title: Reduced efficacy of transcatheter and surgical revascularization in Takayasu arteritis.
abstract: A 55-year-old woman with newly diagnosed Takayasu arteritis was followed for 7 years, during which time she underwent bare metal stenting, drug eluting stenting and coronary bypass grafting for critical coronary and renal artery stenoses. Interventions were initially successful but restenosis occurred within 24 months for all modalities. In contrast, native vessel disease was largely stable after the introduction of immunosuppressive therapy. We advocate a conservative revascularization approach in Takayasu arteritis in the absence of critical end organ ischemia and early optimization of medical therapy.
authors.affiliation: Department of Rheumatology, Prince of Wales Hospital, Sydney, NSW, Australia.|Prince of Wales Clinical School, University of New South Wales, Sydney, NSW, Australia.
authors.forename: Anthony M
authors.initials: AM
authors.lastname: Sammel
authors.affiliation: Department of Cardiothoracic Surgery, Prince of Wales Hospital, Sydney, NSW, Australia.
authors.forename: Hugh D
authors.initials: HD
authors.lastname: Wolfenden
authors.affiliation: Department of Rheumatology, Prince of Wales Hospital, Sydney, NSW, Australia.|Prince of Wales Clinical School, University of New South Wales, Sydney, NSW, Australia.
authors.forename: Fredrick
authors.initials: F
authors.lastname: Joshua
authors.affiliation: Prince of Wales Clinical School, University of New South Wales, Sydney, NSW, Australia.|Department of Cardiology, Prince of Wales Hospital, Sydney, NSW, Australia.
authors.forename: Nigel
authors.initials: N
authors.lastname: Jepson
mesh_terms: D001027:Aortography / Q000379:methods; D000072226:Computed Tomography Angiography; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D054855:Drug-Eluting Stents; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008670:Metals; D008875:Middle Aged; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D015607:Stents; D013625:Takayasu Arteritis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D007166:Immunosuppressive Agents; D008670:Metals
keywords: angioplasty; coronary artery bypass; coronary restenosis; drug-eluting stents; stents; vasculitis