Percutaneous Transluminal Angioplasty in Non-Atheroscklerotic Disease.

Martin, EC; Diamond, Norman G.; Casarella, William J.

doi:10.1148/radiology.135.1.6127750

Cited by 119 publications

(41 citation statements)

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“…10,11,[15][16][17] Several reports came from small series. Data were encouraging, with initial success rates ranging from 74% to 100% and shortterm restenosis occurring in Ͻ25% of cases.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of Surgery Versus Endovascular Intervention in Takayasu Arteritis

Saadoun

Lambert²,

Mirault³

et al. 2012

Circulation

235

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“…10,11,[15][16][17] Several reports came from small series. Data were encouraging, with initial success rates ranging from 74% to 100% and shortterm restenosis occurring in Ͻ25% of cases.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of Surgery Versus Endovascular Intervention in Takayasu Arteritis

Saadoun

Lambert²,

Mirault³

et al. 2012

Circulation

235

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“…Because of poor surgical results and relatively inaccessible distal branch pulmonary arteries, balloon angioplasty, once described [41,42], was readily accepted as an alternative treatment of BPAS [43][44][45][46]. The initial enthusiasm was high but the low success rate resulted in introduction of high pressure balloons [47].…”

Section: Branch Pulmonary Artery Stenosismentioning

confidence: 99%

Transcatheter Stent Therapy in Children: An Update

Sahu

Rao²

2012

Pediat Therapeut

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To address elastic recoil of vessel wall and intimal dissection that can follow balloon angioplasty, stents have been designed and these appear to produce more effective relief of obstruction. Of the two types of stents, namely, balloon expandable and self expandable, balloon expandable stents are most commonly used in children. The usefulness of stents in the management of vascular obstructive lesions not amenable to balloon angioplasty is well established and has been successfully used to treat branch pulmonary artery stenosis, coarctation of the aorta, stenotic right ventricular outflow tract conduits, obstructive lesions of the systemic and pulmonary veins and others. The techniques of implantation, indications, immediate and follow-up results and complications were reviewed. The stents have also been effectively used in keeping open naturally occurring or artificially created inter-circulatory connections and as adjuncts in hybrid procedures, but these have not been discussed in this review. Future directions include investigative work on biodegradable stents and growth stents to address issues related to increase in vessel size in infants and children, use of drug eluding stents to prevent neo-intimal proliferation to avoid pulmonary vein restenosis and refinement of stent technology in hybrid procedures such as neonatal palliation of hypoplastic left heart syndrome and transcatheter completion of Fontan procedure. The feasibility, safety and effectiveness stents in the pediatric population are demonstrated, although scrutiny of results of larger experience with longer follow-up is important.

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“…With the exchange guidewire kept in position, the pigtail catheter was taken out and a deflated air-free No. 9F (Meditech,12 to 20 mm diameter) balloon catheter was passed over the guidewire and positioned across the first constriction. The balloon size was selected as 60% to 100% of the normal aortic segment, but this did not exceed three times the constricted segment.4 The balloon was inflated with half-597…”

mentioning

confidence: 99%

Percutaneous transluminal balloon angioplasty of the aorta in patients with aortitis.

Khalilullah¹,

Tyagi²,

Lochan³

et al. 1987

Circulation

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Four patients with aortitis and stenotic lesions of the aorta were successfully treated by percutaneous transluminal balloon angioplasty. The peak systolic gradient across the constrictions decreased from 82.5 ± 35.7 to 37.5 ± 18.5 mm Hg immediately after dilatation. Repeat angiography in the first three patients performed 2 months later showed a further decrease in the gradient to 13.8 + 9.5 mm Hg. There were no complications during or after the procedure, and all the patients have shown remarkable symptomatic relief during the follow-up. Circulation 76, No. 3, 597-600, 1987. AORTITIS is a form of vasculitis with the characteristic feature of "pulselessness. MethodsFour male patients with aortitis (ages 12 to 32 years, mean 22.2 ± 8.6) were subjected to percutaneous transluminal balloon angioplasty. Their main presenting symptom was dyspnea on exertion. One of them had associated features of nephrotic syndrome, and all four had hypertension. In the first three patients, femoral pulses were very feeble compared with the upper extremity pulses, and the other lower limb pulsations were not palpable. In the fourth patient, lower limb pulsations, though palpable, were feeble compared with the upper extremity pulses (table 1).Laboratory investigations showed normal leukocyte count, and the erythrocyte sedimentation rate was elevated in two. Studies for the lupus erythematosus cell and antinuclear factor were negative. One patient showed heavy proteinuria, hypoalbuminemia, and hypercholestrolemia. Results of urinalysis were normal in the others. The electrocardiogram showed left ventricular hypertrophy in all four. Three had cardiomegaly on the chest roentgenogram.With the tentative diagnosis of aortitis, these patients were subjected to cardiac catheterization and aortography. Under local anesthesia, a No. 8F pigtail catheter was passed through the right femoral artery percutaneously. Pressures were recorded at different levels in the aorta, and gradients across the constrictions were obtained. The aortogram performed in anteroposterior and lateral views showed features of aortitis.After determination of the site, the diameter of the constricted segment and of the "normal" aorta was calculated after correcting for the magnification factor. A flexible-tip, 300 cm long, 0.038 inch guidewire was then passed through the pigtail catheter, and its tip was advanced into the ascending aorta. Heparin (2500 U) was given intravenously. With the exchange guidewire kept in position, the pigtail catheter was taken out and a deflated air-free No. 9F (Meditech,12 to 20 mm diameter) balloon catheter was passed over the guidewire and positioned across the first constriction. The balloon size was selected as 60% to 100% of the normal aortic segment, but this did not exceed three times the constricted segment.4 The balloon was inflated with half-597

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Percutaneous Transluminal Angioplasty in Non-Atheroscklerotic Disease.

Cited by 119 publications

References 0 publications

Retrospective Analysis of Surgery Versus Endovascular Intervention in Takayasu Arteritis

Retrospective Analysis of Surgery Versus Endovascular Intervention in Takayasu Arteritis

Transcatheter Stent Therapy in Children: An Update

Percutaneous transluminal balloon angioplasty of the aorta in patients with aortitis.

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