Visceral Artery Involvement in Takayasu Patients: Treatment Options

  • Laurent ChicheEmail author


Takayasu arteritis (TA) is a chronic non-specific inflammatory arteritis which affects large and medium caliber arteries, predominantly the aorta and its main visceral branches. Its cause remains unknown. The disease mostly occurs in young patients during the second or third decade and has been now identified in both genders and many ethnic and racial groups worldwide. It is a lifetime affection with recurrence and progression of symptoms related to occlusive of aneurysmal complications. When vessel inflammation leads to wall thickening, fibrosis, stenosis, and thrombus formation, symptoms reflect end-organ ischemia. More acute inflammation can destroy the arterial media and lead to aneurysm formation. The coexistence of occlusive and aneurysmal lesions is highly evocative of the diagnosis of Takayasu arteritis.


  1. 1.
    Saadoun D, Lambert M, Mirault T, et al. Retrospective analysis of surgery versus endovascular intervention in Takayasu arteritis. A multicenter experience. Circulation. 2012;125:813–9.CrossRefGoogle Scholar
  2. 2.
    Brami P, Chiche L, Kieffer E, et al. Maladie de Takayasu: traitement chirurgical. In: Kieffer E, Godeau P, editors. Maladies non athéroscléreuses de l’adulte. Paris: AERCV; 1994. p. 309–22.Google Scholar
  3. 3.
    Chiche L, Kieffer E. Use of the ascending aorta as bypass inflow for treatment of chronic intestinal ischemia. J Vasc Surg. 2005;41:457–61.CrossRefGoogle Scholar
  4. 4.
    Kieffer E, Piquois A, Bertal A, Blétry O, Godeau P. Reconstructive surgery of the renal arteries in Takayasu’s disease. Ann Vasc Surg. 1990;4:156–65.CrossRefGoogle Scholar
  5. 5.
    Chiche L, Kieffer E, Sabatier J, Colau A, Koskas F, Bahnini A. Renal autotransplantation for vascular disease: late outcome according to etiology. J Vasc Surg. 2003;37:353–61.CrossRefGoogle Scholar
  6. 6.
    Khinjo H, Kafa A. The results of treatment in renal artery stenosis due to Takayasu disease: comparison between surgery, angioplasty, and stenting. A monocentrique retrospective study. G Chir. 2015;36:161–5.Google Scholar
  7. 7.
    Dong ZJ, Li SH, Lu XC. Percutaneous transluminal angioplasty for renovascular hypertension in arteritis: experience in China. Radiology. 1987;162:477–9.CrossRefGoogle Scholar
  8. 8.
    Tyagi S, Singh B, Kaul UA, et al. Balloon angioplasty for renovascular hypertension in Takayasu’s arteritis. Am Heart J. 1993;125:1386–93.CrossRefGoogle Scholar
  9. 9.
    Sharma S, Gupta H, Saxena A, et al. Results of renal angioplasty in nonspecific aortoarteritis (Takayasu disease). J Vasc Interv Radiol. 1998;9:429–35.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Vascular SurgeryPitie-Salpetriere University HospitalParisFrance

Personalised recommendations