scholarly journals Surgical repair of carotid artery pseudoaneurysm and stenosis in Behçet’s disease

2018 ◽  
Vol 27 (1) ◽  
pp. 51-54
Author(s):  
Emrah Uğuz
Keyword(s):  
Carotid Artery ◽  
Behçet’S Disease ◽  
Behcet’S Disease ◽  
Surgical Repair ◽  
Behçet's Disease ◽  
Artery Pseudoaneurysm ◽  
Behcet's Disease

scholarly journals Endovascular Repair of a Common Carotid Pseudoaneurysm in a Patient with Behçet’s Disease: A Case Report and Review of Literature

2020 ◽  
Author(s):  
Seyed Ebrahim Kassaian ◽  
Behnam Molavi ◽  
Kyomars Abbasi ◽  
Mohammad Sadeghian ◽  
Shahrooz Yazdani
Keyword(s):  
Computed Tomography ◽  
Carotid Artery ◽  
Behçet’S Disease ◽  
Endovascular Repair ◽  
Computed Tomography Angiography ◽  
Behcet’S Disease ◽  
Behçet's Disease ◽  
Artery Pseudoaneurysm ◽  
Behcet's Disease

Behçet’s disease (BD) is a multisystem inflammatory disorder. Physicians should be alerted to the possibility of BD in a patient with a carotid artery pseudoaneurysm and no clear predisposing factor such as neck trauma or surgery. Endovascular repair of carotid pseudoaneurysms is technically feasible with excellent midterm follow-up results. Administration of immunosuppressive therapy before endovascular intervention is mandatory to reduce the chance of vascular complications accompanied by BD. A 40-year-old man presented with a painful and pulsatile neck mass with 2 episodes of transient ischemic attacks. The patient also complained of recurrent urogenital ulcers and aphthous lesions together with painful rashes. Ultrasonography and computed tomography angiography revealed 2 aneurysmal dilations in the left common carotid artery at the bifurcation level. He was referred to a rheumatologist, who made the diagnosis of BD. High-dose corticosteroids and cyclophosphamide were commenced. One week later, 2 overlapping self-expanding stent grafts were deployed. The final angiogram showed no residual endoleak, and the flow of the carotid and cerebral arteