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October
27, 2005
It Was Twenty Years Ago Today...
Well, if there were a Sergeant Pepper in the
field of interventional cardiology, it would be Andreas
Gruentzig. He most certainly taught the band to play -- he did
the first coronary angioplasty (video
clip) in 1977 and made his life's mission teaching the procedure
to other cardiologists. And it was twenty years ago today that, at
the age of only 45, he took off in his twin engine Beechcraft from
his vacation home in the coastal islands of Georgia to get to his
office at Emory Hospital in Atlanta and ran into the edge of a hurricane,
and crashed -- tragically killing both him and his wife.
I had interviewed Andreas on video only a few weeks before,
getting his "take" on the current state of angioplasty. This
was all before the era of stents -- a device that changed the procedure
significantly, virtually eliminating the problem of emergency bypass surgery.
The video I was working on (for USCI -- does anyone remember them?) was
going to be Andreas' answer to the expansion of angioplasty and its movement
toward more and more complex cases, some say led by the "cowboys" of
interventional cardiology. Parts of that interview can be viewed on
his bio page here.
I edited the video and sent him a copy via fedex. It
arrived on his desk on Monday morning October 28th. That same day, Dr.
Richard Schatz had scheduled an appointment with Andreas to show him his
new device: the Palmaz-Schatz stent! You
can see a video clip of Dr. Schatz discussing his excitement about presenting
his stent to the "father of angioplasty". Unfortunately Gruentzig
never got to see either the video or the stent. And ironically, over the
following decade, the introduction of the stent expanded Gruentzig's procedure
to the point where it overtook surgery as the treatment of choice for coronary
artery disease.
In September of 1985 I attended Andreas' last course
at Emory and he gave tribute to the three great "fathers" of
interventional cardiology: Charles Dotter, Mason Sones and Mel Judkins.
Each had contributed to the process that culminated in angioplasty. All
three had passed away in 1985. When Andreas paid tribute to them, the last
thing anyone thought was that he would join them within a few weeks.
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