Update on Takayasu’s arteritis in pregnancy
Main Article Content
Saïd JIDANE
http://orcid.org/0000-0001-5593-0887
Ahmed BELKOUCH
Mustapha NOUSSAIR
Saad ZIDOUH
Lahcen BELYAMANI
http://orcid.org/0000-0001-5593-0887
Ahmed BELKOUCH
Mustapha NOUSSAIR
Saad ZIDOUH
Lahcen BELYAMANI
Abstract
Takayasu’s arteritis (TAK) is an inflammatory large-vessel vasculitis of unknown origin, affecting primarily the aorta and its branches. It has been reported all over the world, with wide variation in its prevalence in different geographic areas. It predominantly affects women of reproductive age. And it appears that the hemodynamic changes during pregnancy further exacerbate the pathologic cardiovascular manifestations of the disease, thereby negatively impacting both mother and fetus. So, management of pregnancies in TAK patients is a challenge that needs careful patient evaluation, treatment of TAK complications, and anesthetic surgical planning.
The aim of our article is to make an update of the novel finding in Takayasu’s arteritis in pregnancy, and to highlight management considerations for treatment and anesthetic technique of such special patients.
Article Details
How to Cite
JIDANE, Saïd et al.
Update on Takayasu’s arteritis in pregnancy.
Medical Research Archives, [S.l.], v. 5, n. 4, apr. 2017.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/1161>. Date accessed: 16 dec. 2024.
Keywords
Takayasu’s arteritis, pregnancy, preeclampsia, Anesthesia, Cesarean section
Section
Review Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
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2. Lazzarin P, Pasero G, Marson P, et al. Takayasu’s arteritis. A concise review and some observations on a putative case reported by Giovanni Battista Morgagni (1761). Reumatismo. 2005;57:305–13.
3. Weyand CM, Goronzy JJ. Medium- and large-vessel vasculitis. N Engl J Med. 2003;349(2):160-169.
4. Kraemer B, Abele H, Hahn M, et al. A successful pregnancy in a patient with Takayasu’s arteritis. Hypertens Pregnancy 2008;27:247e52.
5. Dey M, et al., Takayasu arteritis in pregnancy, Medical Journal Armed Forces India (2015).04.013
6. Kerr GS, Hallahan CW, Giordono J, et al. Takayasu’s arteritis. Ann Intern Med 1994;120:919–29.
7. Nasu T. Takayasu’s truncoarteritis in Japan. A statistical observation of 76 autopsy cases. Pathol Microbiol (Basel) 1975;43:140–6.
8. Hewill S, Barr W, Lie JT, et al. Takayasu arteritis study of 32 North American patients. Medicine (Baltimore) 1985;64:89.
9. Jean Schmidt et al. Diagnostic Features, Treatment, and Outcomes of Takayasu Arteritis in a US Cohort of 126 Patients. Mayo Clin Proc. 2013;88(8):822-830.
10. Waern AU, Andersson P, Hemmingsson A. Takayasu's arteritis: a hospital-region based study on occurrence, treatment and prognosis. Angiology 1983;34:311–20.
11. Mathew AJ, Goel R, Kumar S, et al. Childhood-onset Takayasu arteritis: an update. Int J Rheum Dis. 2015. doi: 10.1111/1756-185X.12718.
12. Mitchell CS, Parisi MT. Magnetic resonance imaging of 744 Takayasu's aortitis in an infant. J Am Osteopath Assoc 1997;97:607–9.
13. Ioscovich A, Gislason R, Fadeev A et al. – Peripartum anesthetic management of patients with Takayasu’s arteritis: case series and review. Int J Obstet Anesth, 2008;17:358-364.
14. Shashi Kiran, Mamta Bhardwaj, Kiranpreet Kaur. Anaesthetic management in a parturient with Takayasu arteritis. Egyptian Journal of Anaesthesia (2012) 28, 287–289.
15. Wong VC, Wang RY, Tse TF. Pregnancy and Takayasu's arteritis. Am J Med. 1983;75:597e601.
16. Jesu´ s GR, Oliveira ICC, Santos FCD, et al. Pregnancy may aggravate arterial hypertension in women with Takayasu arteritis. IMAJ. 2012;14:725e728.
17. Alibaz-Oner F, Direskeneli H. Update on Takayasu's arteritis. Presse Med. (2015):01.015.
18. Johnston SL, Lock RJ, Gompels MM. Takayasu arteritis: a review. J Clin Pathol. 2002;55(7):481-6.
19. Vaideeswar P, Deshpande JR. Pathology of Takayasu arteritis: A brief review. Annals of Pediatric Cardiology 2013;6(1):52-8.
