ArticleAnnals of medicine and surgery (2012)2016
The impact of temporal artery biopsy on surgical practice.
Article in Annals of medicine and surgery (2012), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 24 citations in OpenAlex.
- Ocular Manifestations of Giant Cell Arteritis.Advances in ophthalmology and optometry · 2025Article
- Halo Sign on Temporal Artery Ultrasound Aids in Prompt Diagnosis of Giant Cell Arteritis.Methodist DeBakey cardiovascular journal · 2025Article
- Questioning the Utility of Temporal Artery Biopsy in Giant Cell Arteritis: A Negative Biopsy May Facilitate Decision-making.Plastic and reconstructive surgery. Global open · 2023Article
- Temporal Artery Biopsy Debate: Positive TAB Result Prolongs Steroid Use in Giant Cell Arteritis.Plastic and reconstructive surgery. Global open · 2022Article
- Necessity of Temporal Artery Biopsy for Giant Cell Arteritis: A Systematic Review.Plastic and reconstructive surgery. Global open · 2022Article
- Evolution of ultrasound in giant cell arteritis.Frontiers in medicine · 2022Review
- Giant Cell Arteritis among Fevers of Unknown Origin (FUO): An Atypical Presentation.European journal of case reports in internal medicine · 2021Article
- Aortic dissection and accelerated aneurysmal degeneration in a patient with giant cell arteritis.Journal of vascular surgery cases and innovative techniques · 2020Article
- Connecting the dots: a story of unknown fever, acute coronary syndrome and pan-aortitis-an occult relapse of a large vessel vasculitis.BMJ case reports · 2019Article
- Hypertrophic pachymeningoencephalitis associated with temporal giant cell arteritis.BMJ case reports · 2018Article
- Temporal headache and jaw claudication may be the key for the diagnosis of giant cell arteritis.Medicina oral, patologia oral y cirugia bucal · 2018Observational
- Challenges of diagnosis and management of giant cell arteritis in general practice: a multimethods study.BMJ open · 2018Article
- Temporal artery biopsy in the diagnosis of giant cell arteritis: Does the end justify the means?Annals of medicine and surgery (2012) · 2017Article
- Multivariable prediction model for suspected giant cell arteritis: development and validation.Clinical ophthalmology (Auckland, N.Z.) · 2017Article
- Temporal Artery Biopsy for Diagnosing Giant Cell Arteritis: A Ten-year Review.Journal of ophthalmic & vision researchReview
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGiant cell arteritis (GCA) has the potential to cause irreversible blindness and stroke in affected patients [1-4]. Temporal artery biopsy (TAB) remains the gold standard test for GCA [6-8]. Recent literature suggests that TAB does not change management of patients with suspected GCA and that ultrasound scan (USS) may be sufficient enough alone to confirm the diagnosis [9-11,13]. The aim of this study is to therefore determine the impact of TAB on current surgical practice and emergency theatre services. MATERIALS AND
methodsA retrospective clinical study was performed of patients who had undergone TAB at the Caboolture Hospital from January 2010 to September 2015. Demographic and clinical data was collected from patient's medical records in regards to GCA.
resultsA total of 55 TAB were performed on 50 patients. Only two TAB were positive for GCA. Thirty-eight (76%) patients had a pre-TAB ACR criteria score of ≥3. Pre-operative corticosteroids were administered in forty-five (90%) patients, on average 4 ± 10 days pre-TAB. Mean time to TAB was 1.6 ± 1.6 days following their booking. Ninety-one percent of TAB were performed by surgical registrars. All TAB were performed using local anaesthesia alone.
conclusionsTAB is an expensive procedure with a low positive yield. Recent evidence suggests promising results with USS in diagnosing GCA. With the exceedingly low positive TAB results found in this study, patients with suspected GCA should be investigated in accordance with the above algorithm. The routine use of USS will reduce the number of negative TAB performed.
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