Update on pregnancy in Takayasu arteritis—A narrative review. (18th April 2021)

• Record Type: Journal Article
• Authors: Padiyar, Shivraj; Manikuppam, Prathyusha; Kabeerdoss, Jayakanthan; Rathore, Swati; Danda, Debashish
• Is Part Of: International journal of rheumatic diseases. Volume 24:Number 6(2021)
• Page Start: 758
• Page End: 765
• Publication Date: 2021-04-18
• Subjects: aortoarteritis -- fertility -- obstetrical outcomes -- pregnancy -- Takayasu arteritis; 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.14109
• Languages: English
• ISSNs: 1756-1841

Abstract

Abstract: Takayasu arteritis (TA) is a chronic, idiopathic large‐vessel vasculitis that affects women of reproductive age, and has significant maternal and fetal implications. Although there are contrasting data on the effect of TA on fertility, most studies have shown that fertility outcomes remain unaffected. The disease activity of TA usually either remains stable or decreases during pregnancy. The important fetomaternal complications are maternal hypertension, pre‐eclampsia, prematurity, and intrauterine growth restriction. To reduce maternal and fetal morbidity, controlling the disease before conception is important. This review article discusses the various implications, challenges, and medical and endovascular management of TA during pregnancy.