Arterial pathology after percutaneous transluminal angioplasty

Long-segment arterial occlusion: percutaneous transluminal angioplasty.

In cases of occlusion of the superficial femoral artery exceeding a length of 10 cm, accompanied by involvement of the popliteal artery and poor runoff, percutaneous transluminal angioplasty is unfavorable. However, when such advanced occlusive disease is present in patients for whom vascular surgery is not feasible, this technique can be of value by averting or at least postponing amputation. ...

Pathological findings after percutaneous transluminal coronary angioplasty.

Ten serial pathological cross sections at 1 mm intervals of both the left anterior descending artery at the site of a percutaneous transluminal coronary angioplasty and of the circumflex artery in the untreated stenotic area were studied at necropsy in a patient who died immediately after the procedure. The extent of calcification and atheroma were similar in both branches. Intimal or medial sp...

Percutaneous transluminal coronary angioplasty.

Percutaneous transluminal coronary angioplasty (PTCA) is a nonoperative mechanical dilatation of atherosclerotic coronary artery stenosis by a balloon-tipped dilating catheter system. This method can effectively reduce highly stenotic coronary lesions and provide early recovery of ischemic but viable myocardium. The technique of transluminal angioplasty was originally devised by Dotter and Judk...

Percutaneous transluminal coronary angioplasty.

Percutaneous transluminal angioplasty.

IN 1963 Dr Charles Dotter, a radiologist of Portland, Oregon whilst performing an aortogram by retrograde catheterisation of the right iliac artery inadvertently passed his guide wire, and then a catheter, through a complete occlusion of the artery. There was a palpable though diminished femoral pulse in the groin and the catheter was passed easily. It was only when radiographs were taken that ...