TY - CHAP M1 - Book, Section TI - Chapter 20. Myocardial Revascularization with Percutaneous Devices A1 - Wilson, James M. A1 - Willerson, James T. A2 - Cohn, Lawrence H. Y1 - 2012 N1 - T2 - Cardiac Surgery in the Adult, 4e AB - At its height, the popularity of surgical coronary revascularization spurred improvement in catheter-based technology—first for imaging quality and later for attempted therapy. In 1974, Andreas Gruentzig completed development of the double-lumen balloon catheter that was miniaturized for use in coronary arteries. Soon afterward, techniques for percutaneous transluminal coronary angioplasty (PTCA) expanded as technical breakthroughs were applied to subselective catheters, devices, guidewires, balloon materials, and lastly, coronary stents. Presently trial evidence attests that percutaneous therapy is useful as a treatment in patients with unacceptably controlled angina whose anatomy does not imply a survival benefit from revascularization or for patients with uncontrollable, unstable symptoms. However, surgical and percutaneous revascularization cannot be considered equivalent.1 SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accesssurgery.mhmedical.com/content.aspx?aid=55916761 ER -