Percutaneous transluminal angioplasty for carotid artery stenosis in Takayasu arteritis: Persistent benefit over 10 years

Murakami, Ryuji; Korogi, Yukunori; Matsuno, Yasuji; Matsukawa, Tetsuya; Hirai, Toshinori; Takahashi, Manabu

doi:10.1007/s002709900141

Cited by 15 publications

(4 citation statements)

References 9 publications

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“…Both percutaneous transluminal angioplasty for focal lesions and bypass grafting for long or multivessel lesions have been used for palliation. Although its use has been limited, angioplasty has been used successfully to treat carotid artery stenosis from Takayasu Arteritis [33,25]. Bali reported significant symptomatic relief after angioplasty of the carotid artery with subsequent stent placement [3].…”

Section: Discussionmentioning

confidence: 99%

Treatment of takayasu arteritis in the chronic stages: An analysis of 14 operated patients

et al. 2011

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The aim of this study was to evaluate clinical features, angiographic findings, surgical treatment, and the long-term results of surgical procedures in chronic phase of Takayasu Arteritis. Between 1989 and December 2000, 14 young female patients (mean age, 31 years) with occlusive lesions caused by Takayasu Arteritis were observed and treated at our department. All patients met the American College of Rheumatology 1990 criteria of classification of Takayasu Arteritis. Systemic symptoms were reported in fewer than 15%. All patients were evaluated by a routine full aortography. Occlusive disease was dominant (92.8%) and the subclavian and carotid arteries were mostly involved. All our patients underwent surgery and 30 vascular procedures were done. Polytetrafluoroehylene was the most common synthetic graft. The ipsilateral carotid artery was the most common proximal anastomotic site and the ascending aorta was used twice. Follow-up ranged from 1 to 9 years (mean 6 years) and there was no death. All patients had serial duplex and 6 at least one postoperative angiogram. Twenty percent of the bypass procedures were followed by complications. There was no difference between the complication rate using synthetic grafts or autologous veins. The actuarial graft patency rate was 96.4% at one year and 72% at 4 years. At side of the medical treatment which remains, to date, a subject of discussion, the long-term prognosis of Takayasu Arteritis depends on an elective surgical treatment, which requires full and accurate assessment of the lesions, best done by digital full arteriography. Surgical results are excellent with minimal morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

Treatment of takayasu arteritis in the chronic stages: An analysis of 14 operated patients

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Treatment of takayasu arteritis in the chronic stages: An analysis of 14 operated patients

Sraieb¹,

Romdhane²,

Longo³

et al. 2003

Int J Angiol

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“…A few articles have been published with controversial results [3, 4, 5, 6]. Although clinically significant palliation usually occurs after angioplasty or bypass of severely stenotic vessels, restenosis is not uncommon.…”

Section: Discussionmentioning

confidence: 99%

Endoluminal Stenting for Subclavian Artery Stenosis in Takayasu’s Arteritis

Lušić

Mašković²,

Janković³

et al. 2000

Cerebrovasc Dis

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We describe a patient with Takayasu’s arteritis (type I): occlusion of all large vessels of the aortic arch except the left subclavian artery which was, however, almost completely occluded, resulting in a characteristic subclavian steal syndrome. Elective left main subclavian artery balloon angioplasty followed by endoluminal stenting was performed with excellent results. After prolonged immunosuppressive treatment, at the 12-month follow-up there was no evidence of restenosis. In selected patients with Takayasu’s arteritis and subclavian stenosis, elective endoluminal stenting can be used as a definitive procedure or as a bridge to surgical revascularization.

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Percutaneous transluminal angioplasty for carotid artery stenosis in Takayasu arteritis: Persistent benefit over 10 years

Cited by 15 publications

References 9 publications

Treatment of takayasu arteritis in the chronic stages: An analysis of 14 operated patients

Treatment of takayasu arteritis in the chronic stages: An analysis of 14 operated patients

Treatment of takayasu arteritis in the chronic stages: An analysis of 14 operated patients

Endoluminal Stenting for Subclavian Artery Stenosis in Takayasu’s Arteritis

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