OUTCOMES AND EFFECTIVENESS OF PERCUTANEOUS INTERVENTION IN PATIENTS WITH TAKAYASU’S ARTERITIS

Aim. Takayasu’s arteritis (TA) is a chronic inflammatory disease that affects predominantly the aorta. Percutaneous intervention (PI) may be use the TA. In this manuscript, we studied the outcomes (in-hospital and 6 months later) and effectiveness of PI in patients with TA.Material and methods. The...

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Main Authors: Mustafa Yildiz, Ahmet Cagri Aykan, Suleyman Karakoyun, Banu Sahin Yildiz, Nazire Aladag Baskurt, Alparslan Sahin, Tayyar Gokdeniz, Hakan Hasdemir, Mehmet Soy
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2014-01-01
Series:Российский кардиологический журнал
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Online Access:https://russjcardiol.elpub.ru/jour/article/view/583
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author Mustafa Yildiz
Ahmet Cagri Aykan
Suleyman Karakoyun
Banu Sahin Yildiz
Nazire Aladag Baskurt
Alparslan Sahin
Tayyar Gokdeniz
Hakan Hasdemir
Mehmet Soy
author_facet Mustafa Yildiz
Ahmet Cagri Aykan
Suleyman Karakoyun
Banu Sahin Yildiz
Nazire Aladag Baskurt
Alparslan Sahin
Tayyar Gokdeniz
Hakan Hasdemir
Mehmet Soy
author_sort Mustafa Yildiz
collection DOAJ
description Aim. Takayasu’s arteritis (TA) is a chronic inflammatory disease that affects predominantly the aorta. Percutaneous intervention (PI) may be use the TA. In this manuscript, we studied the outcomes (in-hospital and 6 months later) and effectiveness of PI in patients with TA.Material and methods. The study was performed on 24 consecutive patients (39.3±11.8 (20–61) years; 4 men and 20 women) with TA who were treated with PI, surgical or medical therapy. Nine patients (7 females, 2 male) underwent PI. PI was performed after the erythrocyte sedimentation rate had been normalized in patients with TA.Results. Although 9 patients received PI with stent for subclavian, carotid, renal and coronary artery, 1 patient received PI with only balloon for brachial artery. One percutaneous transluminal angioplasty and 10 stentings were performed. There was not any complication during interventional procedure. The patients were followed for 6 months. After 6 month, the arteries treated were patent and showed no proliferative lesions in Doppler ultrasound at 8 patients. At a woman patient, left subclavian artery restenosis was determined in Doppler ultrasound and confirmed by angiography. During angiography the stenotic lesion has been successfully treated with balloon angioplasty.Conclusions. Takayasu’s patients with active systemic disease must receive immunosuppressive therapy before PI. PI was performed after the active period such as during normal erythrocyte sedimentation rate. In these circumstances, PI in patient with TA may be safely and much less traumatic. Also, recurrence of stenosis in patient with TA has been treated successfully by reintervention without significant complications.
