[Giant cell arteritis of the arteries of the arm. Diagnosis, surgical indications and choice of procedure].
At autopsy, affection of the aortic arch and of the arm arteries is found in about 70% of patients with giant cell arteritis. Symptoms occur in only about 5% of them. Arteriography often shows typical spindle-shaped stenoses or tapered occlusions of the diseased vessels. Arterial stenoses are successfully treated with corticosteroids. In case of chronic occlusion, however, ischemia-induced symptoms may necessitate an operation. Endarterectomy should be preferred to bypass procedures. Subsequent long-term corticosteroid treatment should be instituted in order to treat the underlying disease, and to prevent reocclusions.
Mickley
V
V
Abt. f. Gefäss-, Thorax- und Herzchirurgie am Universitätsklinikum, Ulm/Donau.
Hutschenreiter
S
S
Kogel
H
H
Vogel
U
U
Sunder-Plassmann
L
L
D000368:Aged; D001132:Arm / Q000098:blood supply*; D001366:Axillary Artery / Q000601:surgery; D001916:Brachial Artery / Q000601:surgery; D004691:Endarterectomy / Q000379:methods*; D005260:Female; D013700:Giant Cell Arteritis / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D013348:Subclavian Artery / Q000601:surgery; D017131:Thrombectomy / Q000379:methods*
Die Riesenzellarteriitis der Armarterien. Diagnose, Operationsindikation und Verfahrenswahl.