Bahadır GÜLTEKİN, Eftal YÜCEL, Ali HARMAN, Tankut AKAY, Umut ÖZYER

Diagnosis and treatment of Takayasu arteritis in Turkey: A single center results

Amaç: Bu çalışmada hastanemizdeki Takayasu arteritlihastaların klinik, laboratuvar ve radyolojik özellikleriile beraber cerrahi ve endovasküler girişim sonuçlarıincelendi.Çalışmaplanı: Nisan 2002 - Ocak 2014 tarihleri arasındaTakayasu arteriti tanısı ile takip edilen 38 hastanın hastanekayıtları geriye dönük olarak incelendi. Kayıtlar Takayasuarteritinin klinik öyküsünü, eşlik eden hastalıkları, tanısırasındaki laboratuvar bulgularını, anjiyografik bulgularıve tedavi şeklini içeriyordu.Bul gu lar: Kadın/erkek oranı 3.75:1 idi. Anjiyografiksınıflamaya göre; 11 hasta tip 1, üç hasta tip 2a,üç hasta tip 2b, dört hasta tip 3, altı hasta tip 4ve 11 hasta tip 5 idi. Otuz sekiz hastanın 18ineendovasküler veya cerrahi girişim uygulandı (8cerrahi, 10 endovasküler girişim). Erken mortaliteolmadı.Sonuç: Hastalarımızın demografik ve anjiyografiközellikleri Japonya ve Akdeniz toplumları ile benzerdi.Endovasküler işlemlerin uzun dönem sonuçları verestenoz yönetimi gelecekte karşılaşılabilecekzorluklardan olabilir. Baypas cerrahisi uzun dönemaçıklık elde etmek için altın standart olmaya devametmektedir. Endovasküler tedavi, cerrahi tedaviyeuygun olmayan hastaların semptomlarında kısa sürelirahatlama sağlayabilir.

Türkiye de Takayasu arteritinin tanı ve tedavisi: Tek merkez sonuçları

Background: This study aims to evaluate clinical,laboratory, and radiological features as well as the surgicaland endovascular procedure outcomes of patients withTakayasu arteritis in our hospital. Methods: Hospital records of 38 patients who were followedwith the diagnosis of Takayasu arteritis between April2002 and January 2014 were retrospectively evaluated.Records included the clinical history of Takayasu arteritis,comorbid diseases, laboratory and angiographic findings atthe time of diagnosis, and mode of treatment. Results: The female/male ratio was 3.75:1. According toangiographic classification; 11 patients were type 1, threepatients were type 2a, three patients were type 2b, fourpatients were type 3, six patients were type 4, and 11 patientswere type 5. Eighteen of 38 patients were administeredendovascular or surgical intervention (8 surgeries and 10endovascular procedures). There was no early mortality. Conclusion: Demographic and angiographic featuresof our patients were similar to those of Japan andMediterranean populations. The long-term follow-up ofendovascular procedure success, and the managementof restenosis may be among challenges to be faced inthe future. Bypass surgery remains the gold standard forachieving long-term patency. Endovascular treatment mayprovide short-term symptom relief in patients who are notsuitable for surgical treatment.

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