Aortic and Arterial Aneurysms in Behçet Disease: Management with Stent-Grafts—Initial Experience

Park, Jae Hyung; Chung, Jin Wook; Joh, Joon Hee; Song, Soon Young; Shin, Seokmin; Chung, Kyu Sik; Lee, Do Yun; Won, Jong Yoon; Kim, Sang Joon

doi:10.1148/radiol.2203001418

Cited by 130 publications

(84 citation statements)

References 15 publications

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“…In recent years, there have been a number of reports regarding the use of stent-graft treatment in patients with Behçet's disease as a minimally invasive treatment as an alternative to the conventional surgical method consisting of the graft replacement. [5][6][7][8] However, many questions remain unsolved regarding its long-term outcome. Park, et al, 8) reported that the recurrence of an aneurysm at the distal part of the stent graft was found in 1 patient in whom stent grafts were placed in nine different locations for the treatment of aneurysms due to Behçet's disease.…”

Section: Discussionmentioning

confidence: 99%

Single-Stage Endovascular Treatment Performed on Multiple Aortic Aneurysms in a Patient with Behçet’s Disease—Report of a Case

Saiki

Nakamura

Fujiwara

et al. 2013

Annals of Vascular Diseases

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A 50-year-old male diagnosed with Behçet's disease was referred to our department for stent graft treatment because of thoracic, abdominal, and right common iliac artery (CIA) aneurysms. He had a superior mesenteric artery aneurysm in 2005 that was treated with resection and bypass surgery through the radial artery. He later underwent four abdominal surgical procedures for conditions such as intestinal perforation and ileus. Stent graft treatment was performed. The postoperative course was uneventful; postoperative computed tomography (CT) showed no apparent endoleak, while that performed at 3 years post-discharge showed that the aneurysms had decreased in size.

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Section: Discussionmentioning

confidence: 99%

Single-Stage Endovascular Treatment Performed on Multiple Aortic Aneurysms in a Patient with Behçet’s Disease—Report of a Case

Saiki

Nakamura

Fujiwara

et al. 2013

Annals of Vascular Diseases

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“…Venous aneurysms in BD are due to presence of a predisposing factor such as trauma or other inflammatory disorders [18]. Arterial manifestations occur less frequently comparing with venous involvement and constitute 12% of vascular complications [12,19,20]. Aneurysm of the thoracic aorta, pulmonary artery and major branches occur in 65% of patients and occlusion in 35% [20,21].…”

Section: Thoracic Vascular System Involvementmentioning

confidence: 99%

“…Arterial manifestations occur less frequently comparing with venous involvement and constitute 12% of vascular complications [12,19,20]. Aneurysm of the thoracic aorta, pulmonary artery and major branches occur in 65% of patients and occlusion in 35% [20,21]. BD is one of the most common causes of pulmonary artery aneurysms (Figures 3 and 4).…”

Section: Thoracic Vascular System Involvementmentioning

confidence: 99%

Pulmonary and Thoracic Vascular Involvement in Behcet's Disease on CT

Damgacı¹

2017

OMICS J Radiol

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“…3 Park et al treated seven patients with aortic aneurysms using endovascular surgery and observed one case of degeneration of the distal endoprosthesis anchor site. 10 Nitecki et al…”

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confidence: 99%

Tratamento endovascular de aneurisma de aorta abdominal com erosão de vértebra lombar associada à doença de Behçet: relato de caso

et al. 2017

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Behçet' s disease is an autoimmune, multifactorial, systemic condition with several clinical manifestations, including vascular disorders. An aortic aneurysm with vertebral erosion is rare in association with this pathology and there are only four case reports listed on the PubMed database. This article reports the case of a female patient with a long-standing diagnosis of Behçet' s Disease who developed a saccular infrarenal abdominal aortic aneurysm with lumbar vertebral erosion. Her surgical treatment consisted of endovascular repair with a monoiliac endoprosthesis and a femorofemoral crossover bypass, because of limitations imposed by the anatomy of the aortic bifurcation. This paper discusses the rarity of this presentation of the disease and treatment outcomes and offers a brief review of the relevant literature.Keywords: Behçet' s Disease; aneurysm; spinal column; vertebral lesions. ResumoA doença de Behçet é uma doença sistêmica, multifatorial e autoimune com diversas manifestações clínicas, entre elas o acometimento vascular. Aneurisma de aorta associado a erosão de vértebra lombar é condição rara na literatura, existindo apenas quatro relatos de caso nas bases de dados da PubMed. O presente artigo relata o caso de paciente do sexo feminino com diagnóstico de Doença de Behçet de longa data e aneurisma sacular de aorta abdominal infrarrenal com erosão de vértebra lombar. O caso foi tratado por meio de técnica endovascular com colocação de endoprótese monoilíaca e enxerto fêmoro-femoral cruzado, devido a limitações anatômicas da bifurcação aórtica. O artigo aborda a raridade desse tipo de apresentação da doença e o desfecho do tratamento e apresenta revisão da literatura sobre esse tema.Palavras-chave: Doença de Behçet; aneurisma; coluna vertebral; lesões de coluna vertebral.

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Aortic and Arterial Aneurysms in Behçet Disease: Management with Stent-Grafts—Initial Experience

Abstract: The findings in this initial experience suggest that stent-graft insertion may be a safe and effective alternative to surgical treatment of aortic and arterial aneurysms in patients with Behçet disease.

Cited by 130 publications

References 15 publications

Single-Stage Endovascular Treatment Performed on Multiple Aortic Aneurysms in a Patient with Behçet’s Disease—Report of a Case

Single-Stage Endovascular Treatment Performed on Multiple Aortic Aneurysms in a Patient with Behçet’s Disease—Report of a Case

Pulmonary and Thoracic Vascular Involvement in Behcet's Disease on CT

Tratamento endovascular de aneurisma de aorta abdominal com erosão de vértebra lombar associada à doença de Behçet: relato de caso

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