Transcatheter Aortic Valve Replacement (TAVR)

A technique that has been developed over the last decade where the new valve is taken up to the heart through a tube in the leg artery.

 

What’s transcatheter aortic valve replacement (TARV/TAVI)?

Historically aortic valve disease has been managed with open heart surgery through a cut in the chest through the breast bone and new valve implanted. Transcatheter aortic valve replacement / implantation (TAVR / TAVI) is a technique that has been developed over the last decade where the new valve (made of a metal frame with cow and or pig tissue) is taken up to the heart through a tube in the leg artery (or sometimes the arteries under the collar bone or in the neck). After careful assessment and because of your particular health situation your doctors in consultation with a heart team of multiple specialists (including an interventional cardiologist and a heart surgeon) may recommend this procedure for treatment of your condition as less invasive alternative to open heart surgery.

What happens during the TAVR procedure?

The care we give has been designed by cardiology specialists across the world.

Procedures are always easier when you know what to expect. Here’s a summary of what generally happens during this procedure:

  • Anaesthetic is administered (this may be a full general anaesthetic and including being put onto a breathing machine, the specifics of which your doctors will discuss with you).

 

  • An ultrasound probe (transoesophageal echocardiogram probe) is placed down your food pipe to visualise the heart.
  • Tubes (sheaths and catheters) are inserted into the arteries in each of your legs, the vein in your neck and / or leg and sometimes in your wrist or arm. In certain settings this may require a ‘cut down’ where a cut is made in the skin by a surgeon to get to the artery.
  • A temporary pacemaker wire is threaded through one of the tubes in your veins into the heart.
  • Through a tube in the leg a wire is threaded up to the heart under x-ray across your diseased heart valve (the aortic valve). The valve is then prepared for a new valve by ballooning it open to reduce the narrowing in the valve.
  • Through the same tube in the leg as that used for the balloon a new valve is taken up to the heart over a wire and positioned into where your own diseased valve is and released or balloon into place.
    • There are two major types of TAVR / TAVI valve. One self-expands into position (self-expanding valve) and the other type of valve is ballooned into position (‘balloon expandable’). Both are potentially effective treatment options with similar long-term outcomes. The choice of valve is dependent on your aortic and aortic valve’s particular shape, size and degree of hardening. Examples of these are shown in figure 2 below. The valve tissue is made of cow, pig or both.
  • The wires and tubes are removed from your body. A stitching device is used to close the hole in the leg arteries.

tavr

a) Portico self-expanding valve                                                           b) Edwards balloon-expandable valve

Are there any risks with transcatheter aortic valve replacement (TARV/TAVI)?

The procedure has many potential risks. The information supplied here is for general reference only based on the published data around the procedure from across the world. Risks specific to your condition and overall situation need to be discussed with your treating doctor. It should be understood that even though TAVR / TAVI is potentially a less invasive treatment option than open heart surgery, it is still associated with real risks.

 

Common risks and complications that can occur 5 % of the time or more include:

  • Bruising, swelling and pain around the access sites.
  • Where a vascular cut-down is used there will be a wound with sutures / stitches and residual scar in the order of 10 to 15 cm long (or longer). There will be a permanent scar. There can be altered sensation around the scar and in the leg as a result of the procedure.
  • Unplanned major vascular surgery on the leg, arm or internal vessels can occur up to 10 % of the time.
  • Unplanned requirement for permanent pacemaker implantation (up to 30 % of the time).
    Development of an abnormal heart rhythm that can require treatment with blood thinning drugs, other drugs and possibly an electric shock to the heart under an anaesthetic.
  • Post procedural memory loss or confusion (delirium) which usually resolves but can sometimes result in residual permanent reduced cognitive / brain function.
  • Physical deconditioning and disability that usually resolves with time and allied health assistance but can sometimes result in permanent residual deficits and in some cases may result in a need for nursing home placement.
  • Greater than 30% or patients have some degree of leaking next to their new heart valve. So long as this is no more than a mild amount of leak no treatment of this is required.

