Complex PCI

The Heart & Vascular Institute specializes in complex percutaneous coronary intervention cases, a nonsurgical procedure once known as angioplasty with stent. The institute's coronary artery total occlusions program – treating arteries that have been completely occluded for an extended period – is New England’s largest.

In this procedure, doctors insert a small device called a stent through a catheter to open blood vessels in the heart blocked by a buildup of plaque (atherosclerosis). This technique pushes plaque to the vessels’ walls. Alternatively, an atherectomy uses a device to cut plaque from the walls.

The Heart & Vascular Difference: At Hartford Hospital alone, doctors perform 1,300 of these procedures in a typical year – making the Heart & Vascular Institute one of the leaders in the Northeast. 

Our doctors use these advanced techniques, not typically available collectively at other cath labs:

Orbital atherectomy: Pulverizes heavily calcified or thickened lesions.

Rotational atherectomy: Shaves off plaque with a rotating burr or drill placed on the tip of a catheter.

Laser atherectomy: High-energy light, administered via a catheter, that destroys plaque and unblocks the artery.

Bifurcation stenting: A more complex case with blockages of side-branch vessels – like a tree, vessels emerge from main coronary artery – because stents are not available in an interlocking “Y” shape.

Ostial Flash balloon deployment of ostial stents: A dual-balloon treatment for ostial disease (coronary ostial stenosis is the blockage of the ostium, just above the aortic valve).

Fractional Flow Reserve (FFR): A procedure using a wire guided through a coronary artery that measures blood pressure and flow.

Intravascular ultrasound: A diagnostic imaging test via catheter with a miniature ultrasound probe at its tip.


Our Complex PCI Locations:


Meet our Coronary Specialists:

