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Neurointervention 2009;4(2):94-100.
Percutaneous Transluminal Angioplasty for Brain Ischemia due to Takayasu's Arteritis.
Hyun Jeong Kim, Chul Seung Lee, Seung Won Jang, Yedaun Lee, Han Song Mun, Dae Chul Suh
1Department of Radiology, Asan Medical Center, University of Ulsan, College of Medicine, Korea. dcsuh@amc.seoul.kr
2Department of Radiology, Daejeon St. Mary's Hospital, Catholic University, College of Medicine, Korea.
Abstract
PURPOSE
To report the follow-up results of percutaneous transluminal angioplasty (PTA) of supra-aortic arteries in patients presenting with neurological manifestations caused by Takayasu's arteritis.
MATERIALS AND METHODS
PTA was performed in four consecutive patients (women, age range 33-38 years) with Takayasu's arteritis (TA) with neurological manifestations (i.e., stroke, visual disturbance, and dizziness) caused by stenoocclusive lesions of supra-aortic arteries.
RESULTS
PTA was attempted on 5 lesions: VA (n=3), subcalvain artery (n=1), and brachiocephalic artery (n=1). PTA was performed successfully in all patients. The neurological manifestations of the patients were improved after angioplasty. There was no immediate procedure-related complication or neurologic deficits and no restenosis on follow-up angiography in three patients. All patients were neurologically stable without occurrence of further neurological deficit during follow-up periods (9 months - 7 years).
CONCLUSION
PTA of supra-aortic arteries in TA is safe and effective and provides good symptomatic relief in some patients with symptomatic multifocal stenoocclusive lesions of arch arteries.
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