The Role of the Surgeon in Percutaneous Transluminal Dilation of Coronary Stenosis

Turina, Marko; Grüntzig, A; Krayenbühl, C.; Senning, Å

doi:10.1016/s0003-4975(10)63764-2

Cited by 24 publications

(5 citation statements)

References 3 publications

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“…The observation made by Turina et al [1] in 1979 in their historical early report on intracoronary balloon angioplasty is ever relevant: ''Coronary procedures were developed and are performed by cardiologists, nevertheless, close cooperation with cardiovascular surgeons is necessary to ensure its optimal success. ''…”

Section: Discussionmentioning

confidence: 99%

Emergency bypass surgery for failed coronary interventions

Topaz

Salter

Janin

et al. 1997

Cathet. Cardiovasc. Diagn.

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Section: Discussionmentioning

confidence: 99%

Emergency bypass surgery for failed coronary interventions

Topaz

Salter

Janin

et al. 1997

Cathet. Cardiovasc. Diagn.

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“…As a cardiac surgeon, Senning was well aware of the potential risks that might be associated with the very delicate procedure in small-lumen arteries. By April 1979, Grüntzig had treated 60 patients applying PTCA, 6 of whom had to undergo emergency bypass surgery to prevent a major myocardial infarction (some of them requiring reanimation) ( 29 , 159 ); a small percentage of these patients experienced a myocardial infarction; however, according to Turina all these patients survived the PTCA or the surgical procedure. By April 1979, Grüntzig reported a primary success of PTCA in 41 out of 60 patients; in 8 of these patients Grüntzig performed balloon angioplasty in stenosed aorto-coronary bypass grafts ( 29 ): at that time, PTCA had been successfully applied by Richard K. Myler, M.D.…”

Section: : the First Coronary Balloon Angioplastymentioning

confidence: 99%

“…Although the PTCA method had just been introduced into clinical practice, Grüntzig did not consider this a problem and, according to his former assistant Maria Schlumpf, he was convinced of its safety when performed correctly ( 36 ). In fact, Grüntzig was always and first and foremost concerned with the safety of the patient, and initially thought – perhaps because 1 out of 10 patients underwent emergency surgical revascularization in the early years ( 159 ) – that only 5–10% of all coronary artery disease patients might be eligible to be treated with his new method. Grüntzig summarized his experience from teaching in the early PTCA courses as follows:…”

Section: Andreas Grüntzig: Clinical Teacher and Educator In Vascular mentioning

confidence: 99%

Balloon Angioplasty â€“ The Legacy of Andreas GrÃ¼ntzig, M.D. (1939â€“1985)

Barton

Grüntzig

Husmann

et al. 2014

Front. Cardiovasc. Med.

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In 1974, at the Medical Policlinic of the University of Zürich, German-born physician-scientist Andreas Grüntzig (1939–1985) for the first time applied a balloon-tipped catheter to re-open a severely stenosed femoral artery, a procedure, which he initially called “percutaneous transluminal dilatation”. Balloon angioplasty as a therapy of atherosclerotic vascular disease, for which Grüntzig and Charles T. Dotter (1920–1985) received a nomination for the Nobel Prize in Physiology or Medicine in 1978, became one of the most successful examples of translational medicine in the twentieth century. Known today as percutaneous transluminal angioplasty (PTA) in peripheral arteries or percutaneous transluminal coronary angioplasty (PTCA) or percutaneous coronary intervention (PCI) in coronary arteries, balloon angioplasty has become the method of choice to treat patients with acute myocardial infarction or occluded leg arteries. On the occasion of the 40th anniversary of balloon angioplasty, we summarize Grüntzig’s life and career in Germany, Switzerland, and the United States and also review the developments in vascular medicine from the 1890s to the 1980s, including Dotter’s first accidental angioplasty in 1963. The work of pioneers of catheterization, including Pedro L. Fariñas in Cuba, André F. Cournand in France, Werner Forssmann, Werner Porstmann and Eberhard Zeitler in Germany, António Egas Moniz and Reynaldo dos Santos in Portugal, Sven-Ivar Seldinger in Sweden, and Barney Brooks, Thomas J. Fogarty, Melvin P. Judkins, Richard K. Myler, Dickinson W. Richards, and F. Mason Sones in the United States, is discussed. We also present quotes by Grüntzig and excerpts from his unfinished autobiography, statements of Grüntzig’s former colleagues and contemporary witnesses, and have included hitherto unpublished historic photographs and links to archive recordings and historic materials. This year, on June 25, 2014, Andreas Grüntzig would have celebrated his 75th birthday. This article is dedicated to his memory.

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“…The first surgical aspects of the procedure were summarized in our publication from 1979. 6 In brief, the method was attempted in 45 patients, but the coronary stenosis could not be passed with the catheter in 12. Among the 33 remaining patients in whom the stenosis could be passed with the dilatation catheter, PCI was successful in 28, yielding an overall success rate of 62%.…”

Section: Risks Of Early Pcimentioning

confidence: 99%

Beginning of percutaneous coronary interventions: Zurich 1976–1977

Turina¹

2011

The Journal of Thoracic and Cardiovascular Surgery

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By introducing his concept of percutaneous coronary intervention (PCI), Andreas Gr€ untzig (Figure 1) has affected the most profound change not only in cardiology but also in cardiac surgery. This innovation started its triumphal march in the last 2 decades of the 20th century, but the idea was developed and experimentally tested in Zurich in 1974 to 1975. The concept of a balloon-tipped catheter to dilate arteriosclerotic lesions was doubted by many, and early clinical application of PCI was anything but straightforward. Having had the privilege to work closely with Andreas Gr€ untzig during the development of PCI in Zurich, I was invited by Dr Lawrence Cohn, Editor-in-Chief, to add some observations about this epochal discovery. Two observations emerge from Dr Gr€ untzig's early work in Zurich: (1) percutaneous balloon dilatation of the coronary stenosis was neither a divine inspiration nor a stroke of luck, but a product of long development and thorough experimental evaluation; (2) its first clinical application was by no means as simple as it appears today. FIGURE 1. Andreas Gr€ untzig.

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The Role of the Surgeon in Percutaneous Transluminal Dilation of Coronary Stenosis

Cited by 24 publications

References 3 publications

Emergency bypass surgery for failed coronary interventions

Emergency bypass surgery for failed coronary interventions

Balloon Angioplasty â€“ The Legacy of Andreas GrÃ¼ntzig, M.D. (1939â€“1985)

Beginning of percutaneous coronary interventions: Zurich 1976–1977

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