- Cardiac Catheterization - To diagnose and treat arterial blockages in the heart
- Cardiac stenting/angioplasty - repair blockages in the heart arteries
- Thoracoscopic MAZE procedure - treat and effectively cure atrial fibrillation. It is a closed-chest, beating heart procedure and is performed without the use of the heart-lung bypass machine.
- Electrophysiology - State of the art Electrophysiology lab to diagnose and treat abnormal heart rhythms
- Cardiac Ablation - to treat irregular heart rhythms
- Cardiac Rhythm Devices, pacemakers, cardiac defibrillators etc. placed under skin for treatment to improve heart function
- Arteriovenous Malformation (AVM)
- Carotid Stenting - Extracranial (Brachiocephalic) Angioplasty
- Intracranial Angioplasty
- Vasospasm Treatment
- Cerebral Angiogram/stenting/balloon angioplasty
- Cerebral Thrombectomy-blood clot removal
- Cerebral Coiling- controlling bleeding from hemorrhagic stroke
- Abdominal Intervention
- Cancer Therapy
- Central Venous Access Catheters
- Peripheral Vascular Disease-stenting and angioplasty to improve blood flow
- Stroke Therapy
- Varicose Veins
- Venous Disease
- Vascular Disease Screening
- Traumatic vascular repair
- Vascular coiling to treat aneurism or trauma
Advanced Imaging Technology
Regional operates four (4) advanced multipurpose Angio suites allowing for flexibility in patient scheduling.
- Philips Biplane suite with modified CT imaging, 3D, and live case presentation
- GE IG530 Multi-purpose Angio suites with 3D Spin capabilities
- Electrophysiology equipment in two rooms (BARD and GE) with electrical 3-D mapping
- Large camera scope Angio suite close to ER and the OR
- Low-Profile Visualized Intraluminal Support Device (LVIS and LVIS Jr.):
Regional is one of the 1st hospitals in the USA to be involved in the FDA approved study using MicroVention’s Low-Profile Visualized Intraluminal Support Device (LVIS and LVIS Jr.); it is a self-expanding nitinol stent, which comes with its own delivery mechanism, & is used to repair brain aneurysms. The stent is placed across the neck of the aneurysm and provides support for the blood vessel affected. Then soft platinum coils are pushed into the aneurysm, bunching together and blocking blood flow into the dilated space. The stent prevents the coils from exiting the aneurysm and maintains the pressure on the coils necessary to keep the aneurysm under control.
The Pipeline® Embolization Device is indicated for the endovascular treatment with large or giant wide-necked intracranial aneurysms in the internal carotid artery. During a flow-diversion/Pipeline™ procedure, a microcatheter is navigated past the brain aneurysm without having to enter the aneurysm. Then, the flow-diverting device (Pipeline™ Embolization Device) is deployed across the neck of the aneurysm in the parent blood vessel where the aneurysm is present.
- Baylis Needle System
Allows physicians to cross the septal wall with safe and controlled passage - decreasing time and reducing risk of cardiac trauma (mainly used for EP, but sometimes with device implants)
- Contact Force Electrophysiology Catheters
Reduces atrial ablation procedure time while reducing risk of over–burn, or miscalculating position.
- Intracardiac Echo (ICE)
ICE provides detailed imaging with direct visualization of anatomy and tracking of ablation energy within the heart during procedures. ICE is used frequently during EP ablations to track ablation energy and temperatures and can also be used during open heart surgery for closer more detailed images.
- OCT (Ocular Coherence Technology)
- Intravascular viewing which allows physicians to not only view arteries from the outside (angiogram) but to actually travel down the artery and evaluate blockages from within the artery for more accurate treatment. (for diagnostic heart cases and post PCI to evaluate inside of artery)
- FFR (Fractional Flow Reserve)
This technology allows the physicians to measure the intensity of the impedance to blood flow when the blockage within a vessel is marginal, so treatment options are optimized. (for diagnostic heart cases or Post PCI to evaluate flow-gives actual flow gradients)
- Chronic Total Occlusion Technology
Regional is partnering with our physicians who have advanced their skills to treat patients with chronic total vascular occlusions utilizing specially designed catheters, access devices, and the Spectranetics Cold Laser.
Vaporizes occlusions to restore blood flow; also used for lead extraction. (For a treatment option of chronically occluded vessels, both cardiac and peripheral)
IVUS technology allows for ultrasound imaging within the vessels and can be used during diagnostic heart caths and post intervention to evaluate stent placement. IVUS can also be used in peripheral interventions as well
- Abdominal Aortic Aneurysm Stenting
For treatment of aneurysms and traumatic aortic dissections from traumatic injury
- Renal Stenting
Restores blood flow to the kidneys
- Neurovascular/Intracerebral/Carotid - vertebral stenting/coiling/thrombectomy
To prevent or interrupting stroke, TIA symptoms, intracerebral bleeds, clots, etc
IVUS technology allows for ultrasound imaging within the vessels and can be used during diagnostic peripheral angiograms and post intervention to evaluate stent placement. IVUS can also be used in cardiac interventions as well.
Cardiac Assist Devices –
- Intra-Aortic Balloon Pump-for support of ischemic heart disease pre-treatment or as bridge support for weakened heart muscle.
- The Impella CP® Circulatory Support System - provides for partial circulatory support using an extracorporeal bypass control unit. It also provides partial circulatory support during procedures not requiring cardiopulmonary bypass.
- CARDIOHELP System – (ECMO/LVAD) the world’s smallest portable heart-lung support system.
Regional is the first hospital in the San Jose region to offer the CardioMEMS implant which gives internal Heart Failure measurements up to a week before patient experiences signs or symptoms, allowing treatment to be adjusted to assure the patient an opportunity to minimize heart failure. Regional’s Cardiovascular navigators, along with the patient’s cardiologist, track the results electronically.
Regional acquired the smallest, portable total support system which rounds off our cardiac/lung support.
CARDIOHELP provides the oxygen supply. Further areas of use include:
- Acute respiratory distress syndrome (ARDS) - Adult ECMO
- Septic shock
- Pulmonary embolism
- Cardiogenic shock
- As stand-by or prophylactic support during high risk Percutaneous Cardiac Interventions
- As a bridging system (bridge to recovery, bridge to decision, etc.), e. g., for myocarditis, Post massive MI
Regional Medical Center of San Jose is the first hospital in San Jose to offer the AngioVac System. It is used in a minimally invasive procedure with a suction and filtering system to vacuum large blood clots from parts of the body.