Beyond peripheral arteries in Buerger's disease: Angiographic considerations in thromboangiitis obliterans

Hoppe, Bobbi; Lu, Jie; Thistlewaite, Patricia; Yi, Eunhee S.; Mahmud, Ehtisham

doi:10.1002/ccd.10330

Cited by 18 publications

(7 citation statements)

References 7 publications

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“…Affected vessels usually exhibit segmental occlusion, which is more severe in the distal part and normal in the proximal part, without evidence of atherosclerosis. Typically, collateralization around occluded vessels can be observed as corkscrew collaterals 9 . Although the angiographic findings of our patient are similar to those of Buerger's disease, the disease cannot account for the atrophic skin changes of the auricles, hallux valgus and callus that developed in early childhood in our patient.…”

Section: Discussionsupporting

confidence: 40%

Acrogeria (Gottron type): a vascular disorder?

et al. 2004

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We report a 27-year-old Japanese man with the peculiar clinical features of acrogeria. He had had perniosis since early childhood. Prominent atrophic skin changes over the hands, hallux valgus, shortened distal phalanges and atrophic scars on his auricles were noted. X-ray of the hands revealed acro-osteolytic changes of the distal phalanges, and arteriography demonstrated multiple occluded branches of the digital arteries. There were no histological changes of systemic sclerosis in his forearm skin, nor antinuclear antibodies or coagulation disorders. Western immunoblotting demonstrated decreased production of type III collagen by dermal fibroblasts both from an affected finger and from the unaffected upper arm. Although the pathogenesis of acrogeria is unknown, the present case suggests that peripheral circulatory disturbance, as well as a congenital abnormality in type III collagen synthesis, may partly account for the pathogenesis of Gottron-type acrogeria.

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Section: Discussionsupporting

confidence: 40%

Acrogeria (Gottron type): a vascular disorder?

et al. 2004

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“… Histology examination of an endarterectomy specimen showed specific feature of TAO Closed endartrectomy and bypass surgery using saphenous vein and left internal mammary artery Symptoms free up to 7 months after bypass surgery because of the occlusion of distal bypass graft. 10 2002 Hoppe et al (California, USA) 44 1 39 years (woman) Three-hour of retrosternal chest pain. History of similar episode of chest pain, which resolved spontaneously, 2 weeks earlier History of TAO diagnosis Unknown (Smoker) Coronary angiography a proximally occluded LAD that ﬁlled distally via right to left collaterals, a 50% proximal left circumﬂex coronary and a dominant right coronary artery that had proximal to mid-vessel beaded irregularities The histology examination of the left internal mammary artery confirmed TAO diagnosis Bypass surgery Recovery No data about follow-up 11 1997 Francesco Donatelli et al (Italy) 45 1 39 years (woman) Unstable angina History of 2 years epigastric pain of unknown origin and sporadic episodes of typical angina for the past 8 months TAO diagnosis according to histology examination of internal thoracic artery and excluding other types of vasculitis No more information about the extremities She had never smoked Coronary angiography, stenosis of LAD artery and RCA.…”

Section: Heart and Coronary Arteriesmentioning

confidence: 99%

<p>Visceral bed involvement in thromboangiitis obliterans: a systematic review</p>

Fakour¹,

Fazeli²

2019

VHRM

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One of the challenges of thromboangiitis obliterans (TAO) management is in the patients whose other vascular beds are involved and it remains a challenge to know whether to pursue invasive procedures or to continue medical treatment for such TAO patients. The aim of this review was to investigate reports of the involvement of the visceral vessels in TAO and the related clinical manifestations, management approaches and outcomes. According to our systematic review, the frequency of published articles, the organs most commonly involved were the gastrointestinal tract, the heart, the central nervous system, the eye, the kidneys, the urogenital system, the mucocutaneous zones, joints, lymphohematopoietic system and the ear. Notably, reports of the involvement of almost all organs have been made in relation to TAO. There were several reports of TAO presentation in other organs before disease diagnosis, in which the involvement of the extremities presented after visceral involvement. The characteristics of the visceral arteries looked like the arteries of the extremities according to angiography or aortography. Also, in autopsies of TAO patients, the vascular involvement of multiple organs has been noted. Moreover, systemic medical treatment could lead to the recovery of the patient from the onset of visceral TAO. This study reveals that TAO may be a systemic disease and patients should be aware of the possible involvement of other organs along with the attendant warning signs. Also, early systemic medical treatment of such patients may lead to better outcomes and reduce the overall mortality rate.

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“…Vasculitidies of medium and largesized vessels can alter IM vessel patency significantly, from segmental occlusions of the IMA and collateralization around these areas in Buerger disease, to aneurysmal changes and total obstruction as sequelae of Kawasaki disease. 42,43 Subclavian stenosis can threaten the adequacy of the IMA as a conduit and potentially alter vessel dimensions. Potential causes of subclavian stenosis include following: thoracic outlet syndrome, chronic extra-arterial compression, radiation effects, antithrombin III deficiency, and/or thrombus of cardiac origin (eg, in atrial fibrillation).…”

Section: Pathologic Changesmentioning

confidence: 99%

Is There a Need for Preoperative Imaging of the Internal Mammary Recipient Site for Autologous Breast Reconstruction?

Rozen

Alonso‐Burgos

Murray

et al. 2013

Annals of Plastic Surgery

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Preoperative imaging of recipient-site vasculatur in autologous breast reconstruction may potentiate improved outcomes through the identification of individual variations in vascular architecture. There are a range of both normal and pathologic states which can substantially affect the internal mammary vessels in particular, and the identification of these preoperatively may significantly affect operative approach. There are a range of imaging modalities available, with ultrasound particularly useful, and computed tomography angiography (CTA) evolving as a useful option, albeit with radiation exposure. The benefits of CTA must be balanced against its risks, which include contrast nephrotoxicity and allergic reactions, and radiation exposure. The radiation risk with thoracic imaging is substantially higher than that for donor sites, such as the abdominal wall, with reasons including exposure of the contralateral breast to radiation (with a risk of contralateral breast cancer in this population 2 to 6 times higher than that of primary breast cancer, reaching a 20-year incidence of 15%), as well as proximity to the thyroid gland. Current evidence suggests that although many cases may not warrant such imaging because of risk, the benefits of preoperative CTA in selected patients may outweigh the risks of exposure, prompting an individualized approach.

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Beyond peripheral arteries in Buerger's disease: Angiographic considerations in thromboangiitis obliterans

Cited by 18 publications

References 7 publications

Acrogeria (Gottron type): a vascular disorder?

Acrogeria (Gottron type): a vascular disorder?

<p>Visceral bed involvement in thromboangiitis obliterans: a systematic review</p>

Is There a Need for Preoperative Imaging of the Internal Mammary Recipient Site for Autologous Breast Reconstruction?

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