Juvenile Takayasu Arteritis: A case report

Khanna, Narendra N.; Pramesti, Rini; Sinha, Santosh Kumar; Edafe, Emmanuel Auchi; Yakubu, Peter Dodo; Ajuluchukwu, Obiora; Rao, Suparna

doi:10.1016/j.jicc.2017.01.001

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…Takayasu Arteritis is a chronic inflammatory disease that involves the aorta, its branches and the pulmonary arteries causing the varying degree of stenosis, dilatation or both. Despite being the third most frequent vasculitis in childhood, the occurrence of juvenile TA is scarce although youngest to be reported was 6-month old baby [1]. It is the commonest cause of renovascular hypertension in Asian children as thoracoabdominal aorta is mainly involved in patients from Korea and India [2].…”

Section: Introductionmentioning

confidence: 99%

Aorto-renal Bifurcation Stenting in a Juvenile Non-specific Aorto-Arteritis: case report

et al. 2018

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Takayasu Arteritis (TA) is a granulomatous inflammation of unknown aetiology affecting the aorta and its major branches with usual affliction among patients younger than 50 years and rarely among children. We present a 7-years old boy referred for evaluation of hypertension. He had a significant blood pressure difference between right arm, left arm and lower limbs. Computed tomography imaging of thorax and abdomen showed stenosis of left subclavian artery, left renal artery and juxtarenal aorta which was subsequently confirmed on aortogram. He underwent percutaneous endovascular therapy with aorto-renal bifurcation stenting with reduction of blood pressure and gradient. Renal angioplasty with stenting remains a challenging procedure in patients with tight ostial lesion, and juxtarenal aortic involvement in lieu of precise stent placement and avoiding side branch occlusion.

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Section: Introductionmentioning

confidence: 99%

Aorto-renal Bifurcation Stenting in a Juvenile Non-specific Aorto-Arteritis: case report

et al. 2018

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“…Takayasu's arteritis (TA) is a chronic inflammatory disease that involves the aorta, its branches and the pulmonary arteries, causing varying degrees of stenosis, dilatation, or both. Although the third most frequent vasculitis occurring in childhood, the occurrence of juvenile TA is rare, although the youngest to have been reported was a 6-month-old baby [1]. It is the commonest cause of renovascular hypertension in Asian children as the thoraco-abdominal aorta is mainly involved in patients from Korea and India [2].…”

Section: Introductionmentioning

confidence: 99%

Zastosowanie niepodatnych balonów techniką hugging balloons do skutecznego rozprężenia stentu po niepowodzeniu rutynowej przezskórnej śródnaczyniowej angioplastyki tętnic wieńcowych

et al. 2018

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A small proportion of lesions are refractory even when very high pressures are used to deploy the stent. Here, we report the case of a 7-year-old boy referred for evaluation of refractory hypertension. There was a bruit on auscultation on the back in the lumbar region. Renal angiogram revealed bilateral renal artery stenosis. Right and left renal arteries were stented with a 7 × 23 mm and a 7 × 19 mm Hippocampus bare metal stent (Medtronic, Minneapolis, MN, USA). Despite delivering the stent in the left renal artery at 10 atm pressure, it didn't open up properly. We successfully attempted the technique of hugging balloons. This involved two noncompliant balloons of 4 × 10 mm each, inflated simultaneously side by side at 20 atm to successfully dilate the stent. This technique enables success as the geometry of two 'kissing' balloons is different from that of one balloon. This altered geometric configuration may be important in successfully dilating a stent refractory to standard dilating techniques. Higher pressures can be attained with two smaller balloons because the burst pressure is higher in smaller balloons compared to larger balloons.

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Juvenile Takayasu Arteritis: A case report

Cited by 2 publications

References 2 publications

Aorto-renal Bifurcation Stenting in a Juvenile Non-specific Aorto-Arteritis: case report

Aorto-renal Bifurcation Stenting in a Juvenile Non-specific Aorto-Arteritis: case report

Zastosowanie niepodatnych balonów techniką hugging balloons do skutecznego rozprężenia stentu po niepowodzeniu rutynowej przezskórnej śródnaczyniowej angioplastyki tętnic wieńcowych

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