PTA has proven to be an essential tool in the diagnosis of peripheral occlusive vascular disease. It substantially contributes to economize therapy. This volume presents the results of several working groups, gives technical information about new devices such as Laser-PTA and Rotator-PTA, atherectomy, thrombolysis and stent application, and shows the risks. These results are presented with critical appreciation of the advantages and disadvantages and with early and late results. These new developments within the scope of PTA indicate the trends for the future.
PTA has proven to be an essential tool in the diagnosis of peripheral occlusive vascular disease. It substantially contributes to economize therapy. This volume presents the results of several working groups, gives technical information about new devices such as Laser-PTA and Rotator-PTA, atherectomy, thrombolysis and stent application, and shows the risks. These results are presented with critical appreciation of the advantages and disadvantages and with early and late results. These new developments within the scope of PTA indicate the trends for the future.
Cons of Laser-Angioplasty.- Laser-Angioplasty.- Clinical Laser Percutaneous Transluminal Angioplasty.- Feasibility of Laser Angioplasty: Physical and Technical Problems.- Ultraviolet Laser Angioplasty In Vivo: Reaction and Repair of the Vessel Wall.- Percutaneous Transluminal Laser Angioplasty for Treatment of Peripheral Vascular Disease: Clinical Experience with 16 Patients.- Excimer Laser Angioplasty.- Control of the Optical Fiber During Laser-Assisted Percutaneous Transluminal Angioplasty: Coaxial Alignment and Other Critical Considerations.- Nd-YAG Laser Angioplasty.- Nd-YAG Laser Angioplasty with Contact Probes.- Argon-Laser Percutaneous Transluminal Angioplasty with LASTAC System.- Early Clinical Experience with Direct Argon Laser Angioplasty in Perhipheral Arteries.- Laser-Assisted Angioplasty.- New Mechanical Devices.- Low-Speed Rotational Angioplasty: Clinical Results in 53 Patients with Chronic Vessel Occlusions.- Recanalization Devices for Totally Obstructed Vessels: Atherolytic Wire and the Kensy Recanalization Catheter.- The Kensey Catheter.- New Mechanical Devices: Technical Modification of the Kensey Rotator.- The Pulsating Guidewire.- Percutaneous Endovascular Stents.- Endovascular Prosthesis: Experimental Study and Clinical Use.- Autoexpandable Vascular Endoprosthesis.- Vascular Endoprostheses (Stents) in the Treatment of Femoropopliteal Vascular Occlusions.- Balloon-Expandable Intraarterial Stents: Effect of Antithrombotic Medication on Thrombus Formation.- Flexible, Percutaneously Insertable Balloon-Expandable Arterial Prosthesis.- Development of a Balloon-Expandable Flexible Coil for Intraarterial Stenting.- Percutaneous Transluminal Angioscopy: Comparison of Findings in Percutaneous Transluminal Angioplasty, Thrombolysis, Thrombus Extraction and Stent Application.- Arguments Against Percutaneous Endovascular Stents.- Intraarterial Thrombolysis.- Treatment of Occluded Arteries, Arterial Grafts, and Hemodialysis Access Sites Using Local Infusions of Urokinase.- Intraarterial Thrombolysis: Cons.- Intraarterial Thrombolysis: Pros.- Percutaneous Aspiration Thrombembolectomy (PAT).- Advantages of Percutaneous Aspiration Thrombembolectomy.- Catheter Thrombolysis with Streptokinase, Urokinase, and Recombinant Tissue Plasminogen Activator for Peripheral Arterial Occlusion.- Local Lysis and Percutaneous Transluminal Embolectomy as an Adjunct to Vascular Surgery.- Vasospasm Control.- Vasospasm Control in Percutaneous Transluminal Angioplasty.- Prophylactic Drugs for Vasospasm Associated with Percutaneous Transluminal Angioplasty.- Aggregation Inhibitors.- Aggregation Inhibitors: Pros.- Concluding Remarks.
Cons of Laser-Angioplasty.- Laser-Angioplasty.- Clinical Laser Percutaneous Transluminal Angioplasty.- Feasibility of Laser Angioplasty: Physical and Technical Problems.- Ultraviolet Laser Angioplasty In Vivo: Reaction and Repair of the Vessel Wall.- Percutaneous Transluminal Laser Angioplasty for Treatment of Peripheral Vascular Disease: Clinical Experience with 16 Patients.- Excimer Laser Angioplasty.- Control of the Optical Fiber During Laser-Assisted Percutaneous Transluminal Angioplasty: Coaxial Alignment and Other Critical Considerations.- Nd-YAG Laser Angioplasty.- Nd-YAG Laser Angioplasty with Contact Probes.- Argon-Laser Percutaneous Transluminal Angioplasty with LASTAC System.- Early Clinical Experience with Direct Argon Laser Angioplasty in Perhipheral Arteries.- Laser-Assisted Angioplasty.- New Mechanical Devices.- Low-Speed Rotational Angioplasty: Clinical Results in 53 Patients with Chronic Vessel Occlusions.- Recanalization Devices for Totally Obstructed Vessels: Atherolytic Wire and the Kensy Recanalization Catheter.- The Kensey Catheter.- New Mechanical Devices: Technical Modification of the Kensey Rotator.- The Pulsating Guidewire.- Percutaneous Endovascular Stents.- Endovascular Prosthesis: Experimental Study and Clinical Use.- Autoexpandable Vascular Endoprosthesis.- Vascular Endoprostheses (Stents) in the Treatment of Femoropopliteal Vascular Occlusions.- Balloon-Expandable Intraarterial Stents: Effect of Antithrombotic Medication on Thrombus Formation.- Flexible, Percutaneously Insertable Balloon-Expandable Arterial Prosthesis.- Development of a Balloon-Expandable Flexible Coil for Intraarterial Stenting.- Percutaneous Transluminal Angioscopy: Comparison of Findings in Percutaneous Transluminal Angioplasty, Thrombolysis, Thrombus Extraction and Stent Application.- Arguments Against Percutaneous Endovascular Stents.- Intraarterial Thrombolysis.- Treatment of Occluded Arteries, Arterial Grafts, and Hemodialysis Access Sites Using Local Infusions of Urokinase.- Intraarterial Thrombolysis: Cons.- Intraarterial Thrombolysis: Pros.- Percutaneous Aspiration Thrombembolectomy (PAT).- Advantages of Percutaneous Aspiration Thrombembolectomy.- Catheter Thrombolysis with Streptokinase, Urokinase, and Recombinant Tissue Plasminogen Activator for Peripheral Arterial Occlusion.- Local Lysis and Percutaneous Transluminal Embolectomy as an Adjunct to Vascular Surgery.- Vasospasm Control.- Vasospasm Control in Percutaneous Transluminal Angioplasty.- Prophylactic Drugs for Vasospasm Associated with Percutaneous Transluminal Angioplasty.- Aggregation Inhibitors.- Aggregation Inhibitors: Pros.- Concluding Remarks.
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