Duplex-Guided Balloon Angioplasty from the Carotid to the Plantar Arteries

  • Enrico Ascher
  • Anil Hingorani
  • Natalie Marks


Over the last 12 years, our group has explored advantages and limitations of preoperative duplex arteriography of lower extremities as a sole imaging modality [1,2]. This experience has taught us that duplex scanning offers multiple unique features such as (1) arterial visualization regardless of its patency, (2) imaging of the arterial wall, (3) real-time visualization in the presence of limb motion, (4) up to five times magnification, (5) instant precise measurements, and (6) readily available various hemodynamic parameters such as flow direction, velocity, and waveform. These distinctive features have manifested into the use of duplex imaging for guidance of various venous and arterial therapies such as endovenous procedures and thrombin injection of pseudoaneurysms and have helped to establish the field of interventional vascular ultrasound.


Duplex-guided balloon angioplasty Infrainguinal arterial angioplasty Femoral-popliteal duplex-guided balloon angioplasty Duplex-guided angioplasty of infrainguinal arterial bypass grafts Duplex-guided angioplasty of arteriovenous fistulas Duplex-assisted internal carotid artery angioplasty 



Special acknowledgement for editorial assistance to Anne Ober.


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Enrico Ascher
    • 1
  • Anil Hingorani
    • 1
  • Natalie Marks
    • 2
  1. 1.Division of Vascular Surgery, Department of SurgeryMaimonides Medical CenterNew YorkUSA
  2. 2.Division of Vascular Surgery, Vascular LaboratoryThe Vascular Institute of New York, Maimonides Medical CenterNew YorkUSA

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