The Interventional
Center
at SOCH
The Interventional Center
at SOCH features a sophisticated, digital cardiovascular and
interventional imaging system from GE Healthcare. This
advanced technology enables physicians to perform cardiac, angiographic,
vascular and interventional procedures on one system in one room.
Physicians who perform procedures in the Interventional
Center include specialists in vascular surgery, cardiology, interventional
cardiology, interventional radiology and pain management.
The Interventional Center at SOCH features the following:
Cardiology Services
Cardiologists perform Cardiac Catheterization
in the Interventional Center at SOCH. Cardiac Catheterization is
one of the most sophisticated tools available to diagnose heart
disease. Indications for the
procedure include:
- Angina that is not easily controlled with
medication, that disrupts daily routine, occurs at rest, or recurs
after heart attack
- Heart failure with suspected coronary artery disease
- Heart valve disease with symptoms (e.g., shortness of breath)
- Markedly abnormal stress test results
- Recurring chest pain of unidentified cause
Preliminary results are usually available immediately, indicating
whether angioplasty or open-heart surgery is necessary, or if treatment
with medication is advisable.
SOCH Cardiology Physician Specialists
Tony Chu, MD is a board-certified
cardiologist who earned his medical degree from Taipei Medical
College. He was fellowship
trained in interventional cardiology from the University of Rochester/Strong
Memorial Hospital/Rochester General Hospital. He was also
fellowship trained in cardiology from Saint Vincent’s Medical
Center of Richmond/New York Medical College Richmond Program. He
completed a residency at Jersey Shore Medical Center. He
is board-certified by the American Board of Cardiovascular Diseases
and the American Board of Interventional Cardiology.
Christine Gasperetti, MD is
a board-certified cardiologist who graduated magna cum laude from
Harvard University. She
earned her medical degree from Mount Sinai School of Medicine. She
was fellowship trained in the Division of Cardiology, Department
of Internal Medicine at the University of Virginia Health Sciences
Center in Charlottesville, Virginia. She completed a residency
and internship in internal medicine at Boston City Hospital. She
is board-certified by the American Board of Internal Medicine,
the American Board of Cardiovascular Diseases and the American
Board of Interventional Cardiology.
James Orlando, MD is the
Medical Director of the Cardiac Catheterization Lab. He is
a board-certified cardiologist who received his medical degree
from Ross University School of Medicine. He was fellowship
trained in interventional cardiology from North Shore University/Long
Island Jewish Health System and he was also fellowship trained
in cardiology from the University of Medicine and Dentistry of
New Jersey (UMDNJ). He completed his residency in internal
medicine from UMDNJ. He is board-certified by the American
Board of Internal Medicine, the American Board of Cardiovascular
Disease and the American Board of Interventional Cardiology.
William E. Reed, DO is
a board-certified cardiologist who earned his medical degree from
the University of Osteopathic Medicine and Health Sciences, in
Des Moines, Iowa. He was
fellowship trained in interventional cardiology and adult cardiology
from Deborah Heart and Lung Center. He completed a residency
in internal medicine at the University of Medicine and Dentistry
of New Jersey, Kennedy Memorial Hospitals, and an internship at
Metropolitan Hospital, Parkview Division in Philadelphia. He
is board-certified by the American Osteopathic Board of Cardiovascular
Disease.
SOCH Interventional Cardiology
Specialists
Renato
Apolito, MD is a board-certified cardiologist who received
his medical degree from the University of Medicine and Dentistry
of New Jersey. He was fellowship trained in interventional
cardiology and cardiovascular diseases from New York University
School of Medicine. He completed his residency in internal
medicine at New York Hospital – Columbia Presbyterian Medical
Center. He is board-certified in Internal Medicine and
Cardiovascular Disease by the American Board of Internal Medicine.
Giuseppe Gioia, MD is
a board-certified cardiologist who received his medical degree
from Padua University Medical School in Padua, Italy. He
was fellowship trained in cardiology from Hahnemann University,
the University of Pennsylvania and the Philadelphia Heart Institute. He
completed a medical residency at Presbyterian Medical Center
in Philadelphia. He is board-certified by the American
Board of Internal Medicine, the American Board of Interventional
Cardiology and the American Board of Cardiovascular Diseases.
Click
here for more information on Cardiology Services at SOCH
Endovascular Services
Peripheral vascular disease (PAD) refers to a problem with any
of the arteries outside of the heart, but the term is commonly
used to describe circulatory problems in the limbs or pelvis. Vascular
surgeons, interventional cardiologists and interventional radiologists
perform a procedure called angiography in the Interventional Center
at SOCH. Angiography is used to determine if blood flow is
blocked or restricted. During this procedure, a dye is injected
into the blood vessels. Then through the use of digital imaging
equipment, the physician is able to view the flow of blood as it
travels through the arteries.
