Complex interventions of abdominal aorta and its branches in children with Takayasu arteritis: Clinical experience from a tertiary care center in north-west India
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]
Search for more papers by this authorAnkur K. Jindal
Allergy Immunology Unit, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Search for more papers by this authorRakesh K. Pilania
Allergy Immunology Unit, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Search for more papers by this authorDeepti Suri
Allergy Immunology Unit, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Search for more papers by this authorAnju Gupta
Allergy Immunology Unit, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Search for more papers by this authorAshish Sharma
Department of Renal Transplant Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
Search for more papers by this authorSaroj K. Sinha
Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
Search for more papers by this authorManphool Singhal
Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh, India
Search for more papers by this authorAjay Bahl
Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
Search for more papers by this authorSurjit Singh
Allergy Immunology Unit, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Search for more papers by this authorCorresponding 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]
Search for more papers by this authorAnkur K. Jindal
Allergy Immunology Unit, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Search for more papers by this authorRakesh K. Pilania
Allergy Immunology Unit, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Search for more papers by this authorDeepti Suri
Allergy Immunology Unit, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Search for more papers by this authorAnju Gupta
Allergy Immunology Unit, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Search for more papers by this authorAshish Sharma
Department of Renal Transplant Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
Search for more papers by this authorSaroj K. Sinha
Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
Search for more papers by this authorManphool Singhal
Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh, India
Search for more papers by this authorAjay Bahl
Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
Search for more papers by this authorSurjit Singh
Allergy Immunology Unit, Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Search for more papers by this authorAbstract
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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