TAKAYASU'S ARTERITIS OVERVIEW OF MEDICAL SURGICAL NURSING..pptx

TAKAYASU'S ARTERITIS OVERVIEW

1. PRESENTATOR MS . KAVIPRIYA MSc NURSING 1 st YEAR GANGA COLLEGE OF NURSING COIMBATORE

2. TAKAYASU’S ARTERITIS INTRODUCTION TAKAYASU’’S ARTERITIS also known as ‘PULSE LESS DISEASE’ that is a rare form vasculitis that affect large arteries mainly aorta and its branches.Its to be an autoimmune disease which mean that the body comes under attack by its own immune system then immune system attacking the blood vessels. INCIDENCE This is rare affecting perhaps one in 2000,000 people .it mostly often occurs in people ages 15-40 years .sometimes affect younger children or middle children especially female than male .

3. PHASES

4. ISHIKAWA’S CRITERIA FOR THE DIAGNOSIS OF TAKAYASU ARTERITIS MAJOR CRITERIA LEFT MID SUBCLAVIAN ARTERY DEFINITION The most severe stenosis or occlusion present in the mid portion from the point 1cm proximal to the LEFT VERTEBRAL ARTERY orifice determined by angiography.

5. cont…. RIGHT MID SUBCLAVIAN ARTERY LESION The most severe stenosis or occlusion present in the mid portion from the RIGHT VERTEBRAL ARTERY orifice determined by angiography .

6. MINOR CRITERIA HIGH ESR Unexplained persistent high ESR above 20 mm\h at diagnosis or presence of evidence in patient history .

7. HYPERTENSION Persistent blood pressure above 140/90mmHg brachial above160/90mmHg

8. MEDICAL MANAGEMENT 1 . CORTICOSTEROID Prednisone 2. IMMUNE SYSTEM REGULATORS Infliximab Remicade 3.OTHER DRUGS SUPPRESS THE IMMUNE SYSTEM Methotrexate Azathioprine Leflunomide VITAMIN D

9. SURGICAL MANAGEMENT BYPASS SURGERY AORTIC VALVE SURGERY BLOOD VESSEL WIDENING[ANGIOPLAST Y]

10. REFERENCE TAKAYASU’S ARTERITIS – Deniela barto1,Ecateria Bonta 1,s. Ghiorghel 1 cercetari exprimental &medico- Chiurgicale anul XIII1Nr3-4/2006 page 149-152 Tekayasu’s arterities a review of the literature –Silvia maffei , michele di renzo (intern Emerg med 2006 ; page no 105-112 Current status of aroto arteritis in India manotosh panja pc model Aorta arteries presenting as coarctation of aorta bahuleyan cg bhuvaneshwaran KB

11. THANK YOU