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Treatment of Takayasu Arteritis in the Chronic Stages: An Analysis of 14 Operated Patients

  • Original Article
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International Journal of Angiology

Abstract

The aim of this study was to evaluate clinical features, angiographic findings, surgical treatment, and the long-term results of surgical procedures in chronic phase of Takayasu Arteritis. Between 1989 and December 2000, 14 young female patients (mean age, 31 years) with occlusive lesions caused by Takayasu Arteritis were observed and treated at our department. All patients met the American College of Rheumatology 1990 criteria of classification of Takayasu Arteritis. Systemic symptoms were reported in fewer than 15%. All patients were evaluated by a routine full aortography. Occlusive disease was dominant (92.8%) and the subclavian and carotid arteries were mostly involved. All our patients underwent surgery and 30 vascular procedures were done. Polytetrafluoroehylene was the most common synthetic graft. The ipsilateral carotid artery was the most common proximal anastomotic site and the ascending aorta was used twice. Follow-up ranged from 1 to 9 years (mean 6 years) and there was no death. All patients had serial duplex and 6 at least one postoperative angiogram. Twenty percent of the bypass procedures were followed by complications. There was no difference between the complication rate using synthetic grafts or autologous veins. The actuarial graft patency rate was 96.4% at one year and 72% at 4 years. At side of the medical treatment which remains, to date, a subject of discussion, the long-term prognosis of Takayasu Arteritis depends on an elective surgical treatment, which requires full and accurate assessment of the lesions, best done by digital full arteriography. Surgical results are excellent with minimal morbidity and mortality.

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References

  1. M Ando Y Sasako Y Okita et al. (2000) ArticleTitleSurgical considerations of occlusive lesions associated with Takayasu’s arteritis. Jpn J Thorac Cardiovasc Surg 48 173–179 Occurrence Handle1:STN:280:DC%2BD3c3ltl2ltA%3D%3D Occurrence Handle10793496 Occurrence Handle10.1007/BF03218116

    Article  CAS  PubMed  Google Scholar 

  2. WP Arend BA Michel DA Bloch et al. (1990) ArticleTitleThe American College of Rheumatology 1990 Criteria for the Classification of Takayasu Arteritis. Arthritis Rheum 8 1129–1134

    Google Scholar 

  3. HK Bali S Jain A Jain et al. (1998) ArticleTitleStent supported angioplasty in Takayasu arteritis. Int J Cardiol 66 IssueIDsuppl 213–217 Occurrence Handle10.1016/S0167-5273(98)00171-5

    Article  Google Scholar 

  4. J Chauffour JP Melki JM Cormier (1958) ArticleTitleTakayasu arteritis: intra-venous or intra-arterial digital substraction angiography? Presse Med 14 981–986

    Google Scholar 

  5. YH Choe DK Kim EM Koh et al. (l999) ArticleTitleTakayasu arteritis: diagnosis with MR imaging and MR angiography in acute and chronic active stages. J Mag Res Imag 10 751–757 Occurrence Handle10.1002/(SICI)1522-2586(199911)10:5<751::AID-JMRI20>3.0.CO;2-Y

    Article  Google Scholar 

  6. (1992) Conference on comparative studies of Takayasu arteritis among asian countries. Tokyo, Japan. Heart Vessels 7(Suppl):1–178.

  7. A Crummy M Stieghorst P Turski et al. (1982) ArticleTitleDigital Substraction Angiography: Current status and use of intra-arterial injection. Radiology 145 303–307 Occurrence Handle1:STN:280:DyaL3s%2FktVShsg%3D%3D Occurrence Handle6753013

    CAS  PubMed  Google Scholar 

  8. L Del Corso D Moruzzo M Agelli F Pentimone (1999) ArticleTitleTakayasu’s arteritis on steroid therapy. Seven years follow-up Panminerva Med 41 355–358 Occurrence Handle1:STN:280:DC%2BD3c7mvFyqtQ%3D%3D

    CAS  Google Scholar 

  9. SD Flamm RD White GS Hoffman (1998) ArticleTitleThe clinical application of “edema-weighted” magnetic resonace imaging in the assessment of Takayasu’s arteritis. Int J Cardiol 66 IssueIDsuppl 151–159 Occurrence Handle10.1016/S0167-5273(98)00163-6

