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Provides historical context for PCI education; extends the field's narrative while leaving open questions on post-1977 evolution.
Techniques for selective coronary arteriography were developed in the late 1950s and 1960s.'-4 Attempts at myocardial revascularization had been performed before this time, but it was not until the development of selective coronary arteriography in 1964 that present-day techniques of aorto-coronary bypass sur- gery were first used.5'6 In the same year Dotter & Judkins7 described a method of dilating atheros- clerotic lesions in peripheral arteries using a co-axial catheter system. In the early 1970s Gruentzig devised an inflatable balloon for dilatation of peripheral arterial lesions and in 1977 successfully performed the first percutaneous transluminal coronary angioplasty (PTCA).8
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Cooper et al. (1987) studied this question.
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