Related Experiment Video

Updated: Oct 12, 2026

Time-Resolved, Dynamic Computed Tomography Angiography for Characterization of Aortic Endoleaks and Treatment Guidance via 2D-3D Fusion-Imaging
09:32

Time-Resolved, Dynamic Computed Tomography Angiography for Characterization of Aortic Endoleaks and Treatment Guidance via 2D-3D Fusion-Imaging

Published on: December 9, 2021

Percutaneous transluminal angioplasty following endarterectomy

J Tisnado1, S R Cho, M C Beachley

  • 1Department of Radiology, Medical College of Virginia, Richmond.

Critical Reviews in Diagnostic Imaging
|January 1, 1988
PubMed

Insights

Percutaneous transluminal angioplasty (PTA) is a safe and effective treatment for aortoiliofemoral occlusive disease, comparable to surgery. Prior endarterectomy does not prevent successful PTA for recurrent disease.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Atherosclerosis Research

Background:

  • Aortoiliofemoral atherosclerotic occlusive disease historically treated with bypass grafting or endarterectomy.
  • Percutaneous transluminal angioplasty (PTA) has emerged as a primary treatment modality.
  • PTA offers comparable efficacy and improved safety over surgical interventions.

Purpose of the Study:

  • To evaluate the effectiveness and safety of PTA for aortoiliofemoral atherosclerotic occlusive disease.
  • To compare PTA outcomes with historical surgical treatments.
  • To assess the feasibility of PTA following prior endarterectomy.

Main Methods:

  • Review of percutaneous transluminal angioplasty procedures for aortoiliofemoral occlusive disease.
  • Comparison of arterial wall trauma and healing mechanisms between PTA and endarterectomy.
  • Analysis of outcomes in patients with and without prior endarterectomy.

Main Results:

  • PTA demonstrates similar arterial wall trauma and healing processes as endarterectomy.
  • PTA is as effective and safer than surgical options for aortoiliofemoral disease.
  • Patients with prior endarterectomy experienced comparable outcomes with subsequent PTA, with no complications.

Conclusions:

  • PTA is a well-established, safe, and effective treatment for aortoiliofemoral atherosclerotic occlusive disease.
  • The healing and procedural characteristics of PTA and endarterectomy are similar, allowing for sequential application.
  • Prior endarterectomy does not contraindicate subsequent PTA for recurrent disease.

More Related Videos

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound13:48

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

Published on: April 21, 2023

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

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
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...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...