Diagnostic criteria for Takayasu arteritis

Sharma, Bal Krishan; Jain, Sanjay; Suri, Sudha; Numano, Fujío

doi:10.1016/0167-5273(96)02647-2

Cited by 119 publications

(146 citation statements)

References 18 publications

Supporting

Mentioning

119

Contrasting

Unclassified

Order By: Relevance

“…Surgery for TA should be deferred in the active phase of the disease as surgical interventions are associated with more bleeding, friable tissue and a high risk of thrombosis [1,3,4]. In our present case, the surgical procedure was successful without complications as the patient was well maintained on appropriate medical treatment before and during surgery.…”

Section: Discussionmentioning

confidence: 62%

“…Clinical and pathological studies on TA resulted in the classification of four different types of arterial lesions: 1) type I: the involvement is limited to the aortic arch and its branches; this affects 8.4% of patients; 2) type II: the lesions are localized in the descending and abdominal aorta; it concerns 11.2% of cases; 3) type III: the lesions share features of types I and II; it affects 65.4% of patients; 4) type IV: involvement of the pulmonary arteries in addition to the other lesions, which is observed in 15% of patients [3].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A young woman with Takayasu arteritis: surgical and anesthetic management of Bentall procedure in a patient with abdominal aortic aneurysm and renal artery stenosis

Baysal¹,

Rabuş²,

Alsalehi³

et al. 2013

kitp

View full text Add to dashboard Cite

StreszczenieZespół Takayasu (Takayasu's arteritis -TA) jest rzadką formą przewlekłego zapalenia naczyń obejmującą duże tętnice. W pracy przedstawiono przypadek 19-letniej pacjentki z TA, która przeszła leczenie trwające 12 miesięcy. Pacjentka została przyjęta do szpitala z powodu niedomykalności zastawki aortalnej i poszerzenia aorty do 6 cm. Wyniki laboratoryjnych badań biochemicznych były w normie. Nie zaobserwowano komplikacji. Leczenie chirurgiczne TA powinno być odraczane na czas trwania aktywnej fazy choroby ze względu na zwięk-szone krwawienie, kruchość tkanek oraz zwiększone ryzyko zakrzepicy. Przeprowadzenie udanego zabiegu chirurgicznego bez wystąpienia pooperacyjnych komplikacji wymaga zastosowania adekwatnego leczenia przed zabiegiem i w jego czasie. Słowa kluczowe: choroba Takayasu, zapalenie naczyń, aorta brzuszna, tętniak. CASE REPORTS AbstractTakayasu's arteritis (TA) is a rare form of chronic vasculitis involving large arteries. We present the case of a 19-year-old female patient diagnosed with TA, whose medical treatment lasted a period of twelve months. The patient was admitted due to aortic regurgitation and enlargement of the aorta up to 6 cm. Her biochemical laboratory data were normal. Angiographic studies showed occlusive disease as well as aneurysms in the abdominal aorta and left renal artery, which are considered to be significant sources of postoperative complications. Hemodynamic parameters were well regulated throughout the surgery. No complications were recorded. Surgery for TA should be deferred during the active phase of the disease due to increased bleeding, friable tissue, and increased risk of thrombosis. Appropriate medical treatment before and during surgery is required to perform a successful surgical procedure without the development of postoperative complications.

show abstract

Section: Discussionmentioning

confidence: 62%

Section: Introductionmentioning

confidence: 99%

A young woman with Takayasu arteritis: surgical and anesthetic management of Bentall procedure in a patient with abdominal aortic aneurysm and renal artery stenosis

Baysal¹,

Rabuş²,

Alsalehi³

et al. 2013

kitp

View full text Add to dashboard Cite

show abstract

“…According to Sharma et al 11 (modified by Ishikawa 12 ), the clinical diagnosis of Takayasu disease consists of three major criteria (lesion in the left mid subclavian artery, lesion in the right mid subclavian artery, and characteristic signs and symptoms with duration greater than one month), and ten minor criteria (increased erythrocyte sedimentation rate, pain or tenderness in the carotid artery, high blood pressure, aortic regurgitation or ectasia of the aortic ring, lesion in the pulmonary artery, lesion in the left mid common carotid artery, distal lesion in the brachiocephalic trunk, lesion in the descending thoracic aorta, lesion in the abdominal aorta, and lesion in the coronary artery). For a high probability of diagnosis (92.5% and 95% sensitivity, and 95% and 96% specificity, according to the Indian or Japanese grouping,…”

