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Balloon Angioplasty

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Peripheral Endovascular Interventions

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Abstract

Transluminal angioplasty was initially conceived by Dotter and Judkins in 1964.1 Unfortunately, the technical limitations of their stiff, coaxial, Teflon catheters prevented widespread acceptance and use of their technique. When Gruntzig and Hopff introduced the flexible, polyvinyl double-lumen balloon catheter in 1974, they revolutionized angioplasty and set the stage for its extensive use to treat coronary and peripheral vascular occlusive disease.2 Percutaneous transluminal angioplasty (PTA) is undeniably associated with lower morbidity and cost than conventional open bypass surgery. However, the vascular interventionist (i.e., radiologist, cardiologist, or surgeon) must understand the clinical indications, lasting benefit, and complications of PTA to use this therapy appropriately.

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References

  1. Dotter CT, Judkins MP: Transluminal treatment of arteriosclerotic obstruction: description of a new technique and a preliminary report of its application, Circulation 30: 654–670, 1964.

    Article  PubMed  CAS  Google Scholar 

  2. Gruntzig A, Hopff H: Perkutane Rekanalisation chronischer arterieller Verschlusse mit einem neuen Dilatationskather: Modification der Dotter-Technik, Dtsch Med Wochenschr 99: 2502–2505, 1974.

    Article  PubMed  CAS  Google Scholar 

  3. Dotter CT, Judkins MP, Rosch J: Nonoperative treatment of arterial occlusive disease: a radio-logically facilitated technique, Radiol Clin North Am 5: 531–542, 1967.

    PubMed  CAS  Google Scholar 

  4. Chin AK, Kinney TB, Rurik GW et al: A physical measurement of the mechanisms of transluminal angioplasty, Surgery 95: 196–200, 1984.

    PubMed  CAS  Google Scholar 

  5. Block PC, Baughman KL, Pasternak RC et al: Transluminal angioplasty: correlation of morphologic and angiographic findings in an experimental model, Circulation 61: 778, 1980.

    Article  PubMed  CAS  Google Scholar 

  6. Zarins CK, Lu CT, Gewertz BL et al: Arterial disruption and remodeling following balloon dilatation, Surgery 92: 1086–1095, 1982.

    PubMed  CAS  Google Scholar 

  7. Brewster DC, Cambria RP, Darling RC et al: Long-term results of combined iliac balloon angioplasty and distal surgical revascularization, Ann Surg 210: 324, 1989.

    Article  PubMed  CAS  Google Scholar 

  8. Schneider PA: Guidewire-catheter skills. In Schneider PA, editor: Endovascular skills, St Louis, 1998, Quality Medical Publishing, pp 3–21.

    Google Scholar 

  9. Hoppe M, Wagner HJ, Klose KJ: Assessment of the hemodynamic result of PTA with a Doppler guide wire: initial experience, J Vase Intervent Radiol 7: 89–93, 1996.

    Article  CAS  Google Scholar 

  10. Charlebois N, Saint-Georges G, Hudson G: Percutaneous transluminal angioplasty of the lower abdominal aorta, AJR 146: 369–371, 1986.

    PubMed  CAS  Google Scholar 

  11. Odurny A, Colapinto RF, Sniderman KW, Johnston KW: Percutaneous transluminal angioplasty of abdominal aortic stenoses. Cardiovasc Intervent Radiol 12: 1–6, 1989.

    Article  PubMed  CAS  Google Scholar 

  12. Tegtmeyer CJ, Kellum CD, Krön IL, Mentzer RM Jr: Percutaneous transluminal angioplasty in the region of the aortic bifurcation, Radiology 157: 661–665, 1985.

    PubMed  CAS  Google Scholar 

  13. Heeney D, Bookstein J, Daniels E et al: Transluminal angioplasty of the abdominal aorta, Radiology 148: 81–83, 1983.

    PubMed  CAS  Google Scholar 

  14. Silva MB Jr, Hobson RW II, Jamil Z et al: A program of operative angioplasty: endovascular intervention and the vascular surgeon, J Vase Surg 24: 963–971, 1996.

    Article  Google Scholar 

  15. Bosch JL, Hunink MGM: Meta-analysis of the results of percutaneous transluminal angioplasty and stent placement for aortoiliac disease, Radiology 204: 87–96, 1997.

