Reduced efficacy of transcatheter and surgical revascularization in Takayasu arteritis. (26th December 2014)

• Record Type: Journal Article
• Authors: Sammel, Anthony M.; Wolfenden, Hugh D.; Joshua, Fredrick; Jepson, Nigel
• Is Part Of: International journal of rheumatic diseases. Volume 22:Number 1(2019)
• Page Start: 152
• Page End: 157
• Publication Date: 2014-12-26
• Subjects: angioplasty -- coronary artery bypass -- coronary restenosis -- drug‐eluting stents -- stents -- vasculitis; Rheumatology -- Periodicals; Rheumatology -- Asia -- Periodicals; Rheumatology -- Pacific Area -- Periodicals; Rheumatic Diseases -- Periodicals; Connective Tissue Diseases -- Periodicals; Immune System Diseases -- Periodicals; 616.723
• DOI: 10.1111/1756-185X.12549
• Languages: English
• ISSNs: 1756-1841

Abstract

Abstract: 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.