INTRODUCTION Print Section Listen Prior to Gruentzig’s seminal development of balloon angioplasty, coronary arteriograms were largely used to discriminate patients with and without coronary artery disease and to select those…
INTRODUCTION Print Section Listen Atherosclerosis is a systemic vascular disease that often affects multiple vascular territories and leads to peripheral artery disease (PAD). The age-adjusted prevalence of peripheral atherosclerotic disease…
INTRODUCTION Print Section Listen Fluoroscopic radiation is a carcinogen that can also cause severe injury (“radiation burns”) in patients and practitioners. Figures 11-1,11-2,11-3,11-4 illustrate the severe effects of radiation. All…
INTRODUCTION Print Section Listen The limitations inherent to angiography served as a technological springboard for the development of other devices in search of better visualization, quantification, and identification of the…
INTRODUCTION Print Section Listen The technical goal of coronary stenting should be to eliminate or lessen ischemic symptoms in the short/intermediate term and possibly reduce the risk of death or…
HISTORICAL PERSPECTIVE Print Section Listen Computed tomography (CT) was developed in the early 1970s. The first computed axial tomography (CAT) scanners developed by Sir Geoffrey Hounsfield and colleagues required long…
INTRODUCTION Print Section Listen Appropriate selection and manipulation of equipment is critical to successful percutaneous coronary intervention (PCI) outcomes and low complication rates. The guidewire is the first piece of…
HISTORY Print Section Listen The first known attempt at radial artery access for angiography was made in March 1947 by Dr. Stig Radner in Lund, Sweden. He reported on his…
INTRODUCTION Print Section Listen Percutaneous transluminal coronary angioplasty (PTCA) was first described by Andreas Gruentzig in 1976, when he reported the successful application of the new technique in canine coronary…
HISTORICAL PERSPECTIVE Print Section Listen Radiocontrast was first described to cause nephrotoxicity in the 1960s.1,2 Contrast-induced nephropathy (CIN), now termed contrast-induced acute kidney injury (CI-AKI), is likely to increase in…
