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Single stage bilateral common carotid artery stenting in a patient of Takayasu arteritis
H K Bali1, M Bhargava, Y K Bhatta
1Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh - 160012, India.
Insights
Takayasu arteritis, a cause of carotid artery stenosis, presents unique challenges. This report details a successful bilateral common carotid stenting procedure in a single session for a patient with this condition.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Rheumatology
Background:
- Carotid artery stenosis (CAS) management often involves angioplasty and stenting.
- Atherosclerosis is the primary cause of CAS globally.
- Takayasu arteritis is a significant cause of CAS, particularly in Southeast Asia.
Observation:
- Takayasu arteritis involves diffuse inflammation and scarring, complicating revascularization.
- The case involved a patient with Takayasu arteritis presenting with CAS.
Findings:
- Successful bilateral common carotid stenting was performed in a single procedure.
- The intervention addressed the challenges posed by Takayasu arteritis.
Implications:
- This case demonstrates the feasibility of treating complex CAS due to Takayasu arteritis.
- Single-sitting bilateral stenting offers a potential therapeutic option for selected patients.
- Further research may explore optimal revascularization strategies for Takayasu arteritis-related CAS.
Abstract:
Carotid angioplasty and stenting is increasingly becoming a safe and efficacious modality of treatment in the management of carotid artery stenosis. Although atherosclerosis is the predominant cause of this morbid disease, Takayasu arteritis assumes special importance in south east Asia. The diffuse nature of this disease with associated inflammation and scarring of the vessel make revascularisation difficult. We report a case of Takayasu arteritis in which a successful bilateral common carotid stenting was done in a single sitting.