{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T22:15:46Z","timestamp":1791670546971,"version":"4.3.4"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Interventions"],"published-print":{"date-parts":[[2009,2]]},"abstract":"<jats:p>\n            <jats:bold>\n              <jats:italic>Background\u2014<\/jats:italic>\n            <\/jats:bold>\n            Percutaneous coronary intervention (PCI) has undergone rapid progress, both in technology and adjunct therapy. However, documentation of long-term temporal trends in relation to contemporary practice is lacking.\n          <\/jats:p>\n          <jats:p>\n            <jats:bold>\n              <jats:italic>Methods and Results\u2014<\/jats:italic>\n            <\/jats:bold>\n            We analyzed PCI use and outcomes in 8976 consecutive patients in the multicenter, National Heart, Lung, and Blood Institute\u2013sponsored 1985\u20131986 percutaneous transluminal coronary angioplasty (PTCA) and 1997\u20132006 Dynamic Registries waves (wave 1: 1997\u20131998, bare-metal stents; wave 2: 1999, uniform use of stents; wave 3: 2001\u20132002, brachytherapy; waves 4 and 5: 2004\u20132006, drug-eluting stents). Patients undergoing PCI in the recent waves were older and more often reported comorbidities than those in the balloon era. PCI was more often performed for acute coronary syndromes and, in spite of the greater disease burden, was more often selective. Procedural success was achieved and maintained more often in the stent era. Significant reductions were observed in in-hospital rates (%) of myocardial infarction (PTCA Registry: 4.9; wave 1, 2.7; wave 2, 2.8; wave 3, 1.9; wave 4, 2.6; wave 5, 2;\n            <jats:italic>P<\/jats:italic>\n            <jats:sub>trend<\/jats:sub>\n            &lt;0.001) and emergency coronary artery bypass surgery (PTCA Registry: 3.7; wave 1, 0.4; wave 2, 0.4; wave 3, 0.3; wave 4, 0.4; wave 5, 0;\n            <jats:italic>P<\/jats:italic>\n            <jats:sub>trend<\/jats:sub>\n            &lt;0.001). Compared with the PTCA Registry, risk for repeat revascularization (31 to 365 days after index PCI) was significantly lower in the dynamic waves (adjusted hazard ratio: wave 1, 0.72; wave 2, 0.51; wave 3, 0.51; wave 4, 0.30; wave 5, 0.36;\n            <jats:italic>P<\/jats:italic>\n            &lt;0.05 for all).\n          <\/jats:p>\n          <jats:p>\n            <jats:bold>\n              <jats:italic>Conclusions\u2014<\/jats:italic>\n            <\/jats:bold>\n            Percutaneous interventions, in the last 2 decades, have evolved to include more urgent, comorbid cases, despite achieving high success rates with significantly reduced need for repeat revascularization.\n          <\/jats:p>","DOI":"10.1161\/circinterventions.108.825323","type":"journal-article","created":{"date-parts":[[2008,12,16]],"date-time":"2008-12-16T02:31:33Z","timestamp":1229394693000},"page":"6-13","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":94,"title":["Twenty-Year Evolution of Percutaneous Coronary Intervention and Its Impact on Clinical Outcomes"],"prefix":"10.1161","volume":"2","author":[{"given":"Lakshmi","family":"Venkitachalam","sequence":"first","affiliation":[{"name":"From the Cardiovascular Institute, Department of Medicine (L.V., S.R.M., O.C.M.), School of Medicine, University of Pittsburgh, and Department of Epidemiology (L.V., F.S., S.F.K.), Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pa; College of Nursing (K.E.K), University of South Florida, Tampa, Fla; Cardiovascular Division (R.L.W.), University of Pennsylvania, Philadelphia, Pa; Cardiology Division (J.S.), New York University Medical Center, New York, NY; Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin E.","family":"Kip","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Institute, Department of Medicine (L.V., S.R.M., O.C.M.), School of Medicine, University of Pittsburgh, and Department of Epidemiology (L.V., F.S., S.F.K.), Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pa; College of Nursing (K.E.K), University of South Florida, Tampa, Fla; Cardiovascular Division (R.L.W.), University of Pennsylvania, Philadelphia, Pa; Cardiology Division (J.S.), New York University Medical Center, New York, NY; Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faith","family":"Selzer","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Institute, Department of Medicine (L.V., S.R.M., O.C.M.), School of Medicine, University of Pittsburgh, and Department of Epidemiology (L.V., F.S., S.F.K.), Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pa; College of Nursing (K.E.K), University of South Florida, Tampa, Fla; Cardiovascular Division (R.L.W.), University of Pennsylvania, Philadelphia, Pa; Cardiology Division (J.S.), New York University Medical Center, New York, NY; Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert L.","family":"Wilensky","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Institute, Department of Medicine (L.V., S.R.M., O.C.M.), School of Medicine, University of Pittsburgh, and Department of Epidemiology (L.V., F.S., S.F.K.), Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pa; College of Nursing (K.E.K), University of South Florida, Tampa, Fla; Cardiovascular Division (R.L.W.), University of Pennsylvania, Philadelphia, Pa; Cardiology Division (J.S.), New York University Medical Center, New York, NY; Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Slater","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Institute, Department of Medicine (L.V., S.R.M., O.C.M.), School of Medicine, University of Pittsburgh, and Department of Epidemiology (L.V., F.S., S.F.K.), Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pa; College of Nursing (K.E.K), University of South Florida, Tampa, Fla; Cardiovascular Division (R.L.W.), University of Pennsylvania, Philadelphia, Pa; Cardiology Division (J.S.), New York University Medical Center, New York, NY; Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suresh R.","family":"Mulukutla","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Institute, Department of Medicine (L.V., S.R.M., O.C.M.), School of Medicine, University of Pittsburgh, and Department of Epidemiology (L.V., F.S., S.F.K.), Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pa; College of Nursing (K.E.K), University of South Florida, Tampa, Fla; Cardiovascular Division (R.L.W.), University of Pennsylvania, Philadelphia, Pa; Cardiology Division (J.S.), New York University Medical Center, New York, NY; Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar C.","family":"Marroquin","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Institute, Department of Medicine (L.V., S.R.M., O.C.M.), School of Medicine, University of Pittsburgh, and Department of Epidemiology (L.V., F.S., S.F.K.), Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pa; College of Nursing (K.E.K), University of South Florida, Tampa, Fla; Cardiovascular Division (R.L.W.), University of Pennsylvania, Philadelphia, Pa; Cardiology Division (J.S.), New York University Medical Center, New York, NY; Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter C.","family":"Block","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Institute, Department of Medicine (L.V., S.R.M., O.C.M.), School of Medicine, University of Pittsburgh, and Department of Epidemiology (L.V., F.S., S.F.K.), Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pa; College of Nursing (K.E.K), University of South Florida, Tampa, Fla; Cardiovascular Division (R.L.W.), University of Pennsylvania, Philadelphia, Pa; Cardiology Division (J.S.), New York University Medical Center, New York, NY; Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David O.","family":"Williams","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Institute, Department of Medicine (L.V., S.R.M., O.C.M.), School of Medicine, University of Pittsburgh, and Department of Epidemiology (L.V., F.S., S.F.K.), Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pa; College of Nursing (K.E.K), University of South Florida, Tampa, Fla; Cardiovascular Division (R.L.W.), University of Pennsylvania, Philadelphia, Pa; Cardiology Division (J.S.), New York University Medical Center, New York, NY; Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheryl F.","family":"Kelsey","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Institute, Department of Medicine (L.V., S.R.M., O.C.M.), School of Medicine, University of Pittsburgh, and Department of Epidemiology (L.V., F.S., S.F.K.), Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pa; College of Nursing (K.E.K), University of South Florida, Tampa, Fla; Cardiovascular Division (R.L.W.), University of Pennsylvania, Philadelphia, Pa; Cardiology Division (J.S.), New York University Medical Center, New York, NY; Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(78)90500-7"},{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.18.1992"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.107.688416"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/circ.102.24.2945"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(01)01430-8"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.106.632679"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/circ.80.3.2527641"},{"key":"e_1_3_2_8_2","unstructured":"Margolin BH. 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