Percutaneous Reopening Procedures

  • Wolfgang Krings
  • Peter E. Peters


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).


Limb Salvage Popliteal Artery Superficial Femoral Artery Critical Limb Ischaemia Laser Angioplasty 
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. Description of a new technique and a preliminary report of its application. Circulation 30:654PubMedGoogle Scholar
  2. 2.
    Grüntzig A, Hopff H (1974) Perkutane Rekanalisation chronischer arterieller Verschlüsse mit einem neuen Dilatationskatheter. Modifikation der Dotter-Technik. Dtsch Med Wochenschr 99:2502PubMedCrossRefGoogle Scholar
  3. 3.
    Zeitler E (1985) Primary and late results of percutaneous transluminal angioplasty (PTA) in iliac and femoro-popliteal obliterations. Inter Angio 4:81Google Scholar
  4. 4.
    Hess H, Mietaschk A, Ingrisch H (1980) Niedrig dosierte thrombolytische Therapie zur Wiederherstellung der Strombahn bei arteriellen Verschlüssen. Dtsch Med Wochenschr 105:787PubMedCrossRefGoogle Scholar
  5. 5.
    Becker GJ, Katzen BT, Dake MD (1989) Noncoronary angioplasty. Radiology 170:921PubMedGoogle Scholar
  6. 6.
    Roth F-J, Heimig T, Berliner P, Grün B, Koppers B, Krings W (1988) Perkutane Gefäßre- kanalisation peripherer Gefäße. In: Günther RW, Thelen M (eds) Interventionelle Radiologie. Thieme, Stuttgart New York, p 20Google Scholar
  7. 7.
    Zeitler E, Richter EI, Roth F-J, Schoop W (1982) Results of percutaneous transluminal angioplasty. Radiology 146:57Google Scholar
  8. 8.
    Cumberland DC (1982) Percutaneous angioplasty in complete iliac occlusions. VAS A 11:297Google Scholar
  9. 9.
    chmidtke I, Roth F-J, Schoop W, Cappius G (1980) Perkutane transluminale Katheterbehandlung bei Kranken mit arteriellen Durchblutungsstörungen im Stadium III und IV. In: Müller-Wiefel H (ed) Mikrozirkulation und Blutrheologie - Therapie der arteriellen Verschlußkrankheit. Verlag Gerhard Witzstrock, Baden-Baden Köln New York, p 411Google Scholar
  10. 10.
    Schneider E, Grüntzig A, Bollinger A (1982) Die perkutane transluminale Angioplastie (PTA) in den Stadien III und IV der peripheren arteriellen Verschlußkrankheit. VASA 11:336PubMedGoogle Scholar
  11. 11.
    Schneider E, Grüntzig A, Bollinger A (1983) Percutaneous transluminal angioplasty for limb salvage - progress in therapy for severe leg ischemia with rest pain and gangrene. In: Dotter CT, Grüntzig A, Schoop W, Zeitler E (eds) Percutaneous transluminal angioplasty. Springer, Berlin Heidelberg New York, p 222Google Scholar
  12. 12.
    Spence RK, Freiman DB, Gatenby R, Hobbs CL, Barker CF, Berkowitz HD, Roberts B, McLean G, Oleaga J, Ring EJ (1981) Long-term results of transluminal angioplasty of the iliac and femoral arteries. Arch Surg 116:1377PubMedGoogle Scholar
  13. 13.
    Chien-Tai L, Zarins CK (1983) Limb salvage by percutaneous transluminal angioplasty. In: Castaneda-Zuniga W (ed) Transluminal angioplasty. Thieme-Stratton Inc, New York, p 127Google Scholar
  14. 14.
    Lu C-T, Zarins CK, Yang C-F, Turcotte JK (1982) Percutaneous transluminal angioplasty for limb salvage. Radiology 142:337PubMedGoogle Scholar
  15. 15.
    Rush DS, Gewertz BL, Lu CT, Ball DG, Zarins CK (1983) Limb salvage In poor-risk patients using transluminal angioplasty. Arch Surg 118:1209PubMedGoogle Scholar
  16. 16.
    Fletcher JP, Fermanis GG, Little JM, Kershaw LZ (1988) The role of percutaneous transluminal angioplasty and femoropopliteal bypass in patients with threatened limb. J Vase Surg 8:226Google Scholar
  17. 17.
    Creutzig A, Luska G, Elgeti H, Alexander K (1983) Perkutane transluminale Angioplastie der unteren Extremitäten im fortgeschrittenen Lebensalter. Dtsch Med Wochenschr 108:1543PubMedCrossRefGoogle Scholar
  18. 18.
    Johnston KW, Raew M, Hogg-Johnston SA, Colapinto RF, Walker PM, Baird RJ, Sniderman KW, Kaiman P (1987) 5-year result of a prospective study of percutaneous transluminal angioplasty. Ann Surg 206:403PubMedCrossRefGoogle Scholar
  19. 19.
    Jones BA, Maggisano R, Robb C, Saibil EA, Witchell SJ, Harrison AW (1985) Transluminal angioplasty: results in high-risk patients with advanced peripheral vascular disease. Can J Surg 28:150PubMedGoogle Scholar
  20. 20.
    Zeitler E (1986) Transluminal catheter dilatation. Indications, technical aspects, results. Inter Angio 5:137Google Scholar
  21. 21.
    Glover JL, Bednick PJ, Dilley RS, Becker GB, Richmond BC, Yune HY, Holden RW (1983) Balloon catheter dilatation for limb salvage. Arch Surg 118:557PubMedGoogle Scholar
  22. 22.
    Schwarten DE, Cutliff WB (1988) Arterial occlusive disease below the knee: treatment with percutaneous transluminal angioplasty performed with low-profile catheters and steerable guide wires. Radiology 169:71PubMedGoogle Scholar
  23. 23.
    Hess H, Mietaschk A, Brucki R (1987) Peripheral arterial occlusions: a 6-year experience with local low-dose thrombolytic therapy. Radiology 163:753PubMedGoogle Scholar
  24. 24.
    Verstraete M, Hess H, Mahler F, Mietaschk A, Roth F-J, Schneider E, Baert AL, Ver- haeghe R (1988) Femoro-popliteal artery thrombolysis with intraarterial infusion of recombinant tissue-type plasminogen activator – report of a pilot trial. Eur J Vase Surg 2:155CrossRefGoogle Scholar
  25. 25.
    Starck E, McDermott J, Crummy A, Turnipseed W, Achter C, Burgess J (1985) Percutaneous aspiration thromboembolectomy. Intervent Radiol 156:61Google Scholar
  26. 26.
    Stein U, Amendt K, Wagner E, Hild R (1987) Catheter lysis in advanced peripheral OAD – procedure of choice or last resort? VASA 16:358PubMedGoogle Scholar
  27. 27.
    Block PC (1985) The mechanism of transluminal angioplasty. Inter Angio 4:77Google Scholar
  28. 28.
    Kensey RK, Nash JE, Abrahams C, Zarins ChK (1987) Recanalization of obstructed arteries with a flexible, rotating tip catheter. Radiology 165:387–389PubMedGoogle Scholar
  29. 29.
    Vallbracht C, Liermann D, Prignitz I, Süss B, Awiszus H, Paasch C, Landgraf H, Beinborn W, Stickelmann G, Kollath J, Roth F-J, Schoop W, Breddin HK, Kaltenbach M (1989) Rotationsangioplastik – Wiedereröffnung chronischer Arterienverschlüsse mit einem langsam rotierenden Katheter. Klinische Ergebnisse bei 100 Patienten. Fortschr Röntgenstr 151:523CrossRefGoogle Scholar
  30. 30.
    Sanborn TA (1989) Technical success, clinical success, and patency in laser angioplasty. Radiology 170:576PubMedGoogle Scholar
  31. 31.
    Heintzen MP, Neubaur T, Klepzig M, Strauer BE (1989) Laser angioplasty of iliac and femoropopliteal obstructive lesions. In: Höfling B, Pölnitz A v (eds) Interventional cardiology and angiology. Steinkopff, Darmstadt/Springer, Berlin Heidelberg New York, p 153Google Scholar
  32. 32.
    Höher M, Hombach V, Arnold G et al. (1987) High frequency recanalization of thrombotically occluded vessels in experimental pigs. Circulation 76 Suppl 4:IV-28Google Scholar
  33. 33.
    Dartsch PC, Bauriedel G, Höfling B, Betz (1989) Cell culture of human atheromatous plaque material. In: Höfling B, Pölnitz A v (eds) Interventional cardiology and angiology. Steinkopff, Darmstadt/Springer, Berlin Heidelberg New York, p 115Google Scholar
  34. 34.
    Palmaz JC, Richter GM, Nöldge G, Schatz GA, Robinson PD, Gardiner GA, Becker GJ, McLean GK, Denny DF, Lammer J, Paolini RM, Rees CR, Alvarado R, Heiss HW, Root HD, Rogers W (1988) Intraluminal stents in arteriosclerotic iliac artery stenosis: preliminary report of a multicenter study. Radiology 168:727PubMedGoogle Scholar
  35. 35.
    Schatz RA (1989) A view of vascular stents. Circulation 79:445PubMedCrossRefGoogle Scholar
  36. 36.
    Simpson JB, Johnson DE, Thapliyal HV, Marks DS, Braden LJ (1985) Transluminal atherectomy: a new approach to the treatment of atherosclerotic vascular disease. Circulation 72: Suppl 2, III-l46Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1990

Authors and Affiliations

  • Wolfgang Krings
  • Peter E. Peters

There are no affiliations available

Personalised recommendations