Temporal Artery Biopsy for Giant Cell Arteritis

http://www.eyepodvideo.org This is a narrated video explaining the steps of a temporal artery (TA) biopsy. A TA biopsy is indicated when patients are suspected of having giant cell arteritis. The video is useful for ophthalmic surgeons who want to review this surgery. Patients with this diagnosis may find it helpful because a patient with giant cell arteritis who had the surgery is interviewed.

Author: Donahue, Mizener, Verdick, and Kardon
University of Iowa
Department of Ophthalmology

Subscribe to our FREE newsletter http://www.medrounds.org/ophthalmology-pearls/

Category:

Education

Tags:

• temporal
• artery
• biopsy
• giant
• cell
• arteritis
• ophthalmology
• medicine

[phacoman]

how can you palapate the temporal artery pre-op when in GCA is very typical to find out that the TA is absent? thanks

[Eyepodvideo]

The TA is not absent; however, the pulse is likely attenuated due to lower blood flood due to artery infarction. If the artery cannot be palpated, then we use a hand held doppler to map out the position of the artery.

[DevilCondori]

increible

[YouChannelMD]

@gwalio Vascular surgeon

[MalinowaMalin]

Thanks for a great video! YouTube is priceless when you need to check how different procedures are performed.

I have a question regarding the complications after this procedure - after ligating the artery, most of the ipsilateral scalp will be without blood supply. How does that affect the patient?

Thanks again!

[mlankaod]

Thank you for making this GCA biopsy video....

[Phospholipidicious]

GCA, PAN, Takayasu, Kawasaki, MPA, Wegener... keep forgetting which is which! but this video will make me remember GCA... FRAGMENTATION OF INTERNAL ELASTIC LAMINA --> KEY! thats all i need to know for the exam! thanks for the video!

[Phospholipidicious]

GCA, PAN, Takayasu, Kawasaki, MPA, Wegener... keep forgetting which is which! but this video will make me remember GCA... thanks

[AuntPearlsGlorybox]

I recently took my 81 year old mother to the hospital for this procedure. My God now I feel cruel!!

[GreenTeaGringo]

Poor old dear, and doesn't she know it!

[puppiesrule98]

I think I'm gonna puke...