Journal ArticleDOI
Takayasu arteritis: initial and long-term follow-up in 16 patients after percutaneous transluminal angioplasty of the descending thoracic and abdominal aorta.
S A Rao,K R Mandalam,V. R. K. Rao,A. K. Gupta,S. Joseph,M. Unni,Raghavan Subramanyan,Kurur Sankaran Neelakandhan +7 more
TLDR
PTA has a definite role in the management of TA in view of its procedural simplicity, cost-effectiveness, and results compared with surgical revascularization procedures.Abstract:
PURPOSE: To analyze results of percutaneous transluminal angioplasty (PTA) for stenosis of the descending thoracic and/or abdominal aorta caused by Takayasu arteritis (TA). MATERIALS AND METHODS: Subjects were 16 patients (12 female and four male, aged 6-46 years) with symptoms of hypertension or severe bilateral lower limb claudication. Total aortography revealed stenotic lesions in the descending thoracic aorta in five, in the abdominal aorta in 10, and in both vessels in one patient. Involvement of arch vessels in four patients and of the renal artery in four patients was also noted. Double-balloon angioplasty was performed in eight patients. RESULTS: Initial technical and clinical success was 100%. The maximum follow-up period was 52 months (mean, 21 months 2 weeks). Ankle-brachial index as determined with Doppler ultrasound improved considerably in 10 patients. Three patients had symptoms of restenosis during follow-up. Cumulative patency rate by life-table analysis was 67%. CONCLUSION: PTA has a def...read more
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Journal ArticleDOI
Advances in the medical and surgical treatment of Takayasu arteritis.
Patrick Liang,Gary S. Hoffman +1 more
TL;DR: New drugs that target intimal hyperplasia, as well as drug-eluting stents, deserve to be studied for possible utility as adjuncts to present treatments.
Journal ArticleDOI
Takayasu arteritis in France: a single-center retrospective study of 82 cases comparing white, North African, and black patients.
Laurent Arnaud,Julien Haroche,Nicolas Limal,Dan Toledano,Laetitia Gambotti,Nathalie Costedoat Chalumeau,Du Le Thi Huong Boutin,Patrice Cacoub,Philippe Cluzel,Fabien Koskas,E. Kieffer,Jean-Charles Piette,Zahir Amoura +12 more
TL;DR: The data support the idea that late-onset TA or an overlap between TA and large-vessel giant cell arteritis may be observed in white patients, and North African patients have a higher occurrence of ischemic stroke and poorer survival than white patients.
Journal ArticleDOI
Overview of Late Outcome of Medical and Surgical Treatment for Takayasu Arteritis
Hitoshi Ogino,Hitoshi Matsuda,Kenji Minatoya,Hiroaki Sasaki,Hiroshi Tanaka,Yu Matsumura,Hatsue Ishibashi-Ueda,Junjiro Kobayashi,Toshikatsu Yagihara,Soichiro Kitamura +9 more
TL;DR: An overview of Takayasu arteritis is described, particularly focusing on the late outcome of treatment for TA, which requires surgical treatment even in the active phase or in the inactive chronic phase with adequate control of the inflammation.
Journal Article
Takayasu's arteritis: vascular interventions and outcomes.
TL;DR: Despite providing short term benefit, endovascular revascularization procedures are associated with a high failure rate in patients with Takayasu's arteritis.
Journal ArticleDOI
Takayasu's arteritis: a review of the literature.
TL;DR: This work focuses on the pathophysiology, clinical and angiographical classification, diagnostic assessment and therapeutic approach of Takayasu's arteritis.