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Initial experience with percutaneous transluminal angioplasty in the management of Takayasu's arteritis

Sanjiv Sharma, MD ^* Mira Rajani, MD Upendra Kaul, DM K. K. Talwar, DM Vishwa Dev, DM and Savitri Shrivastava, DM

Department of Cardiovascular Radiology, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi-110029, India Department of Cardiology, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi-110029, India

Correspondence: ^* Author for correspondence.

We have performed percutaneous transluminal angioplasty (PTA) for 15 arterial stenoses in 11 patients with Takayasu's arteritis. The lesions included tight, proximally located renal artery stenosis (12 stenoses; nine patients), localized abdominal aortic stenosis (two patients) and occluded left common iliac artery (one patient). Clinically successful dilatation was achieved in seven patients (10 stenoses) with renal artery stenosis, in both the patients with abdominal aortic stenosis and in the only patient with an occluded left common iliac artery. No complications related to the procedure were encountered. The followup period (n = 7) ranged between 1 and 16 months, mean follow-up period after renal angioplasty was 5 months and after abdominal aortic angioplasty was 12.5 months. Initial success has been maintained in both the patients with abdominal aortic stenoses and in four out of five patients with renal artery stenosis. Percutaneous transluminal angioplasty offers an attractive alternative for the management of stenosing lesions in Takayasu's arteritis with good short term results.

Received for publication November 1, 1989. Revision received February 1, 1990.

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