SOCH Vascular Surgery Specialists
Kane L. Chang, MD is
a board-certified general and vascular surgeon who graduated
magna cum laude from Brown University. He earned his medical
degree from New York University School of Medicine. He
was fellowship trained in vascular surgery at Staten Island University
Hospital. He completed general surgery residencies at Pennsylvania
State University/Hershey Medical Center and Staten Island University
Hospital. He is board-certified by the American Board of
General Surgery.
Carey Penrod, DO is a board-certified
vascular and general surgeon who earned his medical degree from
the Philadelphia College of Osteopathic Medicine. He was
fellowship trained in general and vascular surgery from Deborah
Heart and Lung Center. He completed a general surgery residency
at the Osteopathic Medical Center of Philadelphia/Graduate Hospital
and a rotating internship at St. Joseph’s Hospital/Catholic
Medical Center in Flushing, NY. He is board-certified by
the American Osteopathic Board of General Surgery and General Vascular
Surgery.
Interventional Radiology Services
In
the Interventional Center at SOCH, interventional radiologists
perform procedures to diagnose a blockage in a blood vessel,
open blocked or narrowed vessels, remove a clot in the legs
or pulmonary arteries, stop or prevent internal bleeding, or
insert a tube or a port used to deliver nutrients or medication
such as chemotherapy. These
procedures involve either a small incision or the insertion of
a needle, as opposed to larger incisions that are a necessary part
of traditional surgery. The benefits of a smaller incision
include less risk, less pain and a shorter recovery time.
SOCH Interventional Radiology Specialists
Michael D’Angelo, MD,
MS is a board-certified
radiologist who received his medical degree from the Medical College
of Virginia. Dr. D’Angelo has completed a diagnostic
radiology residency and was fellowship trained in interventional
radiology at Johns Hopkins Hospital. He is board-certified
by the American Board of Radiology.
Douglas Gibbens, MD is
a board-certified radiologist who received his medical degree
from the University of Southern California School of Medicine. Dr. Gibbens completed a diagnostic
radiology residency at Boston University and is fellowship trained
in vascular and interventional radiology from Massachusetts General
Hospital, Harvard Medical School. He is board-certified by
the American Board of Radiology, the American Board of Vascular & Interventional
Radiology and the American Board of Nuclear Radiology.
John Swidryk, MD is
a board-certified radiologist who received his medical degree
from New York Medical College. Dr.
Swidryk completed an internal medicine internship and a diagnostic
radiology residency at Allegheny University Hospitals, MCP Division. He
was fellowship trained in angiography and interventional radiology
at Vanderbilt University. He is board-certified by the American
Board of Radiology and the American Board of Vascular & Interventional
Radiology.
Joseph Triolo, MD is
a board-certified radiologist who received his medical degree
from Jefferson Medical College of Thomas Jefferson University
was fellowship trained in musculoskeletal radiology with emphasis
on MRI with additional training in body MRI from Temple University
Hospital. He completed a diagnostic
radiology residency at Mercy Catholic Medical Center and an internship
in internal medicine from Bryn Mawr Hospital. He is board-certified
by the American Board of Radiology.
Thomas Yu, MD is a
board-certified radiologist who received his medical degree from
the University of Medicine and Dentistry of New Jersey – Robert Wood Johnson Medical
School, Cooper Medical Center. Dr. Yu is fellowship trained
in vascular and interventional radiology from Robert Wood Johnson
University Medical Center. He completed an internship in
internal medicine at Cooper Hospital University Medical Center. He
is board-certified by the American Board of Radiology and the American
Board of Interventional Radiology.
Pain Management Services
Medication
alone may not be enough to manage certain kinds of pain. Some
medications are more effective in fighting pain when they are combined
with other methods of treatment. In the Interventional
Center at SOCH, a number of interventional, minimally invasive
procedures are available to patients as a treatment option before
considering major surgery.
SOCH Pain Management Specialists
Ashraf Sakr, MD is
a board-certified specialist in pain management who received
his medical degree from Zagazig University Faculty of Medicine
in Cairo, Egypt, where he also earned a master’s degree in general surgery. He completed
a pain management fellowship and a residency in anesthesia at UMDNJ-Robert
Wood Johnson Medical School. Dr. Sakr did a residency in
family medicine at St. Mary’s of Nazareth Hospital and an
internship in obstetrics and gynecology at Flushing Hospital Medical
Center. He is board-certified by the American Board of Anesthesiology
and the American Board of Pain Management.
Michael Yu, MD is a
board-certified specialist in pain management who received his
medical degree from Ross University School of Medicine. He completed a pain management fellowship
at Columbia Medical Center College of Physicians. He completed
a residency in anesthesia at the University of Medicine and Dentistry
of New Jersey and an internship in internal medicine at Long Island
College Hospital. He is board-certified by the American Board
of Anesthesiology.
