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JAMA Insights
Clinical Update
May 22/29, 2018

Percutaneous Coronary Intervention in 2018

Author Affiliations
  • 1Brigham and Women’s Hospital Heart and Vascular Center
  • 2Harvard Medical School, Boston, Massachusetts
JAMA. 2018;319(20):2127-2128. doi:10.1001/jama.2018.5281

Managing patients with coronary artery stenosis has substantially improved since percutaneous transluminal coronary angioplasty with balloon inflation was introduced in 1977. At that time, cardiac surgery dominated, and percutaneous transluminal coronary angioplasty was limited to the most favorable lesions; the procedure had a relatively high complication and failure rate. Rapid advances in technology have inverted the balance such that most coronary artery lesions needing intervention are now treated with stents.