Cardiac Catheterization Laboratory

The Cardiac Catheterization Laboratory (Cath Lab) in the Heart and Vascular Center provides the region's highest level of interventional cardiology diagnostic and treatment technologies. Experienced Dartmouth-Hitchcock (D-H) specialists perform the full range of procedures, from low-risk to extremely high-risk coronary and structural heart interventions, some of which are only be available through clinical trials.

The laboratory is staffed 24­ hours a day, 365­ days a year, and provides scheduled procedures as well as emergency and urgent procedures. The DHART (Dartmouth-Hitchcock Advanced Response Team) transports you from regional community hospitals to the D-H Cath Lab.

Cardiac catheterization diagnostic and treatment procedures

Image
Cardiac Catheterization Laboratory

Diagnostic procedures

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

Interventional procedures

  • Coronary angiography
  • Coronary stenting
  • Coronary Thrombectomy
  • Cutting balloon angioplasty
  • Distal protection
  • ECMO
  • Foreign body removal
  • Graft stenting
  • Intra-aortic balloon pump
  • Left ventricular support devices (Impella)
  • Orbital atherectomy
  • Percutaneous pericardial window
  • Pericardiocentesis
  • Pulmonary Thrombectomy
  • Rotational atherectomy
  • Temporary pacemaker placement
  • Thrombectomy

Interventional procedures for congenital heart disease

  • ASD/PFO closure
  • Coarctation angioplasty
  • Coil embolization
  • PDA closure
  • Pulmonary angioplasty
  • Septostomy
  • Valvuloplasty

Structural heart disease procedures

  • Alcohol septal ablation
  • Aortic, mitral, and pulmonic valve replacement using TAVR (valve-in-valve, valve in native)
  • Aortic, mitral, and pulmonic valvuloplasty
  • Coronary artery fistula closure
  • Left atrial appendage closure (LAAC)
  • Paravalvular leak closure
  • Transcatheter aortic valve replacement (TAVR)
  • Transcatheter mitral valve repair (TMVR)

Peripheral vascular interventional procedures

  • Angioplasty and stenting of infrainguinal vessels including superficial femoral artery, popliteal and infrageniculate vessels as well as renal, iliac, and subclavian vessels
  • Peripheral angiography
  • Peripheral intravascular ultrasound
  • Vascular closure
Image
DHMC's cardiac catheterization laboratory
Our cardiac catheterization laboratory provides the region's highest level of diagnostic and treatment options in interventional cardiology.