Less common risks and complications that can occur 1-5 % of the time include:

  • A stroke, or embolism (which can occur up to 2 – 5% of the time) that can cause permanent disability, visual loss, brain damage, limb compromise, limb loss and death.
  • Death is possible due to this procedure (1 – 3%). This can be as a result of the procedure, or because of a complication, or progression of your underlying heart disease despite the procedure being technically successful.
  • Unplanned angiogram and ballooning / stenting procedure to the heart arteries if they become blocked because of the valve replacement procedure (1 – 2%).
  • Bleeding around the heart that requires emergency insertion of a tube into the space around the heart or open-heart surgery to prevent death (1 – 2%).
  • Unplanned open-heart surgery which can include valve surgery, bypass surgery or reconstructive surgery on the heart or blood pipes including with artificial materials (1%).
  • Renal / kidney failure, especially if you have abnormal kidney function already or if you have diabetes. This can also lead to a requirement for temporary or permanent dialysis.
  • Blood clot formation in the leg (DVT) causing pain and swelling. Sometimes part of the clot can break off and go to the lungs which can be life threatening.
  • Infection of the wound, new heart valve or other organs (for example kidneys, bladder or lungs). This usually requires antibiotics (often into a vein) and can require a surgical procedure.
  • Bleeding that leads to a requirement for blood transfusion. The spread of an infection from a blood transfusion is possible but rare.
  • Rupture of the aorta or aortic root (main blood pipe out of the heart) which can result in death even with urgent surgery (1 – 2%).
  • The new heart valve embolising / travelling into other parts of the body or heart and require major surgery to retrieve and / or require placement of an additional valve.
  • Lack of clinical improvement in your overall condition despite a technically successful procedure (especially if you have multiple other health problems).
  • Significant leaking of the valve which can sometimes require further procedures or surgery (2 – 5%).
  • Early failure of the device requiring repeat procedures or surgery in the first 12 to 36 months.

Rare risks and complications that can occur less than 1% of the time include:

  • Risks of a general anaesthetic which rarely can lead to life threatening adverse and allergic reactions and death.
  • A hole in the food pipe or stomach as a result of the ultrasound probe being placed down your food pipe. This is rare (< 1%).
  • The procedure is performed using X-ray type radiation. Theoretically any radiation exposure can increase the life-time risk of cancer although this risk is more relevant for patients under the age of 40 years old. In addition, radiation exposure can be associated with skin changes (hair loss, colour change). Very rarely the radiation exposure can result in skin burns, non-healing ulcers and pain that can require surgical management.

Common risks and complications that can occur 5 % of the time or more include:

  • Bruising, swelling and pain around the access sites.
  • Where a vascular cut-down is used there will be a wound with sutures / stitches and residual scar in the order of 10 to 15 cm long (or longer). There will be a permanent scar. There can be altered sensation around the scar and in the leg as a result of the procedure.
  • Unplanned major vascular surgery on the leg, arm or internal vessels can occur up to 10 % of the time.
  • Unplanned requirement for permanent pacemaker implantation (up to 30 % of the time).
    Development of an abnormal heart rhythm that can require treatment with blood thinning drugs, other drugs and possibly an electric shock to the heart under an anaesthetic.
  • Post procedural memory loss or confusion (delirium) which usually resolves but can sometimes result in residual permanent reduced cognitive / brain function.
  • Physical deconditioning and disability that usually resolves with time and allied health assistance but can sometimes result in permanent residual deficits and in some cases may result in a need for nursing home placement.
  • Greater than 30% or patients have some degree of leaking next to their new heart valve. So long as this is no more than a mild amount of leak no treatment of this is required.

