@article{oai:niigata-u.repo.nii.ac.jp:00021898,
 author = {樋態, 紀雄 and 三井田, 努 and 小田, 弘隆 and 佐藤, 広則},
 issue = {11},
 journal = {新潟医学会雑誌, 新潟医学会雑誌},
 month = {Nov},
 note = {From 1985 through the late 1970's essentially all cardiac catheterizations were performed to evaluate individual disease states, to guide medical therapy, or to provide a plan for cardiac surgical techniques. Beginning in the 1980's, however, cardiac catheterization has begun to play an increasingly important role in treating as well as diagnosing cardiovascular lesions. Dotter and Judkins noted that it was frequently possible to pass first guide wire and the catheter or dilator through an area of stenosis in the iliac femoral system, thereby enlarging the lumen and improving antegrade blood flow. In 1977, percutaneous balloon angioplasty was extended to stenosis of the epicardial coronary arteries. In our institution, elective angioplasty was performed in 82 cases. Primary success rate for PTCA was 84.2% for the LAD, 90.9% fer the LCx and 84.0% for the RCA. 19.5% （16 cases/82 cases）of patients with an initially successful procedure experienced return of angina owing to angiographically evident renarrowing （restenosis） of dilated segment within 6 months after the procedure. The results of peripheral angioplasty are similar to PTCA. Balloon valvuloplasty was applied to 4 patient with aquired （rheumatic） mitral stenosis, using a transseptal approach. Early （3 to 7 month） follow up studies have demonstrated preservation of improved mitral orifice and physiological improvements. Some of the earlist applications of interventional cardiology were in patients with congenital heart diseases.},
 pages = {903--908},
 title = {1) 診断・治療の進歩と心疾患の変遷(シンポジウム 各診療科における疾患像の変遷, 第454回新潟医学会)},
 volume = {104},
 year = {1990}
}