    Article  Google Scholar 

  10. A Fraga G Mintz L Valle G Flores-Izquierdo (1972) ArticleTitleTakayasu’s arteritis: frequency of systemic manifestations (study of 22 patients) and favorable response to maintenance steroid therapy with adrenocorticoids (22 patients). Arthritis Rheum 15 617–624 Occurrence Handle1:STN:280:DyaE3s%2Fkt1Skug%3D%3D Occurrence Handle5086524 Occurrence Handle10.1002/art.1780150608

    Article  CAS  PubMed  Google Scholar 

  11. JM Giordano (2000) ArticleTitleSurgical treatment of Takayasu’s arteritis. Int J Cardiol 75 123–128 Occurrence Handle10.1016/S0167-5273(00)00179-0

    Article  Google Scholar 

  12. YQ Gu ZG Wang (2001) ArticleTitleSurgical treatment of cerebral ischaemia caused by cervical arterial lesions due to Takayasu’s arteritis: preliminary results in 49 cases. Anz J Surg 71 89–92 Occurrence Handle1:STN:280:DC%2BD3MzltVWrtg%3D%3D Occurrence Handle11413599 Occurrence Handle10.1046/j.1440-1622.2001.01998.x

    Article  CAS  PubMed  Google Scholar 

  13. S Hall W Barr JT Lie et al. (1985) ArticleTitleTakayasu’s arteritis: a study of 32 North American patients. Medicine 65 89–99

    Google Scholar 

  14. A Hata M Noda R Moriwaki et al. (1996) ArticleTitleAngiographic findings of Takayasu arteritis: New classification. Int J Cardiol 54 IssueIDsuppl 155–163 Occurrence Handle10.1016/S0167-5273(96)02813-6

    Article  Google Scholar 

  15. GS Hoffman (1995) ArticleTitleTreatment of resistant Takayasu’s arteritis. Rheum Dis Clin North Am 21 73–80 Occurrence Handle1:STN:280:DyaK2M3kvFOlsA%3D%3D Occurrence Handle7732175

    CAS  PubMed  Google Scholar 

  16. GS Hoffman RY Leavitt GS Kerr et al. (1994) ArticleTitleTreatment of glucocorticoid-resistant or relapsing Takayasu arteritis with methotrexate. Arthritis Rheum 37 578–582 Occurrence Handle1:STN:280:DyaK2c7pslOqsQ%3D%3D Occurrence Handle7908520 Occurrence Handle10.1002/art.1780370420

    Article  CAS  PubMed  Google Scholar 

  17. GS Kerr CW Hallahan J Giordano et al. (1994) ArticleTitleTakayasu Arteritis. Ann Intern Med 120 919–929 Occurrence Handle1:STN:280:DyaK2c3is1Cgsw%3D%3D Occurrence Handle7909656 Occurrence Handle10.7326/0003-4819-120-11-199406010-00004

    Article  CAS  PubMed  Google Scholar 

  18. S Kumar KR Mandalam VRK Rau et al. (1990) ArticleTitlePercutaneous transluminal angioplasty in non-specific aortoarteritis (Takayasu disease). Experience in 16 cases. Cardiovasc Intervent Radiol 12 321–325 Occurrence Handle10.1007/BF02575430

    Article  Google Scholar 

  19. M Lambert E Hachulla PY Hatron et al. (1998) ArticleTitleVascular explorations and therapeutical management of Takayasu’s arteritis: a series of 16 patients. Rev Med Intern 19 878–884 Occurrence Handle1:STN:280:DyaK1M7gsVCjsA%3D%3D Occurrence Handle10.1016/S0248-8663(99)80060-5

    Article  CAS  Google Scholar 

  20. E Lupi-Herrera G Sanchez-Torres J Mareushamer et al. (1977) ArticleTitleTakayasu’s arteritis: clinical study of 107 cases. Am Heart J 93 94–103 Occurrence Handle1:STN:280:DyaE2s%2FosV2jsw%3D%3D Occurrence Handle12655 Occurrence Handle10.1016/S0002-8703(77)80178-6