20. Hotchi M. Pathological studies on Takayasu arteritis. Heart Vessels 1992;7(1):11-7.
21. Terao C,Yoshifuji H,Mimori T. Recent advances in Takayasu arteritis. Int J Rheum Dis 2014;17:238–47.
22. Saruhan-Direskeneli G, et al. Interleukin (IL)-12, IL-2, and IL6 genepolymorphisms in Takayasu's arteritis from Turkey. Hum Immunol 2006;67:735–40.
23. Saruhan-Direskeneli G, et al. Identification of multiple genetic susceptibility Loci in takayasu arteritis. Am J Hum Genet 2013;93:298–305.
24. Terao C, et al. Two susceptibility loci to Takayasu arteritis reveal a synergistic role of the IL12 Band HLA-B regions in a Japanese population. Am J Hum Genet 2013;93:289–97.
25. Saadoun D, Garrido M, Comarmond C, et al. Th1 and th17 cytokines drive inflammation in takayasu arteritis. Arthritis Rheumatol. 2015;67:1353–1360.
26. Misra DP, Chaurasia S, Misra R. Increased circulating Th17 cells, serum IL-17A, and IL-23 in Takayasu arteritis. Autoimmune Dis. 2016;2016:8.
27. Wang X, Chen B, Lv N, Liu Q, Dang A. Association of abnormal lipid spectrum with the disease activity of Takayasu arteritis. Clin Rheumatol. 2015;34:1243–1248.
28. Lupi-Herrera E, Sanchez-Torres G, Marcushamer J et al. – Takayasu’s arteritis. Clinical study of 107 cases. Am Heart J, 1977;93:94-103.
29. Ishikawa K – Natural history and classification of occlusive thromboaortopathy (Takayasu’s disease). Circulation, 1978;57:27-35.
30. Sano K. Takayasu disease pulseless disease. Brain Nerve 2008;60:31– 35.
31. Gulati A, Bagga A. Large vessel vasculitis. Pediatr Nephrol. 2010;25(6):1037-48
32. Belyamani L, et al. Takayashu et grossesse. Annales de Cardiologie et d’Angiologie 58 (2009) 187-188.
33. Leal P, et al. Takayasus’s Arteritis in Pregnancy. Case Report and Literature Review. Rev Bras Anestesiol 2011;61(4): 479-485
34. Matsumura A, Moriwaki R, Numano F – Pregnancy in Takayasu arteritis from the view of internal medicine. Heart Vessels, 1992;7(Suppl):120-124.
35. Li L.T, et al. Takayasu Arteritis Complicating Pregnancy in Adolescence. Ann Vasc Surg 2012; 26: 858.e7-858.e10.
36. Ishihara T, et al. Sensitive assessment of activity of Takayasu's arteritis by pentraxin3, a new biomarker. J Am Coll Cardiol 2011; 57:1712–3.
37. Kissin EY, Merkel PA. Diagnostic imaging in Takayasu arteritis. Curr Opin Rheumatol. 2004 Jan;16:31e37.
38. Maksimowicz-McKinnon K, Clark TM, Hoffman GS. Takayasu arteritis and giant cell arteritis: a spectrum within the same disease? Medicine (Baltimore) 2009;88(4):221-6.
39. Sharma BK, Jain S, Vasishta K. Outcome of pregnancy in Takayasu arteritis. Int J Cardiol 2000;75(Suppl. 1):S159e62.
40. Kerr GS, Hallahan CW, Giordano J, et al. Takayasu arteritis. Ann Intern Med 1994;120:919e29.
41. Maksimowicz-McKinnon K, Clark TM, Hoffman GS. Limitations of therapy and a guarded prognosis in an American cohort of Takayasu arteritis patients. Arthritis Rheum 2007;56:1000e9.
42. Kötter I, Henes JC, Wagner AD, et al. Does glucocorticosteroid resistant large-vessel vasculitis (giant cell arteritis and Takayasu arteritis) exist and how can remission be achieved? A critical review of the literature. Clin Exp Rheumatol 2012;30 Suppl 70:S114-29.
43. Gasch O, Vidaller A, Pujol R. Takayasu arteritis and pregnancy from the point of view of the internist. J Rheumatol. 2009;36(7):1554-5.
44. Thornton P, Douglas J – Coagulation in pregnancy. Best Pract Res Clin Obstet Gynaecol, 2010;24:339-352.
45. Keser G, Direskeneli H, Aksu K. Management of Takayasu arteritis: a systematic review. Rheumatology (Oxford) 2014;53(5):793-801.
