TAKAYASU ARTERITIS - RADIOGRAPHIC AND ANGIOGRAPHIC FINDINGS IN 59 PATIENTS
TAKAYASU ARTERITIS - RADIOGRAPHIC AND ANGIOGRAPHIC FINDINGS IN 59 PATIENTS
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DOI：
10.1148/radiology.161.2.2876459
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发表时间：
1986-11-01
期刊：
影响因子：
19.7
通讯作者：
KOHDA, E
中科院分区：
文献类型：
--
作者：
YAMATO, M;LECKY, JW;KOHDA, E
回顾性分析了59例高须动脉炎患者（女性57例，男性2例）。在获得胸片的患者中，68%的患者胸片异常（n = 49）。主动脉轮廓改变和钙化是常见的表现。接受全主动脉造影（n = 50）的患者中有68%患有全身性主动脉炎，28%的患者受累仅限于胸主动脉和/或其分支。狭窄是主动脉及其分支最常见的血管造影发现，但闭塞（n = 4）、动脉瘤（n = 3）和扩张（n = 15）也不罕见。3例可见血管外结构（血管管）。86% （n = 21）的肺动脉造影显示异常。闭塞是目前最常见的发现。没有对任何肺叶的偏爱，也与系统性动脉炎无关。结论：高须动脉炎特征性地分别累及全身动脉和肺动脉。全主动脉造影和肺动脉造影是诊断和评估疾病程度的必要手段。
Fifty-nine patients (57 females, two males) with Takayasu arteritis were retrospectively evaluated. Chest radiographs were abnormal in 68% of patients in whom they were obtained (n = 49). Aortic contour changes and calcification were frequent findings. Sixty-eight percent of patients who underwent total aortography (n = 50) had panaortitis, and 28% had involvement confined to the thoracic aorta and/or its branches. Stenosis was the most common angiographic finding in the aorta and its branches, but occlusion (n = 4), aneurysm (n = 3), and dilatation (n = 15) were not infrequent. Adventitial vascular structures (the vasa vasorum) were seen in three cases. Eighty-six percent (n = 21) of pulmonary arteriograms showed abnormalities. Occlusion was by far the most common finding. There was no predilection for any lobe nor correlation with systemic arteritis. It was concluded that Takayasu arteritis characteristically involves the systemic and the pulmonary arteries independently. Total aortography and pulmonary arteriography are necessary to diagnose and evaluate the extent of the disease.