Stent-supported recanalization of supra-aortic vessels in takayasu arteritis—A case report

Abstract

The aim of our article was to describe the use of transluminal recanalization supported by endovascular stenting in the case of multiple stenosis/occlusion of the supra-aortic vessels as a result of Takayasu arteritis. A 43-year-old male, suffering from upper-limb claudication and dizziness, was found to have severe stenosis of the right innominate artery and total occlusion of the left subclavian artery, leading to flow reversal in the left vertebral artery with consequent subclavian steal. The clinical picture was consistent with Takayasu arteritis in a quiescent stage. Dilatation and stenting of the innominate artery and recanalization and stenting of the left subclavian artery were performed without complication. At one-year followup the patient was asymptomatic; angiography disclosed full patency of the vessels treated, right common carotid ostium included, with no sign of restenosis.Transluminal percutaneous revascularization with stenting was successful and long-lasting in this patient with complex, nonatherosclerotic great vessels disease.