skip to main content

Takayasu Vascular Intervention — SCE Rheumatology MCQ

Instant feedback + full explanation. One question, done properly.

HardVasculitisTakayasu Vascular InterventionSCE Rheumatology

A woman with Takayasu arteritis has critical renal-artery stenosis causing refractory renovascular hypertension. When is revascularization most appropriately considered?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Revascularize significant stenosis after controlling vascular inflammation

The best answer is “Revascularize significant stenosis after controlling vascular inflammation”. Revascularization can be considered for critical symptomatic lesions, preferably when vascular inflammation is controlled because active disease increases restenosis and procedural risk. Nephrectomy and thrombolysis do not address typical chronic stenosis, while both endovascular and surgical approaches may have selected roles.

Reference: EULAR large-vessel vasculitis recommendations: https://ard.bmj.com/content/79/1/19