Abstract:
PURPOSE:Takayasu arteritis is an indication for bypass surgery when this condition results in severe cerebrovascular ischemia due to occlusion of the carotid arteries. We reviewed the patients with Takayasu arteritis who received aorto-carotid bypass due to cerebrovascular ischemia. METHODS:A retrospective review was performed on 19 patients with Takayasu arteritis who underwent aorto-carotid bypass from March 2002 to April 2015. RESULTS:All patients were female and the mean of their age was 40.6 ± 15.3 years. Eleven patients (57.9%) underwent aorto-uni-carotid bypass and 8 patients (42.1%) underwent aorto-bi-carotid bypass. Five patients (26.3%) whose postoperative blood pressure was not controlled suffered an intracranial hemorrhage within 8 days after bypass surgery. Of the patients with an intracranial hemorrhage, 2 patients (10.5%) expired on 26 days and 7 years after surgery, and 3 patients (15.8%) resolved spontaneously. One patient (5.3%) expired due to an intracranial infarction 9 years after bypass surgery. The intracranial ischemic symptoms resolved after bypass surgery in all of the surviving patients. None of the patients experienced anastomosis site complication postoperatively. CONCLUSION:Aorto-carotid bypass is effective for treating Takayasu arteritis with cerebrovascular ischemia, and the results suggest that postoperative blood pressure should be strictly managed to prevent intracranial hemorrhage.
journal_name
Ann Surg Treat Resjournal_title
Annals of surgical treatment and researchauthors
Han HS,Yoon KW,Heo SH,Park YJ,Kim YW,Kim DIdoi
10.4174/astr.2017.93.3.143subject
Has Abstractpub_date
2017-09-01 00:00:00pages
143-151issue
3eissn
2288-6575issn
2288-6796journal_volume
93pub_type
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journal_title:Annals of surgical treatment and research
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更新日期:2019-09-01 00:00:00
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journal_title:Annals of surgical treatment and research
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abstract::[This corrects the article on p. 106 in vol. 88, PMID: 25692122.]. ...
journal_title:Annals of surgical treatment and research
pub_type: 已发布勘误
doi:10.4174/astr.2015.88.3.178
更新日期:2015-03-01 00:00:00