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Heart and Vascular
Baylor Scott & White Medical Center – Round Rock
Find a cardiologistCall 512.509.0200 for referral

Dedicated comprehensive heart and vascular treatment

At Baylor Scott & White Health locations across Austin and Round Rock, you can expect quality advanced care, diagnosis and treatment of heart and cardiovascular disease. The specialized cardiology professionals on our staff take a team approach to rapid treatment of heart attacks, while our specialized services and innovative heart treatment options equip us to take on cardiology-related situations—from non-invasive diagnostic techniques to emergency heart procedures.

Baylor Scott & White Medical Center – Round Rock recently completed a multi-phase renovation project including expanded surgical services and innovative cardiovascular suites, renovated heart and vascular services, and advanced technology.

Our new cardiovascular suite features cardiac catheterization and electrophysiology (EP) labs. Through advanced equipment and innovative technology, these new labs can accommodate interventional techniques, as well as complex cardiac and EP procedures.

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Dedicated, comprehensive heart and vascular services

We use a high-tech phone application instead of pagers so that EMS can notify the hospital and call the team with EKG prior to arrival.

Many vascular conditions can now be treated using minimally invasive surgical procedures. Patients benefit from a reduced or no hospital stay, lower risk of complications and a shorter recovery period.

Some of the heart services we provide include:

  • Transthoracic and transesophageal echocardiography
  • Electrocardiogram
  • Nuclear and exercise stress testing
  • Diagnostic heart catheterization procedures, including right and left heart catheterizations
  • Interventional coronary procedures, including ballooning, stenting and thrombectomy techniques
  • Intravascular coronary ultrasound and coronary flow ratio to assess coronary blood flow
  • Diagnostic and interventional peripheral procedures, including ballooning, stenting and atherectomy techniques
  • Balloon pump and Impella support
  • Cardioversions
  • Diagnostic electrophysiology studies
  • Cryocath and RF ablations for a multitude of rhythm issues
  • Implantable loop recorder procedures
  • Permanent pacemaker/Implantable cardiac defibrillator (single, dual and bi-ventricular)
  • Tilt table testing
  • Abdominal aortic aneurysm stent grafting
  • Carotid artery stenting
  • Carotid endarterectomy

Vascular services

Many vascular conditions can now be treated using minimally invasive surgical procedures. Patients benefit from a reduced or no hospital stay, lower risk of complications and a shorter recovery period.

  • Endovascular or open repair of abdominal aortic aneurysms
  • Thoracic aortic dissections
  • Hemodialysis access
  • Carotid endarterectomy
  • Catheter-directed thrombolytic therapy
  • Peripherally inserted central catheter lines
  • Central catheter line
  • Transcarotid artery revascularization

Endovascular or open repair of abdominal aortic aneurysms

An abdominal aortic aneurysm (AAA) is a bulge in the wall of the large artery below the heart, called the aorta. The bulge is caused by a weakened section in the artery wall, and could be at risk of tearing.

During the procedure, a surgeon makes an incision through an artery in the groin and threads a thin, flexible tube called a catheter up through the artery to the site of the aortic aneurysm. A stent graft (a tube made of thin metal mesh and polyester fabric) is sent along the catheter to the aneurysm. This stent graft is opened inside the aorta and fastened in place, allowing blood to flow through and preventing the aneurysm from bursting. 

Thoracic aortic dissections

Aortic dissection can occur because of an aneurysm. A dissection is a tear in the wall of the aorta that produces life-threatening bleeding or sudden death. In aortic dissection, a tear occurs in the wall of the aorta, causing bleeding into and along the aortic wall and, in some cases, completely outside the aorta.

The current standard surgical treatment of a thoracic aortic aneurysm is the open-chest approach, which allows the surgeon to replace the weakened portion of the aorta with a fabric tube, called a graft.

Hemodialysis access

For individuals who require hemodialysis, hemodialysis access—or vascular access—is a way to reach the blood for hemodialysis. This access allows blood to travel through soft tubes to the dialysis machine where it is cleaned as it passes through a special filter, called a dialyzer.

A surgeon will insert an access tube through a minor surgical procedure to allow safe, easy access for hemodialysis staff and the patient.

Carotid endarterectomy

Carotid endarterectomy is surgery that removes plaque buildup from inside a carotid artery in the neck. This surgery is performed to restore normal blood flow to the brain to prevent a stroke if the patient is already experiencing symptoms of reduced blood flow to the brain.

Catheter-directed thrombolytic therapy

Catheter-directed thrombolysis is used to treat blood clots in arteries and veins resulting from thrombosis in the vascular bed of diseased arteries, such as thrombosis in an arm or leg artery that has been severely narrowed due to atherosclerosis.