    PubMed  CAS  Google Scholar 

  16. Wilson SE, White GH, Wolf G et al: Proximal percutaneous balloon angioplasty and distal bypass for multilevel arterial occlusion, Ann Vase Surg 4: 351–355, 1990.

    Article  CAS  Google Scholar 

  17. Becquemin JP, Cavillon A, Allaire E et al: Iliac and femoropopliteal lesions: evaluation of balloon angioplasty and classical surgery, J Endovasc Surg 2 (l): 42–50, 1995.

    Article  PubMed  CAS  Google Scholar 

  18. Cambria RP, Faust G, Gusberg R et al: Percutaneous angioplasty for peripheral arterial occlusive disease, Arch Surg 122: 283, 1987.

    Article  PubMed  CAS  Google Scholar 

  19. Freiman DB, Spence R, Gatenby R et al: Transluminal angioplasty of the iliac and femoral arteries: follow-up results without anticoagulation, Radiology 141: 347, 1981.

    PubMed  CAS  Google Scholar 

  20. Gallino A, Mahler F, Probst P, Nachbur B: Percutaneous transluminal angioplasty of the arteries of the lower limbs: a 5 year follow up. Circulation 70: 619–623, 1984.

    Article  PubMed  CAS  Google Scholar 

  21. Johnston KW: Iliac arteries: reanalysis of results of balloon angioplasty, Radiology 186: 207–212, 1993.

    PubMed  CAS  Google Scholar 

  22. Van Andel GJ, Van Erp WFM, Krepel VM et al: Percutaneous transluminal dilatation of the iliac artery: long-term results, Radiology 156: 321, 1985.

    PubMed  Google Scholar 

  23. Becker GJ, Katzen BT, Dake MD: Noncoronary angioplasty, Radiology 170: 921–940, 1989.

    PubMed  CAS  Google Scholar 

  24. Wilson SE, Wolf GL, Cross AP et al: Percutaneous transluminal angioplasty versus operation for peripheral arteriosclerosis. J Vase Surg 9: 1–9, 1989.

    CAS  Google Scholar 

  25. Sullivan TM, Childs MB, Bacharach JM et al: Percutaneous transluminal angioplasty and primary stenting of the iliac arteries in 288 patients, J Vase Surg 25: 829–838, 1997.

    Article  CAS  Google Scholar 

  26. Colapinto RF, Harries-Jones EP, Johnston KW. Percutaneous transluminal recanalization of complete iliac occlusions, Arch Surg 116: 277–281, 1981.

    Article  PubMed  CAS  Google Scholar 

  27. Colapinto RF, Stronell RD, Johnston WK: Transluminal angioplasty of complete iliac obstructions, Am J Radiol 146: 859–862, 1986.

    CAS  Google Scholar 

  28. Reyes R, Maynar M, Lopera J et al: Treatment of chronic iliac artery occlusions with guide wire recanalization and primary stent placement, J Vase Intervent Radiol 8: 1049–1055, 1997.

    Article  CAS  Google Scholar 

  29. Blair JM, Gewertz BL, Moosa H et al: Percutaneous transluminal angioplasty versus surgery for limb-threatening ischemia, J Vase Surg 9: 698, 1989.

    CAS  Google Scholar 

  30. Krepel VM, van Andel GJ, van Erp WFM et al: Percutaneous transluminal angioplasty of the femoropopliteal artery: initial and long-term results, Radiology 156: 325, 1985.

    PubMed  CAS  Google Scholar 

  31. Milford MA, Weaver FA, Lundell CJ et al: Femoropopliteal percutaneous transluminal angioplasty for limb salvage, J Vase Surg 8: 292, 1988.

    CAS  Google Scholar 

  32. Dalsing MC, Cockerill E, Deupree R et al: Outcome predictors in selection of balloon angioplasty or surgery for peripheral arterial occlusive disease, Surgery 110: 636, 1991.

    PubMed  CAS  Google Scholar 

  33. Zeitler E, Richter EI, Roth FJ et al: Results of percutaneous transluminal angioplasty, Radiology 146: 57, 1983.

    PubMed  CAS  Google Scholar 

  34. El-Bayar H, Roberts A, Hye R et al: Determinants of failure in superficial femoral artery angioplasty, Angiology 43: 877–885, 1992.

    Article  PubMed  CAS  Google Scholar 

  35. Matsi PJ, Manninen HI, Suhonen MT et al: Chronic critical lower-limb ischemia: prospective trial of angioplasty with 1–36 month follow up. Radiology 188: 381–387, 1993.

