Review
The team reviews symptoms, risk factors, medications, prior test reports, and original imaging when it is available and relevant.
PICC signature program
Second Opinion Center
A careful review for complex cardiovascular decisions, unexplained symptoms, or treatment plans that deserve another perspective.
Who this program helps
Start with the problem—not the procedure.
People deciding about a procedure, managing complex disease, or looking for greater clarity before moving forward.
- Conflicting recommendations
- A proposed stent, bypass, or valve procedure
- Symptoms without a clear explanation
How PICC evaluates
Clarity before the next step.
PICC reviews the clinical story, original imaging when available, prior testing, and the patient’s priorities before offering a perspective.
Treatment approach
The outcome may be reassurance, further evaluation, medical care, intervention, or coordination with the existing care team.
Technology with purpose
Tools selected to answer a clinical question.
More technology does not automatically mean more procedures. The purpose is to add useful information to the clinical decision.
- Multimodality imaging review
- Coronary physiology
- Intracoronary imaging
What to expect
A focused visit built around the decision in front of you.
Clarify
Testing is considered only when it can answer a meaningful clinical question or change the care plan.
Plan
The next step may be prevention, medical therapy, further evaluation, intervention, surveillance, or coordination with another specialist.
Patient questions
What patients often ask.
Is this program the right place to start?+
People deciding about a procedure, managing complex disease, or looking for greater clarity before moving forward.
What should I bring to a first visit?+
Bring an up-to-date medication list and any relevant records, imaging, or test reports available to you. The office can clarify what is most useful when you schedule.
Will I need every test listed on this page?+
No. Technology is selected to answer a clinical question. Your clinician determines which tests, if any, fit your individual situation.
Can I request a second opinion?+
Yes. PICC evaluates patients seeking another perspective on symptoms, prior testing, or a proposed cardiovascular treatment.
Where are visits available?+
PICC sees patients in Glen Ridge/Montclair, Clifton, and Paramus. Call the central office to confirm the appropriate provider and location.
Where can I read reliable background information?+
The authoritative resources below link to national cardiovascular organizations and federal medical-device information. They are starting points, not individual medical advice.
Authoritative references
Reliable places to continue learning.
These national resources support general patient education. PICC does not use them as a substitute for individual evaluation.
Medically reviewed by
Ankitkumar Patel, MD, MPH, FACC, FSCAI, RPVI
Last reviewed
August 22, 2026
Educational information only. It does not replace personal medical advice.
Prevention to intervention—and back again