Less common risks and complications that can occur 1-5 % of the time include:

  • A stroke, or embolism (which can occur up to 2 – 5% of the time) that can cause permanent disability, visual loss, brain damage, limb compromise, limb loss and death.
  • Death is possible due to this procedure (1 – 3%). This can be as a result of the procedure, or because of a complication, or progression of your underlying heart disease despite the procedure being technically successful.
  • Unplanned angiogram and ballooning / stenting procedure to the heart arteries if they become blocked because of the valve replacement procedure (1 – 2%).
  • Bleeding around the heart that requires emergency insertion of a tube into the space around the heart or open-heart surgery to prevent death (1 – 2%).
  • Unplanned open-heart surgery which can include valve surgery, bypass surgery or reconstructive surgery on the heart or blood pipes including with artificial materials (1%).
  • Renal / kidney failure, especially if you have abnormal kidney function already or if you have diabetes. This can also lead to a requirement for temporary or permanent dialysis.
  • Blood clot formation in the leg (DVT) causing pain and swelling. Sometimes part of the clot can break off and go to the lungs which can be life threatening.
  • Infection of the wound, new heart valve or other organs (for example kidneys, bladder or lungs). This usually requires antibiotics (often into a vein) and can require a surgical procedure.
  • Bleeding that leads to a requirement for blood transfusion. The spread of an infection from a blood transfusion is possible but rare.
  • Rupture of the aorta or aortic root (main blood pipe out of the heart) which can result in death even with urgent surgery (1 – 2%).
  • The new heart valve embolising / travelling into other parts of the body or heart and require major surgery to retrieve and / or require placement of an additional valve.
  • Lack of clinical improvement in your overall condition despite a technically successful procedure (especially if you have multiple other health problems).
  • Significant leaking of the valve which can sometimes require further procedures or surgery (2 – 5%).
  • Early failure of the device requiring repeat procedures or surgery in the first 12 to 36 months.

Rare risks and complications that can occur less than 1% of the time include:

  • Risks of a general anaesthetic which rarely can lead to life threatening adverse and allergic reactions and death.
  • A hole in the food pipe or stomach as a result of the ultrasound probe being placed down your food pipe. This is rare (< 1%).
  • The procedure is performed using X-ray type radiation. Theoretically any radiation exposure can increase the life-time risk of cancer although this risk is more relevant for patients under the age of 40 years old. In addition, radiation exposure can be associated with skin changes (hair loss, colour change). Very rarely the radiation exposure can result in skin burns, non-healing ulcers and pain that can require surgical management.

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Southport

Premion Place, 39 White St, Southport QLD 4215

St Vincent's Clinic, Sydney

Level A, 438 Victoria Street, Darlinghurst, 2010

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Fiona Stanley Hospital

Fiona Stanley Hospital, Murdoch Dr, Murdoch WA, Australia

Wembley

24 Salvado Road, Wembley WA, Australia

1300977062

Mater Hospital, Sydney (Oncology)

The Mater Hospital, 25 Rocklands road, North Sydney, NSW

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Macquarie University Hospital

Hospital Building, Suite 1, Level B2, 3 Technology Place, Macquarie University, NSW, 2109

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Tugun (Oncology)

John Flynn Private Hospital, 42 Inland Drive, Tugun QLD 4224

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Lake Macquarie Private Hospital, 36 Pacific Highway, Gateshead, NSW, 2290

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Shenton House, Level 3, 57 Shenton Avenue, Joondalup, WA 6027

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South West Health Campus, Corner of Bussell Hwy & Roberston Drive, Bunbury, WA 6230

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Waratah Private Hospital, Level 6, 31 Dora Street, Hurstville, NSW, 2220

GCCHurstville@cancer.com.au

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Level 5, 126 Wellington Parade, East Melbourne, VIC, 3002

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GenesisCare Albury Wodonga, Corner of Borella Road and East Street, East Albury, NSW 2640

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Berwick (Oncology)

St John Of God Berwick Specialist Centre, 55 Kangan Drive, Berwick VIC 3806, Australia

