Outcomes of vascular intervention and use of perioperative medications for nonpulmonary aneurysms in Behçet disease

Surgery
Qi LiuLeng Ni

Abstract

Aneurysms attributable to Behçet disease (BD) are not common but are associated with a poor prognosis because of a high risk of rupture. Special considerations are required for vascular intervention, because the intense local inflammation may increase complications. The aim of this study was to assess the outcome of operative intervention and the use of perioperative medical therapy for aneurysms in patients with BD. We reviewed retrospectively the medical records of patients with BD admitted to Peking Union Medical College Hospital between January 1995 and January 2015. Among 874 patients diagnosed with BD, 176 patients had vascular involvement, of whom 59 had arterial aneurysms. Thirty-six patients with 51 arterial aneurysms underwent operative intervention. The 51 primary operative interventions included 20 open operations and 31 endovascular interventions. Eleven (22 %) recurrent aneurysms developed in 10 patients and 5 (10%) thrombosis occurred in 5 patients. Of the 19 endovascular stents placed for aortic aneurysms, 1 type I endoleak, 1 graft occlusion, 3 recurrent aneurysms, and 1 recurrent aneurysmal rupture occurred. Among the revascularization procedures for extremity arteries, there were more complications with endov...Continue Reading

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Citations

Aug 28, 2018·Internal Medicine·Ryusuke Yoshimi
Jan 31, 2020·Journal of Cardiothoracic Surgery·Zeyi ChengYingqiang Guo
Apr 2, 2020·VASA. Zeitschrift für Gefässkrankheiten·Chen-Hong LinJian-Long Guan
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Jun 6, 2020·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Wei-Chun ChangChih-Hung Lai

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