IVL uses sound waves (similar to kidney stone treatment) to safely shatter severe calcium deposits in heart arteries before stent placement.
Complex CTO & Calcified Angioplasty
Specialist treatment options for difficult or heavily calcified blockages.
Book a consultation About this treatment ↓
- The focus
- Complex artery disease
- The approach
- Specialist catheter procedure
- Your next step
- Personal assessment
What you need to know.
Specialized opening of 100% chronic total occlusions (CTO) and heavily calcified coronary blockages using Rotablator and Intravascular Lithotripsy (IVL).
01Understanding the treatment
For patients previously told their blockages are too severe, calcified, or total to stent, Dr. Sandhu offers advanced interventional techniques including Rotational Atherectomy (Rotablator) to drill through hard calcium and Intravascular Lithotripsy (IVL sonic shockwaves) to crack deep arterial calcium safely.
02Who may benefit?
- Patients with Chronic Total Occlusion (CTO) blockages older than 3 months
- Patients with rock-hard calcified coronary arteries
- Patients deemed high-risk for bypass surgery (CABG)
- Individuals with recurrent angina after previous stent procedures
03What happens during treatment?
Radial catheter access utilizing specialized micro-wires, diamond-tipped high-speed rotators, or acoustic lithotripsy balloons under IVUS imaging.
04Recovery & follow-up
24-48 hours hospital monitoring with rapid return to daily living.
05Benefits of this approach
- Avoids open bypass surgery for complex multi-vessel disease
- High success rate in opening long-standing 100% blockages
- Precision stent expansion backed by IVUS / OCT guidance