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Cabrini

Cabrini Hospital Malvern, 183 Wattletree Road, Malvern, VIC, 3144

cabrinireception@genesiscare.com

Epping Medical Centre

Epping Medical Centre, Ground Floor, 230 Cooper Street, Epping, VIC, 3076

eppingreception@genesiscare.com

Footscray

Western Private Hospital, 1 Marion Street, Footscray, VIC 3011

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Frankston

Frankston Private Hospital, 5 Susono Way, Frankston VIC, 3199

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Ringwood (Oncology)

Ringwood Private Hospital, 36 Mount Dandenong Road, Ringwood East VIC 3135

ringwoodreception@genesiscare.com

St Vincent's Melbourne

St Vincent's Hospital, Basement Level, Building C, 41 Victoria Parade, Fitzroy, VIC, 3065

svreception@genesiscare.com

Perth Mount (Cardiology)

Suite 3, 140 Mounts Bay Road, Perth, WA 6000

Cockburn (Cardiology)

Cockburn Health & Community Centre, Level 1, Suite 11, 11 Wentworth Parade, Success WA 6164

Duncraig

Unit 4, 60 Arnisdale Road, Duncraig, WA, 6023

Joondalup – Shenton House (Cardiology)

Level 3, Shenton House, 57 Shenton Avenue, Joondalup, WA 6027

Kalamunda

Kalamunda Specialist Centre, 37 Elizabeth Street, Kalamunda, WA

Midland

Midland Medical Specialist Care, 23 The Crescent, Midland, WA 6056

Murdoch (Cardiology)

St John of God Wexford Medical Centre, Level 4, Suite 68-72, 3 Barry Marshall Parade, Murdoch, WA 6150

Nedlands (Cardiology)

Suite 20/21 Hollywood Medical Centre, 85 Monash Avenue, Nedlands WA

Rockingham

Suite 1/11 Council Avenue, Rockingham, WA 6168

Yokine (Cardiology)

Royal Street Specialist Centre, Cnr Royal Street & Wanneroo Road, Yokine, WA 6060

0894803000

Albany

136-138 Lockyer Avenue, Albany, WA 6330

Augusta

Augusta Hospital, 11 Donovan Street, Augusta WA 6290

Bunbury (Cardiology)

Suite 21, St John of God Hospital, Southwest Health Campus, Corner of Roberston Drive & Bussell Highway, WA, 6230

Busselton (Cardiology)

19 Albert Street, Busselton WA, Australia

Collie

Collie Hospital, Steere Street N, Collie, WA 6225

Denmark

Denmark Health Service, 50 Scotsdale Road, Denmark WA, Australia

Dunsborough

Dunn Bay Road, Dunsborough WA 6281, Australia

Karratha

Karratha Health Campus Outpatients Department 62 Balmoral Road KARRATHA WA 6714

Mandurah - Cardiology

1/5 Murdoch Drive, Greenfields WA 6210

Manjimup (Cardiology)

Warren District Hospital, 1 Hospital Avenue, Manjimup WA 6258

Margaret River

17 Farrelly Street, Margaret River WA, Australia

Port Hedland

Hedland Health Campus, Outpatient Department, Port Hedland WA 6721

Wesley Medical Centre (Oncology)

The Wesley Medical Centre, 1/40 Chasely St Auchenflower, Brisbane, QLD, 4066

Chermside

Chermside Medical Complex, Lower Ground Floor, 956 Gympie Road, Chermside QLD, 4032

Nambour (Oncology)

10 Mapleton Road, Nambour, QLD, 4560

Bundaberg (Oncology)

Bundaberg, Mater Hospital (Oncology), 313 Bourbong Street, Bundaberg, QLD, 4670

Fraser Coast

Fraser Coast, St Stephen’s Private Hospital, 1 Medical Place, Urraween, Qld, 4655

Rockhampton (Oncology)

Rockhampton Hospital, Lower Ground Floor, Canning Street, Rockhampton, QLD, 4700

St Andrew's Medical Centre (Cardiology)

St Andrew's Medical Centre Clinic, Level 2. 321 South Terrace, Adelaide, SA 5000

infocardiologysa@genesiscare.com

82026600

Leabrook

284 Kensington Road, Leabrook, SA 5068

infocardiologysa@genesiscare.com

Modbury

979 North East Road, Modbury, SA, 5092

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Unley Road

Unley Road Clinic, 313 Unley Road, Malvern, SA, 5061

infocardiologysa@genesiscare.com

0882026600

Gawler

1 Murray Street, Gawler , SA 5112

infocardiologysa@genesiscare.com

Murray Bridge

6 Verdun Street, Murray Bridge, SA, 5253

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Mount Barker

Unit 3, 22 Mann Street, Mount Barker, SA 5251

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Angaston

29 North Street, Angaston, SA, 5353

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Broken Hill

Thomas Street, Broken Hill, NSW, 2880

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Clare

Old North Road, Clare, SA 5453

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Goolwa

31a Cadell Street, Goolwa, SA, 5214

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Mannum

1 Parker Street, Mannum, SA, 5238

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Minlaton

7 South Terrace, Minlaton, SA 5575

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Wallaroo

Ernest Terrace, Wallaroo, SA 5556

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82026600

St Andrew's Hospital (Oncology)

St Andrew's Hospital, 352 South Terrace, Adelaide, SA 5000

infooncologysa@genesiscare.com

0882286700

Flinders Private Hospital

Level 2, Flinders Private Hospital, 1 Flinders Drive, Bedford Park, SA 5042

infooncologysa@genesiscare.com

Calvary Central Districts Hospital

Calvary Central Districts Hospital, Jarvis Road, Elizabeth Vale, SA

infooncologysa@genesiscare.com

Kurralta Park

Suite 1, Tennyson Centre, 520 South Road, Kurralta Park, SA 5037

infooncologysa@genesiscare.com

RiverCity Private Hospital

RiverCity Private Hospital, Level 4, 401 Milton Road, Auchenflower, QLD, 4066

infosleepqld@genesiscare.com

Bundaberg (Sleep Medicine)

Suite 3, Entrance 1, 72 Barolin Street, Bundaberg, QLD 4670

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Bundaberg West

Mater Misericordiae Hospital, 313 Bourbong Street, Bundaberg West, QLD, 4670

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Gladstone Mater Misericordiae Hospital (Sleep Medicine)

Mater Misericordiae Hospital, 50 Rosella St, Gladstone QLD 4680

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John Flynn Private Hospital Tugun (Sleep Medicine)

John Flynn Private Hospital, 42 Inland Drive, Tugun QLD 4224

infosleepqld@genesiscare.com

Pindara Private Hospital

Pindara Private Hospital, Allchurch Avenue, Benowa QLD 4217

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Hervey Bay (Sleep Medicine)

Suite 4, 156 Urraween Road, Urraween QLD 4655

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St Stephen's Hospital Hervey Bay (Sleep Medicine)

St Stephen Hospital, 1 Medical Place, Urraween, QLD, 4655

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North Mackay

Health Point Precinct, 93-191 Willetts Road, North Mackay QLD 4740

Buderim Private Hospital

Buderim Private Hospital, 12 Elsa Wilson Drive, Buderim QLD 4556

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St Andrew's Toowoomba

St Andrew's Hospital Toowoomba, 280 North Street, Toowoomba, QLD 4350

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St Vincent's Toowoomba (Sleep Medicine)

St Vincent's Private Hospital, Scott Street, Toowoomba, QLD 4350

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Mulgrave

Mulgrave Private Hospital, Suite 8, Churchill Consulting Suites, Blanton Drive, Mulgrave, VIC, 3170

valley@hcvic.com.au

Ringwood (Cardiology)

