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South Tamil Nadu's First MAKOTO Dual Imaging Pro NIRS-IVUS Launch by Dr. Rufus Demel
Interventional Coronary & Intravascular Imaging

Dr. Rufus Demel Announced the Launch of South Tamil Nadu’s First MAKOTO Dual Imaging Pro NIRS-IVUS at Devaki Hospital

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.

Key Clinical Benefits of MAKOTO Dual Imaging (HD-IVUS + NIRS)

  • Dual Imaging Modality (Ultra HD IVUS + NIRS): Combines high-resolution ultrasound anatomy with near-infrared biochemical detection of lipid core plaques in a single rapid coronary pullback.
  • Future Risk & MACE Prediction: Identifies vulnerable thin-cap fibroatheromas and lipid-rich plaques, substantially reducing the risk of peri-procedural myocardial infarction and predicting future Major Adverse Cardiac Events (MACE).
  • Zero & Minimal-Contrast Interventions: Enables ultra-low or zero-contrast coronary angioplasty for complex cases, significantly safeguarding renal function in diabetic, CKD, and heart failure patients.
  • Precision Stent Optimization & Virtual FFR: Provides microscopic accuracy for true vessel sizing, landing zones, and optimal stent expansion, while Virtual FFR confirms coronary physiology completely non-invasively.

Procedure & Event Gallery

Dr. Rufus Demel with MAKOTO Dual Imaging System in Cath Lab
Devaki 2.0 MAKOTO Dual Imaging Launch Announcement
Regional Press Feature on First MAKOTO NIRS-IVUS in South Tamil Nadu
National Press Coverage in The Hindu