Long-Term Follow-Up of Endovascular Repair in the Management of Arterial Stenosis Caused by Takayasu's Arteritis

Although vasculitides occur in patients with HIV, only 4 previous cases of Takayasu’s arteritis (TA) have been reported in HIVpatients. We describe the first case of TA in an HIV positive patient with successful treatment and long term follow up. A38-year-old woman who was HIV positive for the last 5 years on antiretroviral medications presented with increasing pain in herleft arm. Blood pressure and pulse were unrecordable in that arm. Laboratory testing revealed hemoglobin 7.9 g/dl, CRP 98.8 mg/L, CD4 675 cells/μl and HIV viral load < 48 copies/ml. Both MRA and standard angiography demonstrated occlusion of theleft subclavian artery from its origin to the vertebral artery where it was reconstituted via retrograde flow from the left vertebralartery and left carotid artery branches (subclavian steal). Narrowing of the vertebral artery was also noted. Treatment withprednisone and methotrexate for one year improved her symptoms and stabilized her lesions without infectious complications. Follow up 4 years after stopping therapy revealed mild symptoms and stable lesions on MRA.

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Long-Term Clinical Follow-up in A Case of Takayasu's Arteritis Involving the Ostium of Left Coronary Artery after Ostioplasty

Korean Circulation Journal ◽

10.4070/kcj.2001.31.2.246 ◽

2001 ◽

Vol 31 (2) ◽

pp. 246 ◽

Cited By ~ 2

Author(s):

Kyung Tae Kang ◽

Myung Ho Jeong ◽

Woo Kon Jeong ◽

Sang Hyun Lee ◽

Jay Young Rhew ◽

...

Keyword(s):

Coronary Artery ◽

Left Coronary Artery ◽

Takayasu’S Arteritis ◽

Takayasu's Arteritis

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Endovascular repair of abdominal aortic aneurysm—the importance of long-term follow-up data

Nature Reviews Cardiology ◽

10.1038/nrcardio.2010.88 ◽

2010 ◽

Vol 7 (8) ◽

pp. 415-415

Author(s):

Joana Osório

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Endovascular Repair ◽

Abdominal Aortic ◽

Long Term Follow Up

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Eight-year follow-up of endovascular repair of a brachiocephalic trunk aneurysm due to Takayasu's arteritis

Journal of Vascular Surgery ◽

10.1016/j.jvs.2012.02.031 ◽

2012 ◽

Vol 56 (2) ◽

pp. 504-507 ◽

Cited By ~ 11

Author(s):

Domenico Angiletta ◽

Davide Marinazzo ◽

Gloria Guido ◽

Martinella Fullone ◽

Raffaele Pulli ◽

...

Keyword(s):

Endovascular Repair ◽

Takayasu’S Arteritis ◽

Takayasu's Arteritis ◽

Brachiocephalic Trunk

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RR19. Remodeling of Aortic Aneurysm and Aortic Neck on Mid- and Long-term Follow-up after Endovascular Repair with Suprarenal Fixation

Journal of Vascular Surgery ◽

10.1016/j.jvs.2012.03.228 ◽

2012 ◽

Vol 55 (6) ◽

pp. 96S ◽

Cited By ~ 1

Author(s):

Nikolaos Tsilimparis ◽

Anand Dayama ◽

Joseph J. Ricotta

Keyword(s):

Aortic Aneurysm ◽

Endovascular Repair ◽

Aortic Neck ◽

Long Term Follow Up

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Abdominal Aortic Aneurysm Wall Stresses After Endovascular Repair

Advances in Bioengineering ◽

10.1115/imece2002-32778 ◽

2002 ◽

Author(s):

Elena S. Di Martino ◽

Michel S. Makaroun ◽

David A. Vorp

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Endovascular Repair ◽

Careful Consideration ◽

Aneurysm Wall ◽

Abdominal Aortic ◽

Long Term Follow Up ◽

Endovascular Approach

The early benefits of an endovascular approach to abdominal aortic aneurysm (AAA) treatment has been reported by many authors [1,2]. One of the major advantages is that endovascular repair of AAA (EVAR) as opposed to traditional open surgery, is not a major abdominal surgery. EVAR has been shown to be associated with a death rate comparable to that of surgical repair [3]. In short term follow-up, EVAR is associated with fewer complications and a more rapid recovery [2]. On the contrary very limited data is available on long term follow-up of EVAR patients. Graft-related secondary interventions affect a consistent percentage of the treated cases. The EUROSTAR study [4] recently reported 13% of reintervention in 15.4 months. Our surgical unit reported 20.6% across 48 months in a recent review of 242 cases [3]. The frequence and type of reintervention, whose principal cause is endoleak or perigraft flow, requires careful consideration.

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