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Interventional Cardiology Techniques for Coronary Artery Disease
Author(s) -
VLIETSTRA RONALD E.,
BRENNER ALAN S.,
BROWNE KEVIN F.
Publication year - 1991
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1991.tb00338.x
Subject(s) - medicine , interventional cardiology , restenosis , angioplasty , atherectomy , coronary artery disease , revascularization , percutaneous , cardiology , catheter , percutaneous transluminal coronary angioplasty , intensive care medicine , surgery , stent , myocardial infarction
A bstract This review updates and extends observations made in this journal in March 1988. The focus then was on percutaneous transluminal coronary angioplasty and the clinical results of its practical application. A concern was expressed that science lagged in solving the major problems of rethrombosis and restenosis. The NHLBI Bypass Angioplasty Revasculariztion Investigation (BARI) study was still in the planning phase. In 1991, the scene has changed. Interventional cardiology now embraces a multitude of different catheter devices—angioplasty, atherectomy, laser, stents. Basic scientists are increasingly involved in addressing the restenosis issue. Our national heart meetings are increasingly oriented towards molecular biology approaches to solving the remaining problems. The BARI trial has nearly completed patient entry, and we eagerly await its results. The cardiologist and surgeon are faced with increasingly complex decisions with respect to interventional technologies, involving not only whether to use them, but which ones.