Document Detail


Preventing a central nervous system catastrophe in a case of Takayasu's arteritis presenting with critical stenosis of all three arch vessels.
MedLine Citation:
PMID:  22623007     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Multifocal and bilateral involvement of the arch vessels is a common presentation of Takayasu's arteritis. Endovascular stenting of multiple supra aortic lesions in Takayasu's arteritis has been described scarcely in literature. We describe the management of a case of Takayasu's arteritis who presented with recurrent vertebro-basilar symptoms and a single surviving arch vessel. Whether routine revascularization of all three vessels is superior to symptom driven revascularization of individual lesions remains uncertain. The abundant collateral blood flow; the problems with stenting during the acute phase of the disease; the risk of restenosis that is considerably higher than atherosclerotic lesions; and the chances of progression of the disease have to be taken into account during endovascular revascularization of multiple supra aortic arch vessels.
Authors:
Srinivas Budanur Chikkaswamy; Maneesh K Rai; Chamrajnagar M Nagesh; Babu Reddy; B Dinesha; Cholenahally Nanjappa Manjunath
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Publication Detail:
Type:  Journal Article     Date:  2012-01-11
Journal Detail:
Title:  Cardiovascular intervention and therapeutics     Volume:  27     ISSN:  1868-4297     ISO Abbreviation:  Cardiovasc Interv Ther     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-05-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101522043     Medline TA:  Cardiovasc Interv Ther     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  118-20     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India.
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