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Updated: Aug 24, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
Interventional treatment of noncoronary atherosclerotic pathologies: an update about what the cardiologists should
Gianluca Rigatelli1, Mario Zanchetta
1Department of Cardiovascular Disease, Cittadella General Hospital, Cittadella (PD), Italy. jackyheart@hotmail.com
Insights
Interventional cardiologists are increasingly treating noncoronary atherosclerosis. This review updates cardiologists on new techniques and improved results for systemic vascular conditions.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Vascular Medicine
Background:
- Atherosclerosis is a systemic disease affecting various vascular beds beyond the coronary arteries.
- Interventional cardiology is expanding its scope to include noncoronary atherosclerotic pathologies.
- This involves collaboration between cardiologists, angiologists, and vascular surgeons.
Purpose of the Study:
- To provide an overview and update on interventional techniques for noncoronary atherosclerosis.
- To highlight recent advances and outcomes in this evolving field.
- To equip cardiologists with knowledge of emerging and established interventional strategies.
Main Methods:
- Review of recent advancements in interventional techniques for noncoronary atherosclerosis.
- Discussion of new devices and therapeutic approaches.
- Analysis of outcomes for established procedures like carotid angioplasty and peripheral stenting.
Main Results:
- Emergence of novel techniques including protection/thromboaspiration devices, atherectomy, cryoplasty, and angiogenic gene therapy.
- Significant advancements and improved results in established procedures like carotid angioplasty, endovascular aneurysm repair, peripheral brachytherapy, and tibio-peroneal stenting.
- Growing interest and participation of interventional cardiologists in treating these noncoronary conditions.
Conclusions:
- Interventional cardiologists play an expanding role in managing systemic atherosclerosis.
- Numerous innovative techniques and refined established procedures offer improved outcomes for noncoronary vascular diseases.
- Staying updated on these advances is crucial for comprehensive patient care in interventional cardiology.
Abstract:
Many interventional cardiologists are becoming interested in the interventional treatment of noncoronary atherosclerotic pathologies. The systemic nature of vascular atherosclerosis is beginning to involve not only angiologists and vascular surgeons but also clinical and invasive cardiologists. Several new techniques and fields of application, such as protection and thromboaspiration devices, new atherectomy devices, cryoplasty and angiogenic gene therapy are appearing on the horizon. Moreover, in recent years, well tried techniques such as carotid angioplasty, endovascular repair of vascular aneurysms, peripheral brachytherapy, and tibio-peroneal stenting have made significant advances with more impressive results. In this review the authors offer cardiologists an overview and an update of the most recent advances in the techniques and results in the field of the interventional treatment of noncoronary atherosclerotic pathologies.
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