Takayasu arteritis: angiographic findings and results of angioplasty

Park, Jae Hyung; Han, Man Chung; Kim, Seung Hyup; Oh, Byung Hee; Park, Young Bae; Seo, Jung Don

doi:10.2214/ajr.153.5.1069

Cited by 79 publications

(50 citation statements)

References 4 publications

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“…The most frequent site of stenosis was found to be in the descending thoracic aorta, whereas dilatation was seen in the ascending aorta. These MR angiographic findings were consistent with previous conventional angiographic studies (1)(2)(3), thereby confirming that MR angiography is a reliable diagnostic tool for patients suspected of having Takayasu arteritis.…”

Section: Discussionsupporting

confidence: 88%

“…Conventional angiography is regarded as necessary for a definitive diagnosis. However, achieving a correct diagnosis of Takayasu arteritis by means of conventional angiography is sometimes difficult (2,3). This is because certain patients manifest an associated stenosis in the aorta and its branch vessels, which prevents catheterization and catheter replacement.…”

Section: Discussionmentioning

confidence: 99%

“…The sensitivity and specificity of MR angiography for the diagnosis of Takayasu arteritis were both 100%. Breath-hold contrast-enhanced 3D MR angiography clearly depicts various vascular lesions in both the systemic and pulmonary arteries in Takayasu Index terms: Takayasu arteritis; MR angiography; contrast media TAKAYASU ARTERITIS is a primary arteritis of unknown etiology that commonly affects the aorta and its major branches as well as the pulmonary artery (1)(2)(3). Although it is more commonly seen in the Orient, the disease has a world-wide distribution.…”

mentioning

confidence: 99%

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Takayasu arteritis: Diagnosis with breath-hold contrast-enhanced three-dimensional MR angiography

Yamada

Nakagawa

Himeno

et al. 2000

J. Magn. Reson. Imaging

150

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Takayasu arteritis: Diagnosis with breath-hold contrast-enhanced three-dimensional MR angiography

Yamada

Nakagawa

Himeno

et al. 2000

J. Magn. Reson. Imaging

150

View full text Add to dashboard Cite

“…In addition, successful transcutaneous catheter intervention for systemic arterial obstructions in patients with vasculitis has been well described [25,26]. In contrast, there are limited data on the results of transcutaneous catheter intervention of pulmonary arterial obstructions secondary to vasculitis.…”

Section: Discussionmentioning

confidence: 99%

Balloon angioplasty and stenting of multiple intralobar pulmonary arterial stenoses in adult patients

Rothman

Levy

Sklansky

et al. 2003

Cathet Cardio Intervent

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Balloon angioplasty and stent placement for pulmonary arterial stenoses in children are well-established therapies. In contrast, management of isolated peripheral pulmonary arterial stenoses in adults remains relatively unexplored. Four women (ages 18-63 years) with multiple discrete intralobar pulmonary arterial stenoses were treated with balloon angioplasty. Initially, 4-5 stenoses were dilated in each patient. The mean minimum diameter of the stenoses increased from 1.3 to 3.1 mm (P < 0.001), and the mean ratio of right ventricular to aortic systolic pressure decreased from 0.92 to 0.62 (P < 0.05). Each patient had marked symptomatic improvement. However, three patients developed recurrence of symptoms 4-24 months after angioplasty, and two had angiographic evidence of restenosis at previously dilated sites. These restenoses were treated with repeat angioplasty or stent implantation (three stents in each patient). One of these two patients developed near-occlusive restenosis of the stents and had successful bilateral lung transplantation. The other patient had a third catheterization with successful implantation of three additional stents. The third patient with recurrent symptoms died 2 years later, without further intervention. Transcutaneous catheter therapy for multiple intralobar pulmonary arterial stenoses in adults is highly successful acutely, but restenosis is common within several months. For some patients, balloon angioplasty and stent implantation may provide definitive management, while for others these procedures may serve as a bridge to lung transplantation.

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“…Total aortography and pulmonary angiography are usually required for accurate assessment of disease (Park et al 1989). Thoracic aortography should include the origins of the arch vessels and abdominal aortography should include all visceral branches and the iliac arteries.…”

Section: Angiographymentioning

confidence: 99%