Level 2, 50 New Street, Ringwood VIC 3134

info@optiheart.com.au

Lilydale

Lilydale Private Consulting Suites, 475 Swansea Rd, Lilydale, VIC, 3140

balwyn@hcvic.com.au

Balwyn

Balwyn Consulting Suites, 481 Whitehorse Rd, Balwyn VIC 3103

balwyn@hcvic.com.au

Bundoora

Health and Wellness Centre Level 1, Suites 8-10, 20 Scholar Drive, Bundoora, VIC, 3083

bundoora@hcvic.com.au

Doncaster East

Suite 1, 1008 Doncaster Road, Doncaster East VIC 3109

balwyn@hcvic.com.au

Heidelberg

Suite 1, Warringal Private Hospital, 216 Burgundy Street, Heidelberg VIC 3084

warringal@hcvic.com.au

Parkville

Level 4, Suite 22, Melbourne Private Medical Centre, Royal Parade, Parkville VIC 3052

bundoora@hcvic.com.au

Whittlesea

Whittlesea Specialist Centre, 79-81 Church Street, Whittlesea VIC 3757

bundoora@hcvic.com.au

Berwick (Cardiology)

Unit 2 / 11 Gloucester Avenue, Berwick VIC 3806

valley@hcvic.com.au

Langwarrin

Langwarrin Suites 1 & 2, 35 Cranbourne-Frankston Road, Langwarrin VIC 3910

valley@hcvic.com.au

Pakenham

Level 2, 2-9 Village Way, Lakeside Square Medical Precinct, Pakenham VIC 3810

valley@hcvic.com.au

Clayfield

Oriel Place, Suite 3, Level 1 531 Sandgate Road Clayfield QLD 4011

Greenslopes

Ramsay Specialist Centre Suite 212, Level 2 Newdegate Street, Greenslopes, QLD, 4120

Hervey Bay (Cardiology)

Urraween Medical Centre, Suite 4/156 Urraween Road, Urraween QLD 4655

Mater Brisbane

Mater Private Clinic Suite 5.02 & 5.11, Level 5 550 Stanley Street South Brisbane QLD 4101

Mount Ommaney

Mount Ommaney Medical Centre Shop 6/171 Dandenong Road Mt Ommaney QLD 4074

Sunshine Coast (Cardiology)

Suites 14 & 15, Sunshine Coast University Private Hospital, 3 Doherty Street, Birtinya QLD 4575

Wesley Hospital Auchenflower (Cardiology)

Level 5, Suite 91 Sandford Jackson Building 30 Chasely Street Auchenflower QLD 4066

Beaudesert

Lavender House 37 William Street Beaudesert QLD 4284

Capalaba

Rooms Bayside Level 1, The Hub Corner of Rickey & Loraine Street Capalaba QLD 4157

Emerald

Central Highlands Healthcare Ltd. Trading as Emerald Medical Group Lot 1, Pilot Farm Road, Emerald QLD 4720

Gladstone (Cardiology)

Mater Hospital (Outpatients Department), 50 Rosella Street, Gladstone, QLD, 4680

Gympie

Gympie Specialist and Diagnostic Centre, 74 - 76 Channon Street, Gympie QLD 4570

Jimboomba

Jimboomba Medical Centre Shop 14, Jimboomba Shopping Centre Mt Lindesay Highway Jimboomba, Qld, 4280

Kingaroy

Lady Bjelke-Petersen Community Hospital (formerly South Burnett Private Hospital), 31 Markwell Street, Kingaroy QLD 4610

Maryborough

St Stephen's Medical Centre Suite 2, 166 John Street Maryborough QLD 4650

Rockhampton (Cardiology)

Mater Hospital (Outpatients Department) 31 Ward Street Rockhampton QLD 4700

Roma

Vital Health, 20 Quintin Street, Roma QLD 4455

Springfield

Priority Health Orion Shopping Centre, 1st Floor, 1 Main Street, Springfield QLD 4300

St Vincent's Toowoomba (Cardiology)

St Vincent's Private Hospital, Toowoomba, Scott Street, Toowoomba City QLD 4350

Friendly Society Private Hospital (FSPH) Bundaberg

Floor 1, 19-23 Bingera Street, Bundaberg QLD 4670

admin@bundycardiology.com.au

Base Hospital Bundaberg (Cardiology)

