Imaging Guided Complex Angioplasty

At Piyu’s Hridhay Sanjeevani Rhythm Clinic, commitment to cutting-edge interventional cardiology ensures precise diagnosis and effective treatment for heart diseases. One of the most advanced techniques used is Imaging-Guided Complex Angioplasty, which incorporates Intravascular Ultrasound (IVUS) and Optical Coherence Tomography (OCT) to enhance the accuracy and safety of angioplasty procedures.

Understanding Complex Angioplasty

Coronary angioplasty is a life-saving procedure performed to open blocked or narrowed arteries and restore normal blood flow to the heart. In some cases, standard angioplasty techniques may not be enough, especially when dealing with heavily calcified arteries, bifurcation lesions, or chronic total occlusions (CTO). These complex cases require advanced imaging techniques to guide the procedure and optimize outcomes.

What is Imaging-Guided Angioplasty?

Traditional angioplasty relies on X-ray imaging and contrast dye to visualize blockages in the arteries. However, IVUS and OCT provide a much clearer and detailed view inside the blood vessels, allowing cardiologists to assess the severity of blockages, measure arterial dimensions accurately, and precise placement of  stents. These imaging techniques significantly improve the success rate of complex angioplasty procedures and help reduce complications and risk of stent restenosis.

What is Intravascular Ultrasound (IVUS)?

IVUS is an advanced catheter-based imaging technique that uses high-frequency sound waves to create real-time images of the inside of coronary arteries. A tiny ultrasound probe is inserted into the artery, providing a 360-degree cross-sectional view of the vessel walls. 

This detailed imaging helps doctors

  • Measure artery size for accurate stent selection
  • Assess plaque composition and severity of blockages
  • Ensure proper stent expansion and placement
  • Reduce the risk of stent-related complications

What is Optical Coherence Tomography (OCT)?

OCT is a light-based imaging technology that provides high-resolution images of coronary arteries. Unlike IVUS, which uses sound waves, OCT employs near-infrared light to visualize artery structures in unprecedented detail. 

This technique is especially useful in

  • Identifying plaque characteristics (lipid-rich, calcified, or fibrous)
  • Guiding stent placement with millimeter precision
  • Detecting stent malapposition, dissections, or residual blockages
  • Ensuring optimal artery healing after angioplasty

Who Needs Imaging-Guided Angioplasty?

Your doctor may recommend IVUS or OCT-guided angioplasty if you have 

  • In case of left main coronary artery stenting
  • Severe coronary artery disease (CAD) with high plaque burden
  • Heavily calcified arteries that require additional interventions
  • Stent-related complications (e.g., restenosis, improper placement)
  • Bifurcation lesions where the blockage occurs at a branching point
  • Chronic total occlusions (CTO) where arteries are completely blocked

Why is Imaging-Guided Angioplasty Better?

In many complex angioplasty cases, angiography alone does not provide sufficient information to make critical treatment decisions. IVUS and OCT allow interventional cardiologists to 

  • Perform more precise and customized treatments
  • Reduce the need for repeat procedures
  • Lower the risk of stent failure or restenosis
  • Improve long-term patient outcomes

At Piyu’s Hridhay Sanjeevani Rhythm Clinic, the focus is on providing the best possible care using the latest advancements in cardiac treatment. With extensive experience in IVUS & OCT-guided complex angioplasty, every procedure is performed with the highest level of precision and safety.

Offerings 

  • Highly skilled interventional cardiologist trained in complex angioplasty
  • Personalized treatment plans tailored to each patient’s needs
  • Comprehensive cardiac care from diagnosis to post-procedure follow-up

Advanced imaging-guided angioplasty can be a life-saving solution. 

Contact us now for a consultation. 

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