Percutaneous Transluminal Angioplasty for Brain Ischemia due to Takayasu's Arteritis.

Kim,  Hyun Jeong; Lee,  Chul Seung; Jang,  Seung Won; Lee,  Yedaun; Mun,  Han Song; Suh,  Dae Chul

Original Article

Neurointervention 2009;4(2):94-100.

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.