Takayasu's arteritis surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farnaz Khalighinejad, MD [2]
Overview
Surgical options may need to be explored for those who do not respond to steroids. Re-perfusion of tissue can be achieved by large vessel reconstructive surgery such as bypass grafting.
Indications
- Surgical intervention is recommended for the management of Takayasu's arteritis. Indications for surgical repair or angioplasty are as follow:[1]
- Renovascular stenosis causing hypertension
- Coronary artery stenosis leading to myocardial ischemia
- Extremity claudication induced by routine activity
- Cerebral ischemia
- 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
Surgery
- Surgery is not the first-line treatment option for patients with Takayasu's arteritis.
- Different surgical techniques might be used in patients with severe stenotic lesions during periods of remission such as:
- Bypass graft surgery
- Angioplasty
- Surgical revascularization