| Interventional cardiology
procedures have grown significantly in recent
years, fueled by demographic, technologic, and
economic factors. According to the American Heart
Association, the number of interventional cardiology
procedures grew by 470% in the U.S between 1979
and 20031. Aging populations have increased
the prevalence of CVD ,with one in two men and
women in the age group of 55-64 years having the
disease2. New catheter-based interventional
tools (e.g. balloons and stents) allow physicians
to treat more conditions and more complicated
patient cases. Since these new minimally invasive,
image-guided procedures have positive patient
outcomes and are less costly than open-heart procedures,
physicians are actively encouraged by governmental
and private payers to use these procedures to
treat patients. These procedures all require real-time
x-ray imaging.
The x-ray-based cardiac catheterization system
is the standard of care and is the only imaging
modality for both diagnostic and therapeutic procedures.
It provides real-time images of obstructions to
blood flow in the coronary arteries. When an obstruction
is identified, real-time x-ray imaging is used
to guide the insertion of balloon-tipped catheters
to the point of obstruction for treatment by angioplasty
(balloon expansion of the restricted flow area
in the artery) and stent placement (expanding
a supporting structure to keep the newly enlarged
artery open). The goal of therapy in patients
with coronary artery disease is to alleviate symptoms
of angina and reduce the risk of death or myocardial
infarction by employing techniques and devices
for re-opening the coronary arteries.

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1 American Heart Association,
Heart disease and stroke – 2006 Update
2 American Heart Association, Heart
disease and stroke – 2006 Update
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