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

  • Enrico Ascher
  • Anil Hingorani
  • Natalie Marks
Chapter

Abstract

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.

Keywords

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 

Notes

Acknowledgments

Special acknowledgement for editorial assistance to Anne Ober.

References

  1. 1.
    Ascher E, Hingorani A, Markevich N, Costa T, Kallakuri S, Khanimoy Y: Lower extremity revascularization without preoperative contrast arteriography: experience with duplex ultrasound arterial mapping in 485 cases, Ann Vasc Surg 16(1):108–114, Epub 2002 Jan 17.PubMedCrossRefGoogle Scholar
  2. 2.
    Ascher E, Hingorani A, Markevich N, Yorkovich W, Schutzer R, Hou A, Jacob T, Nahata S, Kallakuri S: Role of duplex arteriography as the sole preoperative imaging modality prior to lower extremity revascularization surgery in diabetic and renal patients, Ann Vasc Surg 18(4):433–439, July 2004.PubMedCrossRefGoogle Scholar
  3. 3.
    Ahmadi R, Ugurluoglu A, Schillinger M, Katzenschlager R, Sabeti S, Minar E: Duplex ultrasound-guided femoropopliteal angioplasty; initial and 12-month results from a case controlled study, J Endovasc Ther 9(6):873–881, December 2002.PubMedCrossRefGoogle Scholar
  4. 4.
    Ramaswami G, Al-Kutoubi A, Nicolaides AN, Dhanjil S, Vilkomerson D, Ferrara-Ryan M, Stansby G: Angioplasty of lower limb arterial stenoses under ultrasound guidance: single-center experience, J Endovasc Surg 6(1):52–58, February 1999.PubMedCrossRefGoogle Scholar
  5. 5.
    Ascher E, Marks NA, Schutzer RW, Hingorani AP: Duplex-guided balloon angioplasty and stenting for femoropopliteal arterial occlusive disease: an alternative in patients with renal insufficiency, J Vasc Surg 42(6):1108–1113, December 2005.PubMedCrossRefGoogle Scholar
  6. 6.
    Ascher E, Marks NA, Hingorani AP, Schutzer RW, Mutyala M: Duplex-guided endovascular treatment for occlusive and stenotic lesions of the femoral-popliteal arterial segment: a comparative study in the first 253 cases, J Vasc Surg 44(6):1230–1237, 2006.PubMedCrossRefGoogle Scholar
  7. 7.
    Ascher E, Hingorani AP, Marks NA: Duplex-guided angioplasty of lower extremity arteries, Perspect Vasc Endovasc Ther 19(1):23–31, March 2007.CrossRefGoogle Scholar
  8. 8.
    Ascher E, Marks NA, Hingorani AP, Schutzer RW, Nahata S: Duplex-guided balloon angioplasty and subintimal dissection of infrapopliteal arteries: early results with a new approach to avoid radiation exposure and contrast material, J Vasc Surg 42(6):1114–1121, December 2005.PubMedCrossRefGoogle Scholar
  9. 9.
    Marks NA, Hingorani AP, Ascher E: Duplex-guided balloon angioplasty of failing infrainguinal bypass grafts, Eur J Vasc Endovasc Surg 32(2):176–181, August 2006.PubMedCrossRefGoogle Scholar
  10. 10.
    Marks N, Ascher E, Higorani AP: Treatment of failing lower extremity arterial bypasses under ultrasound guidance, Perspect Vasc Endovasc Ther 19(1):34–39, March 2007.CrossRefGoogle Scholar
  11. 11.
    Marks N, Ascher E, Hingorani AP: Duplex-guided repair of failing or nonmaturing arterio-venous access for hemodialysis, Perspect Vasc Endovasc Ther 19(1):50–55, March 2007.CrossRefGoogle Scholar
  12. 12.
