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Tutorials in Endovascular Neurosurgery and Interventional Neuroradiology pp 309–319Cite as

Angioplasty and Stenting for Cranial Vessel Stenosis

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Abstract

This endovascular treatment was first described by Charles Dotter and Melvin Judkins in 1964 to treat atherosclerotic narrowing of lower limb arteries [1]. They performed antegrade categorisation of the femoral artery, passed a guidewire through the stenosis which was then dilated using catheters of increasing size, i.e. bougies. Surprisingly, the technique was not immediately adopted, and it wasn’t until 1977 that angioplasty ‘took off’, following the introduction of balloon angioplasty by Andreas Gruentzig, first in coronary and then peripheral arteries [2]. The first carotid procedures were reported about the same time by Mullan et al. [3] and Kerber et al. [4] in 1980. There was understandable initial reluctance to use the technique in cerebral arteries. In 1982, over-the-wire coaxial balloons were introduced, and in 1984, Zubkov et al. [5] described the use of angioplasty to treated postsubarachnoid haemorrhage vasospasm. All cerebral arteries as far distal as the secondary branches above the circle of Willis can be reached with a balloon.

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  1. Department of Neuroradiology The John Radcliffe Hospital, University of Oxford, Headley Way, OX3 9DU, Oxford, UK

    Dr. James Vincent Byrne

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Byrne, J.V. (2012). Angioplasty and Stenting for Cranial Vessel Stenosis. In: Tutorials in Endovascular Neurosurgery and Interventional Neuroradiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-19154-1_19

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