Advanced coronary 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 calcified arteries that require expert management and advanced techniques such as lithotripsy and atherectomy.
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.
Complication Management
Experience and advanced skills to respond promptly to complications when required.
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.
© 2026 Dr Primero Ng. All rights reserved.
Consultant Interventional Cardiologist, Perth, Western Australia.
Information on this website is general in nature and does not replace individual medical advice.
Consultant Interventional Cardiologist, Perth, Western Australia.
Information on this website is general in nature and does not replace individual medical advice.