Surgery Benefits Takayasu Arteritis With Stenosis in the Descending Aorta

Surgery Improves Survival Rate in Patients With Takayasu Arteritis: a Retrospective Observational Study

The long-term prognosis and optimal management for Takayasu arteritis(TA) patients with severe stenosis of the descending thoracic and abdominal aorta remain undefined. We want to compare the clinical outcomes of surgical intervention and medical management.

Inclusion Criteria:

1. fulfilling the 1990 American College of Rheumatology criteria for the diagnosis of TA;
2. having at least one site with severe narrowing in the descending thoracic and abdominal aorta;
3. having symptoms caused by TA-related stenosis, such as uncontrolled hypertension, heart failure, renal ischemia, dizziness, visual disturbances, and claudication

Exclusion Criteria:

Patients with arterial stenosis due to other reasons (such as typical atherosclerosis, congenital coarctation of the aorta, and anatomical abnormality) were excluded