Takayasu's arteritis classification: Difference between revisions
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! colspan="1" rowspan="1" align="center" style="background:#4479BA; color: #FFFFFF;" + |Vessel involvement | ! colspan="1" rowspan="1" align="center" style="background:#4479BA; color: #FFFFFF;" + |Vessel involvement | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" + |Type I | |||
| colspan="1" rowspan="1" |Branches from the [[aortic arch]] | | colspan="1" rowspan="1" |Branches from the [[aortic arch]] | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" + |Type IIa | |||
| colspan="1" rowspan="1" |[[Ascending aorta]], [[aortic arch]] and its branches | | colspan="1" rowspan="1" |[[Ascending aorta]], [[aortic arch]] and its branches | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" + |Type IIb | |||
| colspan="1" rowspan="1" |[[Ascending aorta]], [[aortic arch]] and its branches, thoracic [[descending aorta]] | | colspan="1" rowspan="1" |[[Ascending aorta]], [[aortic arch]] and its branches, thoracic [[descending aorta]] | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" + |Type III | |||
| colspan="1" rowspan="1" |Thoracic [[descending aorta]], [[abdominal aorta]], and/or [[renal arteries]] | | colspan="1" rowspan="1" |Thoracic [[descending aorta]], [[abdominal aorta]], and/or [[renal arteries]] | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" + |Type IV | |||
| colspan="1" rowspan="1" |[[Abdominal aorta]] and/or [[renal arteries]] | | colspan="1" rowspan="1" |[[Abdominal aorta]] and/or [[renal arteries]] | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" + |Type V | |||
| colspan="1" rowspan="1" |Combined features of types IIb and IV | | colspan="1" rowspan="1" |Combined features of types IIb and IV | ||
|} | |} | ||
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! align="center" style="background:#4479BA; color: #FFFFFF;" + |Clinical features | ! align="center" style="background:#4479BA; color: #FFFFFF;" + |Clinical features | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" + |Group I | |||
| colspan="1" rowspan="1" |Uncomplicated disease, with or without [[pulmonary artery]] involvement | | colspan="1" rowspan="1" |Uncomplicated disease, with or without [[pulmonary artery]] involvement | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" + |Group IIA | |||
| colspan="1" rowspan="1" |Mild/moderate single complication together with uncomplicated disease | | colspan="1" rowspan="1" |Mild/moderate single complication together with uncomplicated disease | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" + |Group IIB | |||
| colspan="1" rowspan="1" |Severe single complication together with uncomplicated disease | | colspan="1" rowspan="1" |Severe single complication together with uncomplicated disease | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" + |Group III | |||
| colspan="1" rowspan="1" |Two or more complications together with uncomplicated disease | | colspan="1" rowspan="1" |Two or more complications together with uncomplicated disease | ||
|} | |} | ||
Revision as of 18:18, 27 April 2018
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Takayasu's arteritis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Takayasu's arteritis classification On the Web |
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American Roentgen Ray Society Images of Takayasu's arteritis classification |
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Risk calculators and risk factors for Takayasu's arteritis classification |
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 |
Takayasu arteritis may be classified according to clinical finding into 4 subtypes:[2]
| Group | Clinical features |
|---|---|
| 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
- ↑ 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.
- ↑ Ishikawa K (January 1978). "Natural history and classification of occlusive thromboaortopathy (Takayasu's disease)". Circulation. 57 (1): 27–35. PMID 21760.