Percutaneous Transluminal Angioplasty for Brain Ischemia due to Takayasu's Arteritis.
- Author:
Hyun Jeong KIM
1
;
Chul Seung LEE
;
Seung Won JANG
;
Yedaun LEE
;
Han Song MUN
;
Dae Chul SUH
Author Information
1. Department of Radiology, Asan Medical Center, University of Ulsan, College of Medicine, Korea. dcsuh@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Arteritis;
Takayasu's arteritis;
Percutaneous transluminal angioplasty;
Balloon angioplasty;
Cerebral ischemia;
Neurological manifestations
- MeSH:
Angiography;
Angioplasty*;
Angioplasty, Balloon;
Arteries;
Arteritis;
Brain Ischemia*;
Brain*;
Follow-Up Studies;
Humans;
Neurologic Manifestations;
Stroke;
Takayasu Arteritis*
- From:Neurointervention
2009;4(2):94-100
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To report the follow-up results of percutaneous transluminal angioplasty (PTA) of supra-aortic arteries in patients presenting with neurological manifestations caused by Takayasu's arteritis. MATERIALS AND METHODS: PTA was performed in four consecutive patients (women, age range 33-38 years) with Takayasu's arteritis (TA) with neurological manifestations (i.e., stroke, visual disturbance, and dizziness) caused by stenoocclusive lesions of supra-aortic arteries. RESULTS: PTA was attempted on 5 lesions: VA (n=3), subcalvain artery (n=1), and brachiocephalic artery (n=1). PTA was performed successfully in all patients. The neurological manifestations of the patients were improved after angioplasty. There was no immediate procedure-related complication or neurologic deficits and no restenosis on follow-up angiography in three patients. All patients were neurologically stable without occurrence of further neurological deficit during follow-up periods (9 months - 7 years). CONCLUSION: PTA of supra-aortic arteries in TA is safe and effective and provides good symptomatic relief in some patients with symptomatic multifocal stenoocclusive lesions of arch arteries.
