How would you approach a patient incidentally found to have PET avid large vessel vasculitis on CT angiogram during pre CABG workup?

Observational data from cohorts of patients with Takayasu arteritis has shown that patients with active vasculitis undergoing surgical intervention are more likely to require re-operation (e.g. Fields et al., PMID 16414389).

Based on such data, the ACR/VF guidelines for the management of large vessel vasculitis suggest ' delaying surgical intervention until the disease is quiescent over performing surgical intervention while the patient has active disease' (Maz et al., PMID 34235884).

However, urg...