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.
