Peripheral Angioplasty / Stenting
Endovascular treatment of peripheral arterial disease — iliac, femoropopliteal, tibial, and occasionally brachiocephalic lesions. Balloon angioplasty, drug-coated balloons, bare-metal and drug-eluting stents, atherectomy (directional, rotational, laser). Performed by interventional radiologists, vascular surgeons, and interventional cardiologists depending on center.
Clinical pathway
- Contralateral or ipsilateral retrograde femoral access (or radial with long shaft devices).
- Diagnostic angiography — abdominal aorta + bilateral runoff.
- Crossing the lesion — wire + support catheter; subintimal with reentry device for CTOs.
- Lesion preparation — balloon angioplasty, atherectomy for calcified lesions.
- Stent if needed — bare-metal, drug-eluting, or covered depending on location and lesion.
- Final angiography + closure.
Typical systems
Room + procedure characteristics
- Procedure time: 60 min (simple iliac) to 4+ hours (complex CLI with tibial intervention)
- Team: interventional operator + tech + RN; local + conscious sedation standard
- Dose: moderate; long runoff runs + tibial work drives dose