With the goal of becoming a leading interventional cardiology center in Northern Vietnam, the Cardiology and Interventional Cardiology Department of Hong Ngoc General Hospital continuously incorporates the latest advancements presented at the TCT Conference in collaboration with experts from Taiwan (China), thereby enabling the effective management of numerous complex cardiovascular cases.
From a rare case of myocardial infarction to a presentation at the world’s leading interventional cardiology conference (TCT)
In October, Dr. Nguyen Van Hai, MSc – Head of the Cardiology and Interventional Cardiology Department at Hong Ngoc General Hospital – presented at Transcatheter Cardiovascular Therapeutics (TCT), the world’s leading interventional cardiology conference held in San Francisco, United States. This marks an important milestone in the department’s strategy to advance professional integration and strengthen clinical expertise.
At the conference, Dr. Hai presented a rare and highly complex case of ST-segment elevation myocardial infarction. The patient was a 70-year-old man who was admitted with severe chest pain and had a history of triple-vessel coronary artery disease, having undergone coronary artery bypass grafting several years earlier.
Coronary angiography revealed a far more challenging underlying cause: the autologous saphenous vein graft to the right coronary artery was completely occluded, accompanied by a large thrombus burden. This represents a highly complex complication that is difficult to manage and carries a significant risk of loss of coronary flow, or even cardiac arrest, during the intervention.
Faced with this challenge, the interventional team led by Dr. Nguyen Van Hai, MSc adopted a bold yet carefully considered strategy. Thrombus aspiration followed by balloon angioplasty and the use of a drug coated balloon instead of stent implantation successfully restored full coronary flow, prevented major complications, and resulted in an excellent clinical recovery for the patient.
Dr. Nguyen Van Hai, MSc presenting at the TCT conference in San Francisco United States
Further updates on the latest advances from the TCT interventional cardiology conference in collaboration with a leading expert from Taiwan
Continuing its efforts to enhance clinical expertise and strengthen international integration, Hong Ngoc General Hospital collaborated with Prof Ying Hwa Chen MD PhD, Director of Structural Heart Disease at the Heart Center of Taipei Veterans General Hospital, Taiwan (China), and one of the region’s leading experts in interventional cardiology, to conduct the program “Highlights in Interventional Cardiology from TCT 2025.”
Prof Ying Hwa Chen MD PhD presenting at Hong Ngoc General Hospital
During the program, Prof Chen presented major studies with high clinical relevance that were highlighted at the TCT 2025 Interventional Cardiology Conference.
A key highlight was the study on next generation drug coated balloons featuring a polymer based drug carrier layer that enhances drug adhesion and penetration into the vessel wall. This technology reduces the risk of restenosis while achieving efficacy comparable to drug eluting stents, without leaving a permanent metallic scaffold within the vessel.
Prof Chen also provided an in depth analysis comparing various techniques for managing complex calcified lesions, including intravascular lithotripsy, cutting balloons and high pressure balloons. He emphasized the importance of tailoring the interventional strategy to each lesion type in order to optimize procedural success while minimizing complications in coronary intervention.
In addition, Prof Chen presented several other valuable studies, such as comparisons between coronary artery bypass surgery and stent implantation for left main coronary artery disease, and findings from the PROCTOR study, which demonstrated that in patients with prior coronary bypass surgery, intervening on the bypass graft rather than the native vessel may yield more favorable outcomes. He also discussed data comparing transcatheter aortic valve implantation with conventional surgical bioprosthetic valve replacement.
Prof Chen conducting a case consultation with the Hong Ngoc clinical team prior to the intervention
Following the presentation, cardiologists from Hong Ngoc General Hospital and the visiting expert from Taiwan jointly reviewed several challenging cases, including one patient who was indicated for immediate intervention during the program.
The selected case for intervention involved a complex coronary lesion, consisting of stent restenosis and a severe post stent lesion. The interventional team performed intravascular ultrasound to identify the underlying cause, which included inadequate stent apposition and excessive neointimal hyperplasia. Based on these findings, the team agreed on an optimal treatment strategy that included lesion preparation with ultra high pressure balloon angioplasty followed by implantation of a drug eluting stent fully covering both the in-stent and adjacent de novo lesions. Post intervention IVUS confirmed good stent expansion with satisfactory vessel wall apposition. The patient experienced significant improvement in chest pain symptoms.
The outcome of the intervention not only reaffirms the clinical expertise of the Hong Ngoc interventional cardiology team but also highlights the clear benefits of continuously incorporating updated knowledge from the TCT conference and strengthening professional collaboration with international experts.
The cardiac catheterization laboratory at Hong Ngoc General Hospital during a complex interventional procedure
From presenting at TCT 2025 to proactively inviting international experts for advanced training, and subsequently performing a successful intervention for a complex case of stent restenosis, the Cardiology and Interventional Cardiology Department of Hong Ngoc General Hospital has demonstrated its capability to manage challenging cardiovascular interventions in alignment with international standards of care in Vietnam.
In the coming period, Hong Ngoc General Hospital will continue to strengthen collaborations with major cardiovascular centers, enhance training and technology transfer, and regularly incorporate the latest advancements in the field. These efforts aim to provide patients with modern, safe and comprehensive cardiovascular care.
