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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

Catheter-based treatment of coronary artery disease: past, present, and future

David R Holmes1, David O Williams

  • 1Mayo Clinic, Rochester, MN 55901, USA. holmes.david@mayo.edu

Circulation. Cardiovascular Interventions
|December 25, 2009
PubMed

Insights

Percutaneous coronary intervention has revolutionized cardiovascular care, becoming the leading worldwide procedure for coronary revascularization. Continuous innovation and technical advancements drive its expanding role in treating heart disease.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Medical Technology

Background:

  • The 30-year anniversary of the first human percutaneous coronary intervention (PCI) in September 2007 highlights its transformative impact.
  • Prior to PCI, adult invasive cardiology primarily involved diagnostic angiography and hemodynamic assessment.
  • Coronary revascularization procedures were limited before the advent of PCI.

Purpose of the Study:

  • To review the evolution and impact of percutaneous coronary intervention (PCI) in cardiovascular care.
  • To identify key factors contributing to the widespread adoption of PCI.
  • To emphasize the ongoing importance of innovation in interventional cardiology.

Main Methods:

  • Historical review of interventional cardiology practices.
  • Analysis of factors driving the paradigm shift towards PCI.
  • Discussion of technological advancements and collaborative efforts.

Main Results:

  • Percutaneous coronary intervention (PCI) is now the most frequently performed coronary revascularization procedure globally.
  • Technical improvements and innovation have been pivotal in the success and adoption of PCI.
  • Collaboration among professionals, societies, and industry has accelerated progress.

Conclusions:

  • PCI has fundamentally altered cardiovascular care, establishing itself as a cornerstone treatment.
  • Continued innovation and technical refinement are crucial for advancing PCI.
  • Future developments in technology will expand PCI's application to a wider patient population.

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