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language Russian
publishDate 2014-01-01
publisher «FIRMA «SILICEA» LLC
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series Российский кардиологический журнал
spelling doaj-art-bb20cd7f4a0a4e629edd94b570c4236f2025-08-20T03:35:11Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202014-01-0101-ENG111410.15829/1560-4071-2014-1-ENG-11-14530OUTCOMES AND EFFECTIVENESS OF PERCUTANEOUS INTERVENTION IN PATIENTS WITH TAKAYASU’S ARTERITISMustafa Yildiz0Ahmet Cagri Aykan1Suleyman Karakoyun2Banu Sahin Yildiz3Nazire Aladag Baskurt4Alparslan Sahin5Tayyar Gokdeniz6Hakan Hasdemir7Mehmet Soy8Department of Cardiology, Kartal Koşuyolu Yuksek Ihtisas Educational and Research Hospital, Istanbul (Formerely institute of author: Sakarya University)Department of Cardiology, Ahi Evran Chest and Cardiovascular Surgery Educational and Research Hospital, TrabzonDepartment of Cardiology, Kartal Koşuyolu Yuksek Ihtisas Educational and Research Hospital, IstanbulDepartment of Internal Medicine, Dr Lutfi Kırdar Kartal Educational and Research Hospital, IstanbulDepartment of Internal Medicine, Dr Lutfi Kırdar Kartal Educational and Research Hospital, IstanbulDepartment of Cardiology, Dr Sadi Konuk Educational and Research Hospital, IstanbulDepartment of Cardiology, Ahi Evran Chest and Cardiovascular Surgery Educational and Research Hospital, TrabzonDepartment of Cardiology, Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, IstanbulDepartment of Rheumatology, Hisar Intercontinental Hospital, Istanbul, TurkeyAim. Takayasu’s arteritis (TA) is a chronic inflammatory disease that affects predominantly the aorta. Percutaneous intervention (PI) may be use the TA. In this manuscript, we studied the outcomes (in-hospital and 6 months later) and effectiveness of PI in patients with TA.Material and methods. The study was performed on 24 consecutive patients (39.3±11.8 (20–61) years; 4 men and 20 women) with TA who were treated with PI, surgical or medical therapy. Nine patients (7 females, 2 male) underwent PI. PI was performed after the erythrocyte sedimentation rate had been normalized in patients with TA.Results. Although 9 patients received PI with stent for subclavian, carotid, renal and coronary artery, 1 patient received PI with only balloon for brachial artery. One percutaneous transluminal angioplasty and 10 stentings were performed. There was not any complication during interventional procedure. The patients were followed for 6 months. After 6 month, the arteries treated were patent and showed no proliferative lesions in Doppler ultrasound at 8 patients. At a woman patient, left subclavian artery restenosis was determined in Doppler ultrasound and confirmed by angiography. During angiography the stenotic lesion has been successfully treated with balloon angioplasty.Conclusions. Takayasu’s patients with active systemic disease must receive immunosuppressive therapy before PI. PI was performed after the active period such as during normal erythrocyte sedimentation rate. In these circumstances, PI in patient with TA may be safely and much less traumatic. Also, recurrence of stenosis in patient with TA has been treated successfully by reintervention without significant complications.https://russjcardiol.elpub.ru/jour/article/view/583takayasu arteritispercutaneous interventionsurgeryinflammation
spellingShingle Mustafa Yildiz
Ahmet Cagri Aykan
Suleyman Karakoyun
Banu Sahin Yildiz
Nazire Aladag Baskurt
Alparslan Sahin
Tayyar Gokdeniz
Hakan Hasdemir
Mehmet Soy
OUTCOMES AND EFFECTIVENESS OF PERCUTANEOUS INTERVENTION IN PATIENTS WITH TAKAYASU’S ARTERITIS
Российский кардиологический журнал
takayasu arteritis
percutaneous intervention
surgery
inflammation
title OUTCOMES AND EFFECTIVENESS OF PERCUTANEOUS INTERVENTION IN PATIENTS WITH TAKAYASU’S ARTERITIS
title_full OUTCOMES AND EFFECTIVENESS OF PERCUTANEOUS INTERVENTION IN PATIENTS WITH TAKAYASU’S ARTERITIS
title_fullStr OUTCOMES AND EFFECTIVENESS OF PERCUTANEOUS INTERVENTION IN PATIENTS WITH TAKAYASU’S ARTERITIS
title_full_unstemmed OUTCOMES AND EFFECTIVENESS OF PERCUTANEOUS INTERVENTION IN PATIENTS WITH TAKAYASU’S ARTERITIS
title_short OUTCOMES AND EFFECTIVENESS OF PERCUTANEOUS INTERVENTION IN PATIENTS WITH TAKAYASU’S ARTERITIS
title_sort outcomes and effectiveness of percutaneous intervention in patients with takayasu s arteritis
topic takayasu arteritis
percutaneous intervention
surgery
inflammation
url https://russjcardiol.elpub.ru/jour/article/view/583
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