Buerger disease (thromboangiitis obliterans)

Techniques in Vascular and Interventional Radiology
Ian Del Conde, Constantino Peña

Abstract

Buerger disease is a nonatherosclerotic vasculitis that is triggered by substantial exposure to tobacco. This disease usually affects small- and medium-sized arteries in the upper and lower extremities. All clinicians who take care of patients with peripheral arterial disease should know the clinical features and diagnostic evaluation of Buerger disease. In this article, we review the clinical presentation and diagnostic criteria for Buerger disease. We describe the diagnostic work-up of patients suspected of having Buerger disease and discuss the typical findings on noninvasive arterial studies and angiography. Lastly, we review the management of these patients, including medical therapy, with an emphasis on smoking cessation, as well as the potential role of revascularization, both surgical and endovascular.

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Citations

May 5, 2016·Annals of Medicine and Surgery·Ignacio J Rivera-Chavarría, José D Brenes-Gutiérrez
Dec 15, 2017·Vascular and Endovascular Surgery·Mohammad-Hadi S Modaghegh, Shahab Hafezi

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