PHONE: 1(868) 628-6674 / HOTLINE: 628-HART|info@cheartcare.com
Services2018-08-14T13:08:05+00:00

Peripheral Vascular Intervention (WAS Peripheral Vascular Intervention)

Interventional Neuro-Radiology/Radiology

  • CEREBRAL ANGIOGRAM –A procedure used to detect brain aneurysms or other brain abnormalities.
  • CEREBRAL EMBOLIZATION (COILING) & STENTING –A procedure for the closure of an aneurysm (dilatation) or a vascular malfunction in the arteries of the brain.
  • BILLARY DRAINAGE AND STENTING 
  • TUMOR EMBOLIZATION -(Kidney, Pelvis, Spleen, Liver, Craniofacial, Etc)
  • UTERINE FIBROID EMOLISATION (UFE)
  • CHEMOEMBOLIZATION 
  • CT GUIDED NEEDLE BIOPSY
  • ABSCESS DRAINAGE AND DRAIN INSERTION 
  • PERCUTANEOUS NEPHROSTOMY
  • DIALYSIS ACCESS INTERVENTIONS 
  • ENDOVENOUS RADIOFREQUENCY TREATMENT OF VARICOSE VEINS 
  • VARICOCELE EMBOLIZATION 

Electrophysiology Services ((EP) Electrical Activity of the Heart/Ablation etc.)

  • Coronary Artery Bypass Graft

    Oxygen is supplied to the heart muscle by the right and the left coronary arteries. These two main arteries further subdivide supplying blood with oxygen to the heart muscle.When these arteries get totally or partially blocked the heart muscle gets insufficient oxygen to perform its work. This initially results in chest pain or angina. If left untreated the heart muscle will actually die. This is called a myocardial infarction or heart attack. With surgical correction a bypass graft is done. That is, a conduit is taken either from the chest or the leg and used to bypass the coronary artery at the point of the blockage

    The heart acts like a pump, it generates a pressure, which enables it to pump blood through the lungs and then to the rest of the body. In order to do this the blood must flow only in one direction. The heart accomplishes this because of four one-way valves present inside the heart, which open and close in synergy with each pump of the heart, thereby allowing blood to flow in one direction. If these valves become defective,which could occur as after a valve infection or a heart attack involving the valve, they either become stiff and cannot open which is called stenosis or they may become too flaccid to close which is called incompetence or it may be a combination of both these conditions. When this occurs the pump is unable to generate enough pressure to pump blood throughout the lungs and around the body. During surgery the valve is either repaired or replaced.

  • Valve Replacement or Repair

    The heart acts like a pump, it generates a pressure, which enables it to pump blood through the lungs and then to the rest of the body. In order to do this the blood must flow only in one direction. The heart accomplishes this because of four one-way valves present inside the heart, which open and close in synergy with each pump of the heart, thereby allowing blood to flow in one direction. If these valves become defective,which could occur as after a valve infection or a heart attack involving the valve, they either become stiff and cannot open which is called stenosis or they may become too flaccid to close which is called incompetence or it may be a combination of both these conditions. When this occurs the pump is unable to generate enough pressure to pump blood throughout the lungs and around the body. During surgery the valve is either repaired or replaced.

  • Thoracic Aortic Surgery

    The aorta is the main pipe that takes blood from the heart and directs it to the rest of the body. Sometimes because of hypertension or a genetic disorder the aorta can actually blow up somewhat like a balloon. This ballooning of the aorta is called an aortic aneurysm, which can eventually rupture causing sudden death. Depending on the location of the aneurysm on the aorta it can be repaired with a tube graft at surgery or it can be reinforced by placing a stent in the area of the aneurysm. Sometimes due to high pressure or an accident the aortic wall itself may start splitting. This is called a dissecting aorta and depending on its location results in a medical emergency. A dissecting aorta can be repaired by a cardiologist performing a tube graft or stenting in the area of the dissection.

  • Aortic Dissection / Aneurysm Repair
    • An Aortic dissection is a serious condition in which the inner layer of the aorta, the large blood vessel branching off the heart, tears. Blood surges through the tear, causing the inner and middle layers of the aorta to separate(dissect). If the blood-filled channel ruptures through the outside aortic wall, aortic dissection is often fatal.
    • An Aortic Aneurysm is an abnormal bulge that occurs in the wall of the major blood vessel (aorta) that carries blood from your heart to your body. Aortic aneurysms can occur anywhere in your aorta and may be tube-shaped (fusiform) or round(saccular)Both conditions are treated via surgery
  • PEDIATRIC CONGENITAL & ADULT CONGENITAL HEART SURGERY

    Sometimes patients are born with heart defects. This is called congenital heart disease. There are a multiplicity of congenital heart defects some of which have to be repaired surgically as an emergency, as in transposition of the great vessels, or electively as in atrial septal defects. On some occasions patients with congenital heart disease survive to adulthood before the defect in the heart becomes clinically significant. Depending on the defect, correction could be achieved by either surgery or with Interventional Cardiology.

