Health and Healing in North Carolina - An Interactive Timeline

First Artery Stent

1994 - Institutional Event

As heart disease grew to become the leading cause of death in the United States during the late 20th century, medical and surgical treatments advanced, too.

A major milestone was the first coronary angioplasty, performed in San Francisco in 1977. Angioplasty is a medical procedure used to open clogged heart arteries during a heart attack or when plaque buildup causes symptoms such as chest pain or shortness of breath. A tiny balloon is temporarily inserted and expanded at the site of the blockage to widen the artery and restore blood flow. Since the procedure is much less invasive than heart surgery, it involves far less risk, pain, expense and recovery time.

Unfortunately, artery-clogging material frequently returns to the site of a balloon angioplasty, causing the blockage and symptoms to return. So medical scientists continued working on devices to make the results more permanent. In 1994, the FDA approved the first coronary artery stent for use in the United States. This tiny metal tube is inserted with the balloon in a collapsed state. When the balloon inflates, the stent expands, lodges itself against the artery wall and holds the artery open after the balloon is deflated and removed.

Stents have been further developed to slowly release medication that helps prevent arteries from re-clogging. Today, coronary angioplasty has become a very common medical procedure worldwide. More than one million are performed each year in the United States alone.

Information provided by BCBSNC.


With the coronary artery stent, doctors can widen blood vessels mechanically, a viable alternative to heart surgery. Photo courtesy of the U.S. Food and Drug Administration.