{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T13:05:56Z","timestamp":1779109556943,"version":"3.51.4"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Coronary involvement in Takayasu arteritis is characterized by chronic fibrotic thickening of the arterial intima and is associated with a high risk of restenosis after coronary intervention. In young women, coronary artery bypass grafting and coronary stenting are often undesirable, owing to long-term procedural implications and considerations regarding future pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A 21-year-old woman presented with severe left main coronary artery stenosis caused by Takayasu arteritis. After inflammation had been adequately controlled with glucocorticoid therapy and a monoclonal antibody directed against the interleukin-6 receptor, stentless revascularization was undertaken. Directional removal of fibrotic tissue was followed by inflation of a drug-coated coronary balloon. This approach led to a complete relief of the patient\u2019s symptoms, and imaging over 5 years demonstrated sustained patency of the left main coronary artery without restenosis. The patient gave birth to two healthy children without experiencing cardiovascular complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case illustrates the potential value of a stentless strategy that integrates systemic control of vascular inflammation with targeted removal of fibrotic coronary tissue. The favourable long-term outcome emphasizes the importance of deferring coronary intervention until inflammatory activity has been adequately suppressed. It further suggests that a personalized revascularization approach without stent implantation may be a viable alternative in patients for whom conventional bypass surgery or coronary stenting is undesirable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag317","type":"journal-article","created":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T12:08:22Z","timestamp":1777637302000},"source":"Crossref","is-referenced-by-count":0,"title":["Stentless left main revascularisation for takayasu arteritis using directional coronary atherectomy and a drug-coated balloon: a case report"],"prefix":"10.1093","volume":"10","author":[{"given":"Yota","family":"Koyabu","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine, Dokkyo Medical University Hospital , 880 Kitakobayashi, Mibu, Shimotsuga, Tochigi 321-0293 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,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeru","family":"Toyoda","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Dokkyo Medical University Hospital , 880 Kitakobayashi, Mibu, Shimotsuga, Tochigi 321-0293 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"2026051808055948000_ytag317-B1","doi-asserted-by":"crossref","first-page":"1701","DOI":"10.1161\/CIRCULATIONAHA.114.012547","article-title":"Current clinical features of new patients with Takayasu arteritis observed from cross-country research in Japan: age and sex specificity","volume":"132","author":"Watanabe","year":"2015","journal-title":"Circulation"},{"key":"2026051808055948000_ytag317-B2","doi-asserted-by":"crossref","first-page":"1349","DOI":"10.1002\/art.41774","article-title":"2021 American College of Rheumatology\/Vasculitis 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