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[Diagnosis and treatment of ANCA-associated vasculitis : S3 guideline of the German Society for Rheumatology and Clinical Immunology e. V. (DGRh) and German Society for Internal Medicine e. V. (DGIM), German Society for Nephrology e. V. (DGfN), German Society for ENT Medicine and Head and Neck Surgery e. V. (DGHNO-KHC), German Ophthalmological Society e. V. (DOG), German Society for Neurology e. V. (DGN), German Society for Pneumology and Respiratory Medicine e. V. (DGP), German Society for Pathology e. V. (DGP), German Radiological Society, Society for Medical Radiology e. V. (DRG), Federal Association of German Pathologists, Federal Kidney Association e. V., German Rheumatism League Federal Association e. V.]

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[Diagnosis and treatment of ANCA-associated vasculitis : SHORT VERSION of the S3 guideline of the German Society for Rheumatology and Clinical Immunology e. V. (DGRh) and German Society for Internal Medicine e. V. (DGIM), German Society for Nephrology e. V. (DGfN), German Society for Otorhinolaryngology and Head and Neck Surgery e. V. (DGHNO-KHC), German Ophthalmological Society e. V. (DOG), German Society for Neurology e. V. (DGN), German Society for Pneumology and Respiratory Medicine e. V. (DGP), German Society for Pathology e. V. (DGP), German Radiological Society, Society for Medical Radiology e. V. (DRG), Federal Association of German Pathologists, Federal Kidney Association e. V., German Rheumatism League Federal Association e. V.]

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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
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Published on: October 20, 2017

[Large-vessel vasculitis. Imaging and interventional therapy].

M Both1, F Moosig, W L Gross

  • 1Klinik für Diagnostische Radiologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland. mboth@rad.uni-kiel.de

Der Radiologe
|March 31, 2009
PubMed
Summary
This summary is machine-generated.

Giant cell arteritis and Takayasu arteritis are primary large-vessel vasculitides. Imaging helps diagnose, stage, and monitor these conditions, with angiography enabling intervention.

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Area of Science:

  • Rheumatology and Immunology
  • Vascular Medicine
  • Diagnostic Imaging

Context:

  • Giant cell arteritis (GCA) and Takayasu arteritis (TA) are primary large-vessel vasculitides.
  • These conditions involve inflammatory processes affecting the aorta and its major branches.
  • Extracranial large artery involvement can manifest as inflammatory aortic arch syndrome.

Purpose:

  • To outline the diagnostic and therapeutic approaches for large-vessel vasculitides.
  • To highlight the role of various imaging modalities in managing GCA and TA.
  • To discuss the differential diagnosis, including rare causes like Behçet's disease.

Summary:

  • Large-vessel vasculitides, including GCA and TA, cause vessel wall damage leading to stenosis or aneurysms.
  • Diagnosis relies on imaging techniques such as ultrasound, MRI, CT, and PET scans to assess disease extent and activity.
  • Angiography is crucial for both diagnosis and interventional treatment of vascular stenoses and occlusions.

Impact:

  • Improved diagnostic accuracy for large-vessel vasculitides.
  • Enhanced patient management through tailored imaging and interventional strategies.
  • Better understanding of the clinical and radiological features of inflammatory aortic arch syndrome.