ADVANCED HEART PROCEDURES

Cardiology Associates is dedicated to comprehensive cardiovascular care, emphasizing prevention, diagnosis, and treatment of heart and vascular conditions. With a team of board-certified cardiologists and advanced providers, Cardiology Associates offers an extensive range of services—from noninvasive imaging like echocardiography, CT angiography, and ultrasounds to advanced stress testing and cardiac monitoring. Our interventional cardiology capabilities include catheterization procedures, stenting, peripheral vascular interventions, and cutting-edge electrophysiology treatments such as ablations, pacemaker and defibrillator implants, and Watchman procedures. Cardiology Associates brings accredited expertise and patient-focused care to our community.

HEART CATHETERIZATION
AND INTERVENTION

Cardiac Catheterization is a procedure used to diagnose and treat cardiovascular conditions. It is performed as an outpatient procedure in the hospital. During cardiac catheterization, a long thin tube called a catheter is inserted in an artery or vein in the groin, neck or arm (transradial) and threaded through your blood vessels to the heart to determine if there is disease of the heart muscle, valves or coronary (heart) arteries. During the procedure, the pressure and blood flow in the heart can be measured.

PERCUTANEOUS CORONARY INTERVENTION (PCI)

During a cardiac catheterization if it is determined that there are blockages that would benefit from a coronary stent, then a small tube-shaped device (stent) will be placed via the already in-place catheter, to keep the blocked coronary arteries open and increasing blood flow to the heart.

Dr. Shaun PatelDr. Omid Fatemi and Dr. Sogomonian are Interventional Cardiologists at Cardiology Associates.

CTO PERCUTANEOUS CORONARY INTERVENTION

CTO percutaneous coronary intervention is a minimally invasive technique used to treat patients with chronic total occlusion (CTO), or complete blockages, of the coronary arteries.

Dr. Omid Fatemi specializes in this procedure.

STRUCTURAL HEART PROCEDURES

Dr. Fatemi performs more advanced procedures within our structural heart program. Dr. Fatemi is the Director for the Structural Heart Department at Community Memorial Hospital and St. John’s Regional Medical Center.

ADVANCED PROCEDURES

TAVR

ADVANCED PROCEDURES

AORTIC VALVULOPLASTY

Aortic Valvuloplasty also known as balloon aortic valvotomy is the widening of a stenotic aortic valve using a balloon catheter inside the valve. The balloon is placed into the aortic valve that has become stiff from calcium buildup.

ADVANCED PROCEDURES

PFO CLOSURE

Percutaneous closure is a surgical procedure used to treat patients with patent foramen ovale (PFO) and atrial septal defect (ASD). Advancements in device technology and image guidance now permit the safe and effective catheter-based closure of numerous intracardiac defects, including PFO and ASD.

Dr. Omid Fatemi performs PFO Closures at Community Memorial Hospital.

ADVANCED PROCEDURES

ASD CLOSURE

ASD CLOSURE – Atrial Septal Defect (ASD) is an opening or hole in the wall that separates the two upper chambers of the heart. This wall is called the atrial septum. The hole causes oxygen-rich blood to leak from the left side of the heart to the right side. Different types of closure devices are used to close a hole or an opening between the right and left sides of the heart. Some of these birth defects are located in the wall (septum) between the upper chambers (atria) of the heart: Patent Foramen Ovale (PFO) Atrial Septal Defect (ASD).

Dr. Omid Fatemi performs these ASD Closures at Community Memorial Hospital.

ADVANCED PROCEDURES

MITRAL CLIP

ADVANCED PROCEDURES

TMVR

ADVANCED PROCEDURES

ARYTHMIA CENTER

CLINICAL ELECTROPHYSIOLOGY

Dr. Jonathan Dukes

Dr. Matthew Hakimi

Dr. Jonathan Dukes, and Dr. Matthew Hakimi, Cardiac Electrophysiology Physicians, provide the most advanced evaluations, treatments and procedures for atrial fibrillation (AFib) and other circuitry issues to Ventura County residents. Dr. Dukes is the Director of Electrophysiology at Community Memorial Hospital.

CATHETER ABLATION

ADVANCED PROCEDURES

WATCHMAN

The Watchman Procedure is among the newest procedures available to prevent
A-fib related stroke.

Dr. Jonathan Dukes and 
Dr Fatemi perform the Watchman Procedure.

ADVANCED PROCEDURES

PACEMAKER IMPLANTATION

A pacemaker insertion is the implantation of a small electronic device that is usually placed in the chest (just below the collarbone) to help regulate slow electrical problems of the heart. A pacemaker may be recommended to ensure that the heartbeat does not slow to a dangerously low rate.

Dr. Jonathan Dukes and Dr. Shaun Patel perform pacemaker implantation.

