Buerger’s disease in the northeast of Iran: Epidemiology and clinical features

Modaghegh, Mohammad-Hadi Saeed; Kazemzadeh, Gholam Hosein; Ravari, Hassan; Johari, Hamed Ghoddusi; Barzanuni, Amir

doi:10.1177/1708538114552838

Cited by 12 publications

(7 citation statements)

References 44 publications

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“…In this study, the women/men sex ratio is about one-third and is in agreement with previously published reports from Western countries [5-8]. As mentioned in previous studies, clinical presentation and prognostic characteristics were not different between men and women [9].…”

Section: Discussion/conclusionsupporting

confidence: 93%

Women and Pregnancy in Thromboangiitis Obliterans

Joncour

Espitia

Soudet³

et al. 2021

J Vasc Res

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Data regarding women and thromboangiitis obliterans (TAO) are conflicted, and a few cases of pregnancy have been described. We aimed to describe the interplay between TAO and pregnancies. Among 224 TAO patients, 22.8% were women. Demographic data, clinical manifestations, and outcomes were similar between men and women. Twenty-one (41.2%) women had 48 pregnancies. Thirty-six (75%) pregnancies with on term and complication free delivery occurred. None of the patients experienced a disease flare of TAO during pregnancy. TAO does not seem to affect pregnancy complications, and pregnancy does not seem to interfere with the course of TAO.

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Section: Discussion/conclusionsupporting

confidence: 93%

Women and Pregnancy in Thromboangiitis Obliterans

Joncour

Espitia

Soudet³

et al. 2021

J Vasc Res

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“…3 This change was not confirmed in Poland 4 or in Iran. 5,6 One can hypothesize that this evolution is the consequence of tobacco consumption decrease in Western countries. 3 In 2002, in France, a decline in tobacco consumption was reported, partly because of the public health policy to discourage smoking by an increase in tobacco taxes.…”

Section: Introductionmentioning

confidence: 99%

Did the Clinical Spectrum of Thromboangiitis Obliterans Change in the Past 40 Years?

et al. 2020

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Thromboangiitis obliterans (TAO) is an inflammatory disease that usually affects small and medium-sized arteries in the upper and lower limbs of young smokers. Previous studies showed that the spectrum TAO has changed in the 80s: the male-to-female ratio decreased, older patients were diagnosed, and upper limb involvement was more common. The aim of our study was to assess the changing clinical spectrum of TAO in France during the past 40 years. All consecutive patients fulfilling TAO’s criteria between January 1967 and January 2016 were retrospectively included in 3 departments of internal medicine. We compared TAO features in patients diagnosed before and after 2002; 141 (77.5%) men and 41 (22.5%) women were included. Patients diagnosed after 2002 were older (37 [31-39] vs 34 [29-35] years P = .03), had a more frequent isolated upper limb involvement (34.3% vs 7.8% P = .001), and less frequent isolated lower limb involvement (55.7% vs 74.5%, P < .001). The clinical spectrum of TAO has changed in France since the beginning of the 21st century.

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“…Due to extensive involvement of both arteries, veins and lack of available distal vasculature surgical revascularization is very rare to be performed. It was reported only four cases of TAO patients (1.8%) over 225 were suitable and had undergone surgical revascularization in a one-year follow-up period in one study, 32 while it was reported less than 10% in other studies. 33,34 At the same time, the primary patency rates were reported to be as low as 33.3% at the third year.…”

Section: Discussionmentioning

confidence: 88%

Clinical outcomes of extended endovascular recanalization of 16 consecutive Buerger’s disease patients

Kacmaz

Kaya²,

Keskin³

et al. 2018

Vascular

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Objective Buerger’s disease is one of the worst diseases causing peripheral artery occlusions (especially lower extremity) with increased morbidity and mortality. Endovascular treatment of the diseased arteries gains preference over bypass surgery nowadays. Here, we aimed to present the clinical outcomes of 16 consecutive Buerger’s disease patients underwent extended endovascular recanalization which is a new technique to restore direct blood flow to at least one foot artery, with the performance of angioplasty for each tibial and foot artery obstructions. Methods A total of 16 consecutive patients with confirmed diagnosis of Buerger’s disease that percutaneously treated in our center between February 2014 and March 2018 were included in the study. The mean age of the patients was 44.25 ± 4.28 ranging from 36 to 50 years. After physical examination and complementary diagnostic tests, performance of extended angioplasty for occluded arteries was intended to restore direct blood flow to at least one of the blow-the-knee arteries. Results A successful extended endovascular treatment was performed in 20 of 22 limbs, achieving a technical success of 91%. All patients were successfully discharged without any complication. Mean follow-up duration was 21.43 ± 7.08 months. Reintervention was performed in one patient and minor amputation was needed in one of the failed limbs. Limb salvage rate was 100%. A significant difference was observed based on Rutherford classification, ankle brachial index, direct blood flow to foot, presence of ulcer and rest pain when compared before and after the intervention. Conclusion We showed successful extended endovascular recanalization of Buerger’s disease patients with a high technical success rate and sustained clinical improvement. Extended endovascular recanalization could be a therapeutic option in Buerger’s disease patients, since they are not good candidates for surgery.

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Buerger’s disease in the northeast of Iran: Epidemiology and clinical features

Abstract: The diagnosis and treatment of Buerger's Disease is still a challenge in those communities where the disease is endemic. Therefore, identifying the natural course of the disease can play a pivotal role in the diagnosis and treatment of these patients.

Cited by 12 publications

References 44 publications

Women and Pregnancy in Thromboangiitis Obliterans

Women and Pregnancy in Thromboangiitis Obliterans

Did the Clinical Spectrum of Thromboangiitis Obliterans Change in the Past 40 Years?

Clinical outcomes of extended endovascular recanalization of 16 consecutive Buerger’s disease patients

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