Percutaneous Transluminal Angioplasty as a Complement to Surgery

  • A. Motarjeme
  • J. W. Keifer
  • A. J. Zuska
  • P. Nabavi
Conference paper


Transluminal angioplasty, a nonsurgical technique described by Dotter and Judkins in 1964 [1], is now widely used as a substitute for reconstructive vascular surgery in the management of atherosclerotic occlusive disease. A double-lumen catheter designed by Grüntzig and Hopff 1974 [2] is now frequently used in dilatation of many arteries and even in the abdominal aorta [3–14]. Successful dilatation of arterial occlusions may alleviate the need for lengthy and costly reconstructive vascular surgery, but this is not applicable in every case and surgery is still the primary treatment in the majority of patients. The patency of an arterial bypass is directly related to adequate inflow and proportionate outflow. Any hemodynamically significant occlusive lesion, proximal or distal to an arterial bypass, endangers the patency of the graft; if not relieved it will eventually lead to graft thrombosis. Arterial dilatation can easily be used in both pre- and postsurgical stages to treat these lesions, thus preventing graft occlusion.


Iliac Artery Popliteal Artery Superficial Femoral Artery Arterial Bypass Arterial Dilatation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Dotter CT, Judkins MP (1964) Transluminal treatment of arteriosclerotic obstruction. Circulation 30: 654–670.PubMedGoogle Scholar
  2. 2.
    Gruentzig A, Hopff H (1974) Perkutane Rekanalisation chronischer arterieller Verschlüsse mit einem neuen Dilatationskatheter. Modifikation der Dotter-Technik. Dtsch Med Wochenschr 99: 2502–2510.CrossRefGoogle Scholar
  3. 3.
    Gruentzig A, Myler R, Stertzer S, et al. (1978) Coronary percutaneous transluminal angioplasty: preliminary report. Circulation 57:211.Google Scholar
  4. 4.
    Gruentzig A, Kuhlmann U, Vetter W, Lutlof U, Meier B, Siegenthaler W (1978) Treatment of renovascular hypertension with percutaneous transluminal dilatation of renal-artery stenosis. Lancet 1: 801–802.CrossRefGoogle Scholar
  5. 5.
    Tegtmeyer CJ, Dyer R, Teates CR, et al. (1980) Percutaneous transluminal dilatation of the renal arteries. Radiology 135: 589–599.PubMedGoogle Scholar
  6. 6.
    Schwarten DE, Yune HY, Klatte EC, Grim CE, Weinberger MH (1980) Clinical experience with percutaneous transluminal angioplasty (PTA) of stenotic renal arteries. Radiology 135: 601–604.PubMedGoogle Scholar
  7. 7.
    Motarjeme A, Keifer J, Zuska AJ (1980) Percutaneous transluminal angioplasty of the deep femoral artery. Radiology 135: 613–617.PubMedGoogle Scholar
  8. 8.
    Motarjeme A, Keifer JW, Zuska AJ (1981) Percutaneous transluminal angioplasty of the vertebral arteries. Radiology 139: 715–717.PubMedGoogle Scholar
  9. 9.
    Block PC (1980) Percutaneous transluminal angioplasty. AJR 135: 955–959.PubMedGoogle Scholar
  10. 10.
    Motarjeme A, Keifer JW, Zuska AJ (1980) Percutaneous transluminal angioplasty of the iliac arteries: 66 experiences. AJR 135: 937–944.PubMedGoogle Scholar
  11. 11.
    Schwarten DE (1980) Transluminal angioplasty of renal artery stenosis: 70 experiences. AJR 135: 937–944.Google Scholar
  12. 12.
    Motarjeme A, Keifer JW, Zuska AJ (1981) Percutaneous transluminal angioplasty of the brachiocephalic arteries. Presented at 1981 American Roentgen Ray Society Meeting, San Francisco.Google Scholar
  13. 13.
    Waltman AC (1980) Percutaneous transluminal angioplasty: iliac and deep femoral arteries. AJR 135: 921–925.PubMedGoogle Scholar
  14. 14.
    Sniderman KW, Sos TA, Sprayregen S, et al. (1980) Percutaneous transluminal angioplasty in renal transplant arterial stenosis for relief of hypertension. Radiology 135: 23–26.PubMedGoogle Scholar
  15. 15.
    Bachmann DM, Casarella WJ, Sos TA (1979) Percutaneous iliofemoral angioplasty via the contralateral femoral artery. Radiology 130: 617–621.Google Scholar
  16. 16.
    Motarjeme A, Keifer JW, Zuska AJ (1980) Percutaneous transluminal angioplasty and case selection. Radiology 135: 573–581.PubMedGoogle Scholar
  17. 17.
    Van Andel GJ (1980) Transluminal iliac angioplasty: long-term results. Radiology 135: 607–611.PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1983

Authors and Affiliations

  • A. Motarjeme
  • J. W. Keifer
  • A. J. Zuska
  • P. Nabavi

There are no affiliations available

Personalised recommendations