Auxilio Cardiovascular Center
Auxilio Mutuo Hospital puts at your disposition the most complete center for cardiac diseases in the Caribbean. Our ample and modern facilities combine technology with specialized equipment along with a faculty that is committed with cardiovascular health. Our services include invasive and non-invasive cardiovascular studies. Educational clinics are given regularly by our cardiac specialists to educate about prevention and patient care.
Chest pain program
The chest pain program channels specialized attention for cardiovascular emergencies 24 hours a day, seven days a week from the arrival to our Emergency Room. Our chest pain program has the latest protocols and exams necessary to identify your situation according to the American heart Association. This way we can guarantee your needs will be met.
Non-invasive Cardiovascular Laboratory
At the Non-invasive Cardiovascular Laboratory on the first floor of our institution, we offer a variety of services aimed at diagnosis and prevention of cardiovascular diseases. Patients have multiple diagnostic services at their disposition.Services
- EKG – Resting Electrocardiography
An electrocardiogram is an exam that registers the\ electric activity of the heart.
- Holter – Dynamic Electrocardiograph
A Holter monitor is a machine that registers cardiac rhythm continuously. It is worn for 24 or 48 hours during normal activity.
- Simple and combined ultrasound stress tests
Used to measure the effect of exercise on the heart
- Color flow, cardiac Doppler, Tissue Doppler, strain, and strain rate Echocardiograms.
A test using sound waves to create images of the heart. This image and the information it produces are much more detailed than a simple radiography.
- Transesfolagic Echocardiograph
An echocardiogram is a process that uses ultrasound to produce real-time moving images of the interior the heart. The ultrasound detector is placed through the throat, to take images of the heart.
- Peripherovascular Studies
This test uses ultrasounds to examine the blood flow of the arteries and large veins in arms and legs.
- Tilt Table
Study used to evaluate the cause of fainting spells with unknown origin.
- ABOM – Ambulatory pressure
A device is used to evaluate the pressure of arteries while you lead a normal daily life in order to determine fluctuations.
- Fistula evaluations
These services are available to hospitalized patients or ambulatory patients.
Invasive Cardiovascular Laboratory
At the Invasive Cardiovascular Laboratory we have services and the most advanced invasive cardiovascular technology in Puerto Rico. The goal of the invasive Cardiovascular Laboratory is to provide services from committed health professionals that are available twenty-four hours a day give patients the attention they require, according to the severity of their condition.Services
- Left and right catheterization
- Coronary angiography
Procedure in which a special ink is observed with an x-ray machine to view the way if flows through the blood stream and the heart’s arteries.
A study where images are taken of the heart chambers to identify its functioning and anatomy.
Procedure in which a special ink is observed with an x-ray machine to see how it flows through the aorta. The aorta is the major artery that exits the heart through the abdomen or womb.
- Coronary angioplasty
The coronary angioplasty is a procedure used to restore blood flow to the heart arteries using a stent or metallic net.
- Fractional Flow Reserve (FFR)
A vanguard procedure a precise measurement of the blood flow through the arteries of the heart can be made in order to decide if a coronary angioplasty is necessary.
- Intravascular Ultrasound (IVUS)
New method of measuring the size of the occlusions of the heart arteries in order to select the right stent or metallic net for the heart. This is done with a miniature ultrasound.
In addition to these common procedures, our Lab has vanguard diagnostic studies such as High Risk Complex Interventions, among these are the following:
- Coronary rotablation
Rotablation a technique used in which a devices called a rotablator (a small catheter that grinds calcium) is inserted in the artery to disintegrate an occlusion that is too hard to be removed via regular angioplasty. This procedure allows us to clear the artery and prepare it for a successful coronary angioplasty.
- Coronary atherectomy via laser
Consists of a type of special angioplasty where the blood flow is restored to the heart arteries by eliminating the occlusion with the use of a laser.
- Percutaneous Coronary Intervention for Chronic Total Obstructions (CTO)
Unique and new procedure that offers patients with occlusions in their coronary arteries the opportunity to be treated without being submitted to open-heart surgery. Many patients have not been candidates for “Coronary Bypass surgery and may be candidates for this innovative procedure. Not all patients are candidates, but if studies have demonstrated that candidates receive many benefits from this procedures as well as high success rates.
As you may see, our laboratory is one of the most complete in the Caribbean, since we offer so many options to treat different cardiac conditions.
Cardiovascular Electrophysiology Lab
At our Electrophysiology lab, studies and procedures are done pertaining to the electric conduction of the heart. The patient receives treatment to fix any anomaly or arrhythmia, bait a heart that is beating too fast (tachycardia) or slow (bradycardia) or irregularly.
At our cardiovascular electrophysiology lab we have the most specialized equipment in Puerto Rico and the Caribbean to diagnose and treat the severity of a condition according to the electric activity of the heart. Electrophysiological studies (electric conduction)Services
- Heart conduction analysis to detect anomalies.
- Cardiac ablation (electric conduction cauterization)
Cardiac ablation is a procedure that is used to create scars in tiny areas of the heart that may be involved in problems with your cardiac rhythm.
- Pacemaker implant
A small battery operated device that detects when the heart is beating irregularly. This sends a message to the heart making it beat correctly.
- Cardioversor / defibrillator or ICD (CRT-D. CRT-P) implant
A device that detects any potentially fatal cardiac rhythm. These cardiac anomalies are called arrhythmia. If they appear, the device sends an electrical discharge to the heart in order to bring it back to normal.
- Subcutaneous “Holter”
The New cable less holter that can be applied in just minutes under the skin, registers all cardiac incidences of each patient after being evaluated y a doctor.
