What is it

Complex coronary intervention are advanced techniques that require specialised equipment and greater technical skills. We perform the following based on each patient’s unique condition. 

• Coronary orbital atherectomy: Gently “sands” down calcium plaque in the arteries to restore flexibility to the arterial walls, making them more amenable to ballooning and stent implantation.
• Intravascular lithotripsy (IVL): Uses sonic waves delivered via a catheter to break up calcium buildup in the coronary arteries, making them more amenable to ballooning and stent implantation.
• Rotational atherectomy: Removes hard, calcified plaque buildup using a tiny diamond-tipped drill.
• “Protected” PCI – The Impella heart pump is implanted via a small tube inserted in an artery in the groin. Under X-ray guidance, it is delivered into the heart. When turned on, it pulls blood out from the ventricle and pushes it into the aorta, delivering blood to the rest of the body. This helps maintain blood flow to the body during high-risk coronary intervention procedures. This pump is removed at the end of the procedure. 

Your doctor may recommend it for

Treating blockages that are difficult to access, such as blockages that are heavily calcified, completely blocked, having steep bends, or if the blockage is located near the origin of the main arteries. The Impella heart pump provides support for patients with weak heart function and complex blockages undergoing PCI.