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New Vascular Intervention Lab Offers Life Saving/Life Improving Procedures

June 19, 2009

The Vascular Intervention Lab at Bozeman Deaconess Hospital is a new state-of-the-art facility that allows cardiologists and radiologists to perform a vast array of endovascular procedures. These minimally invasive procedures use miniature catheter-based guided imaging to diagnose and treat many medical disorders without surgery. In some cases, noninvasive interventional procedures can help eliminate the need for inpatient hospitalization.

According to Dane Sobek, MD, Cardiology Consultants of Bozeman, the cornerstone of the facility is a new Philips FD-20 fluoroscopy system that provides high definition images anywhere on the body, from head to toe.

Daniel Alderman, MD, Intercity Radiology PC, says technology in the new Vascular Intervention Lab is significantly better and offers more crisp, detailed fluoroscopic peripheral artery imaging than that housed in the hospital’s Radiology department. “The top-of-the-line Vascular Intervention Lab elevates the high level of care already available at Bozeman Deaconess Hospital. It also is large enough to support new collaborative procedures with surgeons,” Alderman notes.

Jennifer Kack, RN, manager of Cardiac and Vascular Services, says the new Allura Xper FD20 x-ray system from Philips is a fully digital system that enables physicians to capture and view detailed images of a patient’s vascular system, facilitating faster and more accurate diagnosis and treatment of their disease. Also important, says Kack, the Allura system exposes patients to less radiation during the actual procedures than many other available systems. “Our patients and clinicians will benefit from the speed and image accuracy of our new x-ray system,” she claims. Moreover, the new system allows physicians to complete a variety of diagnostic and interventional procedures faster, which Kack says translates to getting the patient off the table and on their way to recovery and discharge much sooner.

The Vascular Intervention Lab is also equipped with a new PACs system that archives and displays animated, dynamic images. “In designing the new space, we focused on creating a functional space that is also aesthetically pleasant, and I believe we were able to achieve that," said Sobek. Another focus was to be environmentally conscious and fiscally responsible. The previous Cath Lab space was preserved alleviating the need for expensive renovations to this area, and all reusable materials were incorporated into the new space,” Sobek says.

While medical staff radiologists will continue to use the Radiology department for line placements, lumbar punctures and drainages, vascular angiography procedures will be done in the new Lab, located near the Emergency department and adjacent to Surgical Services. Interventional radiologists will, in the new lab, perform peripheral vascular procedures such as revascularizations and declottings. They use catheter instruments with rotating blades—Silverhawk or Rockhawk—to carve out and remove plaque and retrievable and permanent inferior vena cava filters to trap clots. The wire IVC filters are often placed before major surgeries—a lifesaving procedure that prevents pulmonary embolism. “We are privileged to have this type of facility in our community and we are grateful to the Bozeman Deaconess board of trustees for their proactive investment. This facility will allow us to provide high level cardiac and peripheral vascular care to the residents of Southwest Montana for years to come,” says Sobek.

The most common tools used by interventionalists are catheters, small balloons, stents and filters. Interventional proceduralists treat patients with cardiac or peripheral artery blockage by 'intervening' with tiny balloons to push plaque aside or stents (small wire mesh tubes) to support artery walls and keep arteries open.

Medical Conditions Treated:
• Myocardial Infarction
• Coronary Artery Disease
• Peripheral Artery Disease
• Embolism
• Prophylactic Pulmonary Embolism prevention
• Deep Vein Thrombosis
• Stroke
• Internal Bleeding

Interventional Procedures:
• Graft and Fistula evaluations and declottings
• Angioplasty
• Peripheral Angiograms and Venograms (including
carotid and cerebral ateriography)
• Arterial Embolization
• Arterial and Venous Thrombolysis
• Stent placement
• Leg Bypass Procedures
• Revascularizations
• Inferior Vena Cava Filter Placement and Retrieval
• Arthrectomy
• Patent Foramen Ovale (PFO) closure
• Pacemaker placement
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