Category Archives: Video

50 Years Ago Today Charles Dotter Invented Angioplasty

Charles Dotter. MD

Charles Dotter. MD

It was 50 years ago today that Dr. Charles T. Dotter, a radiologist in Portland, Oregon, performed the first angioplasty. But it wasn’t in the heart; it was in the leg.

An 82-year-old woman was suffering from great pain in her left foot because of blocked circulation in her leg. Her toes had become gangrenous and there was an non-healing ulcer. Amputation was recommended by the physicians at Oregon Health Sciences University, but the woman refused.

Luckily, the surgeon in charge of the case knew of Dr. Dotter’s interest in the possibility of using a catheter to open a blocked artery. Continue reading

3 Comments

Filed under Angiograms, History, Imaging, Innovators, Video

Surgery, Stents and Sports: “Let’s Go to the Videotape!”

A recent New York Times article delves into a topic not often discussed: the fact that some surgeons are more skilled than others. “A Vital Measure: Your Surgeon’s Skill” by Dr. Pauline W. Chen is a fascinating look at a taboo topic. Dr. Chen describes an innovative program where a group of expert surgeons judges how skilled a particular colleague is by looking at a close-up videotape of how he or she works with their hands, utilizes equipment, and so on. How can you tell if a surgeon is on his game? As famed sports commentator Warner Wolf would say in his catch-phrase, “Let’s Go to the Videotape!”

Video control room

Video control room in an early angioplasty live demonstration course

However, watching procedures on video is nothing new to me, or to any member of the interventional cardiology community. The field of angioplasty started on Day One with live demonstration courses where procedures were performed utilizing live TV broadcasts (see my video at the bottom of this post). I designed and directed many of these early courses and we focused cameras on the operator’s hands, very similar to the videos in Dr. Chen’s article. And just last week at the TCT 2013 Annual Symposium, thousands of cardiologists watched the hands of their colleagues in HD video on a 100 foot screen, being broadcast from Germany, or South Korea, or New York. Continue reading

Leave a Comment

Filed under History, Innovators, Media Coverage, Meetings & Conferences, Video

Andreas Gruentzig: In His Own Words

Andreas R. Gruentzig, MD

Andreas R. Gruentzig, MD

On Tuesday morning the Transcatheter Cardiovascular Therapeutics (TCT) 2013 Conference celebrated the “father of angioplasty,” Dr. Andreas Roland Gruentzig, with the Career Achievement Award. Gruentzig, who died in 1985, was honored with a very moving tribute, which included a video, remembrances from his colleagues, and by the presence of his wife and two daughters, who were flown in from Zurich and Berlin by the TCT to receive the award on his behalf. Continue reading

Leave a Comment

Filed under History, Innovators, Interviews, Meetings & Conferences, Video

Department Store Where Dr. DeBakey Found His Surgical Graft Fabric is Demolished

I was alerted via Twitter today by @David_Dobbs (also retweeted by @matthewherper and @cardiobrief et al) that the Macy’s department store, formerly Foley’s, in Houston, Texas was demolished yesterday.

The building, as Dobbs explains in his blog post, “Slow-Mo Demo of Building Packed With Surgical & Personal History,” has personal significance for him, but also significance for the world of medicine. Foley’s is where Michael DeBakey purchased a bit of Dacron fabric, which he fashioned into an arterial graft to repair an aortic aneurysm, an achievement which gave birth to the wide spectrum of medical devices we have today.

A few years back, I made a documentary, tracing the history of these devices and below is a clip in which Dr. Michael DeBakey tells how his mother was really a critical element in this momentous medical advance.

You should also check out the video of the demolition itself in David Dobbs’ post.

Leave a Comment

Filed under History, Innovators, Interviews, Video

Oldest Stent Patient is Also Oldest Transradial Patient

Dr. Purshotam Lal and his 104-yr-old patient, Hari Singh

Dr. Purshotam Lal and his 104-yr-old patient, Hari Singh

Pretty amazing! Last week a 104-year-old man from Noida, India became reportedly the oldest patient ever to receive an angioplasty and stent. As reported in the Hindustan Times, Hari Singh was admitted to Metro Hospital and Heart Institute on May 16 with chest pain. Angiography showed two 100% totally occluded arteries and a 90% blockage near the origin of his Left Anterior Descending (LAD) artery.

Dr. Purshotam Lal, MD, FACC, FSCAI, who is the Director of Interventional Cardiology and Chairman, Metro Group of Hospitals, knew that his patient would probably only survive for a very short time if he did nothing. So he performed an angioplasty and stent implantation on Mr. Singh…and he went in through the left wrist, the transradial approach, to reduce discomfort to his patient and minimize the possibility of bleeding and vascular complications. Continue reading

7 Comments

Filed under Global Trends, Patient Experience, Patients, Stent, Transradial Approach, Video

Andreas Gruentzig on “Complications”

Andreas Gruentzig MD, inventor of PTCA

Andreas Gruentzig MD, Inventor of PTCA

The Patient Forum on Angioplasty.Org receives over 40,000 page views a month. And patients who post to the Forum are a very select subset: they are usually patients who have experienced some type of complication.

I’ve called it our “Complaint Dept.”, not to demean or belittle it in any way, but to characterize it for our readers. If you read through some of the topics, you would think that angioplasty is fraught with negatives and the risks outweigh the benefits. And you’d be wrong because the number of complications is the numerator; the denominator is all of the procedures done, currently almost 700,000 PCIs annually in the U.S. alone.

So, complications occur in only a small percentage of cases.

Of course, if you or a loved one is one of those complications, you really don’t care about the percentages; you want help and answers. Continue reading

Leave a Comment

Filed under History, Innovators, Interviews, Patients, Video

Back to the Future: Drug-Eluting Angioplasty Balloons, Dissolving Stents, FFR and More

Back to the FutureI added a new category “tag” to the stent blog today: “Back to the Future.” And I hereby declare this to be an internet meme, even if it’s only a meme on this site!

I added this category because every TCT or ACC or AHA or ISET or ESC or EuroPCR meeting that I cover, I am struck by the fact that the newest, latest, greatest innovations are all ideas that were present at the genesis of this field of interventional cardiology. Continue reading

1 Comment

Filed under Back to the Future, Drug-Eluting Stents, FFR, History, Meetings & Conferences, Peripheral Artery Disease (PAD), Video