Cardiology

This past March, interventional cardiology lost one of its true trailblazers when Geoffrey Hartzler, MD, died at the age of 65 years after a bout with cancer.

As friends and loved ones mourn the passing of one who was known for being a devoted family man and a thoughtful and humble human being, members of the interventional cardiology community will in their own way have to process the loss of one of the true champions of the field during its early years. Dr. Hartzler’s influences on intervention can be traced back to 1979 when he performed the first angioplasty at the Mayo Clinic. One year later, and just 3 years after the first human was treated with balloon angioplasty by Andreas Gruentzig, MD, Dr. Hartzler pioneered the field of infarct angioplasty and later wrote a protocol and began applying it to more patients. He also was the first to treat multiple lesions at a single setting, which, while controversial at the time, forever changed the practice of interventional cardiology.

“He was an absolute genius in seeing what was needed,” said Barry D. Rutherford, MD, an early mentor of Dr. Hartzler at the Mayo Clinic, Rochester, Minn., and later a colleague of his at the Saint Luke’s Mid America Heart Institute, Kansas City. “He created the first steerable wires and was able to expand angioplasty procedures to patients with multiple vessel disease, ostial lesions, bifurcations, saphenous vein grafts, left main disease, chronic total occlusions, thrombus aspiration and even a retrograde approach.”

The Formative Years

Early on, before Dr. Hartzler helped shape the landscape of interventional cardiology, Rutherford remembers him as a striking man who was aggressive and energetic.

“Geoff wanted to learn as much as he could as fast as he could,” he said. “He was controversial because of that, and his personality was fairly aggressive. You either responded to that or you didn’t; I found him to be an exceptional young man at that time.”

Although their working relationship began as mentor and pupil, the influence of Dr. Hartzler on Rutherford’s career in the oncoming years was equally as indelible.

“Geoff taught me two important things: First, he was never at a loss for a new idea and showed me how important it was to be innovative in your thought process and be willing to try new things for your patients,” Rutherford said. “Second, he taught me the importance of sheer concentration. He was able to concentrate on a case for an hour or 2 hours and solve it.”

Dr. Hartzler’s dedication was felt not only by his colleagues and the thousands of students he taught over the years, but also by his patients and their families as well.

“I never saw him finish a case and not also go out and personally interact with the family,” Rutherford said. “It was a touching thing to see: Geoff would come out after a very difficult case, sit down with the family and take the spouse’s hand and discuss the results. It was such a striking part of his personality.”

The Personal Side

Along with being a physician and forward-thinker, there was another, deeper side to Dr. Hartzler.

“He was a very thoughtful human being,” Rutherford said. “He was a Mennonite, so there was no pomp and circumstance with him. His family was very important to him and he stayed in close contact with his children on a daily basis. He was an active, excellent musician and played the bass guitar. And, to me, he was a very close and wonderful friend over many years.

“In fact, looking back, it’s hard to describe the full extent to how he influenced me,” Rutherford continued. “It was Geoff who really set my career in motion and I know I owe my career in interventional cardiology to him. All of my accomplishments since becoming an interventional cardiologist, particularly in the field of acute infarct angioplasty, I attribute to him.” – by Brian Ellis

Reference:

Kahn JK. Clin Cardiol. 2004;27:58-59.