Takayasu's arteritis surgery: Difference between revisions
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{{Takayasu's arteritis}} | {{Takayasu's arteritis}} | ||
{{CMG}} {{AE}} {{FKH}} | {{CMG}} {{AE}} {{FKH}} | ||
==Overview== | ==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. | Surgical options may need to be explored for those who do not respond to [[Steroid|steroids]]. Re-perfusion of tissue can be achieved by large [[Blood vessel|vessel]] reconstructive [[surgery]] such as [[Coronary artery bypass surgery|bypass grafting]]. | ||
== | ==Indications== | ||
* Surgical intervention is recommended for the management of Takayasu's arteritis. Indications for surgical repair or [[angioplasty]] are as follow:<ref name="pmid1975175">{{cite journal |vauthors=Arend WP, Michel BA, Bloch DA, Hunder GG, Calabrese LH, Edworthy SM, Fauci AS, Leavitt RY, Lie JT, Lightfoot RW |title=The American College of Rheumatology 1990 criteria for the classification of Takayasu arteritis |journal=Arthritis Rheum. |volume=33 |issue=8 |pages=1129–34 |date=August 1990 |pmid=1975175 |doi= |url=}}</ref> | |||
** 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 [[Brain|cerebral]] vessels | |||
** [[Aortic regurgitation]] | |||
** Thoracic or abdominal [[aneurysm]]<nowiki/>s 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 (surgical)|Bypass]] [[graft]] [[surgery]] | |||
** [[Angioplasty]] | |||
** Surgical [[revascularization]] | |||
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==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Latest revision as of 18:58, 1 May 2018
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Takayasu's arteritis Microchapters |
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Takayasu's arteritis surgery On the Web |
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Risk calculators and risk factors for Takayasu's arteritis surgery |
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