Click
here for more information on Pain Management Services at
SOCH
Procedures Performed in the
Interventional Center at SOCH Include:
Angioplasty: Angioplasty,
also called balloon angioplasty, and vascular stenting are minimally
invasive procedures performed to improve blood flow in the body's
arteries. In the angioplasty procedure, the physician threads a
balloon-tipped catheter—a
thin, plastic tube—to the site of a narrow or blocked artery
and then inflates the balloon to open the vessel. Another
angioplasty procedure, cryosurgery is a minimally invasive treatment
that uses extreme cold in the form of liquid
nitrogen or argon
gas to freeze and destroy diseased tissue, including cancer
cells.
Cardiac Catheterization: Cardiac Catheterization
involves passing a catheter (i.e., a thin, flexible tube) through
an artery or a vein to the heart, and into a coronary artery. Contrast
dye is then injected into the catheter to show areas of blockage.
Then, angiograms (i.e., x-ray images) of the coronary arteries
and the left ventricle, the heart’s main pumping chamber,
are taken. Cardiac catheterization can also be used to measure
pressure in the pulmonary artery and to monitor heart function.
Catheter Angiography: Catheter
Angiography is a type of x-ray that
is done to image blood vessels in various parts of the body, including
the heart, brain and kidneys, so as to determine whether the vessels
are diseased, narrowed, enlarged or blocked altogether.
Catheter Embolization: Catheter
Embolization is a way of occluding one or more blood vessels
that are doing more harm than good. Various materials may be
used, depending on whether vessel occlusion is to be temporary
or permanent, or whether large or small vessels are being treated. Beads
and coils can be deployed via the catheter to assist in the clotting
process.
Needle Biopsy: Needle Biopsy
involves removing a small piece of tissue for examination by
a physician. A needle biopsy, sometimes called a needle
aspiration, is the easiest way that tissue can be safely removed
from the body. Biopsies are normally done using either ultrasound
or CT guidance.
Percutaneous Nephrostomy Tubes: Percutaneous Nephrostomy
Tubes provide a minimally invasive way to implant a drainage tube
into the kidneys.
Radiofrequency Ablation:
During this procedure, a needle electrode is placed inside diseased
tissue. A radiofrequency
current is passed through the electrode to heat the diseased tissue
with the goal of eliminating the diseased tissue.
Radiologic Thrombolysis: Thrombolysis is the treatment
to break up abnormal blood clots that are restricting blood flow.Thrombolytic
therapy dissolves these blood clots using various medications
administered directly into the clot through a catheter. Mechanical
thrombolysis is the disruption of a blood clot using one of
several mechanical devices.
Spinal Cord Stimulation: During this procedure,
low-intensity pulses trigger nerve fibers along the spinal cord. The
stimulation of the nerve fibers diminishes or blocks the intensity
of the pain message being transmitted to the brain.
TIPS Procedures: A transjugular intrahepatic
portosystemic shunt (TIPS) is a type of radiologic bypass that
helps treat a condition known as portal
hypertension, which is most commonly caused by cirrhosis of
the liver.
Uterine Fibroid Embolization: Uterine
fibroid embolization (UFE) is a new way of treating fibroid
tumors of the uterus. Fibroid tumors, also known as myomas,
are masses of fibrous and muscle tissue in the uterine wall which
are benign,
but which may cause heavy menstrual bleeding, pain in the pelvic
region, or pressure on the bladder or bowel. With angiographic methods
similar to those used in heart catheterization, a is
placed in each of the two uterine arteries and small particles
are injected to block the arterial branches that supply blood to
the fibroids. The fibroid tissue dies, the masses shrink, and in
most cases symptoms are relieved.
Vascular Access Procedures: Vascular
Access Procedures involve the insertion of a catheter into a
blood vessel to provide a painless way of drawing blood or delivering
drugs and nutrients into a patient's bloodstream. In a
vascular access procedure, a special catheter is inserted inside
a major vein (generally in one of the large veins in the neck)
extending into the large central vein near the heart so that
blood can be repeatedly drawn or medication and nutrients can
be injected into the patient's bloodstream on a continual basis
or dialysis can be performed.
Venous Access Lines: PICC,
Perm-a-cath, tunneled pic, Port-a-cath are all placed by the interventional
radiologists.
Vertebroplasty: Vertebroplasy
is an image-guided, minimally invasive, nonsurgical therapy used
to strengthen a broken vertebra (spinal bone) that has been weakened
by osteoporosis or,
less commonly, cancer. Vertebroplasty can
increase the patient's functional abilities, allow a return to
the previous level of activity, and prevent further vertebral collapse.
It is usually successful at alleviating the pain caused by a compression
fracture. Often performed on an outpatient basis, vertebroplasty
is accomplished by injecting an orthopedic cement mixture through
a needle into the fractured bone.
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