Aorto-carotid bypass in patients with Takayasu arteritis

Hong Seok Han; Kyoung Won Yoon; Seon-Hee Heo; Yang Jin Park; Young-Wook Kim; Dong-Ik Kim

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자료유형: 학술저널

저자정보: Hong Seok Han (Sungkyunkwan University) Kyoung Won Yoon (Sungkyunkwan University) Seon-Hee Heo (Sungkyunkwan University) Yang Jin Park (Sungkyunkwan University) Young-Wook Kim (Sungkyunkwan University) Dong-Ik Kim (Sungkyunkwan University)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.93 No.3

발행연도: 2017.9

수록면: 143 - 151 (9page)

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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 aortocarotid 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.

#Takayasu arteritis #Blood pressure

참고문헌 (30)

참고문헌 신청

[학술지(정기간행물)] - Stone JR / 2015 / Consensus statement on surgical pathology of the aorta from the Society for Cardiovascular Pathology and the Association for European Cardiovascular Pathology: I. Inflammatory diseases / Cardiovasc Pathol 24 : 267 ~ 278

[학술지(정기간행물)] - Takayasu M. / 1908 / A case with unusual changes of the central vessels in the retina / Acta Soc Opthalmol Jpn 12 : 554 ~ 558

[학술지(정기간행물)] - Nasu T. / 1975 / Takayasu’s truncoarteritis in Japan. A statistical observation of 76 autopsy cases / Pathol Microbiol (Basel) 43 : 140 ~ 146

[학술지(정기간행물)] - Hall S / 1985 / Takayasu arteritis. A study of 32 North American patients / Medicine (Baltimore) 64 : 89 ~ 99

[학술지(정기간행물)] - Vanoli M / 2001 / Takayasu's arteritis : a changing disease / J Nephrol 14 : 497 ~ 505

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