    Article  CAS  PubMed  Google Scholar 

  21. V Marteau M Sapoval J Chaufour et al. (1992) ArticleTitleTakayasu’s disease: Exploration by intra-arterial digital angiography: 50 cases. Presse Med 21 796–799 Occurrence Handle1:STN:280:DyaK38zgt1Wqug%3D%3D Occurrence Handle1351676

    CAS  PubMed  Google Scholar 

  22. D Mevorach G Leibowitz M Brezis E Raz (1992) ArticleTitleInduction of remission in a patient with Takayasu’s arteritis by low dose pulses of methotrexate. Ann Rheum Dis 51 904–905 Occurrence Handle1:STN:280:DyaK38zjslCmtA%3D%3D Occurrence Handle1352962 Occurrence Handle10.1136/ard.51.7.904

    Article  CAS  PubMed  Google Scholar 

  23. T Miyata O Sato J Deguchi et al. (1998) ArticleTitleAnastomotic aneurysm after surgical treatment of Takayasu’s arteritis: A 40-year experience. J Vasc Surg 27 438–445 Occurrence Handle1:STN:280:DyaK1c3gs1ejtg%3D%3D Occurrence Handle9546229 Occurrence Handle10.1016/S0741-5214(98)70318-0

    Article  CAS  PubMed  Google Scholar 

  24. H Moro J Hayashi H Ohzeki et al. (1999) ArticleTitleSurgical management of cardiovascular lesions caused by systemic inflammatory diseases. Thorac Cardiovasc Surg 47 106–110 Occurrence Handle1:STN:280:DyaK1M3ptVakug%3D%3D Occurrence Handle10363610 Occurrence Handle10.1055/s-2007-1013120

    Article  CAS  PubMed  Google Scholar 

  25. R Murukami Y Korogi Y Matsuno et al. (1997) ArticleTitlePercutaneous transluminal angioplasty for carotid stenosis in Takayasu’s arteritis: persistent benefit over 10 years. Cardiovasc Int Radiol 20 219–221 Occurrence Handle10.1007/s002709900141

    Article  Google Scholar 

  26. K Nakao M Ikeda S Kimata et al. (1967) ArticleTitleTakayasu’s arteritis: Clinical report of eighty-four cases and immunological studies of seven cases. Circulation 35 1141–1153 Occurrence Handle1:STN:280:DyaF2s7otVCrtA%3D%3D Occurrence Handle5298313 Occurrence Handle10.1161/01.CIR.35.6.1141

    Article  CAS  PubMed  Google Scholar 

  27. R Pajari P Hekali PT Harjola (1986) ArticleTitleTreatment of Takayasu’a arteritis: An analysis of 29 operated patients. Thorac Cardiovasc Surg 34 176–181 Occurrence Handle1:STN:280:DyaL283ptVehsA%3D%3D Occurrence Handle2426832 Occurrence Handle10.1055/s-2007-1020404

    Article  CAS  PubMed  Google Scholar 

  28. EI Sato DN Lima B Espirito Santo F Hata (2000) ArticleTitleTakayasu arteritis. Treatment and prognosis in a University Center in Brazil. Int J Cardiol 75 163–166 Occurrence Handle10.1016/S0167-5273(00)00197-2

    Article  Google Scholar 

  29. S Sharma T Kamalkar R Rajani et al. (1990) ArticleTitleThe incidence and patterns of pulmonary artery involvement in Takayasu’s arteritis. Clin Radiol 42 177–181 Occurrence Handle1:STN:280:DyaK3M%2FgsFSrsA%3D%3D Occurrence Handle1976467 Occurrence Handle10.1016/S0009-9260(05)81929-4

    Article  CAS  PubMed  Google Scholar 

  30. S Sharma H Gupta A Saxcna et al. (1998) ArticleTitleResults of renal angioplasty in non-specific aortoarteritis (Takayasu disease). J Vasc Interv Radiol 9 429–435 Occurrence Handle1:STN:280:DyaK1c3nvVKlsQ%3D%3D Occurrence Handle9618101 Occurrence Handle10.1016/S1051-0443(98)70294-5

    Article  CAS  PubMed  Google Scholar 

  31. AK Shetty AR Stopa A Gedalia (1998) ArticleTitleLow-dose methotrexate as steroid-sparing agent in a child with Takayasu’s arteritis. Clin Exp Rheumatol 16 335–336 Occurrence Handle1:STN:280:DyaK1c3psFamtw%3D%3D Occurrence Handle9631760

