Takayasu's arteritis surgery
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Takayasu's arteritis Microchapters |
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Treatment |
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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.
Surgery
Severe stenotic lesions should be treated by angioplasty or surgical revascularization during periods of remission.[1]
Indications for surgical repair or angioplasty are as follow:
- Renovascular stenosis causing hypertension
- Coronary artery stenosis leading to myocardial ischemia
- Extremity claudication induced by routine activity
- Cerebral ischemia and/or 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
Bypass graft surgery
Bypass graft surgery is the procedure with the best long-term patency rate.
- Usually, the graft is a saphenous vein graft.
- Indication of bypass surgery are as following:
- Critical thoracic aortic arch arterial stenosis
- Upper and lower extremity ischemia
- Cerebrovascular accidents
- Renal artery stenosis