Coronary Intervention

Royal Papworth Hospital is one of the leading and highest-volume interventional cardiology centres in the UK. Recent volumes have reduced with the opening of smaller interventional centres within the region, but the hospital is aware that outcomes are more favourable in high-volume centres.

The interventional team undertakes in excess of 4,200 diagnostic and coronary interventional procedures per year, including coronary angioplasty and primary angioplasty for acute heart attacks.

Complex coronary intervention, including left main stem stenting, chronic total occlusions, bifurcation lesions and rotablation for heavily calcified arteries are all undertaken.

In addition, the latest invasive diagnostic tools are used including intravascular ultrasound (IVUS) virtual IVUS, fractional flow reserve studies (FFR) and optical coherence tomography (OCT) where appropriate, to guide interventional procedures. Activity is audited internally, regionally and nationally and outcomes are exemplary.

In September 2018, a new care pathway was launched for high-risk NSTEMI heart attacks, which has seen patients benefit from quicker, safer treatment

Structural Intervention

Over recent years, with the introduction of multi-disciplinary structural and specialist valve clinics, there has been a dramatic increase in the number of interventional procedures carried out for structural heart disease. Closure of septal defects including atrial septal defects (ASD) and patent foramen ovale (PFO) has significantly increased. Royal Papworth is a recognised centre for balloon valvuloplasty (mitral and pulmonary), alcohol septal ablation for hypertrophic obstructive cardiomyopathy (HOCM), atrial appendage closure and transcatheter aortic valve implantation (TAVI). Royal Papworth is actively involved in the development and introduction of other percutaneous valve and non-valvular structural devices and procedures.

Consultants who perform diagnostic and interventional cardiology procedures at Royal Papworth Hospital are: