๐Ÿ‡ซ๐Ÿ‡ท FR ๐Ÿ‡ฌ๐Ÿ‡ง EN ๐Ÿ‡ฎ๐Ÿ‡น IT ๐Ÿ‡ฉ๐Ÿ‡ช DE ๐Ÿ‡ณ๐Ÿ‡ฑ NL ๐Ÿ‡ช๐Ÿ‡ธ ES ๐Ÿ‡ฎ๐Ÿ‡ฑ HE ๐Ÿ‡ธ๐Ÿ‡ฆ AR
Cochin Hospital ยท AP-HP ยท Universitรฉ Paris Citรฉ
โ† Interventional Radiology ๐Ÿ‡ซ๐Ÿ‡ท Franรงais
Cochin AP-HP

Peripheral Angioplasty & Stenting

Interventional Radiology ยท Cochin Hospital AP-HP ยท Paris

๐Ÿฉบ Vascular ยท Arterial

Peripheral Angioplasty & Stenting โ€” Paris, Cochin AP-HP

Peripheral artery disease ยท Leg arteries ยท Renal arteries ยท Local anaesthesia ยท Day procedure

Overview

Peripheral angioplasty is a minimally invasive technique used to treat narrowed or blocked arteries outside the heart โ€” typically the arteries supplying the legs, kidneys, or other abdominal organs. A balloon catheter is advanced to the stenosis under fluoroscopic guidance and inflated to restore blood flow. A stent (metal scaffold) is often placed to maintain the vessel open.

At Cochin AP-HP, peripheral vascular interventions are performed by senior interventional radiologists under local anaesthesia, usually as a day procedure. Our guidage scanner per-procรฉdure provides outstanding image quality for complex cases.

At a glance โ€” key figures

Angioplasty widens a narrowed artery or vein using a balloon, sometimes followed by a stent, delivered through a catheter via a simple puncture โ€” with no surgical incision.

CriterionData
Anaesthesia / stayLocal โ€” day case in most patients
ScarNone โ€” percutaneous approach
IndicationsPeripheral arterial disease, venous strictures, dialysis fistula maintenance
CostYes. At Cochin AP-HP (a French public hospital), this procedure is covered by national health insurance with no out-of-pocket fees. Contact ri.cch@aphp.fr or +33 1 58 41 46 12.

Data validated by the team of Prof. Anthony Dohan, Department of Interventional Radiology, Cochin Hospital AP-HP.

Indications

  • Peripheral artery disease (PAD) โ€” claudication or critical limb ischaemia
  • Renal artery stenosis โ€” renovascular hypertension or ischaemic nephropathy
  • Mesenteric artery stenosis (chronic mesenteric ischaemia)
  • Subclavian artery stenosis
  • Post-surgical or post-radiation arterial stenosis
  • Stenosis of venous or arterial bypass grafts

Procedure

1
Pre-procedure imaging

CT angiography or Doppler ultrasound to map arterial anatomy and plan intervention.

2
Local anaesthesia

Femoral or radial artery puncture under local anaesthesia. No general anaesthesia required in most cases.

3
Catheter advancement

Guidewire and catheter advanced to the stenosis under fluoroscopic guidance.

4
Balloon angioplasty ยฑ stenting

Balloon inflated to dilate the stenosis. Drug-eluting or bare-metal stent deployed if required. Procedure time: 45โ€“90 minutes.

5
Recovery and discharge

2โ€“4 hours bed rest after femoral puncture. Same-day discharge in most cases.

FAQs

Angioplasty significantly improves arterial flow, but re-stenosis can occur (10โ€“30% at 2 years depending on the vessel). Drug-coated balloons and drug-eluting stents reduce re-stenosis rates. Medical optimisation (statins, antiplatelets) is essential.
Angioplasty is less invasive (no incision, local anaesthesia, shorter recovery) but may be less durable than bypass surgery for complex or diffuse disease. Decision is made jointly with vascular surgeons in our multidisciplinary team.
Your radiologist will provide specific instructions during the pre-procedure consultation. In most cases, antiplatelet agents are continued; anticoagulants may be bridged. Metformin should be stopped 48h before.

Related pages

Frequently asked questions

No. It is performed under local anaesthesia and is generally well tolerated, with most patients going home the same day.
This depends on the location and cause of the narrowing. Some patients need repeat angioplasty over time, particularly for dialysis access.
Yes. At Cochin AP-HP (a French public hospital), this procedure is covered by national health insurance with no out-of-pocket fees. Contact ri.cch@aphp.fr or +33 1 58 41 46 12.

Why this page is trustworthy

Written by the Interventional Radiology team at Cochin Hospital AP-HP, Universitรฉ Paris Citรฉ. Medically reviewed by an interventional radiologist of the department. Last updated: August 2026.

๐Ÿฅ Le service ๐Ÿ“ฐ Actualitรฉs ๐Ÿ”ฌ Recherche & essais cliniques