Post-interventional immunosuppressive treatment and vascular restenosis in Takayasu's arteritis

M. C. Park, S. W. Lee, Y. B. Park, S. K. Lee, D. Choi, W. H. Shim

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Abstract

Objective. To investigate the outcome of vascular interventions and the effect of post-interventional immunosuppressive treatment on the occurrence of vascular restenosis in patients with Takayasu's arteritis (TA). Methods. Forty-two patients with TA who had undergone vascular in tervention and had serial angiographies before and after intervention were enrolled. The demographic and clinical data were collected at the time when the interventions were performed, and the intervention modalities and post-interventional medical treatments were evaluated. Results. Sixty-three interventions were performed in 42 patients. Twenty (31.7%) interventions restenosed 24.0 ± 21.9 months after intervention; the likelihood decreasing as time passed. Estimates of arterial patency after intervention were 90.1% at 1 yr, 75.5% at 2 yr,68.4% at 3 yr, 61.6% at 5 yr and 49.3% at 10 yr. According to the log rank test, interventions that were performed during the stable stage of the disease (P = 0.039) and those that were followed by treatment with glucocorticoids and immunosuppressive agents (P = 0.044) were independent variables for the maintenance of arterial patency. Their hazard ratioswere 0.30 and 0.41, respectively. Conclusion. Restenosis occurred in 31.7% of TA patients after intervention. A lower restenosis rate was observed when the vascular interventions were performed at the stable stage and when post-interventional immunosuppressive treatment was implemented.

Original languageEnglish
Pages (from-to)600-605
Number of pages6
JournalRheumatology
Volume45
Issue number5
DOIs
Publication statusPublished - 2006 May 1

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Takayasu Arteritis
Immunosuppressive Agents
Blood Vessels
Therapeutics
Glucocorticoids
Angiography
Maintenance
Demography

All Science Journal Classification (ASJC) codes

  • Rheumatology
  • Pharmacology (medical)

Cite this

Park, M. C. ; Lee, S. W. ; Park, Y. B. ; Lee, S. K. ; Choi, D. ; Shim, W. H. / Post-interventional immunosuppressive treatment and vascular restenosis in Takayasu's arteritis. In: Rheumatology. 2006 ; Vol. 45, No. 5. pp. 600-605.
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abstract = "Objective. To investigate the outcome of vascular interventions and the effect of post-interventional immunosuppressive treatment on the occurrence of vascular restenosis in patients with Takayasu's arteritis (TA). Methods. Forty-two patients with TA who had undergone vascular in tervention and had serial angiographies before and after intervention were enrolled. The demographic and clinical data were collected at the time when the interventions were performed, and the intervention modalities and post-interventional medical treatments were evaluated. Results. Sixty-three interventions were performed in 42 patients. Twenty (31.7{\%}) interventions restenosed 24.0 ± 21.9 months after intervention; the likelihood decreasing as time passed. Estimates of arterial patency after intervention were 90.1{\%} at 1 yr, 75.5{\%} at 2 yr,68.4{\%} at 3 yr, 61.6{\%} at 5 yr and 49.3{\%} at 10 yr. According to the log rank test, interventions that were performed during the stable stage of the disease (P = 0.039) and those that were followed by treatment with glucocorticoids and immunosuppressive agents (P = 0.044) were independent variables for the maintenance of arterial patency. Their hazard ratioswere 0.30 and 0.41, respectively. Conclusion. Restenosis occurred in 31.7{\%} of TA patients after intervention. A lower restenosis rate was observed when the vascular interventions were performed at the stable stage and when post-interventional immunosuppressive treatment was implemented.",
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Post-interventional immunosuppressive treatment and vascular restenosis in Takayasu's arteritis. / Park, M. C.; Lee, S. W.; Park, Y. B.; Lee, S. K.; Choi, D.; Shim, W. H.

In: Rheumatology, Vol. 45, No. 5, 01.05.2006, p. 600-605.

Research output: Contribution to journalArticle

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AU - Shim, W. H.

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N2 - Objective. To investigate the outcome of vascular interventions and the effect of post-interventional immunosuppressive treatment on the occurrence of vascular restenosis in patients with Takayasu's arteritis (TA). Methods. Forty-two patients with TA who had undergone vascular in tervention and had serial angiographies before and after intervention were enrolled. The demographic and clinical data were collected at the time when the interventions were performed, and the intervention modalities and post-interventional medical treatments were evaluated. Results. Sixty-three interventions were performed in 42 patients. Twenty (31.7%) interventions restenosed 24.0 ± 21.9 months after intervention; the likelihood decreasing as time passed. Estimates of arterial patency after intervention were 90.1% at 1 yr, 75.5% at 2 yr,68.4% at 3 yr, 61.6% at 5 yr and 49.3% at 10 yr. According to the log rank test, interventions that were performed during the stable stage of the disease (P = 0.039) and those that were followed by treatment with glucocorticoids and immunosuppressive agents (P = 0.044) were independent variables for the maintenance of arterial patency. Their hazard ratioswere 0.30 and 0.41, respectively. Conclusion. Restenosis occurred in 31.7% of TA patients after intervention. A lower restenosis rate was observed when the vascular interventions were performed at the stable stage and when post-interventional immunosuppressive treatment was implemented.

AB - Objective. To investigate the outcome of vascular interventions and the effect of post-interventional immunosuppressive treatment on the occurrence of vascular restenosis in patients with Takayasu's arteritis (TA). Methods. Forty-two patients with TA who had undergone vascular in tervention and had serial angiographies before and after intervention were enrolled. The demographic and clinical data were collected at the time when the interventions were performed, and the intervention modalities and post-interventional medical treatments were evaluated. Results. Sixty-three interventions were performed in 42 patients. Twenty (31.7%) interventions restenosed 24.0 ± 21.9 months after intervention; the likelihood decreasing as time passed. Estimates of arterial patency after intervention were 90.1% at 1 yr, 75.5% at 2 yr,68.4% at 3 yr, 61.6% at 5 yr and 49.3% at 10 yr. According to the log rank test, interventions that were performed during the stable stage of the disease (P = 0.039) and those that were followed by treatment with glucocorticoids and immunosuppressive agents (P = 0.044) were independent variables for the maintenance of arterial patency. Their hazard ratioswere 0.30 and 0.41, respectively. Conclusion. Restenosis occurred in 31.7% of TA patients after intervention. A lower restenosis rate was observed when the vascular interventions were performed at the stable stage and when post-interventional immunosuppressive treatment was implemented.

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