    CAS  PubMed  Google Scholar 

  32. MJ Sise CM Counihan SR Shackford WR Rowley (1988) ArticleTitleThe clinical spectrum of Takayasu’s arteritis. Surgery 104 905–910 Occurrence Handle1:STN:280:DyaL1M%2FksVGktA%3D%3D Occurrence Handle2903563

    CAS  PubMed  Google Scholar 

  33. MA Stoodley RC Thompson RS Mitchell et al. (2000) ArticleTitleNeurosurgical and neuroendovascular management of Takayasu’s arteritis. Neurosurgery 46 841–851 Occurrence Handle1:STN:280:DC%2BD3c3isFehtQ%3D%3D Occurrence Handle10764257

    CAS  PubMed  Google Scholar 

  34. R Subramanyan J Joy KG Balakrishnan (1989) ArticleTitleNatural history of aortoarteritis (Takayasu’s disease). Circulation 80 429–437 Occurrence Handle1:STN:280:DyaL1MzlsFehug%3D%3D Occurrence Handle2569946 Occurrence Handle10.1161/01.CIR.80.3.429

    Article  CAS  PubMed  Google Scholar 

  35. AU Waern P Andersson A Hemmingsson (1983) ArticleTitleTakayasu’s arteritis: A hospital region based study on occurence, treatment and prognosis. Angiology 34 70–74 Occurrence Handle10.1177/000331978303400109

    Article  Google Scholar 

  36. I Yamada H Shibuya O Matsubara et al. (1992) ArticleTitlePulmonary artery disease in Takayasu’s arteritis: Angiographic findings. AJR 159 263–269 Occurrence Handle1:STN:280:DyaK38zjs12huw%3D%3D Occurrence Handle1352939 Occurrence Handle10.2214/ajr.159.2.1352939

    Article  CAS  PubMed  Google Scholar 

  37. I Yamada T Nakagawa Y Himeno et al. (2000) ArticleTitleTakayasu arteritis: dignosis with breath-hold contast-enhanced three dimensional MR angiography. J Mag Res Imag 11 481–487 Occurrence Handle1:STN:280:DC%2BD3c3nsVeitA%3D%3D Occurrence Handle10.1002/(SICI)1522-2586(200005)11:5<481::AID-JMRI3>3.0.CO;2-4

    Article  CAS  Google Scholar 

  38. M Yamato J Lecky K Hiramatsu E Kohda (1986) ArticleTitleTakayasu arteritis: radiographic and angiographic findings in 59 patients. Radiology 161 329–334 Occurrence Handle1:STN:280:DyaL2s%2FhslKqsA%3D%3D Occurrence Handle2876459

    CAS  PubMed  Google Scholar 

  39. S Yamamoto S Ogawa T Kitano et al. (1987) ArticleTitleComplete evaluation of the cardiovascular lesions in 24 patients with Takayasu’s arteritis using four-image, intravenous digital substraction angiography. Am Heart J 114 1426–1431 Occurrence Handle1:STN:280:DyaL1c%2FntlyrsQ%3D%3D Occurrence Handle2891288 Occurrence Handle10.1016/0002-8703(87)90547-3

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Vascular Surgery, Military Hospital, University of Tunis, Tunis, Tunisia

    Tarek Sraieb M.D., Nabil Ben Romdhane M.D., Selma Longo M.D. & Jamel Manaa M.D., Ph.D

  2. Departement of Vascular Surgery, Hôpital Saint Joseph, Paris, France

    Christophe Saliou M.D.

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  1. Tarek Sraieb M.D.
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  2. Nabil Ben Romdhane M.D.
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  3. Selma Longo M.D.
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  5. Jamel Manaa M.D., Ph.D
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Correspondence to Tarek Sraieb M.D..

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Sraieb, T., Ben Romdhane, N., Longo, S. et al. Treatment of Takayasu Arteritis in the Chronic Stages: An Analysis of 14 Operated Patients . International Journal of Angiology 12, 196–200 (2003). https://doi.org/10.1007/s00547-003-0944-z

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