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 Agin, Elliot David, MD, FACC
4.9 /5
192 surveys
203.874.1512
  • Cardiovascular Medicine
  • Echocardiography
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  • Milford
Al-Damluji, Mohammed, MD Al-Damluji, Mohammed, MD 860.636.2010
  • Interventional Cardiology
  • Cardiovascular Medicine
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  • Middletown
Ali, Ayyaz, MD, PhD Ali, Ayyaz, MD, PhD
4.8 /5
70 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Alter, Eric Louis, MD, FACC, RPVI Alter, Eric Louis, MD, FACC, RPVI 203.254.2452
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Nuclear Cardiology
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  • Fairfield
  • Fairfield
  • Milford
  • Stratford
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Atef, Amr Mohamed, MD Atef, Amr Mohamed, MD
4.9 /5
251 surveys
860.886.0023
  • Cardiovascular Medicine
  • Norwich
Azemi, Talhat, MD, FACC, RPVI Azemi, Talhat, MD, FACC, RPVI
4.9 /5
67 surveys
860.524.3081
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Echocardiography
  • Endovascular Medicine
  • Nuclear Cardiology
  • Vascular Medicine
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  • Hartford
  • Norwich
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Barbour, Mohamad Firas, MD Barbour, Mohamad Firas, MD
4.9 /5
150 surveys
860.242.8756
  • Cardiovascular Medicine
  • Bloomfield
Bleich, Steven, MD Bleich, Steven, MD 860.522.0604
  • Cardiovascular Medicine
  • Glastonbury
Borer, Steven Michael, DO, FACC, DipABLM Borer, Steven Michael, DO, FACC, DipABLM
4.9 /5
380 surveys
860.522.5712
  • Cardiovascular Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
  • Farmington
  • Manchester
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Carreras, Edward Thomas, MD, FACC, FSCAI 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 Casey, David Madigan, MD, FACC
4.9 /5
341 surveys
860.886.0023
  • Cardiovascular Medicine
  • Nuclear Cardiology
Show Less
  • Norwich
  • Mystic
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Cheema, Mohiuddin, MD Cheema, Mohiuddin, MD
4.9 /5
204 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Criscuolo Beck, Aimee Jude, PA-C Criscuolo Beck, Aimee Jude, PA-C
4.8 /5
133 surveys
860.636.2010
  • Cardiovascular Medicine
  • Middletown
Decena, Katharine T., MD Decena, Katharine T., MD
4.8 /5
249 surveys
860.886.0023
  • Cardiovascular Medicine
  • Echocardiography
Show Less
  • Norwich
Dougherty, Kevin Russell, MD, FACC Dougherty, Kevin Russell, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • Farmington
  • Glastonbury
  • Wethersfield
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Duncan, Brett Hunter, MD, FACC Duncan, Brett Hunter, MD, FACC
4.9 /5
385 surveys
860.522.5712
  • Cardiovascular Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
  • Farmington
  • Manchester
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Duvall, William, MD 860.972.2976
  • Cardiovascular Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
Elwan, Ahmed M., MD Elwan, Ahmed M., MD 860.258.3477
  • Cardiovascular Medicine
  • Wethersfield
  • Cromwell
  • Farmington
  • Glastonbury
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Farrell, William Joseph, MD, FACC Farrell, William Joseph, MD, FACC 203.265.9831
  • Cardiovascular Medicine
  • Internal Medicine
  • Interventional Cardiology
  • Nuclear Cardiology
Show Less
  • Wallingford
Feingold, Andrew David, MD, FACC Feingold, Andrew David, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
  • Avon
  • Glastonbury
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Ferraro-Borgida, Melissa Joy, MD, FACC Ferraro-Borgida, Melissa Joy, MD, FACC
4.9 /5
378 surveys
860.522.5712
  • Cardiovascular Medicine
  • Cardio-Obstetrics
  • Echocardiography
  • Nuclear Cardiology
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  • Hartford
  • Farmington
  • Manchester
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Fram, Daniel Bruce, MD Fram, Daniel Bruce, MD 860.524.3081
  • Interventional Cardiology
  • Cardiovascular Medicine
Show Less
  • Hartford
Franke, Sara, APRN Franke, Sara, APRN 203.315.5300
  • Cardiovascular Medicine
  • Branford
  • Guilford
  • Hamden
  • New Haven
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Fusco, Daniel Stephen, MD Fusco, Daniel Stephen, MD
