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Previous Volume 330:981-993 April 7, 1994 Number 14 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The nonsurgical treatment of arteries narrowed by atherosclerosis was introduced in 1964, when Dotter and Judkins performed transluminal angioplasty of femoral arterial stenoses¹. In the 1970s, Gruntzig modified the dilation catheter to allow its use in coronary arteries,² and in September 1977 he performed the first percutaneous transluminal coronary angioplasty (PTCA) in a patient. PTCA has since been used in many patients with stable angina, unstable angina, or acute myocardial infarction. Its use was initially limited to the treatment of discrete stenoses in proximal segments of a coronary artery, but improvements in equipment and technique have led to its . . . [Full Text of this Article]

Mechanisms of Arterial Dilation

Performance of the Procedure

Medications

The Procedure

Management after PTCA

Efficacy of the Procedure

Clinical Applications

Stable Angina on Exertion

Unstable Angina

Acute Myocardial Infarction

After Thrombolytic Therapy

Short-Term Complications

Mechanism of Abrupt Closure

Risk Factors for Abrupt Closure

Consequences of Abrupt Closure

Management of Abrupt Closure

Long-Term Complications

Mechanism of Restenosis

Risk Factors for Restenosis

Consequences of Restenosis

Management of Restenosis

Coronary Atherectomy

Economic Considerations

Future Directions

Source Information

From the Department of Internal Medicine, Cardiovascular Division, University of Texas Southwestern Medical Center, and the Cardiac Catheterization Laboratory, Parkland Memorial Hospital, Dallas.

Address reprint requests to Dr. Hillis at Room CS 7.102, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75235-9047.

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