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

Srinivas Budanur Chikkaswamy, Maneesh K. Rai, Chamrajnagar M. Nagesh, Babu Reddy, B. Dinesha, Cholenahally Nanjappa Manjunath

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2 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)118-120
Number of pages3
JournalCardiovascular Intervention and Therapeutics
Volume27
Issue number2
DOIs
Publication statusPublished - 01-05-2012

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All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

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