FV Hospital
Tiếng Việt flag VIE
Information & Appointment Centre (028) 35 11 33 33 Emergency (028) 35 11 35 00
Cardiology and Interventional Cardiology

Interventional Cardiology

FV Cath-lab operates 24/7 and features AI-integrated advanced digital subtraction angiography (DSA). Cardiology cath-lab procedures are minimally invasive, image-guided interventions used to diagnose and treat heart and vascular conditions, often avoiding major surgery.

Our team of interventional cardiologists use FV cardiac catheterisation laboratory (cath-lab), a non-surgical hospital room equipped with advanced imaging technology, to diagnose and treat many heart and vascular problems. Interventional cardiology helps avoid surgery with treatments like angioplasty and valve repair or replacement. FV cardiologists have specialised expertise in treating coronary artery disease, valvular heart disease, congenital heart disease, and more.

Coronary Artery Disease Diagnostic and Treatment

Coronary artery disease (CAD) is due to the narrowing or blockage of the coronary arteries that supply your heart muscle with oxygen-rich blood. These arteries branch off from the aorta and surround your heart, dividing into ever-smaller vessels.

CAD is the most common heart disease and the leading cause of death for women and men.

An Angioplasty, also called percutaneous coronary intervention (PCI), is a minimally invasive procedure used to treat narrowed or blocked coronary arteries. When coronary arteries become narrowed by fatty deposits (“plaque”), blood flow to the heart can be reduced, causing chest pain (angina) or leading to a heart attack. PCI allows us to restore blood flow without the need for open-heart bypass surgery.

The procedure is performed through blood vessels in the wrist or groin. You will be given a local anaesthetic to numb the skin. A sheath (long thin plastic tube) is inserted into the blood vessel. This stays in place during the procedure and acts as a guide, through which the catheters (tubes) and wires are then inserted and guided up to the heart.

A small balloon at the tip of the catheter is inflated to compress the plaque tissue (usually fatty material or clot) against the artery wall, opening the vessel. A stent (a small mesh tube) is placed to keep the artery open. Modern drug-eluting stents are coated with medication that helps prevent the artery from narrowing again (restenosis). These stents have significantly improved long-term outcomes for patients.

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Key Advanced Angioplasty Techniques

Intravascular Ultrasound (IVUS) and Optical Coherence Tomography (OCT) allow cardiologists to see inside the artery in real-time, aiding in precise characterization of plaque, stent sizing and placement.

Rotablation is a specialised technique used to treat severely calcified coronary arteries using a small, diamond-tipped drill to grind away hard, calcified plaque, allowing for better expansion of stents. FV Hospital uses the Rotapro system which represents a major advancement in rotablation technology.

This advanced technology helps treat heavily calcified coronary arteries that previously required open-heart surgery or carried a high risk of re-narrowing after treatment. IVL uses ultrasonic pulses to break up calcified plaques, restoring blood flow safely.

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This is the best method to assess whether a moderate stenosis of a coronary artery is responsible for a significant decreased blood flow that could led to chest pain and heart attack during exercise. In such a case stenting is necessary. FFR is performed during a coronary angiogram in FV cath-lab.

TAVI is a minimally invasive procedure where a new valve in your heart is inserted without removing the old, damaged valve. FV Hospital is one of the few centres in Vietnam offering this procedure which is indicated for people with symptomatic severe aortic stenosis (one of the most common and serious valve disease problems). TAVI is performed under local anaesthesia, reducing complication risks, and shortening recovery time.

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Alcohol septal ablation is a well-established minimally invasive procedure for septal reduction therapy in patients with obstructive hypertrophic cardiomyopathy, a condition in which your heart muscle is abnormally thick. This procedure decreases your symptoms and reduces future complications. Alcohol septal ablation has become a valid alternative to surgery (myectomy – resection of part of the septal wall) for most patients.

Carotid artery stenting (CAS) is a minimally invasive procedure under conscious sedation that uses a metal mesh tube (stent) to open narrowed carotid arteries in the neck, restoring blood flow to the brain and reducing stroke risk. It is an alternative to surgery (carotid endarterectomy), particularly for patients with high-risk factors. The procedure generally involves using a protective filter to catch debris, has high technical success rates (~98%), and often requires antiplatelet medication afterward.

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