Interventional & Structural Heart Care

Interventional cardiology is a specialized field of cardiology that uses tiny tubes (called catheters) to find and fix issues that get in the way of your blood flow. An interventional cardiologist uses catheters and stents to do minimally invasive procedures that can treat, diagnose and even help prevent heart attacks.

Structural heart specialists are interventional cardiologists with additional fellowship training specifically in "structural heart" disease. Their focus is on repairing heart valves and chambers using minimally invasive techniques.

As cardiovascular technologies have evolved, John Muir Health has continued to advance our programs by leading the way in using the newest, least invasive techniques. We were among the first hospitals in the Bay Area to offer a Transcatheter Aortic Valve Replacement (TAVR) program.

Interventional Cardiology Procedures

• Complex coronary interventions for chronic total occlusions (CTOs) and highly calcified coronary blockages
• Complex PCI, including CTO
  • Cutting balloon angioplasty
  • Drug-coated balloon angioplasty
  • Drug-eluting stent
  • Intracoronary Thrombectomy
  • Percutaneous Coronary Transluminal Rotational Atherectomy (PTCRA)
  • Shockwave lithotripsy
• Diagnostic Catheterization
• Heart Failure Device Implantation
• Percutaneous Coronary Intervention (PCI) 

Structural Heart Procedures

• Balloon Valvuloplasty (Aortic and Mitral)
• Left Atrial Appendage Occlusion (LAAO) or Closure (LAAC)
• Patent Foramen Ovale (PFO) and Atrial Septal Defect (ASD) Repair
• Transcatheter Aortic Valve Replacement (TAVR)
• Transcatheter Mitral Valve procedures (M-TEER and TMVR)
• Transcatheter Tricuspid Valve procedures (T-TEER and TTVR)

Vascular Surgery and Endovascular Interventions 

• Abdominal and thoraco - abdominal aortic aneurysms
  • Endovascular stent graft
  • Open surgical treatment
• Carotid endarterectomy / Carotid stent (transferal) / TCAR
• Mesenteric ischemia - acute and chronic
• Peripheral arterial disease
  • Complex Endovascular interventions
  • Complex open bypass operations
• Thoracic outlet syndrome
• Venous insufficiency
• Venous thromboembolism
  • DVT - Mechanical thrombectomy and/or lysis
  • May - Thurner syndrome or compression lesions
• Vertebral artery transposition