Name Specialties Location
Agin, Elliot David, MD, FACC 203.874.1512
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
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  • Milford
Ali, Ayyaz, MD, PhD 860.696.5520
  • Cardiac Surgery
  • Hartford
Alter, Eric Louis, MD, FACC 203.254.2452
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Nuclear Cardiology
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  • Fairfield
  • Milford
  • Stratford
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Atef, Amr Mohamed, MD
4.9 /5
221 surveys
860.886.0023
  • Cardiovascular Medicine
  • Internal Medicine
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  • Norwich
  • Willimantic
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Azemi, Talhat, MD
4.9 /5
33 surveys
860.972.5083
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Endovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
  • Vascular Medicine
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  • Hartford
Bleich, Steven, MD 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
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  • Hartford
Borer, Steven Michael, DO, FACC 860.522.5712
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • Farmington
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Carreras, Edward Thomas, MD, FACC, FSCAI 203.380.3910
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Interventional Cardiology
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  • Stratford
  • Bridgeport
  • Milford
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Casey, David Madigan, MD, FACC 860.572.5400
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Plainfield
  • Mystic
  • Norwich
  • Old Lyme
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Cheema, Mohiuddin, MD
4.8 /5
123 surveys
860.696.5520
  • Cardiac Surgery
  • Endovascular Surgery
  • Vascular Surgery
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  • Hartford
Criscuolo Beck, Aimee Jude, PA-C
4.8 /5
169 surveys
860.626.2010
  • Cardiovascular Medicine
  • Middletown
Decena, Katharine T., MD
4.8 /5
219 surveys
860.886.0023
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
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  • Norwich
Dougherty, Kevin Russell, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • Enfield
  • Glastonbury
  • Wethersfield
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Duncan, Brett Hunter, MD, FACC 860.522.5712
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • Farmington
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Farrell, William Joseph, MD, FACC 203.265.9831
  • Cardiovascular Medicine
  • Internal Medicine
  • Interventional Cardiology
  • Nuclear Cardiology
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  • Wallingford
Feingold, Andrew David, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • Avon
  • Glastonbury
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Ferraro-Borgida, Melissa Joy, MD, FACC 860.522.5712
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • Farmington
  • Manchester
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Fram, Daniel Bruce, MD 860.972.5083
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • Hartford
Fusco, Daniel Stephen, MD
4.8 /5
33 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Golub, Robert Joel, MD, FACC 203.265.9831
  • Cardiovascular Medicine
  • Echocardiography
  • Nuclear Cardiology
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  • Wallingford
Gonzalez, Alex C., PA-C
4.9 /5
194 surveys
860.636.2010
  • Cardiovascular Medicine
  • Middletown
  • Old Saybrook
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Granquist, John Dickson, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Advanced Heart Failure and Transplant
  • Internal Medicine
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  • Hartford
  • Glastonbury
  • Windsor
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Hagberg, Robert Carl, MD
4.9 /5
88 surveys
860.696.5520
  • Cardiac Surgery
  • Endovascular Surgery
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  • Hartford
Haider, Jawad, MD, FACC, RPVI 860.242.8756
  • Interventional Cardiology
  • Cardiovascular Medicine
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  • Bloomfield
Hammond, Jonathan Acton, MD
4.9 /5
49 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Haronian, Howard L., MD, FACC
4.8 /5
154 surveys
401.596.4499
  • Interventional Cardiology
  • Cardiovascular Medicine
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  • Westerly
  • Hartford
  • Hartford
  • Mystic
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Hashim, Sabet W., MD, FACS
4.9 /5
60 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
  • Bridgeport
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Hirst, Jeffrey Alan, MD
4.8 /5
32 surveys
860.972.5083
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • Hartford
Ingrassia, Joseph James, MD, RPVI 860.972.5083
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Nuclear Cardiology
  • Vascular Medicine
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  • Hartford
  • Winsted
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Katsetos, Manny Christos, MD 860.229.6811
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • New Britain
Kiernan, Francis John, MD 860.972.5083
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • Hartford
Kramer, Daniel G., MD, FACC 860.522.5712
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • Farmington
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LaSala, Anthony Francis, MD 860.258.3477
  • Cardiovascular Medicine
  • Internal Medicine
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  • Wethersfield
Lee, Maximilian H., MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • Avon
  • Glastonbury
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Lorenz, David Patrick, MD, FACC 203.845.2160
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Endovascular Medicine
  • Internal Medicine
  • Vascular Medicine
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  • Norwalk
  • Bridgeport
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Malkin, Robert Douglas, MD 860.229.6811
  • Cardiovascular Medicine
  • Internal Medicine
  • Interventional Cardiology
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  • New Britain
Mamuya, Komsu Fidel, MD, FACC 860.258.3477
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Wethersfield
  • Glastonbury
  • Granby
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Mansoor, Mohamed, MD, FACC 860.258.3477
  • Cardiovascular Medicine
  • Internal Medicine
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  • Glastonbury
  • Wethersfield
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McKay, Raymond George, MD 860.972.5083
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • Hartford
Merkatz, Kenneth Alan, MD 860.258.3477
  • Cardiovascular Medicine
  • Internal Medicine
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  • Wethersfield
  • Enfield
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Paoletti, Daniel C., PA-C 203.264.5911
  • Cardiovascular Medicine
  • Southbury
Piccirillo, Bryan James, MD 860.972.3570
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • Hartford
Portnay, Edward Lowell, MD, FACC, FSCAI 203.353.1133
  • Cardiovascular Medicine
  • Internal Medicine
  • Interventional Cardiology
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  • Stamford
  • Fairfield
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Rizvi, Asad Ali, MD 860.972.5083
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
Sadiq, Immad, MD 860.972.5083
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • Hartford
Sanders, Graig, PA-C 203.867.5300
  • Cardiovascular Medicine
  • Guilford
  • Branford
  • Hamden
  • New Haven
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Saucier, Stephanie J., MD, FACC
4.8 /5
30 surveys
860.972.1695
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • New Britain
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Selter, Jared Gideon, MD, FACC 203.445.7093
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Trumbull
  • Bridgeport
  • Fairfield
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Spivack, George, MD 203.265.9831
  • Cardiovascular Medicine
  • Wallingford
Swales, Heather Hunt, MD 860.224.5694
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • New Britain
Tally, Kevin Joseph, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Advanced Heart Failure and Transplant
  • Internal Medicine
Show Less
  • Hartford
  • Enfield
  • Glastonbury
  • West Hartford
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Thande, Njeri, MD 860.636.2010
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Middletown
  • Middletown
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Underhill, David Joseph, MD
4.9 /5
59 surveys
860.696.5520
  • Cardiac Surgery
  • Endovascular Surgery
  • Vascular Surgery
Show Less
  • Hartford
Wagner, Anja, MD, FACC 203.845.2160
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Bridgeport
  • Fairfield
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Walden, Jeffrey Howard, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
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  • Hartford
  • Glastonbury
  • Manchester
  • Wethersfield
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Yaffee, David, MD
4.9 /5
49 surveys
860.696.5520
  • Cardiac Surgery
  • Cardiothoracic Surgery
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  • Hartford