Restenosis after endovascular PTA/stenting for supra-aortic branches in Takayasu aortitis: report of three cases and review of the literature.

Abstract

Recently, endovascular management has been reported as a feasible option for Takayasu aortitis. However, few papers have focused on restenosis in the follow-up, and therefore, it is important to predict high-risk cases for restenosis after endovascular treatment. We herein report three cases with Takayasu aortitis showing repeated restenosis after endovascular percutaneous transluminal angioplasty (PTA)/stenting and discuss its clinical implications with a review of the literature. We should keep in mind that endovascular PTA/stenting for Takayasu aortitis does not always keep the patency of the affected vessels, and severity of the stenosis and/or uncontrollable systemic inflammation could be a risk factor for restenosis. Therefore, careful follow-up under strict control of inflammation is mandatory. Overall, this method is effective as an initial treatment since repeated PTA is available until collateral supply develops.

• Authors: Nobutaka Horie, Kentaro Hayashi, Minoru Morikawa, Gohei So, Hideaki Takahata, Kazuhiko Suyama, Izumi Nagata
• Journal: Acta neurochirurgica (Acta Neurochir (Wien)) Vol. 153 Issue 5 Pg. 1135-9; discussion 1139 (May 2011) ISSN: 0942-0940 [Electronic] Austria
• PMID: 21336809 (Publication Type: Case Reports, Journal Article, Review)

Topics

• Adult
• Angioplasty (instrumentation, methods)
• Carotid Artery, Common (diagnostic imaging, pathology)
• Female
• Graft Occlusion, Vascular (diagnostic imaging, pathology)
• Humans
• Radiography
• Secondary Prevention
• Stents (standards)
• Subclavian Artery (diagnostic imaging, pathology)
• Takayasu Arteritis (complications, drug therapy, pathology)
• Young Adult