4.9 /5
89 surveys
203.576.5708
  • Cardiac Surgery
  • Bridgeport
  • Hartford
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Golub, Robert Joel, MD, FACC Golub, Robert Joel, MD, FACC 203.265.9831
  • Cardiovascular Medicine
  • Echocardiography
  • Nuclear Cardiology
Show Less
  • Wallingford
Granquist, John Dickson, MD, FACC 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 Hagberg, Robert Carl, MD
4.9 /5
186 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Haider, Jawad, MD, FACC, RPVI Haider, Jawad, MD, FACC, RPVI
4.8 /5
146 surveys
860.524.3081
  • Interventional Cardiology
  • Cardiovascular Medicine
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  • Bloomfield
  • Hartford
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Hammond, Jonathan Acton, MD Hammond, Jonathan Acton, MD
4.9 /5
78 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Hanretta, Kelly Colleen, DO Hanretta, Kelly Colleen, DO
4.9 /5
93 surveys
860.572.5400
  • Cardiovascular Medicine
  • Mystic
  • Westerly
  • Willimantic
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Haronian, Howard L., MD, FACC Haronian, Howard L., MD, FACC
4.9 /5
101 surveys
401.596.4499
  • Interventional Cardiology
  • Cardiovascular Medicine
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  • Westerly
  • Hartford
  • Hartford
  • Mystic
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Harris, Jessica, PA-C 860.886.0023
  • Cardiovascular Medicine
  • Norwich
Hashim, Sabet W., MD, FACS Hashim, Sabet W., MD, FACS
5.0 /5
171 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
  • Bridgeport
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Horblitt, Adam, MD Horblitt, Adam, MD
4.9 /5
195 surveys
203.867.5300
  • Cardiovascular Medicine
  • Branford
  • Guilford
  • Hamden
  • New Haven
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Ingrassia, Joseph James, MD, RPVI Ingrassia, Joseph James, MD, RPVI
5.0 /5
44 surveys
860.524.3081
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Echocardiography
  • Nuclear Cardiology
  • Vascular Medicine
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  • Hartford
  • Winsted
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Katsetos, Manny Christos, MD Katsetos, Manny Christos, MD 860.229.6811
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • New Britain
Kramer, Daniel G., MD, FACC Kramer, Daniel G., MD, FACC
4.9 /5
377 surveys
860.522.5712
  • Cardiovascular Medicine
  • Hartford
  • Farmington
Show Less
Kreiter, Marina, APRN Kreiter, Marina, APRN 860.886.0023
  • Cardiovascular Medicine
  • Norwich
Lee, Maximilian H., MD, FACC Lee, Maximilian H., MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
  • Avon
  • Glastonbury
Show Less
Lenhart, Kevin Kalman, MD Lenhart, Kevin Kalman, MD
4.9 /5
363 surveys
203.888.8510
  • Cardiovascular Medicine
  • Oxford
  • Branford
  • Derby
  • Hamden
Show Less
Lorenz, David Patrick, MD, FACC 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 Malkin, Robert Douglas, MD 860.229.6811
  • Cardiovascular Medicine
  • Internal Medicine
  • Interventional Cardiology
Show Less
  • New Britain
Mamuya, Komsu Fidel, MD, FACC Mamuya, Komsu Fidel, MD, FACC 860.258.3477
  • Cardiovascular Medicine
  • Nuclear Cardiology
Show Less
  • Wethersfield
  • Glastonbury
  • Granby
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Martinez, Fidel, MD Martinez, Fidel, MD
4.8 /5
176 surveys
860.489.1132
  • Cardiovascular Medicine
  • Nuclear Cardiology
Show Less
  • Torrington
Memon, Sarfaraz, MD Memon, Sarfaraz, MD 860.524.3081
  • Interventional Cardiology
  • Cardiovascular Medicine
Show Less
  • Hartford
  • Norwich
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Merkatz, Kenneth Alan, MD Merkatz, Kenneth Alan, MD 860.258.3477
  • Cardiovascular Medicine
  • Internal Medicine
Show Less
  • Wethersfield
  • Enfield
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Oligino, Eric Joseph, MD, FACC Oligino, Eric Joseph, MD, FACC
4.9 /5
330 surveys
860.522.5712
  • Cardiovascular Medicine
  • Hartford
  • Farmington
  • Manchester
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Paoletti, Daniel C., PA-C Paoletti, Daniel C., PA-C
4.9 /5
34 surveys
203.264.5911
  • Cardiovascular Medicine
  • Oxford
Peckham, Elizabeth Nicole, APRN Peckham, Elizabeth Nicole, APRN
4.9 /5
37 surveys
