Percutaneous Transluminal Aortic Angioplasty: Techniques and Results

Abstract

Percutaneous transluminal angioplasty of the infrarenal abdominal aorta has been reported by a few authors. In the present series, aortic stenoses in 32 patients were treated with various percutaneous angioplasty techniques. Isolated aortic stenoses and primary aortic stenoses extending into the iliac arteries were successfully dilated. The initial success rate was 100%, without evidence of rupture, thrombosis, dissection, or distal embolization. In only three of the 28 patients who returned for follow-up did symptoms recur or noninvasive vascular laboratory indexes deteriorate (mean follow-up, 25 months). Percutaneous transluminal aortic angioplasty has proved safe and efficacious in the treatment of atherosclerotic aortic stenoses.

Outcomes of endovascular treatment of chronic total occlusion of the infrarenal aorta

“…Recent studies have shown improved clinical outcomes of endovascular therapy in complex iliac lesions involving the aortic bifurcation due to recent advances in devices and skills. [9][10][11][12][13][14][15] However, there are a paucity of data on immediate and long-term outcomes of endovascular treatments of chronic aortic occlusive disease. 16,17 We therefore sought to investigate the immediate and longterm outcomes of endovascular therapy in patients with chronic total occlusion of the infrarenal aorta.…”

Primary stenting for aortic lesions: From single stenoses to total aortoiliac occlusions

“…1 Surgery, either with bypass graft or aortic endarterectomy, has been the traditional standard of care for infrarenal aortic occlusive disease, with good long-term patency rates of 70% to 75% at 10 years but a 5% to 10% early complication rate. [2][3][4] Percutaneous transluminal angioplasty (PTA) has been proposed as an alternative to surgery, and several series have demonstrated its safety and efficacy in localized stenoses of the distal infrarenal aorta [5][6][7][8][9][10][11] as well as in lesions involving the aortic bifurcation. [5][6][7]10 Stenting offers theoretic advantages over PTA, and its use has been established in several vascular beds, with excellent patency rates.…”

“…[2][3][4] Percutaneous transluminal angioplasty (PTA) has been proposed as an alternative to surgery, and several series have demonstrated its safety and efficacy in localized stenoses of the distal infrarenal aorta [5][6][7][8][9][10][11] as well as in lesions involving the aortic bifurcation. [5][6][7]10 Stenting offers theoretic advantages over PTA, and its use has been established in several vascular beds, with excellent patency rates. 12 In the infrarenal aorta, however, only a small number of studies to date have evaluated the results of primary stenting for localized stenoses, [13][14][15][16] whereas total aortic occlusions have been conventionally considered as a relative contraindication for endovascular therapy.…”

Percutaneous transluminal angioplasty in Takayasu arteritis

“…Balloon angioplasty has been shown to be an effective mode of dilating coarctation of the aorta [20], postsurgical recoarctation [21], and atherosclerotic stenosis of aorta [22] and it's branches [23,24]. The first successful angioplasty for Takayasu's arteritis was reported in 1980 by Martin et al [4] for subclavian artery stenosis and by Saddekni et al [5] for renal artery stenosis.…”