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    Lesson 6

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    NER CARLO SANTOS
    Percutaneous transluminal angioplasty (PTA) is a therapeutic radiologic procedure used to dilate or reopen stenotic or occluded blood vessels. It involves inserting a balloon-tipped catheter into the vessel and inflating the balloon to compress the blockage. PTA techniques include coaxial, balloon, stent placement, laser tip, thermal, and percutaneous atherectomy. The success of PTA is determined by injecting contrast medium before and after to assess dilation of the vessel. However, 30-50% of patients experience restenosis. Placement of a vascular stent following PTA can help prevent restenosis.

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    Lesson 6

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    NER CARLO SANTOS
    45 views3 pages
    Percutaneous transluminal angioplasty (PTA) is a therapeutic radiologic procedure used to dilate or reopen stenotic or occluded blood vessels. It involves inserting a balloon-tipped catheter into the vessel and inflating the balloon to compress the blockage. PTA techniques include coaxial, balloon, stent placement, laser tip, thermal, and percutaneous atherectomy. The success of PTA is determined by injecting contrast medium before and after to assess dilation of the vessel. However, 30-50% of patients experience restenosis. Placement of a vascular stent following PTA can help prevent restenosis.

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    Percutaneous transluminal angioplasty (PTA) is a therapeutic radiologic procedure used to dilate or reopen stenotic or occluded blood vessels. It involves inserting a balloon-tipped catheter into the vessel and inflating the balloon to compress the blockage. PTA techniques include coaxial, balloon, stent placement, laser tip, thermal, and percutaneous atherectomy. The success of PTA is determined by injecting contrast medium before and after to assess dilation of the vessel. However, 30-50% of patients experience restenosis. Placement of a vascular stent following PTA can help prevent restenosis.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    45 views3 pages

    Lesson 6

    Uploaded by

    NER CARLO SANTOS
    Percutaneous transluminal angioplasty (PTA) is a therapeutic radiologic procedure used to dilate or reopen stenotic or occluded blood vessels. It involves inserting a balloon-tipped catheter into the vessel and inflating the balloon to compress the blockage. PTA techniques include coaxial, balloon, stent placement, laser tip, thermal, and percutaneous atherectomy. The success of PTA is determined by injecting contrast medium before and after to assess dilation of the vessel. However, 30-50% of patients experience restenosis. Placement of a vascular stent following PTA can help prevent restenosis.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    COLLEGE OF OUR LADY OF MERCY

    INTERVENTIONAL HEALTH ALLIED SCIENCE 


    DEPARTMENT size
    RADIOLOGY BACHELOR OF SCIENCE IN
    RADIOLOGIC TECHNOLOGY

    s ranging from 3 to 9 Fr, with attached


    Percutaneous Transluminal balloons varying in length and expanding to
    diameters of 2 to 20 mm or more
    Angioplasty
     The balloon is usually inflated with a diluted
    PTA contrast medium mixture for 15 to 45
     is a therapeutic radiologic procedure seconds, depending on the degree of stenosis
    designed to dilate or reopen stenotic or and the vessel being treated
    occluded areas within a vessel using a
    catheter introduced by the Seldinger
    technique.

    Types of angioplasty
     Coaxial
     Balloon
     Stent placement
     Lazer tip
     Thermal
     Percutaneous atherectomy

    Coaxial angioplasty “Dotter method”


     First a guide wire is passed through the How can we determine the
    narrowed area of a vessel. success of angioplasty?
     Then a smaller catheter is passed over the  Contrast medium can be injected
    guide wire through the stenosis to begin the  comparing transcatheter blood pressure
    dilation process. measurements from a location distal and a
     Finally, a larger catheter is passed over the location proximal to the lesion site
    smaller catheter to cause further dilation,
    Other use for balloon catheter
     In 1978, Molnar and Stockum described the
    use of balloon angioplasty for dilation of
    strictures within the biliary system
     Balloon angioplasty is also conducted in
    venous structures, ureters, and the
    gastrointestinal tract.

    Restenosis
     30% to 50%

    Stent placement
     vascular stent is a wire or plastic cylinder that
    Balloon angioplasty/POBA is introduced through a catheter system and
     1974 Gruentzig and Hopff introduced the positioned across a stenosis to keep the
    double-lumen, balloon-tipped Catheter narrowed area spread apart.

    RT NER CARLO BSRT - III


    COLLEGE OF OUR LADY OF MERCY
    INTERVENTIONAL HEALTH ALLIED SCIENCE
    DEPARTMENT
    RADIOLOGY BACHELOR OF SCIENCE IN
    RADIOLOGIC TECHNOLOGY

    Laser-tipped angioplasty
     laser energy is directed through a special
    catheter and pulsed at the atheromatous
    mass to vaporize it.
     This process leaves a smooth, carbonized
    surface up to 5 mm in diameter,

    Thermal angioplasty
     a laser-heated probe is advanced through an Percutaneous Transluminal Coronary Rotational
    atheroma to recanalize the vessel lumen Atherectomy (PTCRA)
     The tip of the catheter resembles a football
    Percutaneous atherectomy and is embedded with microscopic diamond
     is an angioplasty technology that removes an particles on the front half and is rotated on a
    atheroma by cutting it. special torque guidewire between 160,000 to
     Directional 200,000 rpm
     Rotational  1 .25 to 2.5 mm in diameter
    DIRECTIONAL CORONARY ATHERECTOMY (DCA)
     A directionaL atherectomy catheter system
    has, at its distal end, a cylindrically shaped
    chamber called the housing with an opening
    along one side called the housing window.
     Opposite the housing window is a balloon
    that, when inflated, presses the
    atheromatous mass into the window.
     A round, rotating cutter is then advanced
    through the housing to cut the atheroma, Transluminal extraction catheter atherectomy
    which is collected in the distal housing  uses a cutting device that consists of a pair of
    chamber. stainless-steel cutting blades arranged in a
     The balloon is then deflated, and the housing conical configuration.
    window is rotated 90 degrees in the vessel  The central lumen of the cutting device is
    attached to a vacuum bottle that aspirates
    thrombus and atheromatous tissue as the
    cutting blade is advanced through the lesion

    IVUS

    RT NER CARLO BSRT - III


    COLLEGE OF OUR LADY OF MERCY
    INTERVENTIONAL HEALTH ALLIED SCIENCE
    DEPARTMENT
    RADIOLOGY BACHELOR OF SCIENCE IN
    RADIOLOGIC TECHNOLOGY

    RT NER CARLO BSRT - III

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