Document Detail


Histological diagnosis of atypical Takayasu arteritis using percutaneous transluminal atherectomy.
MedLine Citation:
PMID:  18426277     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To describe the use of percutaneous directional atherectomy to aid in the diagnosis of atypical Takayasu arteritis in the lower limb vessels. CASE REPORT: In a 24-year-old woman with severe peripheral artery disease (Rutherford-Becker category 5), imaging showed bilateral occlusion of the superficial femoral arteries (SFA), but no lesions of the proximal or supra-aortic vessels. The right SFA was treated first; after guidewire passage through the occlusion, 7 passes of the SilverHawk Peripheral Atherectomy Catheter debulked the lesion, followed by balloon angioplasty. Catheter biopsy showed inflammatory infiltrates consistent with Takayasu arteritis. CONCLUSION: Percutaneous transluminal atherectomy is not only an interventional device but also a diagnostic tool and can be used to distinguish between inflammatory and atherosclerotic lesions.
Authors:
Ulrich Beschorner; Heike Goebel; Aljoscha Rastan; Sebastian Sixt; Thomas Zeller
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  15     ISSN:  1526-6028     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-22     Completed Date:  2008-09-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  241-3     Citation Subset:  IM    
Affiliation:
Abteilung Angiologie, Herz-Zentrum Bad Krozingen, Germany. ulrich.beschorner@herzzentrum.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Atherectomy*
Diagnosis, Differential
Female
Femoral Artery / pathology*
Humans
Leg / blood supply
Takayasu Arteritis / pathology*,  therapy*

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