Peripherally inserted central catheter lines

A peripherally inserted central catheter, or PICC line, is a long, thin tube that's inserted through a vein in the arm and passed through to the larger veins near the heart.

A PICC line provides physicians with access to the large central veins near the heart, and is generally used to administer medications or liquid nutrition. The benefits of a PICC line include elimination of frequent needle sticks and reducing the risk of irritation to the smaller veins in the arms.

Central catheter line

A central line is a type of catheter that is placed in a large vein that allows multiple IV fluids to be given and blood to be drawn. It is similar to a traditional IV line but can remain in place longer, deliver a greater volume of fluids and allow blood to be drawn easily.

Central lines can also be used to measure fluid volume status and to help determine if a patient is dehydrated or has received an adequate amount of fluid to support bodily functions.

Transcarotid artery revascularization

Transcarotid artery revascularization (TCAR) uses a device to briefly reverse the direction of blood flow (and any possible blot clots) away from the brain while a surgeon operates, reducing the patient's risk of stroke during a procedure.

Advanced diagnosis and treatment of arrhythmia

The Arrhythmia Program at Baylor Scott & White – Round Rock has the capabilities to help pinpoint a variety of problems. The program brings together cardiovascular expertise and medical technology to treat irregular cardiac rhythms that affect the heart's ability to pump blood. Electrophysiology studies performed in the electrophysiology suite determine the location and cause of the arrhythmia.

Arrhythmia treatments offered include:

  • Cardiac resynchronization therapy
  • Catheter ablation
  • Pacemakers
  • Implanted cardioverter defibrillators
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Accredited STEMI care

Baylor Scott & White Medical Center – Round Rock was the first hospital in the United States to receive accreditation by the American Heart Association: Mission Lifeline as a STEMI Receiving Facility.

ST-Elevation Myocardial Infarction (STEMI) is a very serious type of heart attack during which one of the heart’s major arteries, which provides oxygen and nutrient-rich blood to the heart muscle, is blocked. ST-segment elevation is an abnormality detected on the 12-lead ECG (electrocardiogram). Patients experiencing acute STEMI are at risk for developing life-threatening arrhythmias, like ventricular fibrillation, which causes sudden cardiac arrest—sometimes referred to as a “massive heart attack.” 

STEMI can be treated with clot-busting drugs called thrombolytics (also called fibrinolytics) or with a primary percutaneous coronary intervention (PCI) in a cardiac catheterization lab—also known as angioplasty or stenting.

One of the quality measures for STEMI care is the “door-to-balloon” time, or the amount of time it takes to successfully re-open the occluded (or blocked) artery. The clock starts when the patient arrives at the hospital and stops when the balloon is inflated in the cardiac cath lab.

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Minimally invasive cardiac surgery

Minimally invasive surgery, also called keyhole surgery, is a method used to access the heart through a small incision, removing the need for traditional open heart surgery. During the heart procedure, an endoscope—a thin telescopic lens, light source and camera—is passed through a small incision in the chest, providing heart surgeons a magnified view of the inside of the body. Surgical instruments are also passed through the incision, allowing surgeons to operate on the heart.

Common heart conditions that can be treated through keyhole surgery include:

  • Mitral valve repair or replacement
  • Tricuspid valve repair or replacement
  • Aortic valve replacement
  • Atrioventricular septal defect surgery
  • Coronary artery bypass surgery

The benefits of keyhole surgery include reduced recovery time following the heart procedure, as well as reduced levels of pain, scarring and hemorrhaging.

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  • Cardiac rehabilitation

    Have you been recently diagnosed with a heart problem? Have you just experienced a heart attack, angioplasty or bypass surgery? By participating in cardiac rehabilitation, you can start yourself on the road to recovery.

    Cardiac rehabilitation's main goal is to assist you in developing a healthy lifestyle plan. Your plan will include major components of physical activity, education, stress management and nutrition counseling.

Congestive heart failure program

The Advanced Heart Failure Clinic at Baylor Scott & White – Round Rock is available to help manage heart failure condition to avoid continuing cardiovascular problems or emergency room visits.

Patients who have weakened muscles due to heart attack or other cardiac condition visit the heart failure clinic once or twice a week as prescribed by their physician to help them with medications, lifestyles and infusions to improve their function, maintain their cardiac health and improve avidity of life.

The Advanced Heart Failure Clinic
Baylor Scott & White Clinic – Round Rock 302 University
302 University Blvd., Third floor
Round Rock, Texas 78665

Call 512.509.0048

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