Multivessel cutting balloon angioplasty in a patient with type III nonspecific aortoarteritis.
A 23-year-old female patient with type III nonspecific aortoarteritis (Takayasu's arteritis) presented with multiple obstructive lesions and severe congestive heart failure. Large, cutting balloons 5-8 mm in diameter were used to dilate lesions in the abdominal aorta, both renal arteries, right common carotid artery, proximal left subclavian artery, and ostium of the left vertebral artery. Wide luminal expansion without residual stenosis, substantial dissection or need for adjunctive stenting was achieved at all six angioplasty sites. The use of cutting balloons appears suitable for treating obstructive lesions in aortoarteritis.
Joseph
George
G
Department of Cardiology, Christian Medical College Hospital, Vellore. cardio1@cmcvellore.ac.in
Pati
Purendra Kumar
PK
Mathews
Prasad
P
D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000601:surgery; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery; D013625:Takayasu Arteritis / Q000175:diagnosis / Q000628:therapy*; D014463:Ultrasonography; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000601:surgery