History of coronary revascularization

Coronary revascularization evolved from an understanding of the relationship between coronary obstructions and the clinical manifestations they produce. Visualization of the coronary arteries in patients was necessary, and coronary arterography made that possible. Peripheral vascular surgical techniques were logically applied to the coronary circulation as technology for cardiac surgery had been developed. The concept of nonsurgical revascularization of the coronary arteries arose from the catheter-based opening of stenotic peripheral arteries. Interventional techniques including stenting are now finding their proper place alongside surgery as life-saving and life-enhancing therapies. Appropriate application of coronary revascularization in addition to modern medical therapy is now a principal focus.