血管医学および外科ジャーナル

概要

Percutaneous Revascularization for Coronary Chronic Total Occlusion and Multivessel Stenosis in Takayasu's Arteritis

Pravin Kumar Goel and Nagaraja Moorthy

Percutaneous treatment with stent implantation is feasible, safe and effective option for stenoses of the coronary and carotid arteries, as well as of peripheral lesions, and has been increasingly considered in the management of Takayasu’s arteritis. However chronic total occlusion may present a tough challenge. We report a case of a young female presenting with symptomatic chronic total occlusion of right coronary artery which was treated with percutaneous coronary stenting. She also underwent percutaneous treatment of critical stenosis of left subclavian artery, right renal artery and left common iliac artery which were successfully treated with angioplasty with stenting. This case also reports long term angiographic follow-up of this treatment option.