Manual method in which an electrical discharge is given to the heart to make its rhythm normal.
- Transseptal Catheterization
Method in which the lower chambers of the heart are given a small puncture to reach le left side of the heart and make studies and procedures.
- Percutaneous Occlusion of the Left Auricular Appendix
One of the major complications of atrial fibrillation, a type of cardiac arrhythmia, is the formation of blood clots. Recently, a new method has been implemented to occlude the area of the heart where most of these blood clots occur. The technique is very complex; but our facility has the means to perform this procedure.
Cardiac Surgeons offer a wide range of services for heart and lung surgery. Technical and nursing personnel with the necessary training assist the surgeons in these processes that are performed with the most advanced technology in modern operation rooms.Services
- Conventional cardiac surgery
Bypass or open-heart surgery
- Off pump cardiac surgery
A cardiac surgery where the heart continues beating without the need to be connected to a machine that pumps or oxygenates the blood.
- Minimally invasive coronary artery bypass grafting
A bypass surgery procedure in which small incisions are made using modern instruments that may reach the heart. This type of surgery has a better chance of patient recuperation than conventional types, and without any large scars. This type of surgery can be made without having to stop the heart.
- Minimally invasive valve and tumor surgery
This type of surgery or tumor removal is made with small incisions in the chest using modern instruments that can reach the heart. If you are not an ideal candidate for minimal invasive surgery, you may consider a conventional surgery.
- Video assisted thoracoscopic surgery (VATS)
Is a lung surgery that uses a small video camera along with other tiny tools in order to complete the surgery. This procedure is painless and a better recuperation process than open lung surgery.
- Endovascular Viarice Surgery
This surgery is performed to remove a vein from the legs which will be implanted in a coronary bypass surgery. With our innovative endovascular technique, the removal will be made through a small incision inn the legs without any large scars.
We will soon have more innovative and vanguard services, among these are the following:
- Transcathater Aortic valve Replacement
Is a modern technique that uses a small catheter to implant an artificial valve. Currently it is the aortic valve transplant method.
- Robotic cardiac surgery (Da Vinci)
The robotic surgery surpasses the limitations of laparoscopic conventional surgery making it one of the more confortable and precise forms of surgery, especially in hard to reach areas.
This new and innovative surgical system, named Da Vinci, is an informatics assisted robotic system that increases a surgeon’s capacity to perform a less invasive procedure. It helps reduce hospital stay by 40% after a surgical intervention. The robotic surgery is performed with specially designed, small instruments of great precision. This advanced equipment helps us work with a perfect view of the affected area and gives the surgeon better precision.
Invasive Radiology Lab
Invasive Radiology is a subspecialty of radiology and is used to diagnose and treat medical conditions through minimally invasive methods. At the Invasive Radiology Lab, we have interventional and vascular radiologist that are certified in diagnostic and interventional radiology by the “American board of radiology with a Certificate of Additional Qualification in Minimally Invasive Procedures.Services
- Diagnostic arteriography
Is a procedure that uses a special ink, and an ex ray machine to observe the way it moves through the arteries.
Is a procedure to return blood flow to the arteries of different areas of the body by using a “stent” or metallic net.
- Laser Atherectomy
Consists of a procedure where blood-flow is returned to the arteries of the body by eliminating occlusions using a laser.
- Endovascular embolization
Endovascular embolization is a procedure used to treat anomalies inn blood vessels in different parts of the body. It is an alternative to open surgery. This procedure interrupts blood spreading to a certain part of the body. This same method is used in conditions such as uterine fibroma, chemoembolization of the liver, tumors, arteriovenous malformations and aneurisms.
- Vena cava filter
Are used in cases of deep venous thrombosis or the formation of clots in the legs. The filter is inserted in a large vein called a vena cava. Here it traps blood clots before they reach the lungs. These can be permanent or removable.
- Thrombolysis and Thrombectomy
Thrombosis refers to the use of potent medication to dissolve clotting. There are cases in which medication is not enough. In these cases a thrombectomy is recommended. A thrombectomy is the mechanical removal of a blood clot.
- Biliary draining
Is a method used to diagnose and treat diseases than may produce obstructions of the biliary paths. This draining is done to relieve symptoms produces by any biliary obstruction that may be jaundice yellow skin, fever, pain and itching.
- Urinary drainage
Urinary drainage is used due to any urinary incontinence problem, retention, or surgery that mad the placement of a probe necessary, among other health problems.
- Shunt transjugular intrahepathic
Is a procedure used to create new connections between two blood vessels and the liver. You may need this procedure if you have severe hepatic issues.
- Computerized Tomography Myeliography
A myelography uses a form of radiography in real time called fluoroscopic, and an injection of contrast materials to evaluate the spinal medulla, the roots of the nerves and the covering of the medulla (meninges). It is particularly useful to evaluate the spinal column after a surgery to evaluate any anomalies in the patient’s discs, in the cause that they cannot be submitted to a RMN.
- Removal of strange bodies from the blood vessels
The removal of strange bodies involves the removal of potentially dangerous objects or substances that may be introduced in the blood vessels from the exterior.
Cardiovascular Intensive unit and the Intensive Coronary unit
The Cardiovascular intensive unit and the Intensive Coronary unit are specialized units in their own class with equipment designed to monitor cardiac function after a surgery and or cardiac procedures. The multidisciplinary equipment of these units offers individual services to their patients in order to guarantee a successful recovery.
The Telemetry Unit is equipped with wireless technology that allows private monitoring of cardiac rhythm of out patients from a remote station. Patients can enjoy more privacy while being constantly monitored. Our unit is located on the seventh floor of the Milagrosa Building.