=> Radiological intervention
- 1. Percutaneous transluminal balloon angioplasty w/ stent placement--lifetiime plavix or aspirin
- -put in stents, conscious sedation-twilight sleep; put in device through femoral artieries-balloon angioplasty (put cath in middle of lumen and inflate balloon to open up the lumen against the plaque. Usually need to put in a stent (flexible tube to prevent artery from collapsing on itself; they're covered in plt/antithrombin medication b/c body is going to attack it as a foreign object)
- Performed in cath lab
- Restenosis even is pretty high
via laser, drill.
go in and get the clot out, Cryoplasty (freeze the tissue)
- =>Surgical intervention
- Peripheral Artery Bypass w/ autogenous or synthetic graft. Usually saphenous vein w/o branching from legs.
: surgically go in and take out the clot or the plaque
Patch graft angioplasty:
open artery, remove plaque and sew patch into place (use vein, artery or synthetic material)
-last resort: for severe or advance limb ischemia, failed surgery, ulcers that aren't healing.. /: