The surgical treatment of arterial aneurysms in Behçet disease: A report of 16 patients

Kalko, Yusuf; Başaran, Murat; Ünal, Aydın; Kafa, Ülkü; Başaranoğlu, Gökçen; Yaşar, Tahsin

doi:10.1016/j.jvs.2005.05.057

Cited by 122 publications

(110 citation statements)

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“…Involvement of the aorta in BD is different from atherosclerotic aneurysmal disease, because in the latter there is accentuated destruction and weakening of the artery wall. 3,5 Options for surgical treatment include open surgery and endovascular techniques. The classical method for surgical treatment of aneurysms associated with BD is open surgery.…”

Section: Discussionmentioning

confidence: 99%

“…3 Postoperative follow-up of aneurysms in BD should be regular and should involve assessment of all arteries. 5,19 In conclusion, in Behçet's disease, vascular involvement increases morbidity and mortality and should always be considered and investigated in this patient population. Aortic aneurysms with erosion of lumbar vertebrae are rare, but should be considered in patients who have been diagnosed with BD and present with difficult-to-treat lumbar pain.…”

Section: 1617mentioning

confidence: 97%

“…3,4 In isolation, arterial involvement is rare, but is associated with potentially fatal complications, primarily due to development of aneurysms. [3][4][5] The vessel most often involved is the abdominal aorta, followed by the femoral artery and the pulmonary arteries, so the risk of surgical complications is high and morbidity and mortality rates are elevated.…”

Section: Introductionmentioning

confidence: 99%

“…Twelve of the 16 patients were in remission from the disease. 5 Erentuğ et al 1 reported two cases of ruptured aortic aneurysms associated with BD that were repaired with aortobifemoral and aortoaortic bypasses and followed-up for 30 months without postoperative complications. Hosaka et al 9 reported a cases series of 10 patients with BD who were treated for arterial involvement with open surgery, observing five graft occlusions and five pseudoaneurysms during the followup period.…”

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confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: 1617mentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

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

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“…Daha nadir olarak saptanan nedenleri ise paraanostomatik psödoanevrizmalar, penetran pelvik travma, iyatrojenik lezyonlar, bakteriyel enfeksiyonlar, Kawasaki sendromu, Behçet hastalığı, fibromusküler displazi, Takayasu arteriti, konnektif doku hastalıkları (kistik medial nekroz, Marfan sendromu, vs.) sayılabilir. [6,7] Bizim hasta grubumuzda en sık anevrizma nedeni hipertansiyon ve ateroskleroz olarak gözlendi. Hastalarımızın hiçbirinde anevrizma etyolojisinde rol oynayan kronik hastalık öyküsü yoktu.…”

Section: Discussionunclassified

Isolated iliac artery aneurysms: a comparison of surgical method and endovascular approaches

Özbudak¹

2013

Turk Gogus Kalp Dama

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Amaç: Bu çalışmada izole iliyak arter anevrizmalarının (İİAA) tedavisinde açık cerrahi yöntem ile endovasküler yaklaşımlar karşılaştırıldı ve tartışıldı. Ça lış ma pla nı: Kliniğimizde Ocak 2004 -Temmuz 2012 tarihleri arasında, çapı 3.5 cm ve üzerinde olan İİAA'lı 23 hastanın tıbbi kaydı retrospektif olarak incelendi. Hastanede kalış ve takip sırasındaki hasta kayıtları değerlendirildi. Hastaların demografik verileri, anevrizma yerleşim yerleri, yapılan işlem tipi, yoğun bakım ünitesinde (YBÜ) ve hastanede kalış süreleri gibi parametreler kaydedildi. Hastaların 13'ü (12 erkek, 1 kadın; ort. yaş 69.3±11 yıl; dağılım 57-80 yıl) endovasküler stent greft onarım (EVAR) yöntemi ile 10'u (9 erkek, 1 kadın; ort. yaş 71.4±9 yıl; dağılım 63-82 yıl) açık cerrahi yöntem ile tedavi edildi. EVAR grubunda 13 hastanın altısı, cerrahi grupta ise 10 hastanın üçü rüptüre İİAA olarak acil ameliyata alındı. Bul gu lar: Ortalama hastanede ve YBÜ'de kalış süreleri EVAR grubunda sırasıyla 1.9 gün ve 0.7 gün iken, cerrahi grupta sırasıyla 10.9 gün ve 7.2 gün idi. Her iki grupta da teknik başarı ve erken dönem açıklık oranı %100 idi. Endovasküler stent greft yöntemi grubunda işlem ve hastane içi mortalite oranı %0 iken, cerrahi grupta bir hasta (%10) ameliyat sonrası 56. günde YBÜ'de solunum yetmezliği nedeni ile kaybedildi. So nuç: Çalışmamızın sonucunda literatüre uygun olarak, iliyak arter anevrizmalarının tedavisinde EVAR'ın cerrahiye göre daha düşük morbidite ve mortalite ile uygulanabilir bir yöntem olduğunu düşünmekteyiz.Anah tar söz cük ler: Anevrizma; endovasküler; iliyak arter; izole.Background: This study aims to compare and discuss open surgical method and endovascular approaches in the management of isolated iliac artery aneurysms (IIAA). Methods: Medical records of 23 patients with IIAA with an aneurysm diameter greater than 3.5 cm who underwent treatment between January 2004 and July 2012 in our clinic were retrospectively analyzed. The patient records during hospital stay and follow-up were evaluated. Parameters including demographic data of the patients, localization of the aneurysms, the type of procedure, the length of intensive care unit (ICU) and hospital stay were recorded. Thirteen patients (12 males, 1 female; mean age 69.3±11 years; range 57 to 80 years) were treated with endovascular stent grafts repair (EVAR), whereas 10 patients (9 males, 1 female; mean age 71.4±9 years; range 63 to 82 years) underwent open surgery. Six out of 13 EVAR patients and three out of 10 open surgery patients underwent emergent operation due to ruptured IIAA. Results: The mean length of hospital stay and ICU stay in EVAR group were 1.9 and 0.7 days, respectively, while in surgery group these were 10.9 and 7.2 days, respectively. Technical success and postoperative early patency rates were 100% in both groups. Perioperative and in-hospital mortality rate were 0% in EVAR group; however one patient (10%) died due to respiratory failure on postoperative 56 th day in ICU.

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State of the art: Management of iliac artery aneurysmal disease

Bacharach

Slovut

2008

Cathet Cardio Intervent

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Although relatively uncommon, isolated iliac artery aneurysms are associated with significant risk of rupture and death. Clinical presentation can be confusing and ultrasound or CT imaging is paramount in establishing the diagnosis and anatomical extent of disease. Important considerations prior to intervention include determination of proximal neck, involvement of the internal iliac artery, and status of the contralateral internal iliac artery. Endovascular repair has evolved as the first choice treatment option for patients with anatomically suitable iliac artery aneurysms. In uncommon circumstances when endovascular treatment may result in significant pelvic ischemia or the primary symptoms are related to extrinsic compression of adjacent structures, surgical repair may be the preferred option.

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The surgical treatment of arterial aneurysms in Behçet disease: A report of 16 patients

Cited by 122 publications

References 16 publications

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

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

Isolated iliac artery aneurysms: a comparison of surgical method and endovascular approaches

State of the art: Management of iliac artery aneurysmal disease

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