The Heart and Vascular Institute
World-Class Heart Care
One of the largest Atrial Fibrillation programs in the St. Louis region.
Beautiful Healing Garden
Plantings, benches and fountains are integrated into the design to promote reflection and to provide comfort.
World-class cardiothoracic surgery
St. Anthony's offers minimally invasive coronary artery bypass, mitral valve and aortic valve surgery.
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 clinic 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.
- successfully completing a structural heart program using TAVR and MitraClip procedures.
- 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 and Vascular 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.
Surgeons at The Heart & Vascular Institute surgeons are recognized by many primary care physicians for their expertise and familiarity with treating patients with abdominal aortic aneurysms (AAA). Surgeon Brian Peterson, MD, teaches courses in AAA repair and complications across the country.
- 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.
- Successfully treating patients with Transcatheter Aortic Valve Replacement (TAVR) and mitral valve repair using MitraClip.
- Fifth-highest enroller in the country for the Global Registry for Endovascular Aortic Treatment (GREAT) registry. Recently, the Vascular Surgery team completed a study using registry data and presented a poster at the 40th Annual Meeting of the Midwestern Vascular Surgical Society in Columbus, Ohio, “Percutaneous Approach And Older Age Negatively Impact Aneurysm Sac Remodeling Following Endovascular Aortic Repair.”
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 and vascular specialists who practice compassionate, evidence-based care and enable us to provide rapid evaluation and treatment.
Cardiologists, vascular surgeons and cardiac surgeons, available 24/7, are part of a 15-member group practice and an acclaimed heart and vascular 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.
The Joint Commission - Gold Seal of Approval
St. Anthony's has earned The Joint Commission’s Gold Seal of Approval® for Advanced Certification in Heart Failure. The Gold Seal of Approval® is a symbol of quality that reflects an organization’s commitment to providing safe and effective patient care. St. Anthony’s is the first facility in the St. Louis region to earn this symbol of quality.
Joint Commission experts provided a rigorous on-site review, evaluating compliance with disease-specific care standards as well as with heart failure-specific requirements. The certification recognizes heart failure programs that include either a hospital-based and hospital-owned outpatient heart failure clinic or have a collaborative relationship with one or more attending cardiology practices.
Level One STEMI Center
St. Anthony’s is among the first group of hospitals to be certified by the state of Missouri as a Level One STEMI (ST-Elevation Myocardial Infarction) Center, the highest level of cardiac care available.
ST-Elevation Myocardial Infarction is a very serious type of heart attack during which one of the heart's major arteries (one of the arteries that supplies oxygen and nutrient-rich blood to the heart muscle) is blocked. Because of the risk of death and disability, patients experiencing a STEMI need quick care.
As part of the Level One certification, St. Anthony’s has a STEMI team that is available 24 hours a day, within 30 minutes of activation, to assess patients and start treatment. St. Anthony’s is in line with Mercy STEMI centers in Missouri, which have a median door-to-balloon time of less than 55.5 minutes. This is markedly lower than the 90-minute recommendation.
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Heart and Vascular News
- St. Anthony's Among Six Mercy Hospitals Designated STEMI Centers05/15/2018
- Donated AED Saves a Life at St. Simon the Apostle12/19/2017
- New Minimally Invasive Option to Open Heart Surgery10/24/2017
- Vein Services Earns Re-accreditation10/23/2017
- "U.S. News & World Report" Names St. Anthony’s Among Best in Treating Two Conditions08/08/2017
- Vascular Surgeon joins St. Anthony’s Heart & Vascular Institute team08/01/2017
- Advanced Certification in Heart Failure from The Joint Commission07/20/2017
- American Heart Association honors St. Anthony’s with Silver Plus Award for heart failure care05/11/2017
- Stenting of Completely Blocked Coronary Arteries May Represent “Final Frontier” in Interventional Cardiology01/17/2017
- Cardiothoracic Surgeons Perform 500th Procedure01/04/2017