Advances in the medical and surgical treatment of Takayasu arteritis

Liang, Patrick; Hoffman, Gary S.

doi:10.1097/01.bor.0000146607.65808.37

Cited by 185 publications

(100 citation statements)

References 47 publications

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“…PA involvement was found in an average of 50% of cases studied. 6,7 In a study with 60 cases of Takayasu's arteritis, Kerr et al 8 demonstrated a 10-month delay between the onset of the first symptoms and diagnosis. It may have been challenging to distinguish these cases from primary lung disease and chronic pulmonary embolism.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Endarterectomy For Large Vessel Pulmonary Arteritis Mimicking Chronic Thromboembolic Disease

Küçük

Öncel²,

Uçar

et al. 2016

Arch Rheumatol

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Section: Discussionmentioning

confidence: 99%

Pulmonary Endarterectomy For Large Vessel Pulmonary Arteritis Mimicking Chronic Thromboembolic Disease

Küçük

Öncel²,

Uçar

et al. 2016

Arch Rheumatol

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“…7) On the other hand, the use of stents may not yield long-term vessel patency in patients with Takayasu's arteritis as compared to the use of stents in the treatment of atherosclerosis. 8) However, all recurrent stenoses in patients with Takayasu's arteritis have been treated successfully by reintervention without significant complications. 7) The key to successful stenting in patients with Takayasu's arteritis is to evaluate the lesions frequently during the intervention and to dilate the rigid vessels carefully with adequately high pressure.…”

Section: Discussionmentioning

confidence: 99%

Single Stage Multiple Stenting in Takayasu's Arteritis

Miyamoto

Kubo

et al. 2012

Neurol. Med. Chir.(Tokyo)

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A 32-year-old Filipino female presented with Takayasu's arteritis manifesting as an abrupt onset of syncope. Physical examination revealed diminished consciousness, right hemiparesis, and a large discrepancy in blood pressure between the upper and lower extremities. Magnetic resonance imaging revealed cerebral infarcts in the left basal ganglia and the left temporal lobe. Angiography revealed complete occlusion of the left common carotid artery and severe stenosis of the brachiocephalic artery, the right common carotid artery, and the left subclavian artery. Based on the clinical examination and studies, the diagnosis was Takayasu's arteritis, type I. The patient's condition stabilized after 2 months of prednisone and anti-platelet therapy. Single stage multiple stenting in the brachiocephalic artery, the right common carotid artery, and the left subclavian artery was then performed using high pressure inflation to dilate the arteries due to the remarkably rigid lesions that resulted from extensive and diffuse fibrosis throughout the vessel walls. Although a small intimal flap occurred during inflation of the left subclavian artery, re-dilation was possible with the stent. Even with evidence of notable recovery in blood pressure and cerebral blood flow, no further neurological improvement was observed. In view of the favorable short-and intermediate-term results, single stage multiple stenting may be the optimum treatment option for first-line stent-supported angioplasty in patients with Takayasu's arteritis.

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“…It is also suggested that tuberculosis may have an association, given a high prevalence of active and past infection in patients with Takayasu's arteritis. [15] The pattern of Takayasu's arteritis is typically triphasic, consisting of a systemic nonvascular phase, a vascular inflammatory phase, and a quiescent "burnt out" phase. [16] The symptoms of Takayasu's arteritis vary depending on the site and degree of arterial lesions.…”

Section: Discussionmentioning

confidence: 99%