Advanced Search

Home > Journals > Gazzetta Medica Italiana Archivio per le Scienze Mediche > Past Issues > Gazzetta Medica Italiana Archivio per le Scienze Mediche 2014 June;173(6) > Gazzetta Medica Italiana Archivio per le Scienze Mediche 2014 June;173(6):321-8

ISSUES AND ARTICLES   MOST READ

CURRENT ISSUEGAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

A Journal on Internal Medicine and Pharmacology

Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index

Frequency: Monthly

ISSN 0393-3660

Online ISSN 1827-1812

 

Gazzetta Medica Italiana Archivio per le Scienze Mediche 2014 June;173(6):321-8

    ORIGINAL ARTICLES

Surgical management of patients with Takayasu arteritis

Igari K., Kudo T., Toyofuku T., Jibiki M., Inoue Y.

Division of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University, Tokyo, Japan

AIM: Takayasu arteritis (TA) is primarily treated by pharmacological therapy, but surgical treatment may also be required for organ ischemia, renovascular hypertension or aneurysmal lesions. The aim of this study was to report our experience with the surgical management of patients with TA and to evaluate the outcomes.
METHODS: A total of five patients underwent surgical treatment from January 1997 to December 2011. We reviewed the clinical features, lesion characteristics and indications for surgical treatment. To evaluate the treatment results, we assessed the early complications, the patency of the reconstructed arteries, recurrent symptoms and long-term complications.
RESULTS: Four patients had stenotic and/or occlusive lesions, and one patient had an aneurysm. Six bypass surgeries in four patients were performed, and one endovascular treatment was performed. During a mean follow-up of 99 months (median, 91; range 44 – 178 months), there was one bypass graft occlusion (16%). There was no enlargement of the aneurysm in the patient treated with the endovascular technique.
CONCLUSION: Our treatments were feasible for TA patients. Historically, endovascular treatment of TA with occlusive lesions has been associated with poor outcomes with respect to patency. However, in our case with an aneurysmal lesion, the endovascular technique provided a safe, effective and durable treatment.

language: English


FULL TEXT  REPRINTS

top of page