The most common types of large vessel vasculitis (LVV) are giant cell arteritis (GCA) and Takayasu arteritis (TAK). The main feature of both is chronic inflammation of the arteries. Rapid management is key to preventing damage to the artery walls leading to blindness or aneurysm.
EULAR recommendations for the management of LVV covering assessment, investigation, and treatment were first developed in 2008. The 2018 update noted that one of the key points of management is that LVV diagnosis should be confirmed by imaging or histology. To support this, specific recommendations around the use of imaging were developed alongside the management guidelines in 2018.
Overall, three overarching principles and eight recommendations were developed. The principles state that for people with with suspected GCA, early imaging is recommended to support theImaging should be done by a trained specialist using appropriate equipment, standardized operational procedures, and settings—and for those with positive results on imaging, the diagnosis of GCA may be made without a biopsy or further tests.
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