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Contemporary Reviews in Interventional Cardiology

Catheter-Based Treatment of Coronary Artery Disease

Past, Present, and Future

David R. Holmes, Jr, MD and David O. Williams, MD

From the Mayo Clinic, Rochester, Minn (D.R.H.), and Rhode Island Hospital, Providence, RI (D.O.W.).

Correspondence to David R. Holmes, Jr, MD, Cardiovascular Diseases, Mayo Clinic, 200 First St SW, Rochester, MN 55901. E-mail holmes.david{at}mayo.edu

September 2007 marked the 30-year anniversary of the first human percutaneous coronary intervention, an index event that changed the course of modern-day cardiovascular care. Before that first procedure, adult invasive cardiology focused on diagnostic angiography as well as hemodynamic assessment of structural heart disease. Since that initial procedure, percutaneous coronary intervention has become the most frequently performed coronary revascularization procedure worldwide. Several factors have been responsible for this dramatic paradigm shift, the most prominent being identification of opportunities for technical improvement and the application of innovation and investigation in concert with colleagues, professional societies, and industry. These approaches will continue to be of paramount importance as new technologies are brought to bear on an increasingly broader group of patients with cardiovascular disease.

Key Words: angioplasty • coronary disease • stents • balloon • catheters

Guest Editor for this article is Alice K. Jacobs, MD.

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