From chronic total occlusions to heavily calcified arteries — we treat the problems that often need more than a standard stent.
If you have been told your arteries are too blocked, too calcified, or unsuitable for stents, a dedicated complex-intervention review may reveal new options.
01
Coronary Artery Disease
Narrowing or blockage of the heart’s arteries that can cause chest pain, breathlessness, and reduced quality of life.
Coronary artery disease occurs when fatty plaque and calcium build up in the arteries that supply the heart muscle. Symptoms may include chest discomfort, shortness of breath, fatigue, or reduced exercise capacity.
Our centre focuses on complex patterns of disease — including multi-vessel disease, heavy calcium, and chronic total occlusions — where specialised interventional techniques can restore blood flow without open-heart surgery in carefully selected patients.
02
Chronic Total Occlusion (CTO)
A coronary artery that has been completely blocked for three months or longer — often labelled “too difficult” for routine stenting.
A Chronic Total Occlusion is a complete blockage that has typically been present for three months or more. Many patients are told that stents are not possible and that bypass surgery is the only option.
Dedicated CTO specialists use specialised wires, dual catheter strategies, and hybrid algorithms to reopen these vessels in a high proportion of suitable cases, often with next-day discharge.
03
Calcified & Complex Lesions
Hardened calcium that prevents balloons and stents from expanding — addressed with Shockwave, rotablation, and imaging guidance.
Heavily calcified arteries are among the most challenging coronary problems. Without proper preparation, stents may under-expand, increasing the risk of future problems.
We use intravascular lithotripsy (Shockwave), rotational atherectomy, and precision imaging to treat calcified lesions safely and effectively.
04
In-Stent Restenosis & Previously Failed PCI
Re-narrowing inside a prior stent, or incomplete procedures elsewhere — assessed carefully for a definitive next step.
Some patients return with symptoms after earlier stenting, or after a procedure that could not be completed. Causes may include under-expanded stents, calcium, or complex anatomy.
We review previous angiograms in detail and plan a tailored approach using advanced imaging and calcium-modification tools where appropriate.
05
Patients Turned Down for PCI Elsewhere
Second opinions for people advised that nothing can be done, or that bypass is the only remaining option.
Being told that stents are not possible can feel final. In many cases, a dedicated complex-intervention team can offer options that were not available in a general setting.
We welcome second opinions. Send your angiogram for review and we will advise whether advanced PCI techniques may be suitable for you.
Told stents were not possible?
Request a second opinion — we regularly review cases declined elsewhere.
