Pacific Adult Congenital Heart (PACH) Clinic

Data valid for 2013

General Information
Address: 1081 Burrard Street, Vancouver, BC V6Z 1Y6
Program Website
Patient Inquiries Phone: (604) 806-8520
Appointment Requests: (604) 806-8520
Year Formalized: 1986
Hospital (Adult or Pediatric Hospital): St. Paul's Hospital
Medical School: University of British Columbia
Medical Director
Medical Director:
Board Certified In:
Marla Kiess, MD, FACC
IM Card
Years in ACHD: 25
% of Time Dedicated to ACHD: 70%
Medical Co-Director
Medical Co-Director:
Board Certified In:

Years in ACHD:
% of Time Dedicated to ACHD:
Care Setting
Total ACHD Patient Visits: 2111
Half-day Sessions (per week): 2
Out-patients seen at:St. Paul's Hospital
Do you have providers who see patients in both pediatric and adult settings?Yes
Do you perform invasive cardiac procedures on ACHD patients at your institution?Yes
Catheter-based procedures are done: Adult Hospital
Invasive EP procedures are done: Adult Hospital
ACHD Surgeries are done: Adult Hospital
Established referral relationships with other ACHD programs for needed consultation, procedures or second opinions: Yes
Formal transition program between pediatric and ACHD clinics: Yes (Formal transition at age: 19)
Do you offer regularly scheduled patient care conferences?Yes, weekly
ACHD Clinic Staffing
Number of Additional Cardiologists who attend ACHD Clinic:4
Additional cardiologist:
Board Certified In:
Amanda Barlow, MBBS, FRCPC
Peds, Ped Card
Additional cardiologist:
Board Certified In:
Shanta Chakrabarti, MBBS, MD, FRCPCH
Peds, Ped Card
Additional cardiologist:
Board Certified In:
Derek Human, BCh, FRCPC, FACC
Peds, Ped Card
Additional cardiologist:
Board Certified In:
Jasmine Grewal, MD, FRCPC
IM, IM Card
Number of Cardiac Care Associates: 3
Cardiac Care Associates: Karen LeComte, MSN, RN, Jaimee Feldstein, MScN, RN, Alexia Gillespie, BSN, RN, Emma Lacoe BN, RN Sarah Cockell, PhD, RPsych, Brenda Kuntz MSW, RSW
Surgical and Interventional Resources
Number of Pediatric (< 18) CHD operations performed: 0
Number of ACHD (> 18) operations performed: 28
Number of Cardiologists performing interventional catheterizations: 2
Number of Surgeons performing more than 75 CHD or ACHD operations: 2
Director's Description
We are a regional tertiary centre that follows a model of collaborative care incorporating expertise from adult and pediatric cardiologists, cardiac surgeons, consultants and allied health personnel. Our comprehensive services include cardiology, cardiac surgery, cath/interventions, electrophysiology/interventions/pacemakers/AICDs, diagnostic imaging, transplant/VADs, cardiac obstetrics and pulmonary hypertension.
Clinical Services Offered
Diagnostic Catheterization: Yes
Interventional Catheterization: Yes
Diagnostic Electrophysiology: Yes
Interventional Electrophysiology: Yes
Cardiac MRI: Yes
Multi-Slice Cardiac CT: Yes
High Risk Obstetrics/Perinatology: Yes
Contraceptive Counseling: Yes
Geneticist/Genetic Counseling: Yes
Cardiac Rehabilitation Service: Yes
Financial/Medical Insurance Counseling: No
Medical Social Worker:Yes
Pulmonary arterial hypertension (PAH) in ACHD is evaluated: In collaboration with our pulmonary hypertension specialists
PAH in ACHD is managed medically: In collaboration with our pulmonary hypertension specialists
When lung transplant is considered in our ACHD patients with PAH, they are: Referred to a suitable lung transplant program
Training & Research
ACHD Training for Fellows: Yes
Programs that Apply:Formal ACHD rotation for general cardiology fellows (in Adult), Formal dedicated ACHD fellowship (1 & 2 year)
Does your program undertake ACHD Research? Yes
Program's last publication: 2012
Program's most recent receipt of external funding: 2012