Stenting for middle aortic syndrome caused by Takayasu arteritis‐immediate and long‐term outcomes

Stenting for middle aortic syndrome caused by Takayasu arteritis‐immediate and long‐term... INTRODUCTIONTakayasu arteritis (TA) is a relatively uncommon chronic nonspecific inflammatory disease of unknown etiology that mainly affects the aorta and its major branches . The inflammatory process creates structural changes that lead to wall thickening, fibrosis, and stenosis . Stenosis is the most common vascular lesion of TA , and significant stenotic lesions of the distal thoracic or abdominal aorta may result in middle aortic syndrome (MAS) , which manifests as lower limb ischemia, hypertension, myocardial hypertrophy, heart failure, hemorrhagic stroke , or even death. Historically, the management of such lesions involved with TA has been that of anti‐inflammatory therapy and open surgical techniques. However, the open surgical approach is technically challenging due to its complexity with multiple vessel involvement and is associated with high rates of procedural and periprocedural complications, such as postoperative anastomotic aneurysm formation, and graft occlusion . Due to these challenges, percutaneous transluminal angioplasty (PTA) has gained popularity as the preferred treatment method in suitable patients . However, major concerns such as obstructive dissection and long‐term patency along with PTA alone still exist . Hence, some case reports and retrospective studies evaluated the feasibility of stenting for the treatment of this condition. However, related data http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Catheterization and Cardiovascular Interventions Wiley

Stenting for middle aortic syndrome caused by Takayasu arteritis‐immediate and long‐term outcomes

Loading next page...
 
/lp/wiley/stenting-for-middle-aortic-syndrome-caused-by-takayasu-arteritis-yqYuTS00pg
Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 Wiley Periodicals, Inc.
ISSN
1522-1946
eISSN
1522-726X
D.O.I.
10.1002/ccd.27492
Publisher site
See Article on Publisher Site

Abstract

INTRODUCTIONTakayasu arteritis (TA) is a relatively uncommon chronic nonspecific inflammatory disease of unknown etiology that mainly affects the aorta and its major branches . The inflammatory process creates structural changes that lead to wall thickening, fibrosis, and stenosis . Stenosis is the most common vascular lesion of TA , and significant stenotic lesions of the distal thoracic or abdominal aorta may result in middle aortic syndrome (MAS) , which manifests as lower limb ischemia, hypertension, myocardial hypertrophy, heart failure, hemorrhagic stroke , or even death. Historically, the management of such lesions involved with TA has been that of anti‐inflammatory therapy and open surgical techniques. However, the open surgical approach is technically challenging due to its complexity with multiple vessel involvement and is associated with high rates of procedural and periprocedural complications, such as postoperative anastomotic aneurysm formation, and graft occlusion . Due to these challenges, percutaneous transluminal angioplasty (PTA) has gained popularity as the preferred treatment method in suitable patients . However, major concerns such as obstructive dissection and long‐term patency along with PTA alone still exist . Hence, some case reports and retrospective studies evaluated the feasibility of stenting for the treatment of this condition. However, related data

Journal

Catheterization and Cardiovascular InterventionsWiley

Published: Jan 15, 2018

Keywords: ; ; ; ;

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off