The role of B-mode ultrasonography and electron beam computed tomography in evaluation of Takayasu's arteritis: A study of 43 patients

Lefèbvre, Chantal; Rance, A; Paul, Jean-François; Beguin, Claire; Blëtry, O.; Amoura, Zahir; Piette, Jean‐Charles; Fiessinger, Jean‐Noël

doi:10.1053/sarh.2000.8375

Cited by 48 publications

(20 citation statements)

References 27 publications

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“…By contrast to GCA, the proximal subclavian arteries are frequently aff ected by stenoses or occlusions. Subclavian artery obstructions are more commonly observed on the left side, as also indicated by a substantial rate (31 % in the study by Sun et al) of a subclavian steal phenomenon in the left vertebral artery [63,64]. Continuous spread of the concentric circumferential wall thickening to the axillary arteries is less common than in GCA.…”

Section: Disease Pattern As Assessed By Ultrasoundmentioning

confidence: 90%

“…In rare cases, poststenotic fl ow patterns resulting from isolated ostial stenoses of the supraaortic arteries are the only sonographic fi ndings. The pattern of involvement varies, but in most cases a symmetric bilateral involvement of the carotid and subclavian arteries can be seen [63,64]. By contrast to GCA, the proximal subclavian arteries are frequently aff ected by stenoses or occlusions.…”

Section: Disease Pattern As Assessed By Ultrasoundmentioning

confidence: 99%

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Ultrasound imaging in the diagnosis of large vessel vasculitis

Czihal

Lottspeich

Hoffmann

2017

Vasa

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Summary: Nowadays noninvasive vascular imaging has an important role in the diagnostic work-up of the large vessel vasculitides (LVV), most importantly giant cell arteritis (GCA) and Takayasu arteritis. Among the imaging modalities available, ultrasound (US) has several important advantages, including low costs, rapid and repetitive availability without exposure to radiation, and high spatial resolution for assessment of large and medium-sized arteries. Therefore, US can be regarded the fi rst line imaging method in suspected LVV. In patients with suspected GCA, US can replace temporal artery biopsy in certain clinical scenarios, and the application of US early in the diagnostic work-up of suspected GCA in specialized fast track clinics has been suggested to reduce the rate of visual ischaemic complications and associated costs. In other LVV such as Takayasu arteritis and chronic periaortitis, the diagnostic accuracy in comparison to other noninvasive imaging methods has not been formally tested but can be considered to be excellent. However, quality of US is highly dependent on the operator's experience, and assessment of the thoracic aorta which is frequently involved in GCA and TA is limited. The role of US in the followup of LVV under treatment is unclear. In view of the promising data supporting its value on the one hand and several uncertainties and controversies on the other hand, the present review article provides a comprehensive overview on current evidence for the application of US in the diagnosis and follow up of LVV. Recent multicentre study results and emerging trends such as the application of compression sonography in the diagnosis of GCA and the use of contrast enhanced ultrasound in disease activity assessment in Takayasu arteritis are discussed.

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Section: Disease Pattern As Assessed By Ultrasoundmentioning

confidence: 90%

Section: Disease Pattern As Assessed By Ultrasoundmentioning

confidence: 99%

Ultrasound imaging in the diagnosis of large vessel vasculitis

Czihal

Lottspeich

Hoffmann

2017

Vasa

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“…79,81 Marked thickening of the intimal-medial complex may be seen in the subclavian and common carotid arteries, in particular, and often is bilateral. 81,[83][84][85] Duplex ultrasound also may identify areas of arterial stenosis or occlusion in the setting of both GCA and Takayasu arteritis. Thickness of the carotid intimal-medial complex has shown early promise as a quantifiable marker of disease activity among patients with Takayasu arteritis and may have potential as a marker of therapeutic response among patients receiving immunosuppressive therapy.…”

Section: Ultrasoundmentioning

confidence: 99%

Aortitis

2008

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“…However, poor visualisation of the more distal branches and a high radiation exposure are possible disadvantages [5].…”

Section: Mr Angiogram (Mra)mentioning

confidence: 99%

Pediatric Vasculitides: A Generalists Approach

Khubchandani

Viswanathan

2010

Indian J Pediatr

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Vasculitis is defined as the presence of inflammation in a blood vessel that may occur as a primary process or secondary to an underlying disease. Primary vasculitides are rare in children. These are defined by both the size of vessels involved and the type of inflammatory response. Clinical features consist of multi-organ involvement on a background of constitutional features reflecting the size and location of the blood vessels involved. Whilst some vasculitides are best diagnosed clinically, many forms require sophisticated imaging and other investigations (auto antibodies) to reveal the correct diagnosis. Prompt recognition and treatment is crucial as many of the vasculitides cause significant morbidity or mortality. Treatment options range from symptomatic therapy, immunosuppresive agents, intravenous immunoglobulin (IVIG) or biologic agents and are determined by the type of vasculitis, the severity of the inflammation, and the organ systems affected. Early detection and aggressive treatment is crucial for the best outcomes in the most severe forms of childhood vasculitis.

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The role of B-mode ultrasonography and electron beam computed tomography in evaluation of Takayasu's arteritis: A study of 43 patients

Cited by 48 publications

References 27 publications

Ultrasound imaging in the diagnosis of large vessel vasculitis

Ultrasound imaging in the diagnosis of large vessel vasculitis

Aortitis

Pediatric Vasculitides: A Generalists Approach

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