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Femoro—Internal Carotid Artery Bypass for Cerebral Ischemia in Takayasu's Arteritis

Femoro—Internal Carotid Artery Bypass for Cerebral Ischemia in Takayasu's Arteritis Abstract • In two patients with Takayasu's arteritis, severe cerebral ischemia was successfully treated by femoral to internal carotid artery bypass using a polytetrafluoroethylene (PTFE) graft through a subcutaneous tunnel. All of the arch branches were critically stenotic or occluded in both patients. The entire thoracic aorta was affected by the active inflammation process in one patient and there was marked calcification in the other patient. In these situations we hesitate to use the thoracic aorta as the donor site of bypass. Considering that Takayasu's arteritis affects the thoracic aorta and the proximal portions of its branches, the femoro—internal carotid artery bypass can be constructed without involving severely diseased vessels and can be expected to result in good cerebral revascularization. (Arch Surg 1984;119:1426-1429) References 1. Nasu T: Pathology of pulseless disease: A systematic study and critical review of 21 autopsy cases reported in Japan . Angiology 1963;14:225-242.Crossref 2. Lupi-Herrera E, Sanchez-Torres G, Marcushamer J, et al: Takayasu's arteritis: Clinical study of 107 cases . Am Heart J 1977;93:94-103.Crossref 3. Ishikawa K: Survival and morbidity after diagnosis of occlusive thromboaortopathy (Takayasu's disease) . Am J Cardiol 1981;47:1026-1032.Crossref 4. Kimoto S: The history and present status of aortic surgery in Japan, particularly for aortitis syndrome . J Cardiovasc Surg 1979;20:107-126. 5. Thevenet A: Surgical management of Takayasu-Onishi-arteritis , in Bircks W, Ostermeyer J, Schulte HD (eds): Cardiovascular Surgery 1980 . New York, Springer-Verlag Inc, 1981, pp 182-188. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Femoro—Internal Carotid Artery Bypass for Cerebral Ischemia in Takayasu's Arteritis

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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1984.01390240064011
Publisher site
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Abstract

Abstract • In two patients with Takayasu's arteritis, severe cerebral ischemia was successfully treated by femoral to internal carotid artery bypass using a polytetrafluoroethylene (PTFE) graft through a subcutaneous tunnel. All of the arch branches were critically stenotic or occluded in both patients. The entire thoracic aorta was affected by the active inflammation process in one patient and there was marked calcification in the other patient. In these situations we hesitate to use the thoracic aorta as the donor site of bypass. Considering that Takayasu's arteritis affects the thoracic aorta and the proximal portions of its branches, the femoro—internal carotid artery bypass can be constructed without involving severely diseased vessels and can be expected to result in good cerebral revascularization. (Arch Surg 1984;119:1426-1429) References 1. Nasu T: Pathology of pulseless disease: A systematic study and critical review of 21 autopsy cases reported in Japan . Angiology 1963;14:225-242.Crossref 2. Lupi-Herrera E, Sanchez-Torres G, Marcushamer J, et al: Takayasu's arteritis: Clinical study of 107 cases . Am Heart J 1977;93:94-103.Crossref 3. Ishikawa K: Survival and morbidity after diagnosis of occlusive thromboaortopathy (Takayasu's disease) . Am J Cardiol 1981;47:1026-1032.Crossref 4. Kimoto S: The history and present status of aortic surgery in Japan, particularly for aortitis syndrome . J Cardiovasc Surg 1979;20:107-126. 5. Thevenet A: Surgical management of Takayasu-Onishi-arteritis , in Bircks W, Ostermeyer J, Schulte HD (eds): Cardiovascular Surgery 1980 . New York, Springer-Verlag Inc, 1981, pp 182-188.

Journal

Archives of Surgery – American Medical Association

Published: Dec 1, 1984

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