Reduced efficacy of transcatheter and surgical revascularization in Takayasu arteritis

A 55‐year‐old woman with newly diagnosed Takayasu arteritis was followed for 7 years, during which time she underwent bare metal stenting, drug eluting stenting and coronary bypass grafting for critical coronary and renal artery stenoses. Interventions were initially successful but restenosis occurr...

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Bibliographic Details
Published in:International journal of rheumatic diseases 2019-01, Vol.22 (1), p.152-157
Main Authors: Sammel, Anthony M., Wolfenden, Hugh D., Joshua, Fredrick, Jepson, Nigel
Format: Article
Language:English
Subjects:
angioplasty
Arteritis
coronary artery bypass
coronary restenosis
Drug delivery
drug‐eluting stents
Heart surgery
Immunosuppressive agents
Ischemia
Renal artery
Restenosis
stents
Takayasu's disease
vasculitis
Vein & artery diseases
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Summary:A 55‐year‐old woman with newly diagnosed Takayasu arteritis was followed for 7 years, during which time she underwent bare metal stenting, drug eluting stenting and coronary bypass grafting for critical coronary and renal artery stenoses. Interventions were initially successful but restenosis occurred within 24 months for all modalities. In contrast, native vessel disease was largely stable after the introduction of immunosuppressive therapy. We advocate a conservative revascularization approach in Takayasu arteritis in the absence of critical end organ ischemia and early optimization of medical therapy.
ISSN:1756-1841
1756-185X
DOI:10.1111/1756-185X.12549