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ADR Yönetimi

ENDOVASCULAR BIOPSY IN TAKAYASU ARTERITIS

VİVEK SİNGH, SUPRAVA NAİK, JOHN ROBERT, RAJENDRA V PHADKE, VİNİTA AGARWAL, SANJEEV KUMAR BHOİ

European Journal of Rheumatology - 2019;6(3):155-157

Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Science, Lucknow, India

 

Takayasu arteritis is a chronic inflammatory arteriopathy of the large vessels, mainly the aortic arch and its branches. The disease progression varies, ranging from a rapid progression to quiescence reached within 2 years. The activity of the disease is evaluated by biochemical markers, but at times, there is a discrepancy between the clinical picture and biochemical markers. Histopathology helps in assessing the disease activity, but it is not included in the antemortem diagnosis because of the invasiveness of the procedure and the availability of noninvasive vascular imaging. However, it may be performed simultaneously with angioplasty. Here we present a case of endovascular aortic biopsy conducted to detect active inflammation in the aortic wall.