    • CORONARY ( AORTIC, RENAL, PERIPHERAL ) ANGIOGRAMS, INCLUDING PAEDIATRIC CASES –A procedure during which an interventional cardiologist injects a dye via a special catheter into your coronary arteries in order to obtain x-ray images of the blood circulation within the heart.
    • CORONARY ( AORTIC, RENAL, PERIPHERAL ) ANGIOPLASTY AND STENTING –A procedure to open blocked or narrowed arteries using a balloon, after which a small mesh tube called a stent is inserted into the open artery.
    • FIBROID EMBOLIZATION –A non-surgical invasive procedure to destroy fibroids in the uterus.
    • NEURORADIOLOGICAL PROCEDURES –These are Cath Lab procedures that are alternatives to brain surgery such as Cerebral Aneurysm Coiling and/or Stenting and repair of AV malformation. Cerebral Aneurysm Coiling and/or Stenting is a procedure for the closure of an aneurysm (dilatation) or vascular malformation in the arteries of the brain and repair of AV malformation.
    • PAEDIATRIC CATHETERIZATIONS –Right Heart Catheterization, Congenital Heart Disease plus Closure of Heart Defects (ASD, VSD, PFO)
  • ELECTROPHYSIOLOGY SERVICES 
  • Vascular Services 
  • VALVE VALVULOPLASTY –A procedure to repair narrowed heart valves (stenotic).
  • RENAL ABLATION –A procedure for the treatment of patients with severe hypertension by ablating the kidney arteries.
  • GENERAL CARDIOLOGY CLINIC:Including treatment of coronary artery disease, Hypertension, heart failure and other cardiac pathologies.
  • CARDIAC SURGERY CLINIC:Our cardiothoracic surgeons diagnose and treat, Patients in need of bypass or valve surgery.
  • ARRHYTHMIA/ELECTROPHYSIOLOGY (EP) CLINIC:Treatment to patients with irregular, slow or fast heart rates, dizziness, fainting.
  • VASCULAR CLINIC:Patients with peripheral artery disease, nonsurgical treatment of diabetic feet.
  • ANTI-COAGULATION CLINIC:Drug treatment to regulate the clotting process in the blood.
  • ECHO CLINIC :This clinic, which is unique to the Caribbean, is done by Cardiologists specialised in Echocardiography who can perform 3D ECHOs, Exercise and Pharmacological Stress ECHOs and TEEs. They also assist in diagnosis and screening of valve and congenital heart disease.

This department was founded in 2012 and since then has received several grants from patients and institutions, which have been dedicated to research and education on Cardiovascular disease. Several articles have also been published in peer reviewed and indexed journals.

Several local and foreign consultants participate in this Research and Developmentinitiative assisted by two directors: Professor Gianni D.Angelini and Dr. Risshi D. Rampersad.

