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CASE REPORT Table of Contents   
Year : 2020  |  Volume : 30  |  Issue : 3  |  Page : 405-408
Percutaneous transluminal angioplasty of complex aortoiliac occlusive disease secondary to Takayasu's aortoarteritis in a young female


1 Department of Cardiology, Yashoda Hospitals, Somajiguda, Raj Bhavan Road, Hyderabad, Telangana, India
2 Department of Rheumatology, Yashoda Hospitals, Somajiguda, Raj Bhavan Road, Hyderabad, Telangana, India
3 Interventional Radiology, Yashoda Hospitals, Somajiguda, Raj Bhavan Road, Hyderabad, Telangana, India
4 Department of Radiodiagnosis, Yashoda Hospitals, Somajiguda, Raj Bhavan Road, Hyderabad, Telangana, India

Correspondence Address:
Dr. Pankaj Jariwala
Department of Cardiology, Yashoda Hospitals, Somajiguda, Raj Bhavan Road, Hyderabad, - 500 082, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijri.IJRI_225_20

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As the initial treatment of patients with the iliac occlusive disease, percutaneous transluminal angioplasty (PTA) became common. Though not supported by the latest TransAtlantic Inter-Society Consensus (TASC) II guidelines, percutaneous treatment of complex aortoiliac lesions is possible and provides comparable angiographic and clinical outcomes compared to open surgery at both short- and long-term follow-up, also in complex lesion settings. TASC C and D lesions with the latest instruments, procedures, and modalities may also be managed endovascularly. It provides new opportunities for a population of highly comorbid patients. We assume that the outcomes of endovascular therapy for aortoiliac lesions in the setting of Takayasu's arteritis will be further enhanced through continuous technological progress and new advances in materials. In light of the current progression towards minimally invasive procedures, a growing number of skilled centres should be able to treat by endovascular intervention the great majority of all arterial pathologies.


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