Zhao Keqiang, Zhu Rongrong, Wu Weiwei
Department of Vascular surgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.
Department of Vascular surgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.
Ann Vasc Surg. 2020 Nov;69:454.e13-454.e16. doi: 10.1016/j.avsg.2020.07.020. Epub 2020 Aug 5.
A 27-year-old male patient suffering from dizziness and right amaurosis was diagnosed with Takayasu arteritis (TA). Computed tomography angiography showed that all the supra-aortic arteries were occluded except an aberrant right subclavian artery. The patient underwent drug-coated balloon dilatation at the lesion of the right common carotid artery and performed well after the procedure. Six months later, the patient's symptoms have not recurred and computed tomography angiography showed the right carotid artery remains patency. The supra-aortic artery lesions in TA may be a potential novel indication for a drug-coated balloon.
一名27岁男性患者，因头晕和右眼黑矇被诊断为大动脉炎（TA）。计算机断层扫描血管造影显示，除异常的右锁骨下动脉外，所有主动脉弓上的动脉均闭塞。该患者在右颈总动脉病变处接受了药物涂层球囊扩张术，术后情况良好。6个月后，患者症状未复发，计算机断层扫描血管造影显示右颈动脉保持通畅。大动脉炎中主动脉弓上动脉病变可能是药物涂层球囊的一个潜在新适应症。
