title: Restenosis after endovascular PTA/stenting for supra-aortic branches in Takayasu aortitis: report of three cases and review of the literature.
abstract: Recently, endovascular management has been reported as a feasible option for Takayasu aortitis. However, few papers have focused on restenosis in the follow-up, and therefore, it is important to predict high-risk cases for restenosis after endovascular treatment. We herein report three cases with Takayasu aortitis showing repeated restenosis after endovascular percutaneous transluminal angioplasty (PTA)/stenting and discuss its clinical implications with a review of the literature. We should keep in mind that endovascular PTA/stenting for Takayasu aortitis does not always keep the patency of the affected vessels, and severity of the stenosis and/or uncontrollable systemic inflammation could be a risk factor for restenosis. Therefore, careful follow-up under strict control of inflammation is mandatory. Overall, this method is effective as an initial treatment since repeated PTA is available until collateral supply develops.
authors.affiliation: Department of Neurosurgery, Nagasaki University School of Medicine, 1-7-1, Sakamoto, Nagasaki, 852-8501, Japan. nobstanford@gmail.com
authors.forename: Nobutaka
authors.initials: N
authors.lastname: Horie
authors.forename: Kentaro
authors.initials: K
authors.lastname: Hayashi
authors.forename: Minoru
authors.initials: M
authors.lastname: Morikawa
authors.forename: Gohei
authors.initials: G
authors.lastname: So
authors.forename: Hideaki
authors.initials: H
authors.lastname: Takahata
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Suyama
authors.forename: Izumi
authors.initials: I
authors.lastname: Nagata
mesh_terms: D000328:Adult; D017130:Angioplasty / Q000295:instrumentation / Q000379:methods*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D011859:Radiography; D055502:Secondary Prevention; D015607:Stents / Q000592:standards*; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000473:pathology*; D013625:Takayasu Arteritis / Q000150:complications / Q000188:drug therapy* / Q000473:pathology; D055815:Young Adult