Long-term outcome for 120 Japanese patients with Takayasu's disease. Clinical and statistical analyses of related prognostic factors.

Ishikawa, K.; Maetani, Shunzo

doi:10.1161/01.cir.90.4.1855

Cited by 333 publications

(210 citation statements)

References 28 publications

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“…Ishikawa and Maetani [21] divided P-TA into four stages and considered kidney diseases, secondary hypertension, aortic regurgitation, and aneurysm as important factors that will affect maternal outcomes: Stage I: free of the above complications; Stage IIa: with one mild complication; Stage IIb: with one serious complication; Stage III: with more than one complication; aortic regurgitation cases are all divided into Stage III. Vaginal delivery may be considered in patients classified under Stages I and IIa.…”

Section: Discussionmentioning

confidence: 99%

Clinical analysis: 13 cases of pregnancy complicated with Takayasu arteritis

Zhang¹,

Li²,

Zhang³

2017

Ginekol Pol

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Objectives: To investigate the clinical features, disposition, and effect of pregnancy complicated with Takayasu arteritis (P-TA) on maternal and fetal outcomes. Material and methods:The clinical data (diagnosis and treatment, peri-pregnancy monitoring, and pregnancy outcomes) of patients with P-TA treated in our hospital between September 2007 and April 2016 were analyzed retrospectively.Results: Among the 13 P-TA cases, seven were diagnosed before pregnancy, and six were diagnosed during pregnancy; six cases were diagnosed as the generalized type, and seven cases were diagnosed as the cephalic-brachial type; six cases were in the stable stage, and seven cases were in the active stage. All the cases in the active stage underwent glucocorticoid therapy. Four cases developed complications, including cardiac dysfunction combined with preeclampsia in two cases, preeclampsia in one case, and stroke in one case. Eleven patients successfully delivered (nine cases of full-term delivery and two cases of premature delivery); one patient had late miscarriage; one patient had missed abortion. All the parturients survived and delivered 11 neonates (nine full-term neonates and two premature neonates) and one low-birth-weight neonate; no neonatal asphyxia or death occurred. Conclusions:Patients with P-TA can have better maternal and child outcomes through timely diagnosis and treatment, dynamic monitoring, or timely pregnancy termination.

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Section: Discussionmentioning

confidence: 99%

Clinical analysis: 13 cases of pregnancy complicated with Takayasu arteritis

Zhang¹,

Li²,

Zhang³

2017

Ginekol Pol

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“…The success of treatment of patients with Takayasu arteritis and giant cell arteritis should be periodically evaluated to determine disease activity by repeated physical examination and either an erythrocyte sedimentation rate or C-reactive protein level. 68,69 (Level of Evidence: B) 3. Elective revascularization of patients with Takayasu arteritis and giant cell arteritis should be delayed until the acute inflammatory state is treated and quiescent.…”

Section: Class Imentioning

confidence: 99%

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease: Executive Summary

Hiratzka

Bakris

Beckman

et al. 2010

Cathet Cardio Intervent

278

105

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“…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%

Tratamento percutâneo multivaso da Arterite de Takayasu

Tumelero¹,

Duda²,

Tognon³

et al. 2006

Arq. Bras. Cardiol.

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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...

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Long-term outcome for 120 Japanese patients with Takayasu's disease. Clinical and statistical analyses of related prognostic factors.

Cited by 333 publications

References 28 publications

Clinical analysis: 13 cases of pregnancy complicated with Takayasu arteritis

Clinical analysis: 13 cases of pregnancy complicated with Takayasu arteritis

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease: Executive Summary

Tratamento percutâneo multivaso da Arterite de Takayasu

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