    PubMed  CAS  Google Scholar 

  36. Murray RR Jr, Hewes RC, White RI Jr et al: Long-segment femoropopliteal stenoses: is angioplasty a boon or bust? Radiology 162: 473–476, 1987.

    PubMed  Google Scholar 

  37. Becquemin JP, Cavillon A, Allaire E et al: Iliac and femoropopliteal lesions: evaluation of balloon angioplasty and classical surgery. J Endovasc Surg 2: 42–50, 1995.

    Article  PubMed  CAS  Google Scholar 

  38. Bull PG, Mendel H, Hold M et al: Distal popliteal and tibioperoneal transluminal angioplasty: long term follow up, J Vase Intervent Radiol 3: 45–53, 1992.

    Article  CAS  Google Scholar 

  39. Brown KT, Moore ED, Getrajdman Gl et al: Infrapopliteal angioplasty: long term follow up, J Vase Intervent Radiol 4: 139–144, 1993.

    Article  CAS  Google Scholar 

  40. Dorros G, Lewin RF, Jamnadas P, Mathiak LM: Below-the-knee angioplasty: tibioperoneal vessels, the acute outcome, Cathet Cardio vase Diagn 19: 170–178, 1990.

    Article  CAS  Google Scholar 

  41. Saab Mil, Smith DC, Aka PK et al: Percutaneous transluminal angioplasty of tibial arteries for limb salvage, Cardiovase Intervent Radiol 15: 211, 1992.

    Article  CAS  Google Scholar 

  42. Bakal CW, Sprayregen S, Scheinbaum K et al: Percutaneous transluminal angioplasty of the infrapopliteal arteries: results in 53 patients, AJR 154: 171, 1990.

    PubMed  CAS  Google Scholar 

  43. Brown KT, Moore ED, Getrajdam GI et al: Infrapopliteal angioplasty: long-term follow-up, J Vase Intervent Radiol 4: 139, 1993.

    Article  CAS  Google Scholar 

  44. Brown KT, Schoenberg NJ, Moore ED et al: Percutaneous transluminal angioplasty of infrapopliteal vessels: preliminary results and technical considerations, Radiology 169: 75, 1988.

    PubMed  CAS  Google Scholar 

  45. Dorros G, Lewin RF, Jamnadas P et al: Below-the-knee angioplasty: tibioperoneal vessels, the acute outcome, Cathet Cardiovase Diagn 19: 170, 1990.

    Article  CAS  Google Scholar 

  46. Schwarten DE: Clinical and anatomical considerations for nonoperative therapy in tibial disease and the results of angioplasty, Circulation 83 (suppl I): 86, 1991.

    Google Scholar 

  47. O’Donovan RM, Gutierrez OH, Izzo JL Jr: Preservation of renal function by percutaneous renal angioplasty in high-risk elderly patients: short-term outcome, Nephron 60: 187, 1992.

    Article  PubMed  Google Scholar 

  48. Weibull H, Bergqvist D, Jendteg S et al: Clinical outcome and health care costs in renal revascularization-percutaneous transluminal renal angioplasty versus reconstructive surgery, Br J Surg 78: 620, 1991.

    Article  PubMed  CAS  Google Scholar 

  49. Weibull H, Bergqvist D, Jonsson K et al: Long-term results after percutaneous transluminal angioplasty of atherosclerotic renal artery stenosis-the importance of intensive follow-up, Eur I Vase Surg 5: 291, 1991.

    Article  CAS  Google Scholar 

  50. Ramsay LE, Waller PC: Blood pressure response to percutaneous transluminal angioplasty for renovascular hypertension: an overview of published series. BMJ 300: 569–572, 1990.

    Article  PubMed  CAS  Google Scholar 

  51. Englund R, Brown MA: Renal angioplasty for renovascular disease: a reappraisal, J Cardiovase Surg 32: 76, 1991.

    CAS  Google Scholar 

  52. Martinez-Amenos A, Rama H, Sarrias X et al: Percutaneous transluminal angioplasty in the treatment of renovascular hypertension, J Hum Hypertens 5: 97, 1991.

    PubMed  CAS  Google Scholar 

  53. Beebe HG, Chesebro K, Merchant F et al: Results of renal artery balloon angioplasty limit its indications, J Vase Surg 8: 300, 1988.

