Dr. Jonathan Dukes and Dr. Matthew Hakimi  perform pacemaker and defibrillator implantations.

 Dr. Shaun Patel also performs pacemaker implantations.

ELECTROPHYSIOLOGY TESTING

EVENT MONITORING

TILT TABLE TEST

ELECTROPHYSIOLOGY 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.

DEFIBILLATOR IMPLANTATION

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

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.

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.

CATHETER ABLATION

Dr. Jonathan Dukes, and Dr. Matthew Hakimi specialize in complex ablations and are accepting new patients for first-time evaluations and new patients seeking to have a redo ablation.

Advanced Electrophysiology procedures include:

PERIPHERAL ANGIOGRAM

ENDOVASCULAR PERCUTANEOUS ANGIOPLASTY INTERVENTION

Endovascular Percutaneous Angioplasty Intervention – Endovenous percutaneous angioplasty, also known as percutaneous transluminal angioplasty (PTA) or endovascular angioplasty, is a minimally invasive procedure used to open blocked or narrowed veins. It involves inserting a thin tube (catheter) with a balloon on its tip into the vein, inflating the balloon to widen the vessel, and sometimes placing a stent (a small mesh tube) to keep it open. Endovascular percutaneous angioplasty intervention may include transfemoral carotid artery, subclavian, and lower extremity for claudication.

ENDOVASCULAR ABDOMINAL AORTIC ANEURYSM (AAA) REPAIR

Endovascular Abdominal Aortic Aneurysm (AAA) Repair, or EVAR, is a minimally invasive surgical procedure to repair weakened areas in the aorta, the large blood vessel that carries blood from the heart to the rest of the body. It involves inserting a stent through small incisions in the groin, guided by X-rays, to reinforce the aorta and prevent the aneurysm from bursting. 

SUBCLAVIAN VEIN STENTING 

Subclavian vein stenting is a minimally invasive procedure used to treat narrowing or blockage (stenosis) in the subclavian vein, a major vein in the upper body that carries blood back to the heart. Stents are small, expandable mesh tubes that are inserted into the vein to open it up and restore proper blood flow. This procedure is often performed to address conditions like venous thoracic outlet syndrome or to manage blockages caused by central lines or other medical devices. 

Venous disease, deep and superficial veins including iliac vein stenting and venous thrombectomy for deep vein thrombosis

ILIAC VEIN STENTING 

Iliac vein stenting is a procedure that uses a stent, a small mesh tube, to open and maintain the patency of the iliac veins, which are in the pelvis. This procedure is often performed to treat iliac vein compression, also known as May-Thurner syndrome and other conditions that lead to chronic venous insufficiency, such as pelvic congestion syndrome.

VENOUS THROMBECTOMY

Venous thrombectomy is a surgical procedure used to remove a blood clot (thrombus) from a vein, typically used to treat deep vein thrombosis (DVT) when other treatments aren’t effective. It can be performed percutaneously.

PULMONARY EMBOLISM TREATMENT

Pulmonary embolism treatment, including mechanical thrombectomy and catheter-directed thrombolysis