Services

Centric Heart & Vascular is committed to your long-term health. We offer general cardiovascular patient care services utilizing the most advanced technology, monitoring techniques, and therapies available. We’ll be with you every step of the way as we monitor your current state and evolving progress to provide guidance for the future.

Centric Heart & Vascular offers a variety of clinical services. Between office and home monitoring, consultation, diagnostic testing and treatment, we aim to make your experience as easy as possible.

Physician consultation, and physician or mid-level provider follow-up visits.

Centric Peripheral Arterial Disease & Advanced Limb Preservation Clinic

What is Peripheral Arterial Disease (PAD) and what causes it?

PAD is a common circulatory problem where narrowed arteries reduce blood flow to your arms or legs (usually your legs).  This narrowing prevents your legs from receiving enough blood flow to keep up with demands.  PAD is often caused by atherosclerosis where fatty deposits (cholesterol plaques) build up in your artery wall and reduce blood flow.  PAD may also be a sign of more widespread narrowing of your arteries causing reduced blood flow to your heart and brain.

Critical limb ischemia (CLI) represents the most advanced stage of PAD with signs of pain in the leg at rest, bluish skin changes, non-healing wounds or ulcerations, or gangrene.  Prompt restoration of blood flow has proven effective in preserving limbs and lives.

Patients with CLI are complex and require integrated multidisciplinary care.  Centric Heart & Vascular is committed to deliver an integrated approach and provides most of these needed services under one roof.

Centric Wound Care Clinic

A chronic or non-healing wound is more than a bother—it carries serious health complications and risks such as pain and infection to disability and amputation. The Centric Wound Care Clinic manages complicated wound problems while maximizing your body’s natural ability to mend itself.

Our team of experienced specialists work with you and your physician to assess your symptoms, determine the cause of your non-healing wound, and customize the most effective treatment plan to stimulate healing. Our wound centers follow national evidence based guidelines when treating and managing wounds

Centric Chronic Venous Disease Clinic

Chronic venous disorders of the leg (CVDL) is an umbrella term that includes deep venous thrombosis (DVT), chronic venous insufficiency, and iliac vein compression syndrome.  Symptoms of these venous disorders include leg swelling, pain, heaviness, varicose veins, inflammation of the skin, leg wounds or ulcers, and possibly restless leg syndrome. An integrated Centric Heart & Vascular Wound Clinic and Outpatient Cath Lab enables a timely delivery of diagnostic and therapeutic services needed to care for CVDL patients.

Centric Device Clinic (pacemakers/defibrillators)

The Centric Device Clinic provides ongoing follow-up care for patients with permanent pacemakers/cardiac defibrillators (ICDs). Centric performs complete evaluation of device function in order to customize settings to keep up with any changes in the patient’s condition.  Reports are forwarded to the patient’s care providers. Patients are also provided ongoing telephone, internet, or cellular monitoring of device function.

Centric Coumadin Clinic

Certain cardiovascular conditions require ongoing treatment with blood thinners.  In addition to providing standardized patient education and evaluation of ongoing treatment, Centric Heart & Vascular Coumadin Clinic provides comprehensive Coumadin (warfarin) management including, but not limited to:

• Routine monitoring and dosage adjustment.
• Management recommendations before and after a medical procedure.
• Risk/benefit evaluation for continued blood thinner therapy.

We also provide comprehensive education and counseling for the new blood thinners known as the direct-acting oral anticoagulants (DOAC).

Centric Advanced Heart Failure Clinic

Heart failure is a type of heart disease that occurs when the heart can’t pump enough blood to meet the body’s needs. When this happens, important organs may not be able to function normally. Heart failure can develop because of another heart or medical condition that weakens the heart muscle, such as coronary artery disease or blocked arteries of the heart, and hypertension or high blood pressure, or a prior or recent heart attack.

Many people don’t know they have heart failure because the symptoms are mistaken for another condition. Without timely diagnosis and treatment, heart failure can lead to serious problems. These symptoms are:

• Fatigue or weakness
• Confusion
• Coughing or wheezing
• Swelling in the legs, ankles or stomach
• Difficulty breathing while lying down
• Shortness of breath during daily activities
• Reduced appetite and nausea
• Sudden weight gain

Centric Heart & Vascular offers today’s leading diagnostic tests and treatments for people with heart failure.

Our doctors are happy to offer second opinions to people with heart failure. Seeking a second opinion does not mean you don’t trust your doctor. It simply allows you to learn about the different ways your condition can be managed and treated. Our heart failure team takes pride in using the latest heart failure technology to develop customized solutions for each person. Our goal is to enhance your quality of life with your existing heart for as long as possible.

