What is the role of surgery in the treatment of Takayasu arteritis?

Updated: Nov 14, 2018
  • Author: Jefferson R Roberts, MD; Chief Editor: Herbert S Diamond, MD  more...
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Answer

Critical stenotic lesions should be treated by angioplasty or surgical revascularization during periods of remission. Indications for surgical repair or angioplasty are as follows:

  • Renovascular stenosis causing hypertension

  • Coronary artery stenosis leading to myocardial ischemia

  • Extremity claudication induced by routine activity

  • Cerebral ischemia and/or critical stenosis of 3 or more cerebral vessels

  • Aortic regurgitation

  • Thoracic or abdominal aneurysms larger than 5 cm in diameter

  • Severe coarctation of the aorta

Percutaneous transluminal coronary angioplasty is followed by restenosis at the angioplasty site within 1-2 years in a substantial number of patients.


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