    CAS  Google Scholar 

  54. Cluzel P, Raynaud A, Beyssen B et al: Stenoses of renal branch arteries in fibromuscular dysplasia: results of percutaneous transluminal angioplasty, Radiology 193: 227–232, 1994.

    PubMed  CAS  Google Scholar 

  55. Plouin PF, Darne B, Chatellier G et al: Restenosis after a first percutaneous transluminal renal angioplasty, Hypertension 21: 89, 1993.

    Article  PubMed  CAS  Google Scholar 

  56. Matalon TA, Thompson MJ, Patel SK et al: Percutaneous transluminal angioplasty for transplant renal artery stenosis, J Vase Intervent Radiol 3: 55–58, 1992.

    Article  CAS  Google Scholar 

  57. Fauchald P, Vatne K, Paulsen D et al: Long-term clinical results of percutaneous transluminal angioplasty in transplant renal artery stenosis, Nephrol Dial Transplant 7: 256, 1992.

    PubMed  CAS  Google Scholar 

  58. Matalon TA, Thompson MJ, Patel SK et al: Percutaneous transluminal angioplasty for transplant renal artery stenosis, J Vase Intervent Radiol 3: 55, 1992.

    Article  CAS  Google Scholar 

  59. Thomas CP, Riad H, Johnson BF et al: Percutaneous transluminal angioplasty in transplant renal arterial stenoses: a long-term follow-up, Transpl Int 5: 129, 1992.

    Article  PubMed  CAS  Google Scholar 

  60. Thomas CP, Riad H, Johnson BF, Cumberland DC: Percutaneous transluminal angioplasty in transplant renal arterial stenoses: a long term follow up, Transpl Int 5: 129–132, 1992.

    Article  PubMed  CAS  Google Scholar 

  61. Fauchald P, Vatne K, Paulsen D et al: Long term clinical results of percutaneous transluminal angioplasty in transplant renal artery stenosis, Nephrol Dial Transplant 7:256–259

    Google Scholar 

  62. Odurny A, Sniderman KW, Colapinto RF: Intestinal angina: percutaneous transluminal angioplasty of the celiac and superior mesenteric arteries, Radiology 167: 59, 1988.

    PubMed  CAS  Google Scholar 

  63. Rose SC, Quigley TM, Raker EJ: Revascularization for chronic mesenteric ischemia: comparison of operative arterial bypass grafting and percutaneous transluminal angioplasty, J Vase Intervent Radiol 6: 339–349, 1995.

    Article  CAS  Google Scholar 

  64. Wilms G, Baert A, Dewaele D et al: Percutaneous transluminal angioplasty of the subclavian artery: early and late results, Cardiovase Inter-vent Radiol 10: 123–128, 1987.

    Article  CAS  Google Scholar 

  65. Jaschke W, Menges HW, Ockert D et al: PTA of the subclavian and innominate artery: short-and long-term results, Ann Radiol (Paris) 32: 29, 1989.

    CAS  Google Scholar 

  66. Selby JB Jr, Matsumoto AH,Tegtmeyer CJ et al: Balloon angioplasty above the aortic arch: immediate and long-term results, AJR 160:631

    Google Scholar 

  67. Motarjeme A, Keifer JW, Zuska AJ et al: Percutaneous transluminal angioplasty for treatment for subclavian steal, Radiology 155: 611, 1985.

    PubMed  CAS  Google Scholar 

  68. Motarjeme A: Percutaneous transluminal angioplasty of supraaortic vessels, J Endovasc Surg 3: 171–181, 1996.

    Article  PubMed  CAS  Google Scholar 

  69. Courtheoux P, Tournade A, Theron J et al: Transcutaneous angioplasty of vertebral artery atheromatous ostial stricture, Neuroradiology 27: 259–264, 1985.

    Article  PubMed  CAS  Google Scholar 

  70. Strandness DE: Extracranial cerebrovascular arterial disease. In Young JR, Graor RA, Olin JW et al, editors: Peripheral vascular disease, St Louis, 1991 Mosby Year Book, pp 241–252.

    Google Scholar 

  71. Brown MM, Clifton A, Taylor RS: Concern about safety of carotid angioplasty, Stroke 27: 1435, 1996.

    PubMed  CAS  Google Scholar 

  72. Der auf BJ, Hunter DW, Erickson DL: “Washout” technique for brachycephalic angioplasty, AJR 146: 849, 1986.

    Google Scholar 

  73. Anonymous. Statement regarding carotid angioplasty and stenting, J Vase Surg 24: 900, 1996.

    Article  Google Scholar 

  74. Major ongoing stroke trials: carotid and vertebral artery transluminal angioplasty study (CAVATAS), Stroke 27:358,1996.

