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What is Stentless angioplasty (or No-Stent Angioplasty/Stent-Free PCI)?  It is a minimally invasive procedure to open blocked arteries using a medication-coated balloon, rather than a permanent metal mesh stent. It restores blood flow while reducing foreign materials in the body, requiring fewer long-term blood thinners, and offers faster recovery for specific, early-stage blockages. Stentless angioplasty […]

I recently saw an Indonesian patient for a routine check-up. He is generally healthy, with well-controlled hypertension, diabetes, and hyperlipidemia. However, his screening revealed an extremely high calcium score of 5000+—a stark contrast to the ‘low-risk’ threshold of 100. Despite being completely asymptomatic, his high-risk profile warranted an angiogram. Shockingly, it revealed triple-vessel disease with

Treated a middle-aged male presenting with angina and severe, heavily calcified LAD stenosis. Given the high risk of complications and restenosis associated with calcified lesions, an atherectomy device was used for calcium modification. Boston Scientific intravascular imaging was employed for precision sizing and procedural optimization. The LAD was successfully stented with an excellent result. A

Today, we performed an angioplasty using a specialized intravascular imaging system from Japan called Makoto. It is notably the only FDA-cleared system that uses a dual-modality approach, combining Intravascular Ultrasound (IVUS) with Near-Infrared Spectroscopy (NIRS). The system translates NIRS data into a color-coded ‘chemogram,’ allowing us to see exactly where dangerous lipid plaques are located.

Today we have a patient who had one of his coronary arteries treated previously with rotablation (a drill-like device in his coronary artery) due to a severely calcified artery. During that time, we found out he also had another lesion on his right side which was also severely diseased and calcified. He was brought in

Today we had the privilege of performing a complex coronary case on a young patient with a 100% chronic total occlusion (CTO) of the coronary artery—previously deemed untreatable. We were honored to collaborate with Dr. Makoto from Japan, a renowned expert in CTO interventions. Together, we successfully performed a PCI to the LAD using a