*IVUS-Guided Left Main to LAD Precision Angioplasty at NAMCO Hospital*
A 60 male presented with a strongly positive TMT. Coronary angiography revealed a *distal left main (LM) plaque and critical 90% stenosis at the ostium of the left anterior descending artery* (LAD).
Given the complex anatomy and high-risk location, the patient underwent a precision PCI using IVUS guidance—from the left main to the LAD successfully
🔬 Why IVUS Was Essential in This Case
Intravascular Ultrasound (IVUS) is a powerful tool in interventional cardiology that provides a high-resolution, real-time cross-sectional image of the coronary artery from within the vessel. Unlike angiography, which shows only a 2D lumen silhouette, IVUS allows us to:
✅ Accurately assess plaque burden and lesion characteristics
✅ Measure vessel diameter precisely for optimal stent sizing
✅ Ensure complete stent expansion and apposition
✅ Avoid geographic miss—especially important in left main and ostial LAD disease
✅ Reduce risk of complications and improve long-term outcomes.
*At NAMCO* Hospital, we are routinely performing *complex, high-risk coronary interventions (CHIP)* including *IVUS-guided precision angioplasty for left main and multivessel disease* . With the latest technology and advanced imaging, we ensure safe and effective treatment for patients with challenging coronary anatomy.
*Dr. Chetan Jain*
*Interventional Cardiologist
NAMCO Hospital, Nashik*
A 60 male presented with a strongly positive TMT. Coronary angiography revealed a *distal left main (LM) plaque and critical 90% stenosis at the ostium of the left anterior descending artery* (LAD).
Given the complex anatomy and high-risk location, the patient underwent a precision PCI using IVUS guidance—from the left main to the LAD successfully
🔬 Why IVUS Was Essential in This Case
Intravascular Ultrasound (IVUS) is a powerful tool in interventional cardiology that provides a high-resolution, real-time cross-sectional image of the coronary artery from within the vessel. Unlike angiography, which shows only a 2D lumen silhouette, IVUS allows us to:
✅ Accurately assess plaque burden and lesion characteristics
✅ Measure vessel diameter precisely for optimal stent sizing
✅ Ensure complete stent expansion and apposition
✅ Avoid geographic miss—especially important in left main and ostial LAD disease
✅ Reduce risk of complications and improve long-term outcomes.
*At NAMCO* Hospital, we are routinely performing *complex, high-risk coronary interventions (CHIP)* including *IVUS-guided precision angioplasty for left main and multivessel disease* . With the latest technology and advanced imaging, we ensure safe and effective treatment for patients with challenging coronary anatomy.
*Dr. Chetan Jain*
*Interventional Cardiologist
NAMCO Hospital, Nashik*