    Ascher E, Hingorani AP, Marks N: Duplex-assisted internal carotid artery balloon angioplasty, Perspect Vasc Endovasc Ther 19(1):41–47, March 2007.CrossRefGoogle Scholar
  13. 13.
    Ascher E, Marks NA, Schutzer RW, Hingorani AP: Duplex-assisted internal carotid artery balloon angioplasty and stent placement: a novel approach to minimize or eliminate the use of contrast material, J Vasc Surg 41(3):409–415, March 2005.PubMedCrossRefGoogle Scholar
  14. 14.
    Dorros G, Jaff MR, Dorros AM, Mathiak LM, He T: Tibio-peroneal trunk (outflow lesion) angioplasty can be used as primary treatment in 235 patients with critical limb ischemia: five-year follow-up, Circulation 104:2057–2062, 2001.PubMedCrossRefGoogle Scholar
  15. 15.
    Kudo T, Chandra FA, Ahn SS: The effectiveness of percutaneous transluminal angioplasty for the treatment of critical limb ischemia: a 10-year experience, J Vasc Surg 41(3):423–435, discussion 435, March 2005.PubMedCrossRefGoogle Scholar
  16. 16.
    Clair DG, Dayal R, Faries PL, Bernheim J, Nowygrod R, Lantis JC 2nd, Beavers FP,, Kent KC: Tibial angioplasty as an alternative strategy in patients with limb-threatening ischemia, Ann Vasc Surg 19(1):63–68, January 2005.PubMedCrossRefGoogle Scholar
  17. 17.
    Nguyen LL, Conte MS, Menard MT, Gravereaux EC, Chew DK, Donaldson MC, Whittemore AD, Belkin M: Infrainguinal vein bypass graft revision: factors affecting long-term outcome, J Vasc Surg 40(5):916–923, November 2004.PubMedCrossRefGoogle Scholar
  18. 18.
    Bandyk DF, Bergamini TM, Towne JB, Schmitt DD, Seabrook GR: Durability of vein graft revision: the outcome of secondary procedures, J Vasc Surg 13(2):200–208, February 1991.PubMedCrossRefGoogle Scholar
  19. 19.
    Sullivan TR Jr, Welch HJ, Iafrati MD, Mackey WC, O’Donnell TF Jr: Clinical results of common strategies used to revise infrainguinal vein grafts, J Vasc Surg 24(6):909–917, December 1996.PubMedCrossRefGoogle Scholar
  20. 20.
    Calligaro KD, Syrek JR, Dougherty MJ, Rua I, McAffee-Bennett S, Doerr KJ, Raviola CA, DeLaurentis DA: Selective use of duplex ultrasound to replace preoperative arteriography for failing arterial vein grafts, J Vasc Surg 27(1):89–94, January 1998.PubMedCrossRefGoogle Scholar
  21. 21.
    Dougherty MJ, Calligaro KD, DeLaurentis DA: The natural history of “failing” arterial bypass grafts in a duplex surveillance protocol, Ann Vasc Surg 12(3):255–259, May 1998.PubMedCrossRefGoogle Scholar
  22. 22.
    van der Heijden FH, Legemate DA, van Leeuwen MS, Mali WP, Eikenboim BC: Value of duplex scanning in the selection of patients for percutaneous transluminal angioplasty, Eur J Vasc Endovasc Surg 7(1):71–76, January 1993.Google Scholar
  23. 23.
    Bandyk DF, Mills JL, Gahtan V, Esses GE: Intraoperative duplex scanning of arterial reconstructions: fate of repaired and unrepaired defects, J Vasc Surg 20:426–433, 1994.PubMedCrossRefGoogle Scholar
  24. 24.
    Rzucidlo EM, Walsh DB, Powell RJ, Zwolak RM, Fillinger MF, Schermerhorn ML, Cronenwett JL: Prediction of early graft failure with intraoperative completion duplex ultrasound scan, J Vasc Surg 36(5):975–981, November 2002.PubMedCrossRefGoogle Scholar
  25. 25.
    Avino AJ, Bandyk DF, Gonsalves AJ, Johnson BL, Black TJ, Zwiebel BR, Rahaim MJ, Cantor A: Surgical and endovascular intervention for infrainguinal vein graft stenosis, J Vasc Surg 29(1):60–70, January 1999.PubMedCrossRefGoogle Scholar
