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Services

Cardiac Surgery


Our cardiothoracic program offers the latest techniques in coronary artery bypass, valve repair or replacement and adult congenital procedures. Newer procedures are also currently available for lung surgery. The cardiothoracic team offers over 22 years of experience and an accumulation of over 7,000 cardiac surgeries performed and boasts an outcome performance that has been better than the national average on a yearly basis for the past seven years. The St. James cardiothoracic team takes great pride in its work as reflected by the quality of our program. Our affiliated surgeons are all board certified, are highly experienced and are supported by dedicated surgical teams.


Vascular Surgery


Our vascular surgery team offers surgical expertise in the treatment of a wide variety of peripheral vascular disorders.


  • Carotid endarterectomy/stenting
  • Lower extremity revascularization by minimally invasive treatment and open surgery
  • Aortic reconstruction by minimally invasive endovascular treatment and open surgery, including:
    • Aneurysms (infrarenal, suprarenal and thoracoabdominal)
    • Occlusive disease
  • Dialysis access procedures
  • Minimally invasive treatment of venous disorders including saphenous vein ablations for varicose veins

St. James is the only area hospital with a
dedicated Electrophysiology Lab

Non-Surgical Services


A wide array of services is offered at the Heart and Vascular Institute to provide patients with a seamless and comprehensive approach to the diagnosis and treatment of heart and vascular disorders.


Cardiology and Vascular Services


  • Cardiac/Vascular Computed Tomography Angiography (CTA)
  • Nuclear cardiology including exercise and pharmacological imaged stress testing
  • 24-hour Holter monitoring
  • Transthoracic and transesophageal echocardiography
  • Heart catheterization
  • Diagnostic evaluation of the syncope patient
  • Interventional Cardiology including primary angioplasty with surgical back-up 24/7
    • Percutaneous Transluminal Coronary Angiography (PTCA)
    • Stents
    • Atherectomy
    • Rotoblation
  • Peripheral vascular angiography (diagnostic and intervention)
  • Diagnostic and interventional electrophysiology
    • Radiofrequency catheter ablation
    • Implantable Cardioverter defibrillators
    • Pacemakers
  • Non-invasive vascular laboratory
    • Carotid duplex studies
    • Venous duplex and reflux studies
    • Arterial Doppler studies
  • Diagnostic and interventional vascular radiology
    • Angiogram
    • Carotid
    • Cerebral
    • Femoral (with intervention)
    • Renal
    • Subclavian (with intervention)
    • Upper Extremity (with intervention)
    • Angioplasty
    • Atherectomy
    • Venogram bilateral extremities
    • IVC Filter Insertion
    • A/V Dialysis Shunt (Fistulagram)
    • Declotting with Angiojet/angioplasty
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