Abstract
AbstractThe technique of percutaneous transluminal angioplasty (PTA) was developed by radiologists and it is the interventional radiologist who mostly performs these procedures—often with little angiological background. But the latter seems indispensable when it comes to selecting patients for PTA and dealing with its complications.For this reason, PTA has been performed at the Mannheim Surgical Clinic for the past 10 years in close cooperation between surgeons and radiologists; 196 iliac arterial stenoses, 397 femoropopliteal stenoses and occlusions, and 65 renal artery stenoses have been treated with an initial success rate of 100%, 84%, and 96%, respectively. In 79 cases, PTA was used intraoperatively as a complement to reconstructive surgery on ipsilateral or contralateral vessels.Since PTA is not free of complications (2–6%), which may jeopardize limb or organ, indications for its use are restricted to patients who are symptomatic and, therefore, would otherwise require surgery. PTA of asymptomatic stenoses is not recommended.
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