Cardiac Catheterization

The Pediatric Cardiac Catheterization Laboratory at Yale New Haven Hospital is directed by Drs. John Fahey and Jeremy Asnes. The laboratory routinely performs diagnostic and interventional catheterization procedures in children and adults with congenital heart disease. Yale New Haven Children’s Hospital recently opened its new digital pediatric catheterization suite with state of the art equipment occupying space that allows for ample multidisciplinary approach to patient care. Procedures commonly performed include closure of atrial septal defect (ASD) and patent foramen ovale (PFO) and patent ductus arteriosus (PDA). In addition to transcatheter device placement, Drs. Fahey and Asnes have expertise in non-surgical transcatheter treatment of aortic and pulmonary valve stenosis, coarctation of the aorta, intravascular stent placement for narrowed arteries and vessels and blood vessel coil occlusion. Our interventional team also works collaboratively with our pediatric cardiothoracic surgeons to deliver the most innovative hybrid procedures that are intended to minimize operative time and difficulty while improving patient safety.

On the left, an aneurysm after prior balloon angioplasty of coarctation of the aorta. On the right, placement of a covered stent in the catheterization laboratory results in elimination of a residual coarctation narrowing in the aorta and closure of the aneurysm sac. 

On the left, an aneurysm after prior balloon angioplasty of coarctation of the aorta. On the right, placement of a covered stent in the catheterization laboratory results in elimination of a residual coarctation narrowing in the aorta and closure of the aneurysm sac.

The Laboratory is a participant in many pioneering clinical trials and as a result, is expert with a variety of intracardiac devices including the Amplatzer Septal Occluder™ device, the Amplatzer PFO Occluder™ device, the Amplatzer Ductal Occluder™ device, and the CardioSEAL™ device. Intracardiac echocardiography is frequently used to provide visual guidance during invasive procedures. This technology allows procedures to be performed without the need for general anesthesia.

On the left, intracardiac echocardiography (ICE) is used in the laboratory to assess closure of an atrial septal defect using an Amplatzer device. On the right, an angiogram shows dark contrast filling the right atrium once the ASD occlusion device is in place. 

On the left, intracardiac echocardiography (ICE) is used in the laboratory to assess closure of an atrial septal defect using an Amplatzer device. On the right, an angiogram shows dark contrast filling the right atrium once the ASD occlusion device is in place.

The Pediatric Cardiac Catheterization Laboratory participates in pediatric interventional catheterization consortiums. These groups will bring together interventional cardiologists and resources from multiple centers across the country. The combined experience of these groups will allow participating institutions including Yale New Haven Children’s Hospital to advance the understanding of congenital heart disease and provide the best possible care for their patients.