Spacek Miloslav, Zimolova Petra, Veselka Josef
Department of Cardiology - CardioVascular Center, Motol University Hospital, 2nd Medical School, Charles University, V Uvalu 84, 150 06, Prague 5, Czech Republic.
J Invasive Cardiol. 2012 Sep;24(9):E190-2.
Takayasu arteritis (TA) is an inflammatory disease affecting large and medium-sized arteries and causing occlusive, aneurysmal, or stenotic lesions. It is also known that with chronic course, the disease has a tendency to recur at either the same site or different. We report a patient with TA whose carotid stenosis was initially treated with bare metal stents but the patient suffered from recurring localized restenosis. Eventually, the patient was treated with (off-label) coronary drug-eluting stent and drug-eluting balloon with favorable long-term outcome. Therefore, we suggest that drug-eluting interventions might have a place in treatment of TA patients with recurring restenosis.
高安动脉炎（TA）是一种影响大中动脉并导致闭塞性、动脉瘤性或狭窄性病变的炎症性疾病。还已知随着病程的延长，该疾病有在同一部位或不同部位复发的倾向。我们报告了一名TA患者，其颈动脉狭窄最初接受了裸金属支架治疗，但患者出现了复发性局部再狭窄。最终，该患者接受了（未按药品说明书用药）冠状动脉药物洗脱支架和药物洗脱球囊治疗，长期效果良好。因此，我们认为药物洗脱干预措施可能在治疗复发性再狭窄的TA患者中占有一席之地。
