Download - Takayasu’s disease
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Takayasu’s Disease Takayasu’s Disease NewNew
Louay Altarazi , M.D Damascus, Syr ia
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Case 1Case 1
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Case 2Case 2
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Case 3Case 3
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Buerger’s Disease Buerger’s Disease New endovascular approach New endovascular approach
Louay Altarazi , M.D Damascus, Syr ia
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"Oriental" countries are well known for certain life style and "Oriental" countries are well known for certain life style and history, they also share certain characteristic vascular history, they also share certain characteristic vascular
pathologies and social reactions to disease and treatment.pathologies and social reactions to disease and treatment.
Buerger’s disease “TAO” may be the most typical Buerger’s disease “TAO” may be the most typical entity due to its high prevalence in our region entity due to its high prevalence in our region and rarity in occidental population, the and rarity in occidental population, the diff icult ies to deal with the character ist ic diff icult ies to deal with the character ist ic psychic background of those young patients and psychic background of those young patients and the increase of young smokers in oriental the increase of young smokers in oriental societ ies . societ ies . In Syria this pathology presents 6 -15% of all In Syria this pathology presents 6 -15% of all
foots critical ischemia cases andfoots critical ischemia cases and
More than 70% of male young's foot necrosisMore than 70% of male young's foot necrosis
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What Treatment ? (literature)What Treatment ? (literature)
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Ultrasonic diagnosticUltrasonic diagnostic
corkscrew appearance, bidirectional flow corkscrew appearance, bidirectional flow
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Inclusion CriteriaInclusion Criteria
Olin’s Diagnostic cr iter ia Olin’s Diagnostic cr iter ia
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The procedure The procedure (in brief)(in brief)
before during after
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Before during afterBefore during after
The procedure The procedure (in brief)(in brief)
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Before during afterBefore during after
The procedure The procedure (in brief)(in brief)
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Before during afterBefore during after
The procedure The procedure (in brief)(in brief)
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Angiosomal conceptAngiosomal concept
A T PER P T
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Anatomic ConsiderationAnatomic Consideration
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BTK endovascular procedures BTK endovascular procedures characteristicscharacteristics
AtherosclerosisDiabetic arteriopathy
Buerger’s disease
Pain during procedure
slightly painful specially during inflating balloons
painless Can be very Painful
Recoil after PTA Possible leading toVascular reoclusion
Very rare Frequent but often transitory
Wire & cath-balloon passage
Relatively easy somehow difficult Difficult needs hard pushability
Subintimal way Almost possible Sometimes feasible impossible
Incomplete recanalization
Rarely useful ineffective Can be effective du to intense vasavasorium development
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Peri-procedure carePeri-procedure care
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From January 2006 to July 2011From January 2006 to July 2011
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Clinical ImprovementClinical Improvement ( (21 patients fol lowed for 6-30 months)21 patients fol lowed for 6-30 months)
One major and three minor amputation
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Before afterBefore after
Clinical caseClinical case
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Before afterBefore after
Clinical caseClinical case
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Before afterBefore after
Clinical caseClinical case
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Before afterBefore after
Clinical caseClinical case
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Before afterBefore after
Clinical caseClinical case
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Before afterBefore after
Clinical caseClinical case
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ConclusionConclusion