860.886.0023
  • Cardiovascular Medicine
  • Norwich
  • Plainfield
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Phelan, Christopher, MD, FACC Phelan, Christopher, MD, FACC
4.9 /5
233 surveys
860.522.5712
  • Cardiovascular Medicine
  • Hartford
Piccirillo, Bryan James, MD Piccirillo, Bryan James, MD
4.9 /5
55 surveys
860.524.3081
  • Interventional Cardiology
  • Cardiovascular Medicine
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  • Hartford
  • Norwich
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Portnay, Edward Lowell, MD, FACC, FSCAI Portnay, Edward Lowell, MD, FACC, FSCAI 203.353.1133
  • Interventional Cardiology
  • Stamford
Pousatis, Sheelagh, MD Pousatis, Sheelagh, MD
4.9 /5
83 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Richards, Kyle A., MD, FACC, FASNC, RPVI Richards, Kyle A., MD, FACC, FASNC, RPVI 860.886.0023
  • Cardiovascular Medicine
  • Nuclear Cardiology
Show Less
  • Norwich
Rizvi, Asad Ali, MD, FACC Rizvi, Asad Ali, MD, FACC 860.524.3081
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Echocardiography
  • Nuclear Cardiology
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  • Hartford
  • Norwich
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Robertson, Tara, APRN, DNP Robertson, Tara, APRN, DNP 860.972.1212
  • Cardiovascular Medicine
  • Fairfield
  • Trumbull
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Sadiq, Immad, MD Sadiq, Immad, MD
4.7 /5
34 surveys
860.524.3081
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Endovascular Medicine
  • Vascular Medicine
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  • Hartford
  • Norwich
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Sanders, Graig, PA-C Sanders, Graig, PA-C
4.8 /5
253 surveys
203.867.5300
  • Cardiovascular Medicine
  • Guilford
  • Branford
  • Hamden
  • New Haven
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Saucier, Stephanie J., MD, FACC, RPVI Saucier, Stephanie J., MD, FACC, RPVI
5.0 /5
225 surveys
860.972.1695
  • Cardiovascular Medicine
  • Nuclear Cardiology
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  • Hartford
  • Southington
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Selter, Jared Gideon, MD, FACC Selter, Jared Gideon, MD, FACC 203.445.7093
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Nuclear Cardiology
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  • Trumbull
  • Bridgeport
  • Fairfield
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Singh, Parmanand, MD Singh, Parmanand, MD
4.9 /5
87 surveys
860.489.1132
  • Echocardiography
  • Cardiovascular Medicine
  • Nuclear Cardiology
Show Less
  • Torrington
Spivack, George, MD Spivack, George, MD 203.265.9831
  • Cardiovascular Medicine
  • Wallingford
Squitieri, Rafael Paolo, MD Squitieri, Rafael Paolo, MD
4.9 /5
196 surveys
203.576.5708
  • Cardiac Surgery
  • Bridgeport
Swales, Heather Hunt, MD Swales, Heather Hunt, MD 860.224.5694
  • Cardiovascular Medicine
  • Nuclear Cardiology
Show Less
  • New Britain
Tally, Kevin Joseph, MD, FACC Tally, Kevin Joseph, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Advanced Heart Failure and Transplant
  • Internal Medicine
Show Less
  • Hartford
  • Glastonbury
  • West Hartford
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Teopengco, Ryan, APRN Teopengco, Ryan, APRN 860.886.0023
  • Cardiovascular Medicine
  • Norwich
Thande, Njeri, MD Thande, Njeri, MD
4.8 /5
163 surveys
860.636.2010
  • Cardiovascular Medicine
  • Echocardiography
  • Nuclear Cardiology
Show Less
  • Middletown
Thompson, Craig Alan, MD Thompson, Craig Alan, MD 860.524.3081
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Endovascular Medicine
  • Vascular Medicine
Show Less
  • Hartford
Wagner, Anja, MD, FACC Wagner, Anja, MD, FACC 203.845.2160
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Nuclear Cardiology
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  • Bridgeport
  • Fairfield
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Walden, Jeffrey Howard, MD, FACC Walden, Jeffrey Howard, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Hartford
  • Glastonbury
  • Manchester
  • Wethersfield
Show Less
Yaffee, David, MD Yaffee, David, MD
4.9 /5
137 surveys
860.696.5520
  • Cardiac Surgery
  • Cardiothoracic Surgery
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  • Hartford