Chronic total occlusion and successful drug-eluting stent placement in Takayasu arteritis-induced renal artery stenosis

Academic Article


  • Takayasu arteritis-induced renal artery stenosis (TARAS) is a condition rarely described in the literature. Although percutaneous transluminal angioplasty and stenting has been well-described in the treatment of atherosclerotic renal artery stenosis, its role has not been established in non-atherosclerotic TARAS. We report a case of a female, age 17 years, with Takayasu arteritis who presented to the hospital with seizures and hypertensive crisis. A renal angiogram showed chronic total occlusion (CTO) of the left renal artery. Renal angioplasty and stenting was successfully performed after multiple attempts to deliver a wire distal to the CTO. After sequential balloon predilation, a drug-eluting stent was deployed, resulting in full reperfusion of the kidney. The patient's blood pressure improved dramatically, and patency of the stent was demonstrated with magnetic resonance angiography over 9 months after the procedure. © 2013 Marshfield Clinic.
  • Authors

    Digital Object Identifier (doi)

    Author List

  • Agarwal G; Vats HS; Raval AN; Yevzlin AS; Chan MR; Gimelli G
  • Start Page

  • 233
  • End Page

  • 236
  • Volume

  • 11
  • Issue

  • 4