Brachiocephalic artery dilation by percutaneous transluminal angioplasty

J. J. Vitek, Frederick Keller, E. R. Duvall, K. L. Gupta, B. Chandra-Sekar

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Percutaneous transluminal angioplasty (PTA) was used to dilate stenotic lesions in 38 brachiocephalic arteries in 36 patients. Complete evaluation of the central nervous system blood supply is a prerequisite for the brachiocephalic PTA when cerebral symptoms are present. The femoral artery is the best vascular entry site; use of digital subtraction angiography equipment for arterial mapping is helpful. Balloon diameter should be the same as or slightly wider than the diameter of the normal artery adjacent to the stenotic segment. Spasm was successfully treated with intraarterial injection of nitroglycerin. The only drug therapy consistently used with PTA was aspirin. Complete dilation of the stenosis is the best prevention of thrombotic or embolic complications. In properly selected cases, proximal subclavian artery stenoses can be safely dilated, and the balloon can eventually be placed across the origin of the vertebral artery. Because of potential complications associated with brachiocephalic PTA, indications must be well established, and interventions should not be performed on marginal or asymptomatic stenoses.

Original languageEnglish (US)
Pages (from-to)779-785
Number of pages7
JournalRadiology
Volume158
Issue number3
StatePublished - 1986
Externally publishedYes

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Angioplasty
Dilatation
Arteries
Pathologic Constriction
Subclavian Steal Syndrome
Intra-Arterial Injections
Digital Subtraction Angiography
Vertebral Artery
Nitroglycerin
Spasm
Femoral Artery
Aspirin
Blood Vessels
Central Nervous System
Drug Therapy
Equipment and Supplies

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Vitek, J. J., Keller, F., Duvall, E. R., Gupta, K. L., & Chandra-Sekar, B. (1986). Brachiocephalic artery dilation by percutaneous transluminal angioplasty. Radiology, 158(3), 779-785.

Brachiocephalic artery dilation by percutaneous transluminal angioplasty. / Vitek, J. J.; Keller, Frederick; Duvall, E. R.; Gupta, K. L.; Chandra-Sekar, B.

In: Radiology, Vol. 158, No. 3, 1986, p. 779-785.

Research output: Contribution to journalArticle

Vitek, JJ, Keller, F, Duvall, ER, Gupta, KL & Chandra-Sekar, B 1986, 'Brachiocephalic artery dilation by percutaneous transluminal angioplasty', Radiology, vol. 158, no. 3, pp. 779-785.
Vitek JJ, Keller F, Duvall ER, Gupta KL, Chandra-Sekar B. Brachiocephalic artery dilation by percutaneous transluminal angioplasty. Radiology. 1986;158(3):779-785.
Vitek, J. J. ; Keller, Frederick ; Duvall, E. R. ; Gupta, K. L. ; Chandra-Sekar, B. / Brachiocephalic artery dilation by percutaneous transluminal angioplasty. In: Radiology. 1986 ; Vol. 158, No. 3. pp. 779-785.
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