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
Arcoleo, James Anthony, DO 860.749.1985
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Endovascular Medicine
  • Vascular Medicine
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  • Enfield
Atef, Amr Mohamed, MD
4.9 /5
113 surveys
860.886.0023
  • Cardiovascular Medicine
  • Internal Medicine
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  • Norwich
  • Willimantic
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Azemi, Talhat, MD
5.0 /5
39 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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Borkowski, Robert D., MD 860.229.6811
  • Interventional Cardiology
  • Cardiovascular Medicine
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  • New Britain
Casey, David Madigan, MD 860.258.3477
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
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  • Glastonbury
  • Wethersfield
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Chaudhry, Waseem, MD 860.972.1793
  • Cardiovascular Medicine
  • Echocardiography
  • Internal Medicine
  • Nuclear Cardiology
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  • Hartford
  • Farmington
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Cheema, Mohiuddin, MD
4.9 /5
81 surveys
860.696.5520
  • Cardiac Surgery
  • Endovascular Surgery
  • Vascular Surgery
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  • Hartford
Decena, Katharine T., MD 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
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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
5.0 /5
46 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 860.636.2010
  • Cardiovascular Medicine
  • Middletown
  • Marlborough
  • 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
50 surveys
860.696.5520
  • Cardiac Surgery
  • Endovascular Surgery
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  • Hartford
Haider, Ali, MD 860.749.1985
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Echocardiography
  • Endovascular Surgery
  • Nuclear Cardiology
  • Vascular Medicine
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  • Enfield
Hammond, Jonathan Acton, MD
4.9 /5
32 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Haronian, Howard L., MD, FACC
4.9 /5
125 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
70 surveys
860.696.5520
  • Cardiac Surgery
  • Hartford
Hirst, Jeffrey Alan, MD 860.972.5083
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • Hartford
Katsetos, Manny Christos, MD 860.229.6811
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • New Britain
Kiernan, Francis John, MD
4.8 /5
31 surveys
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 860.659.8830
  • Cardiovascular Medicine
  • Internal Medicine
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  • Wethersfield
Lee, Maximilian H., MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
  • Avon
  • Glastonbury
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Malkin, Robert Douglas, MD 860.229.6811
  • Cardiovascular Medicine
  • Internal Medicine
  • Interventional Cardiology
Show Less
  • New Britain
Mamuya, Komsu Fidel, MD, FACC 860.659.8830
  • 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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Piccirillo, Bryan James, MD 860.972.3570
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
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  • Hartford
Rizvi, Asad Ali, MD 860.972.5083
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
Sadiq, Immad, MD 860.972.5083
  • Interventional Cardiology
  • Cardiovascular Medicine
  • Internal Medicine
Show Less
  • Hartford
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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Underhill, David Joseph, MD
5.0 /5
57 surveys
860.696.5520
  • Cardiac Surgery
  • Endovascular Surgery
  • Vascular Surgery
Show Less
  • Hartford
Walden, Jeffrey Howard, MD, FACC 860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
Show Less
  • Hartford
  • Glastonbury
  • Manchester
  • Wethersfield
Show Less
Yaffee, David, MD 860.696.5520
  • Cardiac Surgery
  • Cardiothoracic Surgery
Show Less
  • Hartford