Abstract
Success of percutaneous transluminal angioplasty (PTA) in disorders other than atherosclerosis has been reported in recent papers. It has been stated, however, that the unique histopathology characteristic of Takayasu's arteritis may prevent a successful dilatation of the stenotic segments. In a recent case, however, PTA was successful in the treatment of bilateral renal artery stenosis secondary to Takayasu's arteritis. Although more time is needed to evaluate the long-term results of this nonsurgical treatment, it is evident that the stenotic lesions in Takayasu's disease are amenable to balloon dilatation. PTA should be attempted in such cases, and surgery should only be performed in case of failure.
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References
Grüntzig A, Vetter W, Meier B, Kuhlmann V, Lutolf V, Siegenthaler W (1978) Treatment of renovascular hypertension with percutaneous transluminal dilatation of renal artery stenosis. Lancet 1:801–802
Katzen BT, Chang J, Lukowsky GH, Abramson EG (1979) Percutaneous transluminal angioplasty for treatment of renovascular hypertension. Radiology 131:53–58
Millan VG, Mast WE, Madias NE (1979) Nonsurgical treatment of severe hypertension due to renal artery intimal fibroplasia by percutaneous transluminal angioplasty. N Engl J Med 300:1371–1373
Sniderman KW, Sos TA, Sprayregen, S, Tapia L, Tellis V, Veith FJ (1980) Percutaneous transluminal angioplasty in renal transplant arterial stenosis for relief of hypertension. Radiology 135:23–25
Martin EC, Diamond NG, Casarella WJ (1980) Percutaneous transluminal angioplasty in non-atherosclerotic disease. Radiology 135:27–34
Formanek A, Amplatz K (1981) Takayasu's arteritis. Surgical radiology, Teplick JG, Haskin ME (eds) Saunders, Philadelphia
Dotter CT, Judkins MP (1964) Transluminal treatment of arteriosclerotic obstruction: Description of a new technique and a preliminary report of its application. Circulation 30:654–670
Grüntzig A (1978) In: Zeitler E, Grüntzig A, Schoop W (eds) Percutaneous vascular recanalization: Technique, application and clinical results. Springer, Berlin Heidelberg, New York, pp 17–23
Castaneda-Zuniga WR, Formanek A, Tadavarthy M, Vlodaver Z, Edwards JE, Zollikofer C, Amplatz K: The mechanism of balloon angioplasty. Radiology 135: 565–571
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Castaneda-Zuniga, W.R., Formanek, A., Lillehei, R.C. et al. Nonsurgical treatment of Takayasu's disease. Cardiovasc Intervent Radiol 4, 245–248 (1981). https://doi.org/10.1007/BF02552529
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DOI: https://doi.org/10.1007/BF02552529