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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2020; 30(03): 405-408
DOI: 10.4103/ijri.IJRI_225_20
Case Report

Percutaneous transluminal angioplasty of complex aortoiliac occlusive disease secondary to Takayasu’s aortoarteritis in a young female

Pankaj Jariwala
Departments of Cardiology, Yashoda Hospitals, Somajiguda, Raj Bhavan Road, Hyderabad, Telangana, India
,
Rajendra V Irlapati
Departments of Rheumatology, Yashoda Hospitals, Somajiguda, Raj Bhavan Road, Hyderabad, Telangana, India
,
Suresh Giragani
Departments of Interventional Radiology, Yashoda Hospitals, Somajiguda, Raj Bhavan Road, Hyderabad, Telangana, India
,
Sikandar Shaikh
Departments of Radiodiagnosis, Yashoda Hospitals, Somajiguda, Raj Bhavan Road, Hyderabad, Telangana, India
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

As the initial treatment of patients with the iliac occlusive disease, percutaneous transluminal angioplasty (PTA) became common. Though not supported by the latest TransAtlantic Inter-Society Consensus (TASC) II guidelines, percutaneous treatment of complex aortoiliac lesions is possible and provides comparable angiographic and clinical outcomes compared to open surgery at both short- and long-term follow-up, also in complex lesion settings. TASC C and D lesions with the latest instruments, procedures, and modalities may also be managed endovascularly. It provides new opportunities for a population of highly comorbid patients. We assume that the outcomes of endovascular therapy for aortoiliac lesions in the setting of Takayasu’s arteritis will be further enhanced through continuous technological progress and new advances in materials. In light of the current progression towards minimally invasive procedures, a growing number of skilled centres should be able to treat by endovascular intervention the great majority of all arterial pathologies.

Keywords

Aortoiliac occlusive disease - percutaneous trans-luminal angioplasty - self-expanding stents - Takayasu Arteritis


Publication History

Received: 10 April 2020

Accepted: 18 June 2020

Article published online:
19 July 2021

© 2020. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Kim YW, Kim DI, Park YJ, Yang SS, Lee GY, Kim DK. et al. Surgical bypass vs endovascular treatment for patients with supra-aortic arterial occlusive disease due to Takayasu arteritis. J Vasc Surg [Internet] 2012; 55: 693-700
    CrossrefPubMedGoogle Scholar
  • 2 Konstantinos F. Severe aorto-iliac occlusive disease: Options beyond standard aorto-bifemoral bypass. Arch Vasc Med 2018; 2: 20-4
    CrossrefGoogle Scholar
  • 3 Mesurolle B, Qanadli SD, El Hajjam M, Goeau-Brissonnière OA, Mignon F. et al. Occlusive arterial disease of the abdominal aorta and lower extremities: Comparison of helical CT angiography with transcatheter angiography. Clin Imaging 2004; 28: 252-260
    CrossrefPubMedGoogle Scholar
  • 4 Fava MP, Foradori GB, García CB, Cruz FO, Aguilar JG, Kramer AS. et al. Percutaneous transluminal angioplasty in patients with Takayasu arteritis: Five-year experience. J Vasc Interv Radiol [Internet] 1993; 4: 649-52
    CrossrefPubMedGoogle Scholar
  • 5 Diao Y, Yan S, Premaratne S, Chen Y, Tian X, Chen Z. et al. Surgery and endovascular management in patients with Takayasu’s arteritis: A Ten-Year Retrospective Study. Ann Vasc Surg 2020; 63: 34-44
    CrossrefPubMedGoogle Scholar
  • 6 Lee GY, Jeon P, Do YS, Sung K, Kim DI, Kim YW. et al. Comparison of outcomes between the endovascular treatment and bypass surgery in Takayasu arteritis. Scand J Rheumatol 2014; 43: 153e61
    Google Scholar
  • 7 Damera SR, Barik R. Aorta in Takayasu’s arteritis is as brittle as glass: A case report. Vasc Dis Manag 2017; 14: E123-6
    Google Scholar
  • 8 Henry M, Klonaris C, Amor M, Henry I, Tzvetanov K, Krajcer Z. Which stent for which lesion in peripheral interventions?. Tex Heart Inst J 2000; 27: 119-26
    PubMedGoogle Scholar
  • 9 Perera AH, Mason JC, Wolfe JH. Takayasu arteritis: Criteria for surgical intervention should not be ignored. Int J Vasc Med 2013; 2013: 618910
    PubMedGoogle Scholar
  • 10 Singh N, Athwani V, Bansal V, Kundra S. Takayasu’s aorto-arteritis: Not your regular lesion for angioplasty. Ann Pediatr Cardiol 2018; 11: 312-4
    CrossrefPubMedGoogle Scholar