Related Experiment Video

Updated: Aug 19, 2026

Novel Percutaneous Approach for Deployment of 3D Printed Coronary Stenosis Implants in Swine Models of Ischemic Heart Disease
06:39

Novel Percutaneous Approach for Deployment of 3D Printed Coronary Stenosis Implants in Swine Models of Ischemic Heart Disease

Published on: February 18, 2020

Balloon catheter requirements during contemporary percutaneous transluminal coronary angioplasty

J K Kahn1

  • 1Michigan Heart and Vascular Institute, St. Joseph Mercy Hospital, Ann Arbor.

Catheterization and Cardiovascular Diagnosis
|November 1, 1992
PubMed

Insights

Multiple balloon catheters are frequently needed for percutaneous transluminal coronary angioplasty (PTCA) success. This study found no difference in success rates when using multiple catheters versus one, indicating high efficacy.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Devices

Background:

  • Percutaneous transluminal coronary angioplasty (PTCA) is a common procedure for treating coronary artery disease.
  • The use of multiple balloon catheters in PTCA has become more frequent.
  • Understanding the impact of multiple catheter use on PTCA outcomes is crucial.

Purpose of the Study:

  • To evaluate the outcomes of percutaneous transluminal coronary angioplasty (PTCA) when multiple balloon catheters are utilized.
  • To compare the success rates of PTCA using single versus multiple balloon catheters.
  • To assess the safety and efficacy of multi-catheter PTCA procedures.

Main Methods:

  • Analysis of 300 consecutive percutaneous transluminal coronary angioplasty (PTCA) cases.
  • Categorization of PTCA based on single lesion, multiple lesions, or multiple vessels.
  • Comparison of angiographic success rates and adverse events between cases using one versus two or more balloon catheters.

Main Results:

  • Multiple balloon catheters were required in 37% of PTCA cases, with higher utilization in multivessel interventions (72%).
  • Angiographic success rates were high and comparable: 95% for single-catheter cases and 95% for multiple-catheter cases.
  • Emergency bypass surgery (1.7%) and mortality (0.6%) rates were low, with no significant difference related to the number of catheters used.

Conclusions:

  • Contemporary percutaneous transluminal coronary angioplasty (PTCA) frequently necessitates the use of multiple balloon catheters.
  • The utilization of multiple balloon catheters does not compromise angiographic success rates in PTCA.
  • High success rates with multiple catheters suggest they are a valuable tool, potentially offsetting increased procedural costs.

More Related Videos

The Intra-Aortic Balloon Pump06:13

The Intra-Aortic Balloon Pump

Published on: February 5, 2021

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis06:59

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis

Published on: August 26, 2025

Related Concept Videos

Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...