Behcet's disease with aneurysm of internal iliac artery and percutaneous treatment

Memetoğlu, Mehmet Erdem; Kalkan, Asım

doi:10.1093/icvts/ivr041

Cited by 11 publications

(5 citation statements)

References 5 publications

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“…Dilation of the aortic root is an early sign of BD invasion of the aorta, followed by progressive aneurysm formation (19). Based on the inflammation and fibrosis of the vessel wall, the expansion and dilatation can lead to the formation of true aneurysm or, if tearing occurs, pseudoaneurysm (20). Aneurysms are the leading cause of death owing to the risk of rupture (21).…”

Section: Discussionmentioning

confidence: 99%

Clinical characteristics and predictors for cardiovascular system involvement in patients with Behçet's disease

Deng

Wang

et al. 2022

Clinical and Experimental Rheumatology

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ObjectiveThe purpose of this study is to analyse the clinical characteristics of Behçet's disease (BD) patients in China with or without cardiovascular system involvement, and to develop a risk model to identify factors related to cardiovascular involvement in BD. MethodsThis retrospective cohort study, using the information on BD in Shenzhen People's Hospital from January 2000 to December 2021, included 95 patients; BD patients without cardiovascular system involvement (n=63) and with cardiovascular system involvement (n=32). Patients with BD who were males and had a combination of hypertension and a longer duration of disease were more likely to have cardiovascular involvement (p < 0.05). Compared to patients without cardiovascular involvement, manifestations of genital ulcers are rarely observed in those with cardiovascular involvement (60.32% vs. 37.50%, p=0.035). The binary logistic regression analysis found that ascending aortic widening and a history of hypertension were independent risk

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Section: Discussionmentioning

confidence: 99%

Clinical characteristics and predictors for cardiovascular system involvement in patients with Behçet's disease

Deng

Wang

et al. 2022

Clinical and Experimental Rheumatology

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“…Although one patient died of aneurysm rupture, 3) the other patients underwent surgery, and the symptoms disappeared thereafter. 4) CT findings of internal iliac aneurysm presenting with neuropathy include an aneurysm large enough to get in contact with the pelvis, 4) and a saccular pseudoaneurysm secondary to Behcet s disease, kidney transplantation, and trauma [5][6][7][8][9] rather than a true aneurysm. In our case, the patient chiefly complained of ankle pain and difficulty in dorsiflexion in the left leg.…”

Section: Discussionmentioning

confidence: 99%

Various Neurological Symptoms Associated with Infected Internal Iliac Artery Aneurysm: A Case Report

Uchida

Shuto

Wada

et al. 2021

Annals of Vascular Diseases

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A 68-year-old man presented with a chief complaint of left leg pain; he was later diagnosed with an infected left internal iliac artery aneurysm. Multiple mononeuropathy was suspected. Since the aneurysm had a high risk of rupture, emergency Y-graft replacement was performed. Bacteroides vulgatus was then detected from the pus of the aneurysm. With continuous oral antimicrobial agents following intravenous antimicrobial agents, the patient was noted to have no recurrence. However, his leg pain symptoms continued postoperatively; thus, a supporting device was needed. It should be noted that even neurological symptoms may indicate the presence of aortoiliac aneurysms.

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“…Endovascular treatment of iliac sacciform aneurysm by placing a covered stent is a good alternative to conventional surgery with fewer complications [4] .…”

Section: Discussionmentioning

confidence: 99%

Sacciform aneurysm of the right common iliac artery in Behcet's disease treated with EVAR: Case report

Anane

Rezziki

Benzirar

et al. 2021

International Journal of Surgery Case Reports

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Introduction Behcet's disease is a systemic vasculitis with vascular tropism usually manifested by phlebitis. Arterial manifestations are rare, most often result in aneurysms than occlusions. The objective of this article, is to relate our experience and pretherapeutic reasoning for the indication of an endovascular treatment of an atypical sacciform iliac aneurysm, in an elderly patient followed for Behcet's disease. Case report This is a 73-year-old patient, followed for Behcet's disease under immunosuppressive treatment and corticosteroids treatment, admitted to our structure, for the surgical management of an aneurysm of the right common iliac artery diagnosed by computed tomographic angiography performed for chronic paroxysmal abdominal pain, treated by EVAR after a multidisciplinary discussion, complicated by a thrombosis of the left leg of the bifurcated aortic stent graft the, managed by performing an extra anatomical bypass, complicated late by the appearance of a Scarpa hematoma, who was evacuated. Discussion Behcet's disease is a systemic vasculitis with vascular tropism, usually affecting young. Our case is an elderly subject, whose diagnosis and follow-up of Behcet's disease is recent and whose discovery of this aneurysm was fortuitous, after performing a CT angiogram required for another reason. The objective of this article, is to relate our experience and pre-therapeutic reasoning for theindication of an endovascular treatment, and our management of the complications. Conclusion Endovascular treatment of iliac sacciform aneurysm by placing a covered stent is a good alternative to conventional surgery with fewer complications; especially in front of a field of Behcet's disease.

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Behcet's disease with aneurysm of internal iliac artery and percutaneous treatment

Cited by 11 publications

References 5 publications

Clinical characteristics and predictors for cardiovascular system involvement in patients with Behçet's disease

Clinical characteristics and predictors for cardiovascular system involvement in patients with Behçet's disease

Various Neurological Symptoms Associated with Infected Internal Iliac Artery Aneurysm: A Case Report

Sacciform aneurysm of the right common iliac artery in Behcet's disease treated with EVAR: Case report

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