What is meant by Interventional Cardiology?
Interventional Cardiology is the field of cardiology where we perform minimally invasive procedures to intervene on blockages in arteries and improve the blood flow. Typically we use balloons and stents, but also cutting devices, lasers etc. Although traditionally this is referring to arteries in the heart, over time this has expanded to other arteries throughout the vascular system, including the legs, arms, kidneys, and more. It has also advanced into a relatively new field of structural interventions—using minimally invasive techniques to perform valve replacements, valve repair, and repair defects in the heart.
What makes you want to be an Interventional Cardiologist?
Interventional Cardiology has always appealed to me from the time I was an intern. It is a field of high risk, but also very high reward. We have the ability to treat patients who are very critically ill suffering from a heart attack, and take them from a life-threatening condition to healed in just a matter of days. Just last week we had a patient who had a cardiac arrest and was resuscitated in the field. We brought him to the cath lab and fixed his blocked artery and after a short period of time, I had the pleasure of sending him home to resume normal activities*. There are not many fields in medicine where you get to see that dramatic recovery and response in such a short time.
What is one of your greatest strengths?
At The Heart Center, our greatest strength is our teamwork. As an example for minimally invasive aortic valve replacements, we have two Interventional Cardiologists and usually two cardiovascular surgeons scrubbed in together, as well as an anesthesiologist, a non-invasive cardiologist obtaining images, nurses, technologists, physicians assistants, etc. all working as a team. We have regular conferences to discuss each of these cases, so we plan everything ahead of time and there are no surprises when we are operating. Our team reviews all of the pretesting and imaging well in advance, so we know exactly what type of procedure is right for the patient and have all the necessary equipment to make sure the surgery is seamless and successful.
What are your success rates?
We have excellent results with cardiac interventions in general, for our treatment of patients with heart attacks, and for bypass surgery. We track this data every month and our goal is to maintain the best possible outcomes comparable to hospitals that are rated at the top decile. As an Interventional Cardiologist and also as president of The Heart Center, I am in a unique position to both participate in performing these procedures as well as to monitor and track the outcomes and implement programs to ensure continued success and growth. In the field of cardiology, we have certainly come along in the past decade. In the future, we have some great plans going forward. The Heart Center has recruited some excellent doctors. We expect to continue to provide high quality care.
Tell me about your therapy dogs and how they are helpful.
I have two golden retrievers, a mother and daughter, Zoe and Bella. We trained them to be therapy dogs. My wife Geeta and I bring them to the hospital. They visit patients, family members, as well as staff members. They help deal with the stress that is in the hospital and return a sense of normalcy. We have seen a lot of patients light up when they see the dogs. It is hard enough being away from home in the hospital, but many of these patients are away from their pets. Anyone who is pet lover would understand. There is a peace and tranquility that you get being with a pet.
*Results vary by individual case
Multiple board certifications and a wide range of professional experience make Dr. Gorwara ideally suited to represent The Heart Center, a division of Hudson Valley Cardiovascular Practice, P.C., and Vassar Brothers Medical Center in his role as President and Managing Partner of the Heart Center and Chief of Cardiology at Vassar.
Vassar Brothers Medical Center
The Heart Center, a division of Hudson Valley Cardiovascular Practice, P.C.
1 Columbia Street, 2nd Floor
Poughkeepsie NY 12601
TTY /Accessibility: (800) 421-1220
Read Past Topics from Dr. Gorwara:
â€‹When Is Angioplasty the Answer?
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