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Dotter Interventional Institute


Angioplasty

Before angioplasty

FIRST CASE OF PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY
Performed January 16, 1964

An 83 year old lady, bedridden for months with a cold, painful left leg, was admitted for amputation due to progressive gangrene. A poor run-off arteriogram and the patient's general condition were thought to contraindicate reconstructive surgery.

After diagnostic angiography revealed a tight stenosis of the distal superficial artery, a coaxial catheter system consisting of a tapered 8 Fr and 12 Fr Teflon catheters was used to dilate the stenotic area.

8 weeks after angioplasty

Follow-up angiograms and pressure measurements four weeks after angioplasty showed a widely patent vessel with good distal perfusion. The gangrene healed. The patient lived for 2.5 years without significant ischemia in her leg and died of coronary heart disease.