title: Endovascular revascularization of bald aortic arch for severe cerebral ischemia.
abstract: Takayasu arteritis is a rare form of chronic, inflammatory arteriopathy affecting the aorta and its major branches. Obstructive lesions of all arch vessels lead to ischemic brain symptoms. There is very limited experience of endovascular revascularization in this situation. We report case of a female patient with potentially life threatening cerebral ischemic symptoms due to extra-cranial occlusion of all arch arteries. Stent supported angioplasty of brachiocephalic, right common carotid and right subclavian artery was successfully performed. This improved her cerebral blood flow and relieved her severe, disabling neurologic symptoms.
authors: Department of Cardiology, G B Pant Hospital and associated MAM College, New Delhi, India. drsanjaytyagi@yahoo.com
authors: Sanjay
authors: S
authors: Tyagi
authors: M P
authors: MP
authors: Girish
authors: Mohit D
authors: MD
authors: Gupta
mesh_terms: D000328:Adult; D015901:Angiography, Digital Subtraction; D000800:Angioplasty, Balloon / Q000295:instrumentation; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000503:physiopathology; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D001027:Aortography / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D002545:Brain Ischemia / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D002560:Cerebrovascular Circulation; D005260:Female; D006439:Hemodynamics; D006801:Humans; D012039:Regional Blood Flow; D012720:Severity of Illness Index; D015607:Stents; D013625:Takayasu Arteritis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome