Recent Advances in Pci
نویسندگان
چکیده
The use of percutaneous coronary intervention (PCI) to treat ischemic coronary artery disease (CAD) has expanded dramatically over the past three decades. Coronary balloon angioplasty, or percutaneous transluminal coronary angioplasty (PTCA), was first performed by Andreas Gruentzig in 1977 using a fixed-wire balloon catheter. The procedure was initially limited to the fewer than 10% of patients with symptomatic CAD who had a single, focal, noncalcified lesion of a proximal coronary vessel. As equipment design and operator experience evolved over the next decade, the use of PCI expanded to include an increasing spectrum of coronary anatomy including Left main disease, multivessel disease, chronic total occlusions, diseased saphenous vein grafts (SVGs), and patients with acute ST segment elevation myocardial infarction (STEMI), among other complexities.
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