Abstract
The 1970s focused on the major function of the catheterization laboratory: obtaining data needed for the accurate anatomic and physiologic assessment of both congenital and acquired cardiovascular disease. The 1980s saw major growth of therapeutic procedures beginning with the rapid implementation of coronary balloon angioplasty. Complications such as acute/threatened closure remained serious issues, but the introduction of stents improved immediate periprocedural results and decreased the need for urgent bypass surgery. Mayo investigators made important observations on the effect of thrombus in patients with unstable angina and myocardial infarction. There was active involvement in strategies of care for acute myocardial infarction—lytic therapy versus angioplasty.
Major changes in the catheterization laboratory included recruitment of new physicians and changes in staffing rotations. The decade also saw the development and testing of new devices aimed at making angioplasty procedures more predictable and safer in a variety of lesion and patient subsets.
Other areas of interest included the treatment of patients with multivessel coronary artery disease (MVD). Mayo was ideally placed for significant involvement in this—the two people most involved in MVD angioplasty were on the Mayo Clinic staff, and the infrastructure for trial design with established investigators was in place to begin evaluation of angioplasty versus bypass surgery.
Other important areas of focus included development of high-definition video systems for routine use, including strategies for reducing radiation exposure while maintaining optimal image quality. Technologic advances using transseptal catheterization for better hemodynamic assessment of structural heart disease were introduced, as were protocols for the evaluation of pulmonary hypertension.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Gaspard P. History of coronary angioplasty. Europa Digital & Publishing. 2017.
Sundt TM Jr, Smith HC, Campbell JK, Vlietstra RE, Cucchiara RF, Stanson AW. Transluminal angioplasty for basilar artery stenosis. Mayo Clin Proc. 1980;55:673–80.
Holmes DR Jr, Vlietstra RE, Fisher LD, et al. Follow-up of patients from the coronary artery surgery study (CASS) potentially suitable for percutaneous transluminal coronary angioplasty. Am Heart J. 1983;106:981–8.
Holmes DR Jr, Holubkov R, Vlietstra RE, et al. Comparison of complications during percutaneous transluminal coronary angioplasty from 1977 to 1981 and from 1985 to 1986: the National Heart, Lung, and Blood Institute Percutaneous Transluminal Coronary Angioplasty Registry. J Am Coll Cardiol. 1988;12:1149–55.
Mabin TA, Holmes DR Jr, Smith HC, et al. Intracoronary thrombus: role in coronary occlusion complicating percutaneous transluminal coronary angioplasty. J Am Coll Cardiol. 1985;5:198–202.
Sugrue DD, Holmes DR Jr, Smith HC, et al. Coronary artery thrombus as a risk factor for acute vessel occlusion during percutaneous transluminal coronary angioplasty: improving results. Br Heart J. 1986;56:62–6.
Holmes DR Jr, Hartzler GO, Smith HC, Fuster V. Coronary artery thrombosis in patients with unstable angina. Br Heart J. 1981;45:411–6.
Holmes DR Jr, Vlietstra RE, Reeder GS, et al. Angioplasty in total coronary artery occlusion. J Am Coll Cardiol. 1984;3:845–9.
Kaufmann UP, Garratt KN, Vlietstra RE, Menke KK, Holmes DR Jr. Coronary atherectomy: first 50 patients at the Mayo Clinic. Mayo Clin Proc. 1989;64:747–52.
Holmes DR, Garratt KN. Atherectomy. Blackwell Scientific Publications. 1992:256.
Sigwart U, Puel J, Mirkovitch V, Joffre F, Kappenberger L. Intravascular stents to prevent occlusion and restenosis after transluminal angioplasty. N Engl J Med. 1987;316:701–6.
Serruys PW, Strauss BH, Beatt KJ, et al. Angiographic follow-up after placement of a self-expanding coronary-artery stent. N Engl J Med. 1991;324:13–7.
Holmes DR Jr, Vlietstra RE, Smith HC, et al. Restenosis after percutaneous transluminal coronary angioplasty (PTCA): a report from the PTCA Registry of the National Heart, Lung, and Blood Institute. Am J Cardiol. 1984;53:77c–81c.
Vlietstra RE, Assad-Morell JL, Frye RL, et al. Survival predictors in coronary artery disease. Medical and surgical comparisons. Mayo Clin Proc. 1977;52:85–90.
Passamani E, Davis KB, Gillespie MJ, Killip T. A randomized trial of coronary artery bypass surgery. Survival of patients with a low ejection fraction. N Engl J Med. 1985;312:1665–71.
Chesebro JH, Fuster V, Elveback LR, et al. Effect of dipyridamole and aspirin on late vein-graft patency after coronary bypass operations. N Engl J Med. 1984;310:209–14.
Taliercio CP, Vlietstra RE, Ilstrup DM, et al. A randomized comparison of the nephrotoxicity of iopamidol and diatrizoate in high risk patients undergoing cardiac angiography. J Am Coll Cardiol. 1991;17:384–90.
Holmes DR Jr, Bove AA, Wondrow MA, Gray JE. Video x-ray progressive scanning: new technique for decreasing x-ray exposure without decreasing image quality during cardiac catheterization. Mayo Clin Proc. 1986;61:321–6.
Currie PJ, Seward JB, Reeder GS, et al. Continuous-wave Doppler echocardiographic assessment of severity of calcific aortic stenosis: a simultaneous Doppler-catheter correlative study in 100 adult patients. Circulation. 1985;71:1162–9.
Sinak LJ, Hoffman EA, Schwartz RS, et al. Three-dimensional cardiac anatomy and function in heart disease in adults: initial results with the dynamic spatial reconstructor. Mayo Clin Proc. 1985;60:383–92.
Nishimura RA, Rogers PJ, Holmes DR Jr, Gehring DG, Bove AA. Assessment of myocardial perfusion by videodensitometry in the canine model. J Am Coll Cardiol. 1987;9:891–7.
Holmes DR Jr, Bove AA, Nishimura RA, et al. Comparison of monoplane and biplane assessment of regional left ventricular wall motion after thrombolytic therapy for acute myocardial infarction. Am J Cardiol. 1987;59:793–7.
Wondrow MA, Bove AA, Holmes DR Jr, Gray JE, Julsrud PR. Technical consideration for a new X-ray video progressive scanning system for cardiac catheterization. Catheter Cardiovasc Diagn. 1988;14:126–34.
O’Keefe JH, Jr. The transseptal approach for left heart catheterization. The Practice of Interventional cardiology, FA Davis Publishing. 1989:107–119.
Rubin LJ, Peter RH. Oral hydralazine therapy for primary pulmonary hypertension. N Engl J Med. 1980;302:69–73.
Rubanyl GM, Frye RL, Holmes DR Jr, Vanhoutte PM. Vasoconstrictor activity of coronary sinus plasma from patients with coronary artery disease. J Am Coll Cardiol. 1987;9:1243–9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Mayo Foundation for Medical Education and Research, under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Holmes, D.R., Smith, H.C., Vlietstra, R.E. (2021). 1980s: Expanding the Practice. In: Holmes Jr., D.R., Frye, R.L., Friedman, P.A., Hagler, D.J., Munger, T.M., Ritman, E.L. (eds) The Mayo Clinic Cardiac Catheterization Laboratory. Springer, Cham. https://doi.org/10.1007/978-3-030-79329-6_3
Download citation
DOI: https://doi.org/10.1007/978-3-030-79329-6_3
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-79328-9
Online ISBN: 978-3-030-79329-6
eBook Packages: MedicineMedicine (R0)