  • Transfusion related acute lung injury with massive pulmonary secretion during Cardiac surgery. A case report. Teodori J., Rampersad K., Teodori G., Roopchand R., Angelini GD., Journal of Cardiothoracic Surgery: Open Access 2014:9:64.http://www.cardiothoracicsurgery.org/content/pdf/1749-8090-9-64.pdf
  • Acute Myocardial Infraction Identified in a Peripheral Clinic and Treated with Urgent Surgical Revascularization: Door to knife in less than Three Hours. Rampersad RD., Toussaint CK., Rahaman N., Angelini GD.. WIMJ Open, 2014: 1: 29. 023http://www.cardiothoracicsurgery.org/content/pdf/1749-8090-9-64.pdf
  • Redo Triple Coronary Artery Bypass Graft on a Jehovah’s Witness patient. “A Tailored Approach” Teodori J., Rampersad K., Teodori G., Rampersad A., Roopchan R., Hanuman H., Angelini G., WIMJ. Open 2014; 1:9. 355http://myspot.mona.uwi.edu/wimjopen/sites/default/files/wimjopen/article_pdfs/Teodori%20et%20al.pdf
  • Early Risk Stratification with dipyridamole stress echo in a patient with intermediate lesion in right coronary artery, 24hours after percutaneous coronary intervention. Carmago S., Rampersad RD., WIMJ 2013,141
  • .Percutaneous Endovascular Abdominal Aortic Aneurysm Repair (P-Evar) under sedation and local anaesthesia. CMJ Volume 75 No.2 2013. CMJ has no online database
  • EVAR with bilateral iliac extension local anaesthetic: Rampersad R, Lall P CMJ Vol.75.#2. Dec2013 (no online Database)
  • Raynaud’s Phenomenon in a young female. Rampersad RD, Maharaj D. Advances Cardiol. Vol. 33.#4, Dec 2013. http://issuu.com/svcavances/docs/al_33_4__2013
  • Anomalous origin of right coronary artery with aortic stenosis. A rare combination. George A, Rampersad RD, Camargo S, Angelini GD. – CMJ Volume 75 No.1 June 2013.
  • .Embolización guiada por catéter previa resección exitosa de carcinoma de células renales gigante invadiendo la aurícula derecha -Catheterization embolization before successful surgical resection of a gigantic renal cell carcinoma invading the right atrium. Rampersad RD, Rampersad A, Rahaman N, Torres W, Naraynsingh V. Avances Cardiol 2013; 33(2):130-132http://issuu.com/svcavances/docs/ac_33_2__2013
  • An observational study of intraoperative transfusion management in a cardiac surgical unit in Trinidad and Tobago. OJ Harrison, NC Rahaman, West Indian med. j. vol.61 no.6 Mona Sept. 2012http://caribbean.scielo.org/pdf/wimj/v61n6/a07v61n6.pdf
  • .Endocarditis infecciosa en válvula aortica bicúspide posterior a cesaran segmentaria.Rampersad RD, Perez Carlos, Falcon. Avances Cardiológicos 2012;32(2):207-208http://issuu.com/svcavances/docs/ac_32_2__2012
  • The Cardiac Catheterization Lab: Implementing Best Practice in Trinidad and Tobago. Thomas C., Boodoo L., Chacko M., Rampersad R., Afoon-Williams E., Ramoutar P., Gieowarsihgh S., Alexander D., Ramphall S., Rahaman R., Lall P., Bird B., Cummings T.. CMJ Volume 74 No.1 June 2012. No database
  • Fibrilación auricular en un joven de 18 anos, asociada a la inhalación de un conocido eliminador de olores., Rampersad RD, Angelini GD, Martinez J, Garcia E, Torres W, Burgos J. Avances Cardiológicos 2011;31(4):367-369 http://issuu.com/svcavances/docs/ac_31_4__2011
  • Off Pump Coronary Artery Bypass Surgery: Left Anterolateral Thoracotomy Versus Median Sternotomy”. A Matched Comparison. Rampersad A, Rahaman N, Guido M, Gomez Y, Burgos-Irazabal j, Angelini G, The Internet Journal of Third World Medicine. 2008, Vol. 8, #2http://ispub.com/IJTWM/8/2/3364
  • Off-pump coronary artery bypass surgery: anaesthetic implications and the Trinidad experience S Haricharan; D Chen; L Merritt-Charles West Indian Med. j. vol.55 no.5 Mona Oct. 2006.http://ojs.mona.uwi.edu/index.php/wimj/article/view/2048/1958
  • Cardiac Surgery in a multi-ethnic low volume service – the Caribbean Heart Care Experience. Jose Burgos-Irazabal, Rampersad Risshi, Walter Gomes, Rampersad Kamal, GD Angelini. Braz J Cardiovasc Surg 2005; 20(3): 332-335
  • Successful Treatment of Accidental Air Embolism in Warm Heart Surgery. Gomez WJ., Strisiver DA., Penco AJF., Rampersad K., Angelini GD., Asian Cardiovascular and Thoracic Annals. 2003. 11:68http://aan.sagepub.com/content/11/1/68.full.pdf

                                             Newspapers

                                  Newsday…….Thursday March 25th 2010

A Medical First for the Caribbean.

                                   Newsday ……Tuesday March 12th 2013

Caribbean Heart Care Medcorp team performs brain procedure on baby.

Other Important Medical Terms

Ambulatory Blood Pressure Monitoring
Sometimes in order to understand the character of a patient’s blood pressure we need to measure it continually throughout a twenty four (24) hour period.  At the end of the period the patients blood pressure measurements are printed out on a data sheet for analysis by the Cardiologist.
Carotid Angioplasty
The carotid arteries in the neck take oxygenated blood from the heart to the brain. When these arteries are blocked the patient becomes prone to a stroke. We perform angioplasty to these arteries thus preventing strokes in patients with carotid disease.
Dobutamine
If you are unable to exercise, this non invasive test is an alternative to an exercise stress test for evaluating coronary artery disease. The medication dobutamine is taken to stimulate the effects of exercise on your heart and an echocardiogram is done before and after the medication is administered..
Echocardiography
This is a non-invasive procedure. A probe is placed on the chest wall or in the stomach. A picture of the blood flow of the heart is generated and displayed on a monitor. This test is particularly important for assessing the heart valves. Sometimes the probe is inserted into the stomach instead of the chest wall. This is called a transoesophageal (TOE).
Neuroradiological Procedures
There are many procedures that are done in our Cath Lab that avoids patients having to undergo brain surgery. Procedures such as Cereberal Aneurysms, AV fistula and chemoembolisation for brain tumors are all undertaken at our Cath Lab.
Atrial Septal Defect
This is commonly called a hole in the heart. It is a defect in the septum that separates the right and left atria thus allowing mixing of blood between the right and left sides of the heart. Now instead of having to undergo open heart surgery to close this defect it is closed at our Cath Lab using a device called an umbrella. The patient usually has a hospital stay of 24 hours. We also perform other paediatric heart procedures such as PDA’s and valvuloplasties.