Takayasu's arteritis classification: Difference between revisions

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Takayasu arteritis may be classified according to angiographic findings into 6 subtypes:<ref name="pmid9158381">{{cite journal |vauthors=Moriwaki R, Noda M, Yajima M, Sharma BK, Numano F |title=Clinical manifestations of Takayasu arteritis in India and Japan--new classification of angiographic findings |journal=Angiology |volume=48 |issue=5 |pages=369–79 |date=May 1997 |pmid=9158381 |doi=10.1177/000331979704800501 |url=}}</ref>
Takayasu arteritis may be classified according to angiographic findings into 6 subtypes:<ref name="pmid9158381">{{cite journal |vauthors=Moriwaki R, Noda M, Yajima M, Sharma BK, Numano F |title=Clinical manifestations of Takayasu arteritis in India and Japan--new classification of angiographic findings |journal=Angiology |volume=48 |issue=5 |pages=369–79 |date=May 1997 |pmid=9158381 |doi=10.1177/000331979704800501 |url=}}</ref>


=== Type I: ===
{| class="wikitable"
Branches from the [[aortic arch]]
| colspan="1" rowspan="1" |Type
| colspan="1" rowspan="1" |Vessel involvement
|-
| colspan="1" rowspan="1" |Type I
| colspan="1" rowspan="1" |Branches from the aortic arch
|-
| colspan="1" rowspan="1" |Type IIa
| colspan="1" rowspan="1" |[[Ascending aorta]], aortic arch and its branches
|-
| colspan="1" rowspan="1" |Type IIb
| colspan="1" rowspan="1" |Ascending aorta, aortic arch and its branches, thoracic descending aorta
|-
| colspan="1" rowspan="1" |Type III
| colspan="1" rowspan="1" |Thoracic descending aorta, abdominal aorta, and/or renal arteries
|-
| colspan="1" rowspan="1" |Type IV
| colspan="1" rowspan="1" |Abdominal aorta and/or renal arteries
|-
| colspan="1" rowspan="1" |Type V
| colspan="1" rowspan="1" |Combined features of types IIb and IV
|}
Ishikawa clinical classification of Takayasu arteritis:


=== Type IIa: ===
{| class="wikitable"
[[Ascending aorta]], [[aortic arch]] and its branches
| colspan="1" rowspan="1" |Group I
 
| colspan="1" rowspan="1" |Uncomplicated disease, with or without pulmonary artery involvement
=== Type IIb: ===
|-
[[Ascending aorta]], [[aortic arch]] and its branches, thoracic [[descending aorta]]
| colspan="1" rowspan="1" |Group IIA
 
| colspan="1" rowspan="1" |Mild/moderate single complication together with uncomplicated disease
=== Type III: ===
|-
[[Thoracic aorta|Thoracic]] descending aorta, [[abdominal aorta]], and/or [[renal arteries]]
| colspan="1" rowspan="1" |Group IIB
 
| colspan="1" rowspan="1" |Severe single complication together with uncomplicated disease
=== Type IV: ===
|-
[[Abdominal aorta]] and/or [[Renal artery|renal arteries]]
| colspan="1" rowspan="1" |Group III
 
| colspan="1" rowspan="1" |Two or more complications together with uncomplicated disease
=== Type V: ===
|}
Combined features of types IIb and IV


==References==
==References==

Revision as of 17:56, 22 March 2018

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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

Takayasu arteritis may be classified according to angiographic findings into 6 subtypes. These systems are useful in that they allow a comparison of patient characteristics according to the vessels involved and are helpful in planning surgery, but they offer little by way of prognosis. The most commonly involved vessels include the left subclavian artery (50%), left common carotid artery (20%), brachiocephalic trunk, renal arteries, celiac trunk, superior mesenteric artery, and pulmonary arteries (50%). Infrequently, the axillary, brachial, vertebral, coronary, and iliac arteries are involved.

Classification

Takayasu arteritis may be classified according to angiographic findings into 6 subtypes:[1]

Type Vessel involvement
Type I Branches from the aortic arch
Type IIa Ascending aorta, aortic arch and its branches
Type IIb Ascending aorta, aortic arch and its branches, thoracic descending aorta
Type III Thoracic descending aorta, abdominal aorta, and/or renal arteries
Type IV Abdominal aorta and/or renal arteries
Type V Combined features of types IIb and IV

Ishikawa clinical classification of Takayasu arteritis:

Group I Uncomplicated disease, with or without pulmonary artery involvement
Group IIA Mild/moderate single complication together with uncomplicated disease
Group IIB Severe single complication together with uncomplicated disease
Group III Two or more complications together with uncomplicated disease

References

  1. Moriwaki R, Noda M, Yajima M, Sharma BK, Numano F (May 1997). "Clinical manifestations of Takayasu arteritis in India and Japan--new classification of angiographic findings". Angiology. 48 (5): 369–79. doi:10.1177/000331979704800501. PMID 9158381.

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