The results of Surgical Treatment in Patients with Nonspecific Arteritis (Takayasu’s Arteritis) with the Infliction of Branches of Aortic Arch According to Duplex Scanning

The aim: assessment of short-term and long-term outcomes of surgical treatment of branches of aortic arch in patients who suffer from nonspecific arteritis (Takayasu’s arteritis). Materials and methods. Duplex ultrasonographic imaging was conducted in 27 patients with nonspecific arteritis who had 30 different kinds of surgical repairs of the branches of aortic arch performed, (carotid and subclavian arteries), 31 shunts were imposed (one patient put two shunt). The average postoperative follow-up period was 8.4 ± 5.4 years. Results. In late postoperative period 15 (48%) of the repaired arteries remained unobstructed. The absence of variations in the surgery area was registered after the performance of reconstruction of carotid arteries (aorta carotid or carotid subclavian prosthesis) more often (80%). Complications in the area of the reconstructed artery (thrombosis, stenosis at the distal anastomosis) were more common after transthoracic surgeries - 69%, while the percentage of complications after extrathoracic surgeries was 27%. In 62.5% of the observed cases, the connection was found between the development of the bypass thrombosis with the progression of inflammatory process in the arteries of the distal arterial bed. The permeability of the reconstructed carotid arteries in 5 years and over was 83.3%. according to the duplex ultrasonographic imaging. After the reconstruction of subclavian arteries, the bypass patency in 5 years was 63.6%, in 10 years - 36.3%. Conclusion. Accurate diagnosis of changes in the vessels of medium and large caliber in patients with nonspecific arteritis is a topical issue of radiology. The use of duplex scanning at various stages of treatment of this complex group of patients allows high accuracy to evaluate the results of surgical and medical treatment to prevent the development of life-threatening complications, and its non-invasiveness, safety and relative affordability make duplex scanning priority diagnostic method of control.

неспецифический аортоартериит (артериит Такаясу), ветви дуги аорты, дуплексное сканирование, хирургическое лечение, nonspecific arteritis (Takayasu’s arteritis), branches of aortic arch, duplex scanning, surgical treatment

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