ADVANCED PROCEDURES

DEFIBILLATOR IMPLANTATION

An Implantable Cardioverter-Defibrillator (ICD) is a cardiac device that is intended for high risk patients to reduce their risk of dying if the lower chambers of the heart (ventricles) go into a dangerous rhythm and stop beating effectively (cardiac arrest). 

Dr. Jonathan Dukes  perform defibrillator implantation.

ADVANCED PROCEDURES

PACEMAKER AND DEFIBRILLATOR
BATTERY REPLACEMENT

A pacemaker battery usually lasts 7 to 8 years. When the battery runs down, a new pacemaker will be implanted. The surgery to replace the old pacemaker with a new one usually requires a local anesthetic. In most cases, your original pacemaker leads will not need to be replaced.

ADVANCED PROCEDURES

IMPLANTABLE
MONITORING DEVICE

Reveal LINQ, Insertable Cardiac Monitor, is the world’s smallest implantable cardiac monitoring device. The procedure to implant one just takes a few minutes to perform as an outpatient. It records the heart rhythm continuously to capsure recurrent unexplained episodes of palpitations.

ADVANCED PROCEDURES

DEFIBILLATOR IMPLANTATION

An Implantable Cardioverter-Defibrillator (ICD) is a cardiac device that is intended for high risk patients to reduce their risk of dying if the lower chambers of the heart (ventricles) go into a dangerous rhythm and stop beating effectively (cardiac arrest). 

Dr. Jonathan Dukes  perform defibrillator implantation.

Complex Ablations For A-FIB, A-FLUTTER, VT, SVT, PVC

Dr. Jonathan Dukes, Electrophysiologist, regularly performs these procedures at Community Memorial Hospital and St John’s Regional Medical Center. Catheter ablation is a minimally invasive procedure to treat cardiac arrhythmias. It can relieve symptoms and improve quality of life. During an ablation, the doctor destroys small areas in the heart that are firing off abnormal electrical impulses and causing atrial fibrillation, aflutter, ventricular tachycardia, supraventricular tachycardia or premature ventricular contractions.
Dr. Jonathan Dukes specializes in complex ablations, and accepts new patients for first time evaluations as well as new patients seeking to have a redo ablation.

Pacemaker Implantation

A pacemaker insertion is the implantation of a small electronic device that is usually placed in the chest (just below the collarbone) to help regulate slow electrical problems of the heart. A pacemaker may be recommended to ensure that the heartbeat does not slow to a dangerously low rate.

Dr. Jonathan Dukes and Dr. Shaun Patel perform pacemaker implantation.

Defibrillator Implantation

An Implantable Cardioverter-Defibrillator (ICD) is a cardiac device that is intended for high risk patients to reduce their risk of dying if the lower chambers of the heart (ventricles) go into a dangerous rhythm and stop beating effectively (cardiac arrest). 

Dr. Jonathan Dukes  perform defibrillator implantation.

Watchman Procedure

The Watchman Procedure is among the newest procedures available to prevent
A-fib related stroke.

Dr. Jonathan Dukes and Dr Fatemi perform the Watchman Procedure.

Pacemaker And Defibrillator
Battery Replacement

A pacemaker battery usually lasts 7 to 8 years. When the battery runs down, a new pacemaker will be implanted. The surgery to replace the old pacemaker with a new one usually requires a local anesthetic. In most cases, your original pacemaker leads will not need to be replaced.

The ICD battery will be checked during regular checkups, which should occur every three to six months. When the battery is nearly out of power, your old shock generator is replaced with a new one during a minor outpatient procedure.

Implantable Monitoring Device

Reveal LINQ, Insertable Cardiac Monitor, is the world’s smallest implantable cardiac monitoring device. The procedure to implant one just takes a few minutes to perform as an outpatient. It records the heart rhythm continuously to capsure recurrent unexplained episodes of palpitations.

Cardiovascular Computed Tomography (Cardiac CT)

Cardiovascular Computed Tomography (Cardiac CT) – Also known as computed tomography; computed axial tomography scan (CAT scan). A cardiac CT scan is a painless imaging test that uses x rays to take many detailed pictures of your heart and its blood vessels. An electron beam CT scanner also can show calcium in coronary arteries.

Dr. Alon Steinberg is certified to interpret Cardiac CT scans.

Vein Center

Varicose Veins Treatment

Endovenous Ablation is an image-guided, minimally invasive treatment for varicose veins. It uses radiofrequency or laser energy to cauterize (burn) and close the varicose veins. The results are remarkable. Patients who suffer with painful, disfiguring varicose veins now have the opportunity for a simple procedure with minimal pain.

Our vein lab founded in 2009, is located in Oxnard, CA. We treat patients who meet medically based requirements. Vein ablations are covered by most insurances.

Dr. Shaun Patel and Dr. Robert Sogomonian are board-certified in endovascular procedures.