46. Beilin Y, Bernstein H. Successful epidural anaesthesia for a patient with Takayasu’s arteritis presenting for caesarean section. Can J Anaesth 1993;40:64–6.
47. Choi DH, Kim JA, Chung IS – Comparison of combined spinal epidural anesthesia and epidural anesthesia for caesarean section. Acta Anaesthesiol Scand, 2000;44:214-219.
48. Clark AG, Al-Qatari M. Anaesthesia for Caesarean section in Takayasu’s disease. Can J Anaesth 1998;45:377–9.
49. Kawaguchi M, Ohsumi H, Nakajima T et al. – Intra-operative monitoring of cerebral haemodynamics in a patient with Takayasu’s arteritis. Anaesthesia, 1993;48:496-498.
2. Lazzarin P, Pasero G, Marson P, et al. Takayasu’s arteritis. A concise review and some observations on a putative case reported by Giovanni Battista Morgagni (1761). Reumatismo. 2005;57:305–13.
3. Weyand CM, Goronzy JJ. Medium- and large-vessel vasculitis. N Engl J Med. 2003;349(2):160-169.
4. Kraemer B, Abele H, Hahn M, et al. A successful pregnancy in a patient with Takayasu’s arteritis. Hypertens Pregnancy 2008;27:247e52.
5. Dey M, et al., Takayasu arteritis in pregnancy, Medical Journal Armed Forces India (2015).04.013
6. Kerr GS, Hallahan CW, Giordono J, et al. Takayasu’s arteritis. Ann Intern Med 1994;120:919–29.
7. Nasu T. Takayasu’s truncoarteritis in Japan. A statistical observation of 76 autopsy cases. Pathol Microbiol (Basel) 1975;43:140–6.
8. Hewill S, Barr W, Lie JT, et al. Takayasu arteritis study of 32 North American patients. Medicine (Baltimore) 1985;64:89.
9. Jean Schmidt et al. Diagnostic Features, Treatment, and Outcomes of Takayasu Arteritis in a US Cohort of 126 Patients. Mayo Clin Proc. 2013;88(8):822-830.
10. Waern AU, Andersson P, Hemmingsson A. Takayasu's arteritis: a hospital-region based study on occurrence, treatment and prognosis. Angiology 1983;34:311–20.
11. Mathew AJ, Goel R, Kumar S, et al. Childhood-onset Takayasu arteritis: an update. Int J Rheum Dis. 2015. doi: 10.1111/1756-185X.12718.
12. Mitchell CS, Parisi MT. Magnetic resonance imaging of 744 Takayasu's aortitis in an infant. J Am Osteopath Assoc 1997;97:607–9.
13. Ioscovich A, Gislason R, Fadeev A et al. – Peripartum anesthetic management of patients with Takayasu’s arteritis: case series and review. Int J Obstet Anesth, 2008;17:358-364.
14. Shashi Kiran, Mamta Bhardwaj, Kiranpreet Kaur. Anaesthetic management in a parturient with Takayasu arteritis. Egyptian Journal of Anaesthesia (2012) 28, 287–289.
15. Wong VC, Wang RY, Tse TF. Pregnancy and Takayasu's arteritis. Am J Med. 1983;75:597e601.
16. Jesu´ s GR, Oliveira ICC, Santos FCD, et al. Pregnancy may aggravate arterial hypertension in women with Takayasu arteritis. IMAJ. 2012;14:725e728.
17. Alibaz-Oner F, Direskeneli H. Update on Takayasu's arteritis. Presse Med. (2015):01.015.
18. Johnston SL, Lock RJ, Gompels MM. Takayasu arteritis: a review. J Clin Pathol. 2002;55(7):481-6.
19. Vaideeswar P, Deshpande JR. Pathology of Takayasu arteritis: A brief review. Annals of Pediatric Cardiology 2013;6(1):52-8.
20. Hotchi M. Pathological studies on Takayasu arteritis. Heart Vessels 1992;7(1):11-7.
21. Terao C,Yoshifuji H,Mimori T. Recent advances in Takayasu arteritis. Int J Rheum Dis 2014;17:238–47.
22. Saruhan-Direskeneli G, et al. Interleukin (IL)-12, IL-2, and IL6 genepolymorphisms in Takayasu's arteritis from Turkey. Hum Immunol 2006;67:735–40.
23. Saruhan-Direskeneli G, et al. Identification of multiple genetic susceptibility Loci in takayasu arteritis. Am J Hum Genet 2013;93:298–305.
