Volume 22, Issue 1 pp. 140-151
ORIGINAL ARTICLE

Complex interventions of abdominal aorta and its branches in children with Takayasu arteritis: Clinical experience from a tertiary care center in north-west India

Rajesh Vijayvergiya

Corresponding Author

Rajesh Vijayvergiya

Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Correspondence

Rajesh Vijayvergiya, Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education & Research, Chandigarh, India.

Email: [email protected]

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Ankur K. Jindal

Ankur K. Jindal

Allergy Immunology Unit, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India

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Rakesh K. Pilania

Rakesh K. Pilania

Allergy Immunology Unit, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India

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Deepti Suri

Deepti Suri

Allergy Immunology Unit, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India

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Anju Gupta

Anju Gupta

Allergy Immunology Unit, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India

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Ashish Sharma

Ashish Sharma

Department of Renal Transplant Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India

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Saroj K. Sinha

Saroj K. Sinha

Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

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Manphool Singhal

Manphool Singhal

Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh, India

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Ajay Bahl

Ajay Bahl

Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India

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Surjit Singh

Surjit Singh

Allergy Immunology Unit, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India

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First published: 05 November 2018
Citations: 9

Abstract

Aim

To report our experience on complex percutaneous interventions of the abdominal aorta and its branches in six children with Takayasu arteritis (TA).

Methods

A review of records of children with TA, who underwent percutaneous interventions of the abdominal aorta and its major branches.

Results

In this analysis, we included six children with TA who underwent intervention of the abdominal aorta and its major branches. The endovascular interventions were performed mostly for treatment-resistant renovascular hypertension and mesentery artery ischemia. Mean age (±SD) at time of intervention was 10.6 ± 2.5 years (four boys and two girls). Percutaneous interventions included stenting of abdominal aorta (n = 2), renal arteries (n = 4), mesenteric arteries (n = 2), repeat stenting for renal artery in-stent restenosis (n = 1), and renal autotransplantation (n = 4). All 13 interventions were successful and enabled us to obtain good control of blood pressure.

Conclusion

We hereby report six children with TA who were successfully managed with complex percutaneous interventions of the abdominal aorta and its major branches. Balloon dilatation and stent placement constitutes the mainstay of management of TA with stenosis of the large vessels.

CONFLICT OF INTEREST

All authors declare no conflicts of interests.

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