In a groundbreaking leap forward for precision interventional cardiology, Dr. X. Rufus Demel has officially announced the launch of South Tamil Nadu’s first-ever MAKOTO™ Dual Imaging Pro NIRS-IVUS system at Devaki Speciality Hospital, Madurai. Traditional coronary angiography provides only a two-dimensional silhouette of the blood vessel lumen, frequently missing hidden lipid deposits and vulnerable plaques prone to rupture. The introduction of this state-of-the-art dual-modality intravascular imaging platform ushers in Devaki 2.0—a transformative era of world-class cardiac care that enables clinicians to see inside the coronary artery wall with unprecedented clarity.
The MAKOTO™ system is the only technology that seamlessly integrates Ultra-High-Definition Intravascular Ultrasound (HD-IVUS) with Near-Infrared Spectroscopy (NIRS) on a single catheter pullback. While HD-IVUS maps vessel architecture, plaque burden, and precise stent landing zones, NIRS utilizes infrared light absorption to produce a definitive molecular "chemogram." This chemogram pinpoints dangerous Lipid-Rich Core Plaques (LRP), identifying vulnerable plaques prone to sudden heart attacks or peri-procedural complications. Coupled with non-invasive coronary physiology (Virtual FFR) and facilitating zero- or minimal-contrast angioplasty, this milestone brings safer, personalized, and life-saving interventions to cardiac patients across South Tamil Nadu.