The current and future state of interventional cardiology: a critical appraisal

Meier, Bernhard (2006). The current and future state of interventional cardiology: a critical appraisal. Cardiology, 106(3), pp. 174-89. Basel: Karger 10.1159/000092957

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After 75 years of invasive and over 50 years of interventional cardiology, cardiac catheter-based procedures have become the most frequently used interventions of modern medicine. Patients undergoing a percutaneous coronary intervention (PCI) outnumber those with coronary artery bypass surgery by a factor of 2 to 4. The default approach to PCI is the implantation of a (drug-eluting) stent, in spite of the fact that it improves the results of balloon angioplasty only in about 25% of cases. The dominance of stenting over conservative therapy or balloon angioplasty on one hand and bypass surgery on the other hand is a flagrant example of how medical research is digested an applied in real life. Apart from electrophysiological interventions, closure ot the patent foramen ovale and percutaneous replacement of the aortic valve in the elderly have the potential of becoming daily routine procedures in catheterization laboratories around the world. Stem cell regeneration of vessels or heart muscle, on the other hand, may remain a dream never to come true.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Meier, Bernhard

ISSN:

0008-6312

ISBN:

16651851

Publisher:

Karger

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:52

Last Modified:

06 Dec 2013 13:45

Publisher DOI:

10.1159/000092957

PubMed ID:

16651851

Web of Science ID:

000240937100010

URI:

https://boris.unibe.ch/id/eprint/21964 (FactScience: 20570)

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