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Published in: CardioVascular and Interventional Radiology 2/2006

01-04-2006

Suction Thrombectomy of Thrombotic Occlusion of the Subclavian Artery in a Case of Takayasu’s Arteritis

Authors: Sukalyan Purkayastha, E.R. Jayadevan, T.R. Kapilamoorthy, A.K. Gupta

Published in: CardioVascular and Interventional Radiology | Issue 2/2006

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Abstract

Takayasu’s arteritis, also known as pulseless disease, is a chronic inflammatory arteritis affecting large vessels, predominantly the aorta and its main branches. Vessel inflammation leads to wall thickening, fibrosis, stenosis, and thrombus formation. Percutaneous removal of arterial thrombus with the use of several devices has been reported, with mixed results. We present a case of Takayasu’s arteritis with thrombotic occlusion of the subclavian artery in which pulsed urokinase injection and suction thrombectomy were used to revascularize a threatened limb and to establish the sole arterial supply to the brain.
Literature
1.
go back to reference Starck EE, McDermott JC, Crummy AB (1985) Percutaneous aspiration thrombectomy. Radiology 165:61–66 Starck EE, McDermott JC, Crummy AB (1985) Percutaneous aspiration thrombectomy. Radiology 165:61–66
2.
go back to reference Sniderman KW, Bodner L, Suddekni S, et al. (1984) Percutaneous embolectomy by transcatheter aspiration. Radiology 150:357–361PubMed Sniderman KW, Bodner L, Suddekni S, et al. (1984) Percutaneous embolectomy by transcatheter aspiration. Radiology 150:357–361PubMed
3.
go back to reference Sharafuddin MJ, Hicks ME (1998) Current status of percutaneous thrombectomy. III. Present and future applications. J Vasc Interv Radiol 9:209–224PubMed Sharafuddin MJ, Hicks ME (1998) Current status of percutaneous thrombectomy. III. Present and future applications. J Vasc Interv Radiol 9:209–224PubMed
4.
go back to reference Angle JF, Spinosa DJ, Klaus D, et al. (2000) Management of acute lower extremity embolus with use of the Oasis thrombectomy Device and Suction Embolectomy. J Vasc Interv Radiol 11:1331–1335PubMed Angle JF, Spinosa DJ, Klaus D, et al. (2000) Management of acute lower extremity embolus with use of the Oasis thrombectomy Device and Suction Embolectomy. J Vasc Interv Radiol 11:1331–1335PubMed
5.
go back to reference Lutsep HL, Clark WM, Nesbit GM, et al. (2002) Intraarterial suction thrombectomy in acute stroke. AJNR Am J Neuroradiol 23:783–786PubMed Lutsep HL, Clark WM, Nesbit GM, et al. (2002) Intraarterial suction thrombectomy in acute stroke. AJNR Am J Neuroradiol 23:783–786PubMed
6.
go back to reference Lupi-Herrera E, Sánchez-Torres G, Marcushamer J, et al. (1977) Takayasu’s arteritis. Clinical study of 107 cases. Am Heart J 93:94–103PubMed Lupi-Herrera E, Sánchez-Torres G, Marcushamer J, et al. (1977) Takayasu’s arteritis. Clinical study of 107 cases. Am Heart J 93:94–103PubMed
7.
go back to reference Chugh KS, Sakhuja V (1992) Takayasu’s arteritis as a cause of renovascular hypertension in Asian countries [editorial]. Am J Nephrol 12:1–8PubMed Chugh KS, Sakhuja V (1992) Takayasu’s arteritis as a cause of renovascular hypertension in Asian countries [editorial]. Am J Nephrol 12:1–8PubMed
8.
go back to reference Subramanyan R, Joy J, Balakrishnan KG (1989) Natural history of aortoarteritis (Takayasu’s disease). Circulation 80:429–437PubMed Subramanyan R, Joy J, Balakrishnan KG (1989) Natural history of aortoarteritis (Takayasu’s disease). Circulation 80:429–437PubMed
