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Interventional

Complex PCI & CTO Intervention

Senior-level expertise for the most challenging blocked arteries.

Specialised CTO guidewires and microcatheters on sterile tray
Complex blockages need specialised wires, imaging, and senior expertise.

What it is

Some blockages are too complex for routine angioplasty — left main coronary artery disease, bifurcation lesions, calcified arteries, and Chronic Total Occlusions (CTOs, arteries blocked for months or years). These cases require senior expertise, specialised wires, and modern imaging.

When it's needed

  • Left main coronary artery disease
  • Bifurcation (Y-shaped) blockages
  • Heavily calcified arteries needing rotational atherectomy
  • CTO — artery completely blocked for more than 3 months
  • Multi-vessel disease in patients unsuitable for bypass surgery

How it's done

Two cardiologists planning a complex CTO case at cathlab screens
Each complex case is planned with cardiac surgery back-up.

Dr. Nikhila is trained in complex PCI and CTO techniques (CTO workshop, Vadodara 2023; AICT-AsiaPCR Singapore 2023). Procedures use specialised CTO wires, microcatheters, and intravascular imaging (IVUS) when needed. Each case is planned with cardiac surgery back-up.

Recovery

Patient resting in private room with family after complex PCI
Recovery is similar to standard angioplasty for most patients.

Hospital stay 1–3 days depending on complexity. Recovery is similar to standard angioplasty for most patients.

Related conditions

FAQ

Questions patients ask us most

Is complex PCI safer than bypass surgery?+

It depends on the patient. Many patients prefer angioplasty because it avoids open-chest surgery, but some are better served by bypass. Dr. Nikhila always presents both options honestly.

What is a CTO?+

A Chronic Total Occlusion is an artery that has been completely blocked for over 3 months. Opening it requires special skill — success rates in expert hands are above 85%.

Your Heart Deserves Senior Expertise.

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