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Heart 2000;83:481-490; doi:10.1136/heart.83.4.481
Copyright © 2000 BMJ Publishing Group Ltd & British Cardiovascular Society
Heart 2000;83:481 ( April )

Education in Heart

CORONARY DISEASE

Intervention in coronary artery disease

Stephan Windecker, Bernhard Meier

Swiss Cardiovascular Center Bern, University Hospital, Bern, Switzerland

Correspondence to: Bernhard Meier MD, Professor and Head of Cardiology, Swiss Cardiovascular Center, Bern, University Hospital, 3010 Bern, Switzerland email: bernhard.meier@insel.ch

The first 150 words of the full text of this article appear below.

    Introduction

Percutaneous transluminal coronary angioplasty (PTCA) was introduced into clinical practice more than 20 years ago.1 The breathtaking growth of percutaneous coronary interventions (PCI) during the 1990s in Europe (fig 1) reflects their widespread acceptance for coronary revascularisation, challenging coronary artery bypass grafting (CABG). This review provides an overview of current coronary interventional techniques with emphasis on adjunctive pharmacologic treatments and indications of PCI in patients with chronic coronary artery disease.

Figure Removed (Available Only in the Full Text)


    Percutaneous coronary interventions

Balloon angioplasty
The balloon catheter is central not only to balloon angioplasty, but serves also as a complementary instrument for other intracoronary interventions such as delivery of stents or radiation sources. There are three types of ballon catheter (based on the relation between the guidewire and balloon)--- fixed wire, over the wire, and Monorail balloon catheters---the latter being the most popular in Europe. There are five possible mechanism by which balloon angioplasty improves coronary haemodynamicsw1: (1) plaque compression; . . . [Full text of this article]
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