Heart and Vascular Institute

Our vision is to provide the best heart care in the country.  As a recognized leader in cardiac care, St. Anthony’s strives to reach this goal by:

  • meeting and exceeding the highest level of accreditation for advanced heart services and “best practice” standards.
  • Providing a comprehensive heart surgery program that includes traditional coronary artery bypass surgery, off-pump coronary bypass surgery and minimally invasive cardiovascular surgeries.
  • providing a heart failure program which has been proven to make patients feel better and experience fewer related symptoms.
  • having an electrophysiology lab that was the first in the Midwest to have a three-dimensional heart mapping system system, which enables doctors to build a model of each patient’s heart prior to surgery.
  • performing catheterizations through the wrist, which when compared to catheterizations through the groin, eliminates the risk of internal bleeding, makes patients more comfortable because they can sit up, walk and eat immediately after the procedure and can allow them to go home the same day.
  • receiving diagnostic work from an ambulance before patients reach the hospital, which allows some patients to skip the emergency department and make it from home to our catheterization lab for treatment in less than an hour.
  • treating arteries not only in the heart, but also in the legs and neck, with a catheter, balloon or stent, which allows most patients to return home the next day.
  • providing at least two in-home nurse visits for all patients suffering from heart failure, no matter the reason they were admitted to St. Anthony’s

Leading Heart Care

The physicians of the Heart & Vascular Institute at St. Anthony’s are leading the way by becoming the first physicians in the St. Louis area to use new technology and techniques. Some of our recent innovations include:

  • First in the world to implant an iliac branch stent graft to treat aortic and iliac aneurysm, implanted by Brian Peterson, M.D. The stent-graft was the first of an investigational study on the device that would allow a less invasive procedure to treat aortic and iliac aneurysms.
  • One of only 319 hospitals nationwide to receive the ACTION Registry–GWTG Platinum Performance Achievement Award for 2015 from the American College of Cardiology’s National Cardiovascular Data Registry (NCDR). This award honors hospitals that implement a higher standard of care for heart attack patients and achieve an aggressive goal of treating these patients at care levels outlined by the American College of Cardiology/American Heart Association’s clinical guidelines and recommendations. 
  • First in Missouri to use the Thermocool Smart touch catheter to treat atrial fibrillation (AFib), performed by Gregory Botteron, M.D. This device is the first catheter in the U.S. approved to feature direct contact force technology for the treatment of AFib.
  • First in Missouri to use the Topera Mapping System to improve the diagnosis and treatment of patients with cardiac arrhythmias, including atrial fibrillation (AFib), used by Gregory Botteron, M.D. The Topera system is a diagnostic tool that identifies and locates each patient’s specific source that is believed to sustain the irregular heartbeat, which has shown a high success rate in treatment even for patients who are normally difficult to treat.
  • First in the St. Louis area to use Medtronic’s IN.PACT Admiral, used by Christopher Allen, M.D. This is a drug-coated balloon used to treat peripheral artery disease in the upper leg.
  • One of two in the St. Louis area to implant a new miniature cardiac monitor just one week after it received FDA approval, implanted by Michael Shapiro, M.D. The monitor is one-third the size of an AAA battery, with 20 percent more memory space and the ability to continually monitor the heart wirelessly.

Advanced Heart Facilities

If advanced care is needed, St. Anthony's has the facilities and expertise to handle it. Our custom-designed surgical suites, such as a hybrid surgery-catheterization room and electrophysiology suites with 3-D heart mapping, are industry innovations.

The Heart & Vascular Institute also has an Impella heart pump, a circulatory assist device that helps support the blood circulation of critically ill patients and allows cardiologists to perform heart procedures much more safely.

Heart & Vascular Specialty Team

The Heart & Vascular Institute at St. Anthony's offers board-certified heart specialists who practice compassionate, evidence-based care and enable us to provide rapid evaluation and treatment.

Cardiologists, available 24/7, are part of a 15-member group practice and an acclaimed cardiac surgery team, St. Anthony's Heart Specialty Associates, located on the St. Anthony’s Medical Center campus and in Kirkwood and Shrewsbury. St. Anthony's Heart Specialty Associates provides a variety of specialized care through its Heart Failure Clinic, Hypertension Clinic, the Heart Valve Clinic and Vein Services.

Our team is more than just the specialists in invasive cardiology, non-invasive cardiology, clinical cardiac electrophysiology and cardiothoracic surgery; it also includes vascular surgery and interventional radiology.

Providing Quality Care

To ensure we are providing the best, innovative care, St. Anthony's takes part in national organizations including the Society of Thoracic Surgeons (STS), the American College of Cardiology (ACC), and the Vascular Quality Initiative (VQI). We voluntarily report to these organizations to share our knowledge and work to follow best practices.

We are accredited as a Level 1 Stroke Center and have earned IAC Accreditation for Echocardiography (stress), Echocardiography (transesophageal), and Vein Services.Quality care is delivered in specialized settings such as the John K. Pruellage Heart & Vascular Center

Heart Care in the Community

Our heart care starts in the community, where six EMS agencies or ambulance districts and a 911 center are under the medical direction of St. Anthony's. In addition, St. Anthony's provides monthly continuing education classes for EMS crews to ensure their skills and training are up-to-date.

St. Anthony's also offers classes and programs throughout the community to evaluate and identify risk factors for heart disease, while encouraging healthier lifestyles.