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Below the knee angioplasty: bare versus drug-eluting stents
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Stavros Spiliopoulos
Published: 01 August 2015
... was patent without any in-stent restenosis at two years angiographic follow-up. infrapopliteal stenting drug-eluting stents percutaneous transluminal angioplasty critical limb ischaemia wound healing ankle–brachial pressure index ABPI ABI below the knee angioplasty critical limb ischaemia...
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Thrombolysis for acute lower limb ischaemia
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Athanasios Diamantopoulos
Published: 01 August 2015
... treatment catheter-directed thrombolysis limb salvage angioplasty acute limb ischaemia acute limb ischaemia recombinant tissue plasminogen activator r tPA streptokinase thrombolytic agents tissue plasminogen activator tPA urokinase ROCHESTER trial STILE trial TOPAS trial trials mechanical...
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Challenges in the management of coarctation of the aorta
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Salim Jivanji and Robin HS Chen
Published: 01 July 2020
... subsequently underwent re-stenting of his coarctation, with protection of his ARSCA with a balloon over a wire. The chapter explores the challenges in managing this condition using angioplasty, stenting, or surgery, and the common pitfalls that are encountered in the life of patients with this condition...
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Renal Artery Stenosis and Revascularization
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Joseph A. Messana and Raymond R. Townsend
Published: 01 February 2019
.... Limitations in the field and areas of opportunity include determining what characterizes a clinically significant obstructive lesion and in which circumstances has ischemic disease rendered intervention inconsequential. atherosclerosis fibromuscular disease kidney renin-angiotensin system angioplasty 1...
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Angioplasty versus Fibrinolytics in Acute ST-Elevation Myocardial Infarction: The DANAMI-2 Trial
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Bryan Simmons
Published: 01 January 2018
... minutes. ST-elevation myocardial infarction (STEMI) fibrinolysis tissue plasminogen activator (t-PA) percutaneous coronary intervention (PCI) cardiac catheterization angioplasty first-medical-contact to balloon time AstraZeneca Bristol Myers Squibb Cordis DANAMI 2 Trial Danish Heart Foundation...
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Percutaneous Thermal Ablation: Hydrodissection and Balloon Displacement to Protect Adjacent Non-Target Critical Structures
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Farrah J. Wolf and Jason Iannuccilli
Published: 01 July 2018
... as a means of providing mechanical displacement. Alternatively, an angioplasty balloon inflated with air may be used to provide both physical displacement and thermal insulation. This chapter provides an overview of the percutaneous image-guided thermal ablation technique as well as clinical examples...
Chapter
Published: 01 January 2023
...Oxford University Press This chapter provides a summary of a landmark study in vascular surgery assessing whether balloon angioplasty improved outcomes compared to bypass surgery in patients with severe ischemia. The Bypass Versus Angioplasty in Severe Ischemia of the Leg (BASIL) study...
Chapter
Published: 01 January 2023
..., results, and criticism and limitations. The chapter briefly reviews other relevant studies and information, gives a summary, and concludes with a relevant clinical case. iliac stenting angioplasty stenosis peripheral arterial disease clinical cases common iliac artery intermittent claudication iliac...
Chapter
Cerebrovascular Diseases
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James P. Klaas and Robert D. Brown
Published: 01 October 2019
... disorders, small-vessel occlusive disease, and hematologic disorders. Transient ischemic attack Arrhythmias Ischemia Athersclerosis Aneurysm Hypoglycemia Thrombolytic therapy Tissue plasminogen activator Endovascular therapy Hemorrhage Angioplasty Amaurosis fugax amaurosis fugax cardiac...
Chapter
Hemorheological Alterations After Percutaneous Transluminal Coronary Angioplasty
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G Kesmarky and others
Published: 11 November 1999
...0 11 11 1999 Percutaneous transluminal coronary angioplasty (PTCA) is a widely used method for the treatment of coronary artery disease. During this procedure several changes in blood flow occur due to coronary stenosis, endothelial injury, and ischemia-reperfusion caused by the balloon...
Chapter
Published: 01 March 2019
... relevant to cardiothoracic surgery are summarized. cardiothoracic surgery ischaemic heart disease thoracic aorta mitral valve coronary angiography angioplasty echocardiography aortic dissection chest trauma pneumothorax aorta cardiothoracic surgery Ehlers–Danlos syndrome IHD ichaemic heart...
Chapter
Percutaneous intervention in ischaemic heart disease
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Adrian P Banning
Published: 03 June 1999
...0 03 06 1999 Charles Dotter and Melvin Judkins were the first physicians to attempt to use catheters for a therapeutic purpose when they used a coaxial system of catheters in patients with peripheral arterial disease in 1964 (1). The term ‘transluminal angioplasty’ was coined but, despite...
Chapter
Therapeutic Angiogenesis in Myocardial Ischemia
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Frank W Sellke and David G Harrison
Published: 07 January 1999
..., or restoring flow to a localized segment of the arterial tree by means of angioplasty or bypass surgery. However, even with all the recent advances in coronary bypass surgery and percutaneous revascularization, a significant number of patients with ischemic heart disease are not candidates...
Chapter
Laser
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Peter O’Kane
Published: 01 September 2018
... with simple balloon angioplasty. Further work demonstrated that the ultraviolet radiation emitted by an excimer laser could be used to inscribe exceptionally clean and precise etching cuts in cardiovascular tissue, including atherosclerotic coronary artery segments, and subsequently in vein grafts and native...
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Chronic lower limb ischaemia
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Alan G. Dawson and Julie Brittenden
Published: 01 August 2016
... management. Revascularization may be indicated for patients with intermittent claudication with significantly impaired QOL or who failed to benefit from supervised exercise therapy. Critical limb ischaemia (CLI) affects 1.2% of patients aged 60 years For patients with CLI, revascularization with angioplasty...
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Technical aspects of infra-inguinal revascularisation for chronic lower limb ischaemia
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Joseph L. Mills and others
Published: 01 August 2016
... infra-inguinal disease femoropopliteal angioplasty subintimal angioplasty infra-inguinal bypass inflow outflow common femoral endarterectomy femoral popliteal bypass tibial bypass graft postoperative management chronic lower limb ischaemia endovascular procedures imaging catheter...
Chapter
Peripheral Arterial Disease
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Nick Cheshire and Beatrice Amann-Vesti
Published: 01 January 2022
... transluminal angioplasty with balloons and/or stents and in some patients, bypass surgery. For secondary prevention, cardiovascular factor management and antiplatelet therapy as recommended. lower limb arterial disease (lead) atherosclerosis fibromuscular dysplasia spasm percutaneous transluminal...
Chapter
Published: 01 July 2018
... angioplasty balloon is advanced over the working wire adjacent to the buddy wire. A minimal twisting is performed while advancing the balloon to wrap the buddy wire modestly around the balloon. The balloon is then inflated, and the spiral buddy wire acts as a scoring element to produce a more effective...
Chapter
Published: 01 February 2015
...Mayo Foundation for Medical Education and Research Percutaneous transluminal coronary angioplasty (PTCA) transformed the cardiac catheter from a diagnostic tool into a treatment tool. The technology involved a special catheter fitted with a balloon near its tip that could be blown up to expand...
Chapter
Published: 01 July 2018
... approach. This chapter examines how the Transatlantic Society Consensus (TASC) relates to the optimum treatment options for occlusive disease in the lower limb. chronic limb ischaemia peripheral vascular disease peripheral arterial disease TASC transatlantic consensus PAD PVD angioplasty stent...