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Single stage multiple stenting in Takayasu's arteritis. Case report.

Shinya Miyamoto1, Henry Wu, Takeshi Kubo

  • 1Department of Neurosurgery, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan. shinya-miyamoto@ouhsc.edu

Neurologia Medico-Chirurgica
|April 24, 2012
PubMed
Summary

Takayasu

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Area of Science:

  • Vascular Neurology
  • Cardiovascular Medicine
  • Interventional Cardiology

Background:

  • Takayasu's arteritis is a rare, large vessel vasculitis affecting the aorta and its branches.
  • Cerebral involvement in Takayasu's arteritis can lead to severe neurological deficits.

Observation:

  • A 32-year-old female presented with syncope and hemiparesis due to Takayasu's arteritis.
  • Imaging revealed cerebral infarcts and significant stenosis/occlusion of major arteries supplying the brain and upper extremities.
  • The patient had rigid arterial lesions due to diffuse fibrosis.

Findings:

  • Medical management with prednisone and anti-platelet therapy stabilized the patient.
  • Single-stage multiple stenting successfully treated the severe arterial stenosis.

Related Experiment Videos

  • Despite improved hemodynamics, neurological deficits did not fully resolve.

    • Implications:

    • Single-stage multiple stenting is a viable first-line treatment for complex arterial lesions in Takayasu's arteritis.
    • Early intervention may improve outcomes in patients with Takayasu's arteritis and cerebral ischemia.
    • Further research is needed to optimize neurological recovery in these patients.