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Angioplasty for peripheral arterial disease of the legs

Angioplasty for peripheral arterial disease of the legs

Iliac artery is narrowed by plaque

Peripheral arteries of the leg, with detail of the iliac artery narrowed by plaque.
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slide 1 of 5, Iliac artery is narrowed by plaque,

Angioplasty is used to open narrowed arteries and increase oxygen-rich blood flow to muscle and tissue. These images show angioplasty for the iliac artery. Angioplasty can also be done for the femoral, popliteal, and tibial arteries.

Catheter is inserted

Location of the iliac artery, with detail of the catheter and guide wire inserted in the artery.
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slide 2 of 5, Catheter is inserted,

You may be asleep for the procedure. Or you may be awake. You will get medicine to prevent pain and help you relax. Then the doctor inserts a thin, flexible tube called a catheter into a blood vessel. In this image, the catheter is inserted into the femoral artery in the thigh and carefully guided to the narrowed part of the iliac artery. A wire inside the catheter is used to guide tools, including a small balloon, into the artery.

Balloon is inflated, stent is expanded

Balloon and stent positioned and expanded.
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slide 3 of 5, Balloon is inflated, stent is expanded,

The doctor guides the catheter to the narrowed part of the artery and inflates a small balloon at the end of a tube. The balloon may remain inflated for a short time. If the doctor is going to place a stent in the artery, the balloon is inflated inside of the stent. The pressure from the inflated balloon causes the stent to expand and press the plaque against the wall of the artery, creating more room for blood to flow.

Balloon is removed, stent is in place

Deflated balloon removed and expanded stent in place.
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slide 4 of 5, Balloon is removed, stent is in place,

Next, the doctor deflates the balloon and removes it, leaving the expanded stent in place to keep the walls of the artery open.

Before and after angioplasty

Decreased blood flow before angioplasty and normal blood flow after angioplasty.
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slide 5 of 5, Before and after angioplasty,

Angioplasty can widen a narrowed part of an artery. This increases the flow of oxygen-rich and nutrient-rich blood to the leg.

Current as of: May 1, 2026

Author: WebMD Ignite Staff
Clinical Review Board
All WebMD Ignite education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: May 1, 2026

Author: WebMD Ignite Staff

Clinical Review Board
All WebMD Ignite education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

This information does not replace the advice of a doctor. WebMD Ignite, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.