Nonsurgical aortoplasty in Leriche syndrome.

Abstract

The abdominal aorta was dilated with a pair of 9-mm balloon catheters in a patient with Leriche syndrome. The bilateral pressure gradient, initially 60 mm Hg, disappeared even after papaverine was injected. Balloon dilatation of the abdominal aorta may be an effective, safe nonsurgical technique, particularly in localized, noncalcified atheromata, and does not carry the risk of impotence seen with surgical endarterectomy or bypass.

Endovascular treatment of steno-occlusions of the infrarenal abdominal aorta

“…Endovascular treatment of infrarenal aortic stenosis has been proposed [28,29] as a viable alternative to surgical revascularisation since the 1980s, and data available have established the safety and effectiveness of PTA, with an 85% primary and a 90% secondary patency rate [7][8][9][10][11][12] together with a low (3%) risk of major complications, such as vessel-wall rupture and distal and visceral embolism [21]. However, most evidence concerns the treatment of focal (<20-mm) stenoses not involving the distal aortic bifurcation [21].…”

“…Il trattamento endovascolare delle stenosi dell'aorta sottorenale è stato proposto a partire dal 1980 [28,29] come una valida alternativa alla rivascolarizzazione chirurgica e i dati disponibili in letteratura hanno stabilito l'efficacia della PTA con pervietà primaria dell'85% e secondaria del 90% [7][8][9][10][11][12] e con basso tasso di complicanze maggiori (3%) quali la rottura della parete vasale e l'embolizzazione distale o viscerale [21]. Comunque la maggior parte dei dati riguarda il trattamento di stenosi focali (<20 mm) che non coinvolgevano la biforcazione aortica [21].…”

“Kissing balloon” technique in percutaneous transluminal coronary angiography: Single-guide catheter, dual-wire, dual-balloon system with single inflation device

“…The "kissing balloon" technique was introduced by George et al [l] for angioplasty in the external-internal iliac arterial system and Velasquez et al [2] for angioplasty in the Leriche syndrome. Despite progress in angioplasty methods, coronary artery disease involving bifurcations on large side branches is still considered to have significant potential for complications after balloon angioplasty.…”

Double‐wire angioplasty of the right coronary artery bifurcational stenosis

“…Such bifurcational lesions are associated with risk of side-branch occlusion during PTCA [1,2]. Since the description of "kissing balloon technique" for aortoplasty in the Leriche syndrome by Velasquez [3] and adaptation of this technique by Gruentzig in 1981 for the PTCA of bifurcational coronary-artery lesions to minimize the incidence of side-branch occlusion, several reports of double-wire technique for bifurcational lesions in the left coronary artery (LCA) have been published [4-81. To date, the dual-wire technique has not been reported for right coronary artery (RCA) bifurcational lesions, presumably because of potential technical complexity peculiar to the RCA and because the distal RCA and its branches tend to be smaller with less myocardium at risk. The following report of two successful double-wire dilatations of severe stenosis involving the distal RCA and the ostia of large bifurcational branches descriibes the technique and application of double-wire angioplasty for bifurcational RCA stenosis.…”