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        Endovascular treatment for severe Takayasu’s arteritis

        2012-08-15 00:54:32JiangHong
        外科研究與新技術(shù) 2012年1期

        /Jiang Hong

        (姜宏,Dept Radiol Interven,Gen Hosp Shenyang Mil Command,Shenyang 110840)…∥Chin J Gen Surg.-2011,26(10).-841~844

        ObjectiveTo evalute the clinical application of endovascular treatment for severe Takayasu’s artertis(TA).MethodsIn this study,35 target lesions in 32 patients[28 women,mean age(30 ± 8)years]with severe Takayasu’s arteritis were treated with endovascular method.The average length of lesion was 3.1 cm(range 2.7-5.3).The overall average degree of diameter stenosis was 90%±11%(range 70-100)in which 15 lesions were completely occlusive.There were 10 patients whose ESR were higher than 20 mm/h(range 25-37).Follow-up included physical examination and patency evaluated by color duplex sonography/computed tomography angiography/angiography at 6 months and then annually.ResultsRecanlization was unsuccessful in 3 completely occlusive lesions,with a successful rate of 80%(12/15).There was one case in which embolization leading to acute thrombogenesis developed during interventional procedure and resulting in severe stroke.The technical successful rate(residual stenosis<50%)was 88.6%(31/35).The transient cerebral ischemia attack(TIA)symptoms disappeared in 31 cases.26 cases were followed up for an average of(19±10)months later in one case.Symptomatic in-stent restenosis 18 months later was found in 2 cases.Patency rate was 88.5%(23/26).ConclusionEndovascular treatment is safe and effective for severe TA.Strict indication and accurate targeting the lesions help ensure the success of management.11refs,2 figs

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