Cardiology and Interventional Cardiology Department
Hong Ngoc – Phuc Truong Minh General Hospital
8 Chau Van Liem, Tu Liem District, Hanoi
Hotline: 0911 858 626
With the goal of becoming a leading interventional cardiology center in Northern Vietnam, the Cardiology and Interventional Cardiology Department of Hong Ngoc General Hospital continuously incorporates the latest advancements presented at the TCT Conference in collaboration with experts from Taiwan (China), thereby enabling the effective management of numerous complex cardiovascular cases.
From a rare case of myocardial infarction to a presentation at the world’s leading interventional cardiology conference (TCT)
In October, Dr. Nguyen Van Hai, MSc – Head of the Cardiology and Interventional Cardiology Department at Hong Ngoc General Hospital – presented at Transcatheter Cardiovascular Therapeutics (TCT), the world’s leading interventional cardiology conference held in San Francisco, United States. This marks an important milestone in the department’s strategy to advance professional integration and strengthen clinical expertise.
At the conference, Dr. Hai presented a rare and highly complex case of ST-segment elevation myocardial infarction. The patient was a 70-year-old man who was admitted with severe chest pain and had a history of triple-vessel coronary artery disease, having undergone coronary artery bypass grafting several years earlier.
Coronary angiography revealed a far more challenging underlying cause: the autologous saphenous vein graft to the right coronary artery was completely occluded, accompanied by a large thrombus burden. This represents a highly complex complication that is difficult to manage and carries a significant risk of loss of coronary flow, or even cardiac arrest, during the intervention.
Faced with this challenge, the interventional team led by Dr. Nguyen Van Hai, MSc adopted a bold yet carefully considered strategy. Thrombus aspiration followed by balloon angioplasty and the use of a drug coated balloon instead of stent implantation successfully restored full coronary flow, prevented major complications, and resulted in an excellent clinical recovery for the patient.
Dr. Nguyen Van Hai, MSc presenting at the TCT conference in San Francisco United States
Further updates on the latest advances from the TCT interventional cardiology conference in collaboration with a leading expert from Taiwan
Continuing its efforts to enhance clinical expertise and strengthen international integration, Hong Ngoc General Hospital collaborated with Prof Ying Hwa Chen MD PhD, Director of Structural Heart Disease at the Heart Center of Taipei Veterans General Hospital, Taiwan (China), and one of the region’s leading experts in interventional cardiology, to conduct the program “Highlights in Interventional Cardiology from TCT 2025.”
Prof Ying Hwa Chen MD PhD presenting at Hong Ngoc General Hospital
During the program, Prof Chen presented major studies with high clinical relevance that were highlighted at the TCT 2025 Interventional Cardiology Conference.
A key highlight was the study on next generation drug coated balloons featuring a polymer based drug carrier layer that enhances drug adhesion and penetration into the vessel wall. This technology reduces the risk of restenosis while achieving efficacy comparable to drug eluting stents, without leaving a permanent metallic scaffold within the vessel.
Prof Chen also provided an in depth analysis comparing various techniques for managing complex calcified lesions, including intravascular lithotripsy, cutting balloons and high pressure balloons. He emphasized the importance of tailoring the interventional strategy to each lesion type in order to optimize procedural success while minimizing complications in coronary intervention.
In addition, Prof Chen presented several other valuable studies, such as comparisons between coronary artery bypass surgery and stent implantation for left main coronary artery disease, and findings from the PROCTOR study, which demonstrated that in patients with prior coronary bypass surgery, intervening on the bypass graft rather than the native vessel may yield more favorable outcomes. He also discussed data comparing transcatheter aortic valve implantation with conventional surgical bioprosthetic valve replacement.
Prof Chen conducting a case consultation with the Hong Ngoc clinical team prior to the intervention
Following the presentation, cardiologists from Hong Ngoc General Hospital and the visiting expert from Taiwan jointly reviewed several challenging cases, including one patient who was indicated for immediate intervention during the program.
The selected case for intervention involved a complex coronary lesion, consisting of stent restenosis and a severe post stent lesion. The interventional team performed intravascular ultrasound to identify the underlying cause, which included inadequate stent apposition and excessive neointimal hyperplasia. Based on these findings, the team agreed on an optimal treatment strategy that included lesion preparation with ultra high pressure balloon angioplasty followed by implantation of a drug eluting stent fully covering both the in-stent and adjacent de novo lesions. Post intervention IVUS confirmed good stent expansion with satisfactory vessel wall apposition. The patient experienced significant improvement in chest pain symptoms.
The outcome of the intervention not only reaffirms the clinical expertise of the Hong Ngoc interventional cardiology team but also highlights the clear benefits of continuously incorporating updated knowledge from the TCT conference and strengthening professional collaboration with international experts.
The cardiac catheterization laboratory at Hong Ngoc General Hospital during a complex interventional procedure
From presenting at TCT 2025 to proactively inviting international experts for advanced training, and subsequently performing a successful intervention for a complex case of stent restenosis, the Cardiology and Interventional Cardiology Department of Hong Ngoc General Hospital has demonstrated its capability to manage challenging cardiovascular interventions in alignment with international standards of care in Vietnam.
In the coming period, Hong Ngoc General Hospital will continue to strengthen collaborations with major cardiovascular centers, enhance training and technology transfer, and regularly incorporate the latest advancements in the field. These efforts aim to provide patients with modern, safe and comprehensive cardiovascular care.
Cardiology and Interventional Cardiology Department
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