Transluminal Iliac Artery Dilatation

Dotter, Charles T.; Rösch, Josef; Anderson, Janice M.; Antonovic, Ruza; Robinson, M. P.

doi:10.1001/jama.1974.03240010079044

Cited by 66 publications

(2 citation statements)

References 4 publications

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“…Results of both methods, renography and plasma renin activity determination, suggest improvement of renal blood flow. Our patients have been followed only for 1-8 months, but longer observations of results of intraluminal dilatation of peripheral arteries are encouraging (Dotter, Rosch, Anderson, Antonovic & Robinson, 1974).…”

Section: Discussionmentioning

confidence: 79%

Intraluminal Dilatation of Renal Artery Stenosis

et al. 1979

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1. In 13 patients with hypertension and renal artery stenosis the stenosis was dilated by an intra-arterial balloon catheter under local anaesthesia. 2. In all but one instance arteriography after the dilatation showed considerable widening of the stenosed area. 3. Six patients had a temporary increase of serum creatinine that lasted only a few days. 4. In seven patients, who had a prolonged transit time at renography, this marker of renal blood flow improved after the dilatation. 5. The effect of the dilatation on the blood pressure in this group of patients, selected on arteriographic criteria only, was variable, but comparable with results of renovascular surgery. 6. Dilatation of renal artery stenosis by an intra-arterial balloon catheter is a promising treatment for patients with hypertension and renal artery stenosis. It is a rapid procedure needing only local anaesthesia. Complications in our experience so far are minor.

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Section: Discussionmentioning

confidence: 79%

Intraluminal Dilatation of Renal Artery Stenosis

et al. 1979

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“…A latex balloon catheter inflated inside the slits permitted dilation up to 9 mm, sufficient to treat iliac artery lesions, yet it did not yield the expected results ( 111 ). Dotter improved Porstmann’s device and used the “caged balloon-dilating catheter” for successful treatment of iliac artery obstructions in 48 patients ( 112 ). Early failure with thrombosis, however, limited the use of this dilating catheter and neither of these balloon catheters ever found its way into wider practice ( 70 ).…”

Section: Translational Vascular Medicine In the 1970s: The Grüntzig Bmentioning

confidence: 99%

Balloon Angioplasty â€“ The Legacy of Andreas GrÃ¼ntzig, M.D. (1939â€“1985)

Barton

Grüntzig

Husmann

et al. 2014

Front. Cardiovasc. Med.

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In 1974, at the Medical Policlinic of the University of Zürich, German-born physician-scientist Andreas Grüntzig (1939–1985) for the first time applied a balloon-tipped catheter to re-open a severely stenosed femoral artery, a procedure, which he initially called “percutaneous transluminal dilatation”. Balloon angioplasty as a therapy of atherosclerotic vascular disease, for which Grüntzig and Charles T. Dotter (1920–1985) received a nomination for the Nobel Prize in Physiology or Medicine in 1978, became one of the most successful examples of translational medicine in the twentieth century. Known today as percutaneous transluminal angioplasty (PTA) in peripheral arteries or percutaneous transluminal coronary angioplasty (PTCA) or percutaneous coronary intervention (PCI) in coronary arteries, balloon angioplasty has become the method of choice to treat patients with acute myocardial infarction or occluded leg arteries. On the occasion of the 40th anniversary of balloon angioplasty, we summarize Grüntzig’s life and career in Germany, Switzerland, and the United States and also review the developments in vascular medicine from the 1890s to the 1980s, including Dotter’s first accidental angioplasty in 1963. The work of pioneers of catheterization, including Pedro L. Fariñas in Cuba, André F. Cournand in France, Werner Forssmann, Werner Porstmann and Eberhard Zeitler in Germany, António Egas Moniz and Reynaldo dos Santos in Portugal, Sven-Ivar Seldinger in Sweden, and Barney Brooks, Thomas J. Fogarty, Melvin P. Judkins, Richard K. Myler, Dickinson W. Richards, and F. Mason Sones in the United States, is discussed. We also present quotes by Grüntzig and excerpts from his unfinished autobiography, statements of Grüntzig’s former colleagues and contemporary witnesses, and have included hitherto unpublished historic photographs and links to archive recordings and historic materials. This year, on June 25, 2014, Andreas Grüntzig would have celebrated his 75th birthday. This article is dedicated to his memory.

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