Background: Takayasu arteritis (TA) alternatively known as a pulseless disease and aortic arch syndrome is an inflammatory and stenotic disease of medium-and large-sized arteries. Extensive research has revealed the prevalence of TA in Asia among teenagers and adults, resulting in consistent high blood pressure. In this study, selected patients with the prevalence of TA suspected on color Doppler ultrasound study were further evaluated with 128-slice computed tomography (CT) angiography. Methods: It is a prospective study consisting of 4012 patients who were referred to Radiology Department of Chaudhary Pervaiz Ellahi Institute of Cardiology, Multan (Pakistan) (which is a hub of vascular diseases), for 1 year. All patients underwent color Doppler ultrasound study for limb ischemia, renovascular hypertension, and carotid Doppler ultrasound for stroke-like symptoms, followed by CT angiography using 128-slice CT scan and low-osmolar contrast media. Maximum intensity projection, multiplanar reconstruction, and three-dimensional reconstruction of image data were done. Results: A total of 4012 patients were studied. Among them, six patients were diagnosed with the disease (TA) with a male:female ratio of 1:5. Conclusion: CT angiography is a very useful and reliable method of diagnosing TA, assessing disease activity, and a guide to treatment and follow-up.
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