Takayasu's arteritis surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farnaz Khalighinejad, MD [2]


Overview

Surgical options may need to be explored for those who do not respond to steroids. Re-perfusion of tissue can be achieved by large vessel reconstructive surgery such as bypass grafting.

Surgery

Severe stenotic lesions should be treated by angioplasty or surgical revascularization during periods of remission.[1]

Indications for surgical repair or angioplasty are as follow:

Bypass graft surgery

Bypass graft surgery is the procedure with the best long-term patency rate.

References

  1. Arend WP, Michel BA, Bloch DA, Hunder GG, Calabrese LH, Edworthy SM, Fauci AS, Leavitt RY, Lie JT, Lightfoot RW (August 1990). "The American College of Rheumatology 1990 criteria for the classification of Takayasu arteritis". Arthritis Rheum. 33 (8): 1129–34. PMID 1975175.

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