9.
go back to reference Hall S, Barr W, Lie JT, et al. (1985) Takayasu arteritis: A study of 32 North American patients. Medicine 64:89–99PubMed Hall S, Barr W, Lie JT, et al. (1985) Takayasu arteritis: A study of 32 North American patients. Medicine 64:89–99PubMed
10.
11.
go back to reference Weaver FA, Yellin AE (1992) Surgical treatment of Takayasu’s arteritis. Heart Vessels 7:154–158CrossRef Weaver FA, Yellin AE (1992) Surgical treatment of Takayasu’s arteritis. Heart Vessels 7:154–158CrossRef
12.
go back to reference Yanagisawa M, Kurihara H, Kimura S, et al. (1988) A novel potent vasoconstrictor peptide produced by vascular endothelial cells. Nature 332:411–415CrossRefPubMed Yanagisawa M, Kurihara H, Kimura S, et al. (1988) A novel potent vasoconstrictor peptide produced by vascular endothelial cells. Nature 332:411–415CrossRefPubMed
13.
go back to reference Nusinow SR, Federici AB, Zimmerman TS (1984) Increased von Willebrand factor antigen in the plasma of patients with vasculitis. Arthritis Rheum 27:405–410 Nusinow SR, Federici AB, Zimmerman TS (1984) Increased von Willebrand factor antigen in the plasma of patients with vasculitis. Arthritis Rheum 27:405–410
14.
go back to reference Woolf AD, Wakerley G, Wallington TB, et al. (1987) Factor VIII related antigen in the assessment of vasculitis. Ann Rheum Dis 46:441–447PubMed Woolf AD, Wakerley G, Wallington TB, et al. (1987) Factor VIII related antigen in the assessment of vasculitis. Ann Rheum Dis 46:441–447PubMed
15.
go back to reference Moriwaki R, Noda M, Yajima M, et al. (1997) Clinical manifestations of Takayasu arteritis in India and Japan: new classification of angiographic findings. Angiology 48:369–379PubMed Moriwaki R, Noda M, Yajima M, et al. (1997) Clinical manifestations of Takayasu arteritis in India and Japan: new classification of angiographic findings. Angiology 48:369–379PubMed
16.
go back to reference Takagi A, Tada Y, Sato O, et al. (1989) Surgical treatment for Takayasu’s arteritis. J Cardiovasc Surg 30:553–558 Takagi A, Tada Y, Sato O, et al. (1989) Surgical treatment for Takayasu’s arteritis. J Cardiovasc Surg 30:553–558
17.
go back to reference Giordao JM, Leavitt RY, Hoffman G, et al. (1991) Experience with surgical treatment of Takayasu’s disease. Surgery 109:252–258 Giordao JM, Leavitt RY, Hoffman G, et al. (1991) Experience with surgical treatment of Takayasu’s disease. Surgery 109:252–258
18.
go back to reference Henry M, Amor M, Henry I, et al. (1999) Percutaneous transluminal angioplasty of the subclavian arteries. J Endovasc Surg 6:33–41PubMed Henry M, Amor M, Henry I, et al. (1999) Percutaneous transluminal angioplasty of the subclavian arteries. J Endovasc Surg 6:33–41PubMed
19.
go back to reference Mathias KD, Luth I, Haarmann P (1993) Percutaneous transluminal angioplasty of proximal subclavian artery occlusions. Cardiovasc Intervent Radiol 16:214–218PubMed Mathias KD, Luth I, Haarmann P (1993) Percutaneous transluminal angioplasty of proximal subclavian artery occlusions. Cardiovasc Intervent Radiol 16:214–218PubMed
Metadata
Title
Suction Thrombectomy of Thrombotic Occlusion of the Subclavian Artery in a Case of Takayasu’s Arteritis
Authors
Sukalyan Purkayastha
E.R. Jayadevan
T.R. Kapilamoorthy
A.K. Gupta
Publication date
01-04-2006
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 2/2006
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-005-0110-4

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