Preventing a central nervous system catastrophe in a case of Takayasu's arteritis presenting with critical stenosis of all three arch vessels.

Abstract

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
• Journal: Cardiovascular intervention and therapeutics (Cardiovasc Interv Ther) Vol. 27 Issue 2 Pg. 118-20 (May 2012) ISSN: 1868-4297 [Electronic] Japan
• PMID: 22623007 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Angioplasty (methods)
• Aorta, Thoracic (diagnostic imaging, surgery)
• Central Nervous System
• Humans
• Male
• Radiography
• Stents
• Takayasu Arteritis (complications, surgery)
• Treatment Outcome
• Vertebrobasilar Insufficiency (surgery)