PART 10: Disorders of the Cardiovascular System
SECTION 5 Vascular Disease
246 Percutaneous Coronary Interventions and Other Interventional Procedures
 | Figure 246-1 Schematic diagram of the primary mechanisms of balloon angioplasty and stenting. A. A balloon angioplasty catheter is positioned into the stenosis over a guidewire under fluoroscopic guidance. ... |
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 | Figure 246-2 Pathology of acute effects of balloon angioplasty with intimal dissection and vessel stretching (panel A) (From M Ueda et al: Eur Heart J 12:937, 1991; with permission) and an example of neointimal hyperplasia and restenosis showing... |
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 | Figure 246-3 Long-term results from one of the first patients to receive a sirolimus-eluting stent from early Sao Paulo experience. [From: GW Stone, in D Baim (ed): Cardiac Catheterization, Angiography and Intervention, 7th ed, Philadelphia, Lippincott Williams & Wilkins,... |
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 | Figure 246-4 In patients requiring revascularization, several factors need to be considered in choosing between bare metal stents, drug-eluting stents, or coronary artery bypass surgery. ACS, acute coronary syndrome; BMS, bare metal stent; CABG, coronary artery bypass grafting; DES, drug-eluting stent;... |
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 | Figure 246-5 An example of a high-risk patient who requires carotid revascularization, but who is not a candidate for carotid endarterectomy. Carotid artery stenting resulted in an excellent angiographic result. (From M Belkin, DL Bhatt: Circulation 119:2302, 2009; with... |
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 | Figure 246-6 Peripheral interventional procedures have become highly effective at treating anatomic lesions previously amenable only to bypass surgery. A. Complete occlusion of the left superficial femoral artery. B. Wire and catheter advanced... |
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