    Google Scholar 

  75. Becquemin JP, Qvarfordt P, Castier Y et al: Carotid angioplasty: is it safe? J Endovasc Surg 3: 35–41, 1996.

    Article  PubMed  CAS  Google Scholar 

  76. Kachel R: Results of balloon angioplasty in the carotid arteries, J Endovasc Surg 3:22–30

    Google Scholar 

  77. Crawley F, Clifton A, Markus H et al: Delayed improvement in carotid artery diameters after carotid angioplasty, Stroke 28:574–579

    Google Scholar 

  78. Zarins CK: Carotid endarterectomy: the gold standard, J Endovasc Surg 3: 10–15, 1996.

    Article  PubMed  CAS  Google Scholar 

  79. Berkowitz HD, Fox AD, Deaton DH: Reversed vein graft stenosis: early diagnosis and management, J Vase Surg 15: 130, 1992.

    Article  CAS  Google Scholar 

  80. Belli AM, Cumberland DC, Knox AM et al: The complication rate of percutaneous peripheral balloon angioplasty, Clin Radiol 41: 380, 1990.

    Article  PubMed  CAS  Google Scholar 

  81. Johnston KW, Rae M, Hogg-Johnston SA et al: Five-year results of a prospective study of percutaneous transluminal angioplasty, Ann Surg 206: 403, 1987.

    Article  PubMed  CAS  Google Scholar 

  82. O’Keeffe ST, Woods BO, Beckmann CF: Percutaneous transluminal angioplasty of the peripheral arteries, Cardiol Clin 9: 515, 1991.

    PubMed  Google Scholar 

  83. Samson RH, Sprayregen S, Veith FJ et al: Management of angioplasty complications, unsuccessful procedures, and early and late failures, Ann Surg 199: 234, 1984.

    Article  PubMed  CAS  Google Scholar 

  84. Weibull II, Bergqvist D, Jonsson K et al: Complications after percutaneous transluminal angioplasty in the iliac, femoral, and popliteal arteries, J Vase Surg 5: 681, 1987.

    CAS  Google Scholar 

  85. Tegtmeyer CJ: Percutaneous transluminal angioplasty, Curr Probl Diagn Radiol 16: 75–139, 1987.

    Article  PubMed  CAS  Google Scholar 

  86. Fruhwirth J, Pascher O, Hauser H et al: Locale Gefasskomplikationen nach iatrogener femoralarterienpunktion, Wien Klin Wochenschr 108: 196–200, 1996.

    PubMed  CAS  Google Scholar 

  87. Feld R, Patton GM, Carabasi A et al: Treatment of iatrogenic femoral artery injuries with ultrasound-guided compression, J Vase Surg 16: 832–840, 1992.

    Article  CAS  Google Scholar 

  88. Chong WK, Cross FW, Rapheal MJ: Case report: iliac artery rupture during percutaneous angioplasty, Clin Radiol 41: 358–359, 1990.

    Article  PubMed  Google Scholar 

  89. Cope C, Burke DR, Meranze S: Atlas of interventional radiology, Philadelphia, 1990, Lippincott.

    Google Scholar 

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Authors
  1. John V. White
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  2. Ibrahim G. Eid
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  3. Amit Kharod
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  4. Sherry Scovell
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Editor information

Editors and Affiliations

  1. Division of Vascular Surgery, Harbor-UCLA Medical Center, 90509, Torrance, California, USA

    Rodney A. White MD (Chief. Professor of Surgery) (Chief. Professor of Surgery)

  2. UCLA School of Medicine, 90095, Los Angeles, California, USA

    Rodney A. White MD (Chief. Professor of Surgery) (Chief. Professor of Surgery)

  3. Stanford University Medical Center, 90509, Stanford, California, USA

    Thomas J. Fogarty MD (Professor of Surgery) (Professor of Surgery)

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White, J.V., Eid, I.G., Kharod, A., Scovell, S. (1999). Balloon Angioplasty. In: White, R.A., Fogarty, T.J. (eds) Peripheral Endovascular Interventions. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-3105-7_18

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  • DOI: https://doi.org/10.1007/978-1-4757-3105-7_18

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-3107-1

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