Complex and high-risk PCI
Selected patients with complex anatomy or higher clinical risk may need additional planning, multidisciplinary discussion, and supportive strategies.
PICC signature program
Advanced Coronary Intervention Program
Sophisticated coronary evaluation and treatment guided by anatomy, physiology, imaging, symptoms, and overall cardiovascular risk.
See More. Measure More. Treat Precisely.
Advanced coronary intervention, guided by more than the angiogram.
Intracoronary imaging looks inside the artery. Coronary physiology evaluates whether a narrowing meaningfully limits blood flow. Together, these tools can help determine whether intervention or medical therapy is the more appropriate path.
The right intervention, for the right lesion, for the right patient.Who this program helps
Start with the problem—not the procedure.
People with complex coronary disease, persistent symptoms, a chronic total occlusion, or questions about whether intervention is the right next step.
- Several coronary blockages
- A blockage described as complex or difficult to treat
- Symptoms after prior intervention
How PICC evaluates
Clarity before the next step.
PICC integrates the angiogram with physiologic measurements, intracoronary imaging, symptoms, and the full clinical picture.
Treatment approach
When intervention is appropriate, the plan may include advanced plaque modification, IVUS or OCT guidance, and supportive technologies for selected high-risk procedures.
Technology with purpose
Tools selected to answer a clinical question.
More technology does not automatically mean more procedures. The purpose is to add useful information to the clinical decision.
- FFR and iFR
- Angiography-based physiology
- IVUS
- OCT
- Complex PCI
Advanced coronary pathways
Detailed planning for complex coronary decisions.
PICC brings anatomy, symptoms, physiology, imaging, heart function, and overall risk together before recommending a treatment path.
Chronic total occlusion
CTO evaluation considers symptom burden, prior treatment, viable heart muscle, anatomy, procedural complexity, and reasonable alternatives.
Calcified coronary disease
When intervention is appropriate, intracoronary imaging can help define calcium and guide selected plaque-modification techniques.
Physiology and imaging
FFR, iFR, angiography-derived physiology, IVUS, and OCT can help determine whether and how a coronary lesion should be treated.
Mechanical circulatory support
Temporary support may be considered for carefully selected high-risk procedures after individualized assessment; it is not required for every complex PCI.
Recovery pathways
Radial wrist access and same-day discharge may be considered when clinically appropriate. The treating team determines access and recovery plans for each patient.
What to expect
A focused visit built around the decision in front of you.
Review
The team reviews symptoms, risk factors, medications, prior test reports, and original imaging when it is available and relevant.
Clarify
Testing is considered only when it can answer a meaningful clinical question or change the care plan.
Plan
The next step may be prevention, medical therapy, further evaluation, intervention, surveillance, or coordination with another specialist.
Patient questions
What patients often ask.
Is this program the right place to start?+
People with complex coronary disease, persistent symptoms, a chronic total occlusion, or questions about whether intervention is the right next step.
What should I bring to a first visit?+
Bring an up-to-date medication list and any relevant records, imaging, or test reports available to you. The office can clarify what is most useful when you schedule.
Will I need every test listed on this page?+
No. Technology is selected to answer a clinical question. Your clinician determines which tests, if any, fit your individual situation.
Can I request a second opinion?+
Yes. PICC evaluates patients seeking another perspective on symptoms, prior testing, or a proposed cardiovascular treatment.
Where are visits available?+
PICC sees patients in Glen Ridge/Montclair, Clifton, and Paramus. Call the central office to confirm the appropriate provider and location.
Where can I read reliable background information?+
The authoritative resources below link to national cardiovascular organizations and federal medical-device information. They are starting points, not individual medical advice.
Authoritative references
Reliable places to continue learning.
These national resources support general patient education. PICC does not use them as a substitute for individual evaluation.
Medically reviewed by
Ankitkumar Patel, MD, MPH, FACC, FSCAI, RPVI
Last reviewed
August 22, 2026
Educational information only. It does not replace personal medical advice.
Prevention to intervention—and back again