEE) involves passing an ultrasound probe into the esophagus and upper stomach to capture images of the heart, pulmonary veins and thoracic aorta that may be poorly visualized during a regular echo. These may be ordered if visibility issues occur during an echo or if the physician wants to investigate particular parts of the heart structure.
A venogram is an X-ray that involves injecting X-ray contrast material (dye) into a vein to show how blood flows through your veins. This allows a physician to determine the condition of your veins. Your doctor may use it to find blood clots, identify a vein for use in a bypass procedure or dialysis access, or to assess varicose veins before surgery.