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Percutaneous Reopening Procedures

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Critical Leg Ischaemia

Abstract

Since the introduction of percutaneous transluminal angioplasty (PTA) by Dotter and Judkins [1] in 1964 and the development of the double-lumen balloon catheter by Gruentzig and Hopff [2] in 1974 this method has become established in the treatment of peripheral arterial occlusive disease. It is mainly indicated in isolated stenoses or short occlusions [3] (Fig. 1). The combination of PTA and low-dose local fibrinolysis [4] allows to recanalize even occlusions with unorganized thrombotic material, so that acute and subacute obliterations occurring in the course of chronic arterial occlusion may be treated by means of a catheter (Figs. 2,3).

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© 1990 Springer-Verlag Berlin Heidelberg

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Krings, W., Peters, P.E. (1990). Percutaneous Reopening Procedures. In: Dormandy, J.A., Stock, G. (eds) Critical Leg Ischaemia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75625-2_8

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  • DOI: https://doi.org/10.1007/978-3-642-75625-2_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-75627-6

  • Online ISBN: 978-3-642-75625-2

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