  26. 26.
    Carlson GA, Hoballah JJ, Sharp WJ, Martinasevic M, Maiers Yelden K, Corson JD, Kresowik TF: Balloon angioplasty as a treatment of failing infrainguinal autologous vein bypass grafts, J Vasc Surg 39(2):421–426, February 2004.PubMedCrossRefGoogle Scholar
  27. 27.
    USRDS: Excerpts from the United States Renal Data System 1998 annual data report. Incidence and prevalence of ESRD. Am J Kidney Dis 32(suppl 1):S38–49, 1998.Google Scholar
  28. 28.
    Beathard GA, Settle SM, Shields MW: Salvage of the non-functioning arteriovenous fistula, Am J Kidney Dis 33:910–916, 1999.PubMedCrossRefGoogle Scholar
  29. 29.
    Vorwerk D: Percutaneous interventions to support failing hemodialysis fistulas and grafts, Kidney Blood Press Res 20:145–147, 1997.PubMedCrossRefGoogle Scholar
  30. 30.
    Cavagna E, D’Andrea P, Schiavon F, Tarroni G: Failing hemodialysis arteriovenous fistula and percutaneous treatment: imaging with CT, MRI and digital subtraction angiography, Cardiovasc Intervent Radiol 23:262–265, 2000.PubMedCrossRefGoogle Scholar
  31. 31.
    Dougherty MJ, Calligaro KD, Schindler N, Raviola CA, Ntoso A: Endovascular versus surgical treatment for thrombosed hemodialysis grafts: a prospective, randomized study, J Vasc Surg 30(6):1016–1023, 1999.PubMedCrossRefGoogle Scholar
  32. 32.
    Hingorani A, Ascher E, Kallakuri S, Greenberg S, Khanimov Y: Impact of reintervention for failing upper-extremity arteriovenous autogenous access for hemodialysis, J Vasc Surg 34(6):1004–1009, December 2001.PubMedCrossRefGoogle Scholar
  33. 33.
    Parfrey PS, Griffiths SM, Barrett BJ, Paul MD, Genge M, Withers J, Farid N, McManamon PJ: Contrast material-induced renal failure in patients with diabetes mellitus, renal insufficiency, or both. A prospective controlled study, N Engl J Med 320(3):143–149, January 19, 1989.PubMedCrossRefGoogle Scholar
  34. 34.
    Lautin EM, Freeman NJ, Schoenfeld AH, Bakal CW, Haramati N, Friedman AC, Lautin JL, Braha S, Kadish EG, Sprayregen S: Radiocontrast-associated renal dysfunction: incidence and risk factors, Am J Roentgenol 157(1):49–58, July 1991.Google Scholar
  35. 35.
    Singer-Jordan J, Papura S: Cutting balloon angioplasty for primary treatment of hemodialysis fistula venous stenoses: preliminary results, J Vasc Interv Radiol 16(1):25–29, January 2005.PubMedCrossRefGoogle Scholar
  36. 36.
    Wain RA, Lyon RT, Veith FJ et al: Accuracy of duplex ultrasound in evaluating carotid artery anatomy before endarterectomy, J Vasc Surg 27(2):235–242, discussion 242–244, 1998.PubMedCrossRefGoogle Scholar
  37. 37.
    Roth SM, Back MR, Bandyk DF, Avino AJ, Riley V, Johnson BL: A rational algorithm for duplex scan surveillance after carotid endarterectomy, J Vasc Surg 30(3):453–460, 1999.PubMedCrossRefGoogle Scholar
  38. 38.
    Lipsitz EC, Veith FJ, Ohki T, Heller S, Wain RA, Suggs WD, Lee JC, Kwei S, Goldstein K, Rabin J, Chang D, Mehta M: Does the endovascular repair of aortoiliac aneurysm pose a radiation safety hazard to vascular surgeons?, J Vasc Surg 32(4):704–710, 2000.PubMedCrossRefGoogle Scholar

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

Personalised recommendations