Manotosh Panja
The BM Birla Heart Research Centre, India
Title: Current status of intervention in Aortoarteritis in India, The largest experience of the world
Biography
Biography: Manotosh Panja
Abstract
AIM
To demonstrate that Angioplasty with or without stenting is the only sort of treatment which can save the life of the patients in addition to medical therapy with the largest experience of the world.
METHODS AND RESULTS
Aortoretritis is a chronic inflamtory disease in aorta and its branches which is prevelent worldwide. Its a single center study conducted from the year 1978 to 2012 from IPGME&R, Kolkata, West Bengal. India. We have reported the largest series of around 750 cases of non specific Aortorteritis. The male female ration was 1:6.4, and the pattern of involvement were like Type I 16%, type II 8%, type III 76%, type iv 36%, type V 10%. Angioplasty done in these cases showed involvement of aortic arch, thorasic and abdominal aorta, renal artery, carotid artery, pulmonary artery, coronary artery, aortic valve (regargitation). 274 angioplasty were done in these cases. Carotid angioplasty was attempted in 40 lesions in 36 patients with 705 success rate. 1 patient had major embolic event, 3 patient had TIA. Angiographic restenosis of carotid was seen in 7 cases (17.5%). Subclavian angioplasty was attempted in 64 lesions in 58 patients. Stenting was done in 14 cases, Aortic balloon angioplasty was done in 58 patients in 52 patients with stenting in 12 lesions. Success rate was 58% restenosis rate is following: thoracic aorta 25%, abdominal aorta 38%, 120 renal angioplasty with stenting in 96 lesions was done. Restenosis rate was 18%. Incidence of coronary artery involvement is 10% in our series. Ostial and Proximal Left main Stem as well as RCA involevement ware onserved. PTCA with cutting balloon followed by DES (LMCA and Proximal LAD 10 cases, RCA 5 cases) were done. Restenosis happened in 3 cases in 5 years.
CONCLUSIONS
Aortoarteritis carries substential morbidity and mortality. Medical therapy is not very effective. Angioplasty procedure symptometic improvement and prevent complications, failed angioplasty implicated high mortality.