Your peripheral blood vessels are just as important as your heart. Neither can function without the other. If you are experiencing pain in your legs, make an appointment with Centric Heart & Vascular to diagnose and treat your condition. We’ll determine the best solution to ease your discomfort.

Listed below are office based and cath lab services we offer to diagnose and treat most vascular conditions in the comfort of Centric’s newly renovated state of the art outpatient facility:

Arterial and venous diagnostic studies

Before any procedures are performed, Centric Heart & Vascular conducts diagnostic studies to accurately determine your condition and what course of action is appropriate.

• • Ultrasound
    • Arterial
    • Venous
  • Transcutaneous Oximetry (TCOM)
  • CT angiography

Peripheral arterial disease (PAD) and critical limb ischemia

An under-recognized and under-treated subset of cardiovascular disease is lower extremity Peripheral Arterial Disease (PAD).  Peripheral arterial claudication is intermittent pain in the legs resulting from insufficient blood flow. Critical limb ischemia is a more extreme condition of insufficient blood flow through severely blocked arteries leading to ulcers and threat of limb loss. Procedures we conduct to ease pain and improve blood flow and save limbs and lives are:

• • Angiography
  • Intravascular ultrasound
  • Balloon angioplasty
  • Atherectomy
  • Drug-coated balloon
  • Stenting
  • Wound Care

Varicose vein and venous insufficiency

Venous insufficiency is the improper function of the valves in leg veins, which inhibits proper blood flow back to the heart. This can lead to leg swelling, pain, heaviness, varicose veins, spider veins, inflammation of the skin, leg wounds or ulcers, and possibly restless leg syndrome. Treatments we perform on affected veins include:

• • Endovenous laser therapy or saphenous vein ablation
  • Ambulatory stab phlebectomy or removal/stripping of varicose veins
  • Spider vein injections

Deep Venous Thrombosis

When a clot forms in the deep veins of the body, it is called deep vein thrombosis, often referred to as DVT for short. DVT occurs most commonly in the leg.  A potentially life-threatening complication of deep vein thrombosis (DVT) is when a blood clot breaks off, travels through the blood stream and lodges in the lung, also known as pulmonary embolism or PE. If you’ve been diagnosed with a DVT, you want to do everything you can to take charge of your condition. That starts by taking blood thinners as prescribed and wearing medical grade compression stockings. These treatments are a critical part of treating DVT but they may not relieve your symptoms. Some patients may be candidates for clot removal potentially relieving their symptoms and reducing their risk for long-term DVT complications.  Treatments we perform for DVT include:

• Thrombolysis
  • Pharmacologic
  • Mechanical

Iliac vein compression syndrome

May-Thurner Syndrome, occurs when the large veins in the pelvis are compressed by an overlying artery.  Rokitansky’s fibrosis causes narrowing of the large veins in the pelvis.  Combined they are known as Iliac Vein Compression Syndrome.  Symptoms are similar to those of venous insufficiency.  The syndrome increases the risk of a blood clot forming due to restriction of blood return to the heart through the veins in the abdomen and pelvis.  Procedures we perform to diagnose and treat Iliac Vein Compression include:

• • Venography
  • Intravascular ultrasound
  • Stenting and balloon angioplasty

Ambulatory surgery services are outpatient procedures that do not require patients to stay overnight. Centric Heart & Vascular will have you in and out within the same day so you can rest at home.

Cardiac catheterization/diagnostic angiography

Centric Heart & Vascular always has our patients in mind, and that’s why we invest in state-of-the-art equipment that includes physiological assessment of your blood vessels. Our Cardiac Cath Lab delivers a lower amount of radiation without sacrificing image resolution. Co-registering angiographic images with data obtained from equipment such as intravascular ultrasounds and fractional flow reserve streamlines lesion assessment, simplifies vessel sizing, and enables precise therapy delivery.  Currently, the only other Missouri facility offering this technology is in St. Louis.

• • Coronary angiography
  • Physiologic assessment (IFR/FFR)
  • Intravascular ultrasound
  • Co-registration of data

Coronary intervention

Coronary interventions are procedures conducted to treat narrowed arteries of the heart. Coronary interventions widen blocked arteries due to plaque build-up and prevent arteries from narrowing again.

• • Balloon angioplasty
  • Drug-coated stenting
  • Atherectomy

Cardiac Rhythm Device Implant and Management

Whether your heart beats too fast or too slow, Centric Heart & Vascular provides the ability for patients to conveniently receive cardiac device implantation services when needed. Schedule an appointment for more information.

• • Implantable Loop Recorders
  • Pacemakers
  • Defibrillators