Transluminal Treatment of Arteriosclerotic Obstruction

Abstract

The rationale and technic of a new procedure—transluminal recanalization of arterio-sclerotic obstructions—has been described. Of the 11 extremities treated, six have shown marked improvement (four amputations averted). It is reasonable to assume that with a perfected technic and patients with less advanced disease, the percentage of successful recanalizations would increase. Early treatment with this technic may well prevent otherwise serious disease, not just prevent amputation of extremities not suitable for definitive surgery. We are satisfied that percutaneous transluminal recanalization is the treatment of choice for many lesions of the femoral and popliteal arteries. We believe this method is ready for application to obstructions up to approximately 10 cm. by those skilled in the use of vascular catheters. No doubt the interest and ingenuity of others will lead to refinements of technic as well as further clarification of the role of this attack on arteriosclerotic obstructions.

Endovascular correction of a traumatic internal iliac arteriovenous fistula with a covered stent

“…1960s with work by Dotter & Judkins (1964) 8 . He used balloons positioned in catheters to make the first attempts to deobstruct atherosclerotic stenosis and peripheral arteries 9 .…”

Sensors for Catheter Applications

“…Through this technique, access is gained by means of a catheter to any part of the body via the cardiovascular system, using x-ray fluoroscopy as a guide [3]. Ten years later, in January 1964, Charles T. Dotter (1920-85) and his trainee, Melvis Judkins , first used a catheter for percutaneous transluminal angioplasty (PTA) in an 82-year-old female patient, suffering from a non-healing left-foot ulcer and gangrenous toes [4]. Eight months after the procedure, the patient was ambulatory, the ulceration was gone and the gangrenous toes were healed.…”

Self-Assembled Monolayers on Gold for the Fabrication of Radioactive Stents

“…Balloon angioplasty [1,2] is a non-surgical method used for clearing arteries blocked by the deposition of lipids: the cause of atherosclerosis. [3] The procedure involves the introduction of a catheter with a small inflatable tip into the concerned artery.…”

“…[7] One of the methods currently employed for the prevention of restenosis makes use of small, metallic mesh tubes (i.e., stents). [2] A stent is introduced into the concerned artery by placing it around the balloon-like tip of the catheter. After the balloon is deflated, the stent remains in place in the artery as a permanent implant, providing support and preventing arterial remodeling.…”