Restenosis after endovascular PTA/stenting for supra-aortic branches in Takayasu aortitis: report of three cases and review of the literature
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Nobutaka Horie , Kentaro Hayashi , Minoru Morikawa , Gohei So , Hideaki Takahata , Kazuhiko Suyama , Izumi Nagata
- چاپ و سال / کشور: 2011
Description
Recently, endovascular management has been reported as a feasible option for Takayasu aortitis. However, few papers have focused on restenosis in the follow-up, and therefore, it is important to predict high-risk cases for restenosis after endovascular treatment. We herein report three cases with Takayasu aortitis showing repeated restenosis after endovascular percutaneous transluminal angioplasty (PTA)/stenting and discuss its clinical implications with a review of the literature. We should keep in mind that endovascular PTA/stenting for Takayasu aortitis does not always keep the patency of the affected vessels, and severity of the stenosis and/or uncontrollable systemic inflammation could be a risk factor for restenosis. Therefore, careful followup under strict control of inflammation is mandatory. Overall, this method is effective as an initial treatment since repeated PTA is available until collateral supply develops.
Acta Neurochir (2011) 153:1135–1139 DOI 10.1007/s00701-010-0932-y Received: 1 October 2010 / Accepted: 24 December 2010 / Published online: 19 February 2011 # Springer-Verlag 2011
