Abstract
Gianturco self-expanding metallic stents were successfully placed to treat incomplete balloon dilatation of the abdominal aorta in 2 patients with Takayasu's aortitis. In 1 case eleven 1-cm long, 1-cm diameter stents were inserted in tandem to bridge a long stenosis. In the other patient, four stents 1.5 cm long, 1.5 cm in diameter were inserted in tandem to bridge what had been a complete occlusion prior to balloon angioplasty. Clinical symptoms, as well as angiographic findings, improved significantly after placement of the stents. The patients underwent repeat aortography at 10 and 8 months, respectively, and were followed clinically for a total of 18 months and 15 months, respectively, without clinical evidence of deterioration. Our results show the usefulness of expandable metallic stents in the treatment of aortic stenosis due to Takayasu's aortitis that remains unresponsive to balloon dilatation.
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Wright KC, Wallace S, Charnangavej C, Carrasco CH, Gianturco C (1985) Percutaneous endovascular stent: An experimental evaluation. Radiology 156:69–72
Sawada S, Fujiwara Y, Koyama T, Kobayashi M, Tanigawa N, Iwamiya T, Katsube Y, Nakamura H, Furui S (1992) Application of expandable metallic stents to the venous system. Acta Radiol 33:156–159
Dondelinger RF, Goffette P, Kurdziel J, Roche A (1991) Expandable metallic stents for stenosis of the venae cavae and large veins. Semin Int Radiol 8:252–263
Vorwerk D, Gunther RW (1991) Stenting of peripheral arteries. Semin Int Radiol 8:264–272
Kichikawa K, Uchida H, Yoshioka T, Maeda M, Nishimine K, Kubota Y, Sakaguchi S, Ohishi H, Iwasaki S (1990) Iliac artery stenosis and occlusion: Preliminary results of treatment with expandable metallic stents. Radiology 177:799–802
Tada Y, Sato O, Ohshima A, Miyata T, Shindo S (1992) Surgical treatment of Takayasu arteritis. Heart Vessels (suppl);159–167
Tegtmeyer C (1987) Percutaneous transluminal angioplasty. Cur Probl Diagn Radiol 16:75–139
Yakes WF, Kumpe D, Brown S, Parker SH, Lattes RG, Cook PS, Haas DK, Gibson MD, Hopper KD, Reed MD, Cox HE, Bourne EE, Griffin DJ (1989) Percutaneous transluminal aortic angioplasty: Technique and results. Radiology 172:965–970
Han MC (1993) Percutaneous transluminal angioplasty in Takayasu's arteritis (abstract) APCCVIR 93:113–116
Sharma S, Saxena A, Talwar KK, Kaul U, Mehta SN, Rajani M (1992) Renal artery stenosis caused by nonspecific arteritis (Takayasu disease): Results of treatment with percutaneous transluminal angioplasty. AJR 158:417–422
Khalilullah M, Tyagi S, Lochan R, Yadav DM, Nair M, Gambhir DS, Khanna SK (1987) Percutaneous transluminal balloon angioplasty of the aorta in patients with aortitis. Circulation 76:597–600
Tyagi S, Kaul UA, Nair M, Sethi KK, Arora R, Khalilullah (1992) Balloon angioplasty of the aorta in Takayasu's arteritis: Initial and long-term results. Am Heart J 124:876–882
Sharma S, Rajani M, Kaul U, Talwar KK, Dev V, Shrivastava S (1990) Initial experience with percutaneous transluminal angioplasty in the management of Takayasu's arteritis. Br J Radiol 63:517–522
Park JH, Han MC, Kim SH, Oh BH, Park YB, Seo JD (1989) Takayasu arteritis: Angiographic findings and results of angioplasty. AJR 153:1069–1074
Sharma S, Saxena A, Taywar KK, Kaul U, Mehta SN, Rajani M (1992) Renal artery stenosis caused by nonspecific arteritis (Takayasu disease): Results of treatment with percutaneous transluminal angioplasty. AJR 158:417–422
Berger T, Sorensen R, Konrad J (1986) Aortic rupture. A complication of transluminal angioplasty. AJR 146:373–374
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Sawada, S., Tanigawa, N., Kobayashi, M. et al. Treatment of Takayasu's aortitis with self-expanding metallic stents (Gianturco stents) in two patients. Cardiovasc Intervent Radiol 17, 102–105 (1994). https://doi.org/10.1007/BF00193926
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DOI: https://doi.org/10.1007/BF00193926