Dilation with the Gruntzig Balloon Catheter for Peripheral Arterial Disease: Initial Experience in a Community Hospital

Abstract

Intraluminal dilation using the Gruntzig catheter is a definitive procedure to correct obstructive arterial disease. Eleven procedures in 8 patients are reported. Six patients had progressive claudication and/or night pain, and 2 had advanced pre-gangrenous changes. Iliac, femoral, and/or trifurcation dilation of single or multiple lesions was successful in 9 (82%) extremities with documentation of widening of the arterial lumen. Clinical improvement was sustained for the short term followup (3-11 months, mean 7 months) except in 1 case where there was symptomatic relief for only 6 months. There were 2 technical failures (18%) in 1 patient due to bilateral calcific lesions. In some cases, the procedure should be performed in the operating room for immediate standby readiness of the surgical team and equipment. With this precaution in mind, the advantages of simplicity and repeatability suggest wider use of Gruntzig dilation.

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