Augusta University Medical Center offers highly complex approaches to treating coronary
artery disease (CAD). CAD happens when coronary arteries become blocked or narrowed,
limiting the flow of blood to the heart muscle.
Treatment for chronic total occlusions (CTO)
The narrowing of arteries is caused by plaque buildup. Sometimes plaque can be so
dense that the normal technology used for cardiac catheterization or percutaneous
coronary intervention (PCI) does not work. CTOs occur when this dense plaque builds
up for three months or more, causing symptoms including:
- Chest pain, tightness
- Shortness of breath
- Fatigue
- Pain in the upper arm or jaw
- Nausea
- Dizziness
Interventions for CTOs require providers with advanced skills and technology. The
specially-trained interventional cardiologists at AUMC are leaders in their field
and able to provide an exceptional level of care. Our providers will work with you
to determine your best course of CTO treatment. You can be considered as a candidate
if you are:
- Still experience symptoms of CAD after multiple procedures such as, stenting, coronary
artery bypass graph (CABG), or open-heart surgery.
- Have been told that there is nothing else that can be done to alleviate your symptoms.
We offer brachytherapy treatment for restenosis
There are only a few hospitals in the U.S. that can do brachytherapy - AUMC is the
stand-alone hospital in our area that offers this treatment. If you have restenosis,
our expert interventional cardiologists will discuss this treatment option with you.
Treatment plans for restenosis are very individualized.
What is restenosis?
Almost 15% of people who have had their CAD treated with a stent can develop a blockage
inside the stent, called restenosis. When this happens, you may experience the same
symptoms you had before the stent was placed. We use brachytherapy, commonly used
to treat cancers, to treat narrowing arteries inside coronary stents. It is a minimally
invasive procedure in which a radioactive seed is implanted beside the plaque limiting
blood flow.