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January 5, 1979

Medical News

JAMA. 1979;241(1):11-19. doi:10.1001/jama.1979.03290270005001

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Balloon catheters and coronary arteries: increasing experience  Probably the hottest topic at the recent American Heart Association meeting in Dallas concerned the limited clinical experience with percutaneous transluminal coronary angioplasty (PTCA).In PTCA, a catheter is introduced under fluoroscopic guidance into a stenotic lesion in a coronary artery. A sausage-shaped balloon segment at the tip of the device is inflated, and the plaque is pressed against the artery wall in an attempt to end the blockage. The technique is an adaptation of one first reported in 1963 by radiologist Charles Dotter, MD, University of Oregon Medical School, Portland (JAMA [MEDICAL NEWS] 240:1117-1119,1978).The procedure has attracted growing attention since Andreas R. Griintzig, MD, and colleagues began using it with selected atherosclerotic patients at the Zurich (Switzerland) Medical University Hospital in mid-September 1977. Percutaneous transluminal coronary angioplasty since has been performed at various centers in Europe and at a handful