Claudication and Hypertension From Aortic Occlusion in Takayasu Arteritis: Revascularization With Excimer Laser and Drug-Eluting Stent.

This article focuses on evaluating a multimodal endovascular approach combining excimer laser atherectomy (ELA), percutaneous transluminal angioplasty (PTA), and drug-eluting stent (DES) implantation to treat complex infra-renal aortic occlusion in a young female patient with Takayasu arteritis (TA), a rare large vessel vasculitis. The case demonstrated that this minimally invasive strategy effectively restored aortic patency, improved ankle-brachial indices, normalized blood pressure, and resolved claudication symptoms at six months post-procedure. The report highlights the novel application of ELA in TA-related aortic lesions, suggesting potential benefits in reducing restenosis risk when integrated with DES, while emphasizing the importance of multidisciplinary management and ongoing surveillance. Further research is recommended to assess the long-term outcomes of this combined endovascular treatment in TA patients.