24. Terao C, et al. Two susceptibility loci to Takayasu arteritis reveal a synergistic role of the IL12 Band HLA-B regions in a Japanese population. Am J Hum Genet 2013;93:289–97.
25. Saadoun D, Garrido M, Comarmond C, et al. Th1 and th17 cytokines drive inflammation in takayasu arteritis. Arthritis Rheumatol. 2015;67:1353–1360.
26. Misra DP, Chaurasia S, Misra R. Increased circulating Th17 cells, serum IL-17A, and IL-23 in Takayasu arteritis. Autoimmune Dis. 2016;2016:8.
27. Wang X, Chen B, Lv N, Liu Q, Dang A. Association of abnormal lipid spectrum with the disease activity of Takayasu arteritis. Clin Rheumatol. 2015;34:1243–1248.
28. Lupi-Herrera E, Sanchez-Torres G, Marcushamer J et al. – Takayasu’s arteritis. Clinical study of 107 cases. Am Heart J, 1977;93:94-103.
29. Ishikawa K – Natural history and classification of occlusive thromboaortopathy (Takayasu’s disease). Circulation, 1978;57:27-35.
30. Sano K. Takayasu disease pulseless disease. Brain Nerve 2008;60:31– 35.
31. Gulati A, Bagga A. Large vessel vasculitis. Pediatr Nephrol. 2010;25(6):1037-48
32. Belyamani L, et al. Takayashu et grossesse. Annales de Cardiologie et d’Angiologie 58 (2009) 187-188.
33. Leal P, et al. Takayasus’s Arteritis in Pregnancy. Case Report and Literature Review. Rev Bras Anestesiol 2011;61(4): 479-485
34. Matsumura A, Moriwaki R, Numano F – Pregnancy in Takayasu arteritis from the view of internal medicine. Heart Vessels, 1992;7(Suppl):120-124.
35. Li L.T, et al. Takayasu Arteritis Complicating Pregnancy in Adolescence. Ann Vasc Surg 2012; 26: 858.e7-858.e10.
36. Ishihara T, et al. Sensitive assessment of activity of Takayasu's arteritis by pentraxin3, a new biomarker. J Am Coll Cardiol 2011; 57:1712–3.
37. Kissin EY, Merkel PA. Diagnostic imaging in Takayasu arteritis. Curr Opin Rheumatol. 2004 Jan;16:31e37.
38. Maksimowicz-McKinnon K, Clark TM, Hoffman GS. Takayasu arteritis and giant cell arteritis: a spectrum within the same disease? Medicine (Baltimore) 2009;88(4):221-6.
39. Sharma BK, Jain S, Vasishta K. Outcome of pregnancy in Takayasu arteritis. Int J Cardiol 2000;75(Suppl. 1):S159e62.
40. Kerr GS, Hallahan CW, Giordano J, et al. Takayasu arteritis. Ann Intern Med 1994;120:919e29.
41. Maksimowicz-McKinnon K, Clark TM, Hoffman GS. Limitations of therapy and a guarded prognosis in an American cohort of Takayasu arteritis patients. Arthritis Rheum 2007;56:1000e9.
42. Kötter I, Henes JC, Wagner AD, et al. Does glucocorticosteroid resistant large-vessel vasculitis (giant cell arteritis and Takayasu arteritis) exist and how can remission be achieved? A critical review of the literature. Clin Exp Rheumatol 2012;30 Suppl 70:S114-29.
43. Gasch O, Vidaller A, Pujol R. Takayasu arteritis and pregnancy from the point of view of the internist. J Rheumatol. 2009;36(7):1554-5.
44. Thornton P, Douglas J – Coagulation in pregnancy. Best Pract Res Clin Obstet Gynaecol, 2010;24:339-352.
45. Keser G, Direskeneli H, Aksu K. Management of Takayasu arteritis: a systematic review. Rheumatology (Oxford) 2014;53(5):793-801.
46. Beilin Y, Bernstein H. Successful epidural anaesthesia for a patient with Takayasu’s arteritis presenting for caesarean section. Can J Anaesth 1993;40:64–6.
47. Choi DH, Kim JA, Chung IS – Comparison of combined spinal epidural anesthesia and epidural anesthesia for caesarean section. Acta Anaesthesiol Scand, 2000;44:214-219.
48. Clark AG, Al-Qatari M. Anaesthesia for Caesarean section in Takayasu’s disease. Can J Anaesth 1998;45:377–9.
49. Kawaguchi M, Ohsumi H, Nakajima T et al. – Intra-operative monitoring of cerebral haemodynamics in a patient with Takayasu’s arteritis. Anaesthesia, 1993;48:496-498.