Tratamento endovascular da doença de Behçet: relato de caso

Abstract

Resumo A doença de Behçet (DB) é uma vasculite multissistêmica de etiologia desconhecida. O acometimento cardiovascular é bem descrito na literatura, sendo que a principal causa de morte na DB é secundária a complicações aneurismáticas. Relata-se aqui o caso de um paciente portador de DB com aneurisma de aorta abdominal reincidente, o qual foi corrigido por meio de endoprótese customizada. O tratamento ideal para portadores de DB ainda é bastante controverso e desafiador, tendo em vista as dificuldades técnicas e as recidivas frequentes. A intervenção endovascular apresenta-se como uma alternativa viável e consideravelmente menos mórbida do que a cirurgia convencional.

Endovascular treatment in Behçet’s disease: an integrative review

“…1 It is linked with a lower likelihood of complications during the postoperative period, with incidence of around 19%. 23 Endovascular treatment is therefore proving to be a promising alternative to open surgery for treating these patients 14 and has already become the approach of choice for the majority of patients with high surgical risk. 23 Endovascular treatment generally involves shorter operating time, shorter hospital stay, and lower blood loss compared with open surgical treatment.…”

“…23 Endovascular treatment is therefore proving to be a promising alternative to open surgery for treating these patients 14 and has already become the approach of choice for the majority of patients with high surgical risk. 23 Endovascular treatment generally involves shorter operating time, shorter hospital stay, and lower blood loss compared with open surgical treatment. Furthermore, endovascular prosthesis deployment has a high success rate (90% in low risk patients and 80% patients with moderate to high risk).…”

Tratamento endovascular na doença de Behçet: uma revisão integrativa

“… 1 It is linked with a lower likelihood of complications during the postoperative period, with incidence of around 19%. 23 Endovascular treatment is therefore proving to be a promising alternative to open surgery for treating these patients 14 and has already become the approach of choice for the majority of patients with high surgical risk. 23 …”

Total endovascular treatment for thoraco-abdominal aortic aneurysm in a patient with Behçet’s disease: Case report and literature review

“…Belczak et al. 7 reported successful treatment of a recurrent para-renal pseudoaneurysm secondary to initial endovascular repair of ruptured abdominal aortic aneurysm, using a CMD 4-fenestration component. Xia et al.…”

“…2–4 Endovascular treatment with adjunctive immunosuppressive therapy has been documented carrying less procedural trauma and higher survival rate than open repair, and a shift from open surgery to endovascular repair in BD has been recommended. 2,3,5–8…”