Section: Discussionmentioning

confidence: 99%

“…Arq Bras Cardiol 2006; 87 : e182-e188 respectively), two major criteria, one major criterion plus 2 minor criteria, or 4 minor criteria are necessary 11 .…”

Section: Tumelero Et Al Multivessel Percutaneous Treatment Of Takayasmentioning

confidence: 99%

Tratamento percutâneo multivaso da Arterite de Takayasu

Tumelero¹,

Duda²,

Tognon³

et al. 2006

Arq. Bras. Cardiol.

View full text Add to dashboard Cite

Takayasu arteritis, indian, stent, intravascular ultrasound, extracardiac interventional.The chest radiograph showed enlarged cardiac silhouette, elongated and dilated ascending aorta, with no signs of pulmonary congestion.Laboratory tests showed: BUN 53mg/dl (15-45), creatinine 1.39mg/dl (0.6-1.4), erythrocyte sedimentation rate (ESR) 101mm/h (10-20mm/h), C-reactive protein 30 (up to 6.0), mucoprotein tyrosine 8.8 mg/dl (1.7 a 5.1).Carotid ultrasound revealed diffuse and extensive thickening of the walls, causing a 70% stenosis of the lumen of the left common carotid artery.Takayasu disease was suspected, and to confirm the hypothesis of other arterial lesions the patient underwent coronary angiography, aortography, and peripheral arteriography, which demonstrated normal coronary arteries, severe lesion in the left common carotid artery, mild lesion in the right common carotid artery, occlusion in the proximal third of the left subclavian artery, a 60% lesion in the ostium of the right renal artery, severe lesion in the ostium of the left renal artery, and occlusion in the proximal third of the left iliac artery. Left ventricle with diffuse hypokinesia and ejection fraction (EF) of 33% were observed. The aortography showed ectasia of the aorta and moderate to severe aortic regurgitation (Fig. 2).In August, 26th, 2002, the patient underwent a successful Takayasu arteritis (TA) is a chronic vasculitis which affects especially the aorta and its main branches, resulting in varied ischemic symptoms due to stenotic lesions or thrombus formation [1][2][3][4][5][6] . Percutaneous treatment with stent implantation is feasible for the correction of stenoses of the coronary and carotid arteries, as well as of peripheral lesions, and has been increasingly considered in the management of Takayasu arteritis 7-10 . Case reportTwenty-five-year-old female Indian patient, born in and coming from an Indian reserve of the Kaingang tribe. She sought medical attention with a complaint of severe holocranial headache, accompanied by nausea and vomiting. In August, 2002 the patient had an episode of acute pulmonary edema (APE); she sought medical attention and was diagnosed with systemic hypertension (SH). She was referred for investigation of the possible causes of APE.Physical examination revealed a patient in good general conditions. Cardiac auscultation showed regular rhythm and a grade 3/6 diastolic murmur of regurgitation in the aortic area. Pulmonary auscultation showed decreased breath sounds. Reduced left carotid pulse and water-hammer radial pulse in the right upper extremity were observed. The left radial, brachial, dorsalis pedis and posterior tibial pulses were not palpable. Blood pressure (BP) was 200x40 mmHg in the right arm, and it could not be measured in the left arm due to the absence of pulse. Bilateral carotid systolic murmur with fremitus on the right side, right femoral artery murmur and abdominal murmur were detected. The funduscopy revealed arteriolar narrowing, increased arteriolar reflex and pathologic arteri...

show abstract

“…2 The typical age at onset of manifestation of TA is between 25 and 30 years with an 8:1 female preponderance. The criteria for making diagnosis of TA set by the American College of Rheumatology 3 (ACR) and Sharma et al 4 have high sensitivity (91% vs 96%) and specificity (98% vs 96%). TA can be divided into the following 6 types based on angiographic involvement: 5 Type I -Branches of the aortic arch, Type IIa -Ascending aorta, aortic arch and its branches, Type IIb -Type IIa region plus thoracic descending aorta, Type III -Thoracic descending aorta, abdominal aorta, renal arteries or a combination, Type IV -Abdominal aorta, renal arteries or both, Type V -Entire aorta and its branches.…”

Section: Reviewmentioning

confidence: 99%