Percutaneous transluminal angioplasty of the aorta in children with nonspecific aortoarteritis: Acute and follow-up results with special emphasis on left ventricular function

Saxena, Anitá; Ss, Kothari; Sharma, Sanjiv; Juneja, Rajnish; Srivastava, Savitri

doi:10.1002/(sici)1522-726x(200004)49:4<419::aid-ccd15>3.0.co;2-i

Cited by 14 publications

(16 citation statements)

References 17 publications

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“…There are also interventional or surgical options available. [2728] Balloon dilatation alone, stenting if required, and bypass grafting may be done, but the management requires a refined judgment because of the range of patho-anatomic and clinical issues involved.…”

Section: Activity Assessment and Therapymentioning

confidence: 99%

Pathology of Takayasu arteritis: A brief review

2013

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Takayasu arteritis (TA) is a chronic idiopathic and granulomatous vasculitis, manifesting mainly as a panaortitis. Autoimmune cell-mediated immunity is probably responsible for the disease. The inflammation commences from the adventitia and progresses to the intima and leads to, both in adults and children, segmental stenosis, occlusion, dilatation, and/or aneurysm formation. This review focuses briefly on the etiopathogenesis, and describes the pathological and clinical features in adults and children.

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Section: Activity Assessment and Therapymentioning

confidence: 99%

Pathology of Takayasu arteritis: A brief review

2013

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“…Research data showed that the indications for PTA were more than 70% of the normal diameter or a hemodynamically significant aortic narrowing (peak systolic gradient of more than 50 mm across the stenotic aortic lesion), and more than 20 mmHg of pressure gradient across the stenosis, and clinically inactive stage of TA [42,63]. However, restenosis after PTA with or without drug-eluting stent, which is unavoidable, is still a concern.…”

Section: Ptamentioning

confidence: 99%

Takayasu Arteritis: Diagnosis, Treatment and Prognosis

Wen

2012

International Reviews of Immunology

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Takayasu arteritis (TA) is a chronic nonspecific granulomatous vasculitis affecting aorta and its main branches, coronary and pulmonary arteries. TA often occurs in young women and has a characteristic heterogeneity depending on ethnicity and geographical location. Although the pathogenesis of TA remains unclear, the interaction of many factors, such as autoimmunity, inflammation, genetic and environmental factors and so on, is involved in the occurrence and development of TA. Angiography, which is recognized as the gold standard in evaluating vascular lesions in TA, combined with computer tomography angiography (CTA), magnetic resonance angiography (MRA), ultrasonography, (18)Fluorodeoxyglucose positron emission tomography ((18)F-FDG-PET) could not only provide important information for early diagnosis but also detect disease activity, and thus further guide the treatment in TA. In addition, beside the commonly used corticosteroids, immunosuppressive agents, percutaneous transluminal angioplasty (PTA) and surgical revascularization, anti-tumor necrosis factor (TNF) agent has been more widely used in refractory cases of TA. The objective of this review is to systemically describe the pathogenesis, clinical characteristics, diagnosis, treatment and prognosis of TA.

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“…Hypertension secondary to TA often needs appropriate endovascular intervention. Percutaneous transluminal angioplasty (PTA) has emerged as a safe, minimally invasive and viable alternative to surgical revascularization for management of stenotic renal arteries and abdominal aorta . There is a faster progression of angiographic lesions, higher rate of restenosis, repeat intervention and poor long‐term outcome if intervention is performed during active disease .…”

Section: Discussionmentioning

confidence: 99%

Complex interventions of abdominal aorta and its branches in children with Takayasu arteritis: Clinical experience from a tertiary care center in north‐west India

et al. 2018

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Aim:To report our experience on complex percutaneous interventions of the abdominal aorta and its branches in six children with Takayasu arteritis (TA). Methods:A review of records of children with TA, who underwent percutaneous interventions of the abdominal aorta and its major branches. Results:In this analysis, we included six children with TA who underwent intervention of the abdominal aorta and its major branches. The endovascular interventions were performed mostly for treatment-resistant renovascular hypertension and mesentery artery ischemia. Mean age (±SD) at time of intervention was 10.6 ± 2.5 years (four boys and two girls). Percutaneous interventions included stenting of abdominal aorta (n = 2), renal arteries (n = 4), mesenteric arteries (n = 2), repeat stenting for renal artery in-stent restenosis (n = 1), and renal autotransplantation (n = 4). All 13 interventions were successful and enabled us to obtain good control of blood pressure. Conclusion:We hereby report six children with TA who were successfully managed with complex percutaneous interventions of the abdominal aorta and its major branches. Balloon dilatation and stent placement constitutes the mainstay of management of TA with stenosis of the large vessels. K E Y W O R D Sabdominal aorta, drug-eluting stent, hypertension, mesenteric artery stent, renal artery instent restenosis, renal artery stent, renal auto-transplantation, stent fracture, Takayasu arteritis

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Percutaneous transluminal angioplasty of the aorta in children with nonspecific aortoarteritis: Acute and follow-up results with special emphasis on left ventricular function

Cited by 14 publications

References 17 publications

Pathology of Takayasu arteritis: A brief review

Pathology of Takayasu arteritis: A brief review

Takayasu Arteritis: Diagnosis, Treatment and Prognosis

Complex interventions of abdominal aorta and its branches in children with Takayasu arteritis: Clinical experience from a tertiary care center in north‐west India

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