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Preventing a central nervous system catastrophe in a case of Takayasu’s arteritis presenting with critical stenosis of all three arch vessels

  • Srinivas Budanur Chikkaswamy
  • Maneesh K. RaiEmail author
  • Chamrajnagar M. Nagesh
  • Babu Reddy
  • B. Dinesha
  • Cholenahally Nanjappa Manjunath
Case Report

Abstract

Multifocal and bilateral involvement of the arch vessels is a common presentation of Takayasu’s arteritis. Endovascular stenting of multiple supra aortic lesions in Takayasu’s arteritis has been described scarcely in literature. We describe the management of a case of Takayasu’s arteritis who presented with recurrent vertebro-basilar symptoms and a single surviving arch vessel. Whether routine revascularization of all three vessels is superior to symptom driven revascularization of individual lesions remains uncertain. The abundant collateral blood flow; the problems with stenting during the acute phase of the disease; the risk of restenosis that is considerably higher than atherosclerotic lesions; and the chances of progression of the disease have to be taken into account during endovascular revascularization of multiple supra aortic arch vessels.

Keywords

Takayasu Arch vessels Multiple stenting 

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Copyright information

© Japanese Association of Cardiovascular Intervention and Therapeutics 2012

Authors and Affiliations

  • Srinivas Budanur Chikkaswamy
    • 1
  • Maneesh K. Rai
    • 1
    Email author
  • Chamrajnagar M. Nagesh
    • 1
  • Babu Reddy
    • 1
  • B. Dinesha
    • 1
  • Cholenahally Nanjappa Manjunath
    • 1
  1. 1.Department of CardiologySri Jayadeva Institute of Cardiovascular Sciences and ResearchBangaloreIndia

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