About dr. primero ng
Dr. Primero Ng
Dr. Primero Ng, MBBS (Hons), FRACP, FACC, FSCAI, is a Consultant Interventional Cardiologist based in Perth, Western Australia, with advanced expertise in complex coronary artery disease. His practice focuses on the treatment of chronic total occlusions, high-risk and complex percutaneous coronary intervention, and patients who have been declined or are unwilling to undergo coronary artery bypass surgery. He is also dual-trained in Cardiac CT, providing an imaging-led approach to diagnosis, procedural planning, and follow-up care.
Dr. Ng graduated with honours from the University of Western Australia and completed his specialist cardiology training across major tertiary hospitals in Perth. He subsequently undertook advanced coronary training at Royal Perth Hospital, where he developed a strong foundation in intravascular imaging and coronary physiology. These tools, including intravascular ultrasound, optical coherence tomography, and pressure-wire assessment, are routinely used in his practice to enhance procedural precision, safety, and long-term outcomes.
Dr. Ng was later selected as the only overseas fellow to train at the University of Washington Medical Center in Seattle, internationally recognised as one of the world’s leading centres for complex coronary intervention and chronic total occlusion PCI. There, he completed a formal Complex and High-Risk Indicated PCI fellowship under the mentorship of global leaders in the field, including Dr. Bill Lombardi, Dr. Jamie McCabe, Dr. Kate Kearney, and Dr. Lorenzo Azzalini. This highly competitive fellowship emphasised not only technical excellence but also leadership, culture-building, and an unwavering commitment to patient safety and outcomes.
Dr. Ng’s clinical expertise spans the full spectrum of complex coronary intervention, including long-standing complete blockages, heavily calcified arteries, multivessel and left main coronary disease, and revascularisation strategies for patients with limited treatment options. His approach is data-driven, imaging-guided, and carefully tailored to each patient’s anatomy, symptoms, and goals.
Dr. Ng currently consults and sees patients in private practice at the Mount Hospital and in Mandurah, while also holding a public appointment as an Interventional Cardiologist at Royal Perth Hospital. At RPH, he is the Co-Lead of the Complex Coronary Therapeutics Program, where he is actively involved in advancing the delivery of complex coronary care, developing structured pathways, and improving access to advanced interventional techniques for patients across Western Australia.
With a strong focus on quality of life, Dr. Ng believes that successful cardiology care extends beyond technical success. Through world-class training, collaborative practice, and thoughtful decision-making, he is committed to delivering high-quality, evidence-based coronary care across Western Australia, offering clarity and durable solutions where options may appear limited.
MBBS (Hons)
Foundation medical degree with honours from the University of Western Australia
FRACP
Fellow of the
Royal Australasian College of Physicians
Royal Australasian College of Physicians
FACC
Fellow of the
American College of Cardiology
American College of Cardiology
FSCAI
Fellow of the
Society for Cardiovascular Angiography & Interventions
Society for Cardiovascular Angiography & Interventions
Advanced Care
Advanced Interventional Techniques
What Does "Advanced" Mean
Advanced coronary care is about more than treating blockages. While some heart artery narrowings are straightforward, others are more complex and require specialised expertise.
Advanced interventional techniques use modern, minimally invasive approaches to treat difficult or long-standing coronary blockages safely and effectively, often without the need for open-heart surgery, with the goal of improving symptoms and quality of life.
Why Experience Matters
Complex coronary procedures are not about using one technique. They require the ability to select and combine different approaches depending on the anatomy, the blockage, and the patient.
Mastery means knowing:
- Which technique is most appropriate
- When to change strategy mid-procedure
- When not to proceed
- How to manage challenges and complications safely
This level of decision-making comes from dedicated training and high procedural volume.
A Full Toolkit, Used Thoughtfully
Dr. Ng is trained in and experienced with the complete range of advanced coronary techniques, including:
Advanced Wire Techniques
Modern wire and catheter techniques to cross difficult blockages that others may find impossible to treat.
CTO Recanalization
Specialized techniques to reopen long-standing complete blockages using contemporary approaches.
Calcified Artery Treatment
Strategies for heavily calcified or previously stented arteries that require expert management.
Imaging-Guided Precision
Advanced imaging to guide precise stent placement and optimize procedural outcomes.
Safety-First Methods
Methods to improve safety and protect heart muscle during complex procedures.
Precision Guided by Intravascular Imaging
Advanced imaging using intravascular ultrasound (IVUS) and optical coherence tomography (OCT) from inside the artery improves precision, safety, and long-term outcomes during complex heart procedures. Although not widely used due to the expertise required, imaging-guided treatment is central to modern complex coronary care.
Safety Always Comes First
Not every blockage should be treated, and not every procedure should be pushed to completion. A mastery-based approach prioritizes careful planning, clear stop points, calm management of complications, and long-term benefit over technical success alone.
What This Means for You
For patients, advanced techniques are not about complexity for its own sake. They are about greater chance of symptom relief, fewer repeat procedures, safer treatment of difficult blockages, and better quality of life overall.
Research & Leadership
Research, Innovation & Professional Leadership
Why This Matters for Patients
Research and leadership are not academic extras. They directly shape how care is delivered and help ensure that every decision is grounded in the latest evidence and best practice.
This commitment improves safety, leads to better outcomes, and supports what matters most to patients: meaningful symptom relief and a better quality of life.
Active Clinical Research That Improves Care
Dr. Ng actively contributes to clinical research that advances how complex coronary disease and difficult blockages are understood and treated. His publications cover topics such as percutaneous intervention of chronic total occlusions (CTO) in patients with prior bypass surgery and procedural techniques that aim to improve symptom relief and patient outcomes.
These contributions reflect both academic rigour and focus on real world improvements that can help patients feel better and live better.
Innovation That Helps Patients, Not Just Procedures
Innovation in this context means adopting and refining techniques that make procedures more precise, safer, and more effective at relieving symptoms and improving quality of life.
New approaches are only used when there is clear evidence that they benefit patients.
Leadership That Enhances Care Standards
Dr. Ng is recognised by peers for his clinical leadership. Through teaching, presenting at international meetings, and collaborating with global experts, he helps improve complex coronary care beyond his own practice.
This leadership means patients benefit from care that is informed by global best practices.
See Dr Ng's full publication list: Google Scholar Profile
Global Collaboration, Local Impact
Training and ongoing collaboration with international leaders in interventional cardiology ensure that insights from worldwide advances filter directly into patient care here in Western Australia.
What This Means for You
Care is informed by the latest clinical evidence, with access to thoughtful, contemporary treatment strategies delivered by a cardiologist who actively helps shape better standards of care. Every decision is guided by outcomes that matter most to patients, including symptom relief, improved function, and a better quality of life.