Hemodynamics

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What does this specialty do?

Interventional cardiology and hemodynamics is a subspecialty of cardiology that focuses on the diagnosis and treatment of cardiovascular diseases using minimally invasive techniques. Through catheter-based procedures, it offers effective alternatives to open-heart surgery, aiming to improve patients' quality of life by reducing recovery times and associated risks.

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Diseases it treats

This service addresses various cardiovascular pathologies, including:

Coronary artery disease

• Angina pectoris
• acute myocardial infarction

congenital heart disease

• atrial septal defect
• Ventricular septal defect
• Patent foramen ovale
• Coarctation of the aorta

Heart valve diseases

• Aortic stenosis
• Aortic insufficiency
• Mitral stenosis
• Mitral insufficiency

Pulmonary thromboembolic hypertension

• Acute form
• Chronic form

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Procedures and treatments

• Coronary arteriography (cardiac catheterization): Diagnostic procedure that allows the identification of blockages in the arteries of the heart.
• Coronary angioplasty with stent implantation: Technique to open obstructed coronary arteries using a balloon and stent placement.
• Angioplasty and stent implantation at bifurcations, including the left main coronary artery: Specialized treatment when two adjacent coronary arteries are affected.
• Pulmonary angioplasty: Balloon procedure to treat blockages in arteries
  pulmonary arteries and their branches.
• Rotational atherectomy: Technique used in severe coronary stenosis with high calcium load.
• Valvuloplasty: Percutaneous repair of narrowed heart valves.
• Transcutaneous aortic valve implantation (TAVI): Aortic valve replacement without the need for open-heart surgery.
• Pulmonary arteriography: Diagnostic study of the pulmonary arteries.
• Valvuloplasty or mitral valvotomy: Percutaneous treatment of mitral valve stenosis without open surgery.
• MitraClip: Procedure for the treatment of mitral insufficiency without conventional cardiac surgery.
• Right catheterization: Diagnostic evaluation of the right heart chambers and pulmonary arteries.
• Coronary anatomical or functional assessment: Studies that allow us to determine if a coronary stenosis affects blood flow to the heart.
• Coronary intravascular imaging: Detailed evaluation of the coronary arteries using
  intravascular ultrasound or optical coherence tomography.
• Coartoplasty: Catheter-assisted treatment of coarctation of the aorta.
• Percutaneous closure of congenital heart defects: Complete correction, without surgery, of
  patent foramen ovale, atrial septal defect, ventricular septal defect, or patent ductus arteriosus.

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Subspecialties

• Structural heart disease

• Chronic coronary occlusions

• Complex coronary intervention

• Intravascular imaging

• Coronary physiology

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Exam preparation

• Some procedures require the performance of previous blood tests, such as BUN, creatinine or others, according to medical indication.
• Fasting depends on the type of test or procedureThe health team will inform you in a timely manner if it is necessary to comply.
• In patients receiving antiplatelet drugs such as acetylsalicylic acid (aspirin or Asawin®), clopidogrel, ticagrelor or prasugrel, Its suspension is not required, unless otherwise indicated by a specific doctor.
• In case of treatment with anticoagulantsThe suspension or continuation of the medication will depend on the procedure to be performed and the medical evaluation.
• It is recommended to bring all the previous tests and images available, Especially
  coronary angiographies or previous angioplasties, stress tests, stress echocardiogram, cardiac nuclear medicine studies, chor CT, cardiac tomography, coronary artery CT or cardiac MRI.
• It is suggested to attend with comfortable clothesA clinical gown will be provided for the procedure.
• It is important to have sufficient time before and after the proceduresince in some cases it may require hospitalization or a prolonged stay in the institution.
• La The time of the procedure may vary. with respect to the assigned appointment time.
• It is recommended to attend accompanied by a person and avoid the presence of more than two
  companions.

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Schedule an appointment

Request your appointment with the specialists in Interventional Cardiology and Hemodynamics.

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Contact

Call us: (+57) 602 331 9090 ext. 7337

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Specialists who can assist you

Angela Maria Herrera Peña

Fernando Andres Guerrero Pinedo

Miller Giraldo Sandoval