Cardiac Investigations Unit, Bundaberg Base Hospital, Bourbong Street, Bundaberg West, QLD, 4670

admin@bundycardiology.com.au

Vermont South

Vermont Consulting Clinic, Vermont South Medical Centre, Level 3, Suite 3-5a, 645-647 Burwood Hwy, Vermont South, VIC, 3133

St Andrew's Medical Centre (Sleep Medicine)

level 2, 321 South Terrace, Adelaide SA 5000

Joondalup – Shenton House (Sleep Medicine)

Level 3, 57 Shenton Avenue, Joondalup WA 6027

Joondalup Health Campus

Suite 103, Specialist Medical Centre West, Grand Blvd & Shenton Ave, Joondalup, WA, 6027

Murdoch (Sleep Medicine)

Suite 68-72 Wexford Medical Centre, Level 4, 3 Barry Marshall Parade, Murdoch WA 6150

Nedlands (Sleep Medicine)

Suite 20/21 Hollywood Medical Centre, 85 Monash Avenue, Nedlands WA 6009

Perth Mount (Sleep Medicine)

Suite 3 Mount Medical Centre, Level 3, 140 Mounts Bay Road, Perth WA 6000

Yokine (Sleep Medicine)

Royal Street Specialist Centre, Cnr Royal Street & Wanneroo Rd, Yokine WA 6060

Bunbury (Sleep Medicine)

Suite 21, St John of God Hospital, Southwest Health Campus, (Cnr Robertson Drive & Bussell Hwy), Bunbury WA 6230

Busselton (Sleep Medicine)

19 Albert Street, Busselton WA 6280, Australia

Mandurah - Sleep Medicine

1/5 Murdoch Drive, Greenfields WA 6210

Manjimup (Sleep Medicine)

Warren District Hospital, 1 Hospital Ave, Manjimup WA 6258

Lady Cilento Children's Hospital

501 Stanley St, South Brisbane, QLD 4101

Ballow Chambers Spring Hill

121 Wickham Terrace, Spring Hill QLD 4000

Royal Brisbane and Women's Hospital

Butterfield St, Herston QLD 4029

Ipswich

Boulevard Specialist Suites, 17 Limestone St, Ipswich, QLD 4305

North Lakes

9 McLenna Court, North Lakes QLD 4509

Nambour (Sleep Medicine)

Hospital Road, Nambour QLD 4560

Benowa

The Lung Centre, 144 Ashmore Rd, Benowa QLD 4217

Robina

481 Robina Towun Centre, Robina QLD 4230

North Street Medical Centre

St Andrew’s Hospital, North Street, Spring Hill, QLD, 4000

Mackay Rehabilitation Hospital

Mackay Rehabilitation Hospital, 57 Norris Road, North Mackay QLD 4740

infosleepqld@genesiscare.com

Hollywood Private Hospital

Hollywood Private Hospital, Diagnostic Nuclear Imaging, Monash Ave, Nedlands WA 6009

theranosticsreception@genesiscare.com.au

Macquarie University Hospital (Theranostics)

Macquarie University Hospital, Macquarie Medical Imaging, 3 Technology Place, Macquarie Park NSW 2109

reception@theranostics.com.au

890911081

Sunshine Coast University Private Hospital

Sunshine Coast University Private Hospital Suite 20/3 Doherty St, Birtinya QLD, 4575

reception@scgensurg.com.au

Surrey Hills

Union Road Specialists Centre, 203 Union Road, Surrey Hills, VIC, 3127

balwyn@hcvic.com.au

Pulse Oceanside Medical

Pulse Oceanside Medical, Suite 402, 11 Eccles Boulevard, Birtinya, QLD 4575

Westside Private Hospital (Cardiology)

Westside Private Hospital, Suite 309, Level 3, 32 Morrow Street, Taringa, QLD, 4068

infocardiologyqld@genesiscare.com