Cardiac Catheterization Laboratory

Catheterization lab: Two staff members in scrubs monitoring a procedure
Our team cares for 400 emergency cases per year. We’re here when you need us most, 24/7 365.

The Cardiac Catheterization Laboratory (Cath Lab) provides the region's highest level of interventional cardiology diagnostic and treatment technologies. Our specialists perform the full range of procedures, from low-risk to extremely high-risk coronary and structural heart interventions, some of which are only 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 Cath Lab.

Cardiac catheterization diagnostic and treatment procedures

Catheterization lab operating room: 3 gowned providers in a procedure environment
We offer the best heart care in the region, right here at home.

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