Dr. Nicolas N. Mead

As an interventional cardiologist, Dr. Shikhar Agarwal specializes in treating valvular and structural heart disease in adults.|Dr. Agarwal earned his medical degree from the All India Institute of Medical Sciences in India and completed his residency at the Cleveland Clinic. He also completed fellowships in cardiovascular disease, interventional cardiology and structural intervention at the Cleveland Clinic.|He is experienced in performing a variety of cardiac procedures, including transcatheter aortic valve replacement (TAVR) and mitral valve repair (Mitraclip), as well as the implantation of Watchman devices for the treatment of atrial fibrillation.|Dr. Agarwal currently leads the structural heart disease program at Geisinger Medical Center in Danville. Under his leadership, he has grown the program and improved outcomes for those under his care. He helped lead the construction of a state-of-the-art hybrid operating room, one of the largest of its kind in the country.|Dr. Agarwal has been honored for early-career success by being recognized among the Pennsylvania Medical Society’s (PAMED) Top Physicians Under 40. His dedication to protecting the hearts of everyone he treats led his colleagues to nominate him for this prestigious award.|In addition to performing a variety of complex cardiac procedures, Dr. Agarwal is dedicated to expanding cardiac care to people in rural areas of Pennsylvania. Dr. Agarwal is rated as a Distinguished provider by MediFind in the treatment of Patent Foramen Ovale. His top areas of expertise are Aortic Valve Stenosis, Patent Foramen Ovale, Atrial Fibrillation, Aortic Valve Replacement, and Transcatheter Aortic Valve Replacement (TAVR).

Troy Trayer is a Cardiologist in Reading, Pennsylvania. Dr. Trayer is rated as a Distinguished provider by MediFind in the treatment of Patent Foramen Ovale. His top areas of expertise are Atrial Fibrillation, Venous Insufficiency, Stasis Dermatitis and Ulcers, Aortic Valve Replacement, and Transcatheter Aortic Valve Replacement (TAVR).

I am an interventional cardiologist and have been at Duke for about 25 years. The less-invasive treatment strategies and techniques that we’ve learned have been a source of great excitement over the past 20 years. We started back then with patients who had congenital heart disease and traditionally needed open surgery, and we’re now able to help many patients with congenital defects without open surgery. We’ve moved into an era where valvular heart disease has excellent treatments from an interventional point of view. I like all cardiac interventions, but my particular interest is in what people call structural interventions, which is helping people with structural or congenital heart disease. When you see me or someone else in interventional cardiology at Duke, you’re seeing multiple providers, even though they may be in the background. We work as a team and provide only the best for patients. Dr. Harrison is rated as an Advanced provider by MediFind in the treatment of Patent Foramen Ovale. His top areas of expertise are Aortic Valve Stenosis, Patent Foramen Ovale, Atrial Septal Defect (ASD), Aortic Valve Replacement, and Transcatheter Aortic Valve Replacement (TAVR).