Radiology, Vol 152, 361-364, Copyright © 1984 by Radiological Society of North America
Percutaneous transluminal angioplasty following endarterectomy
J Tisnado, FS Vines, RW Barnes, MC Beachley and SR Cho
Recurrent occlusive disease was found by noninvasive methods and confirmed
arteriographically in 7 patients who had undergone endarterectomy for
stenosis of one [5] or both iliac arteries [1] or the subclavian artery
[1]. Three patients with iliac artery stenosis had percutaneous
transluminal angioplasty (PTA) 1 to 5 years after endarterectomy. One
patient with stenosis of the external iliac artery had PTA 4 years after
endarterectomy, and dilatation was repeated 7 months later because of
recurrence. One patient had 2 endarterectomies and 2 PTAs within 8 years
for stenosis of the right common iliac artery. One patient had
recanalization of the left common iliac artery 6 years after endarterectomy
with low-dose streptokinase followed by PTA. Another patient underwent
endarterectomy of the left subclavian artery 3 months after PTA and
required further dilatation at 5 and 10 months because of recurrence. The
authors conclude that endarterectomy does not preclude PTA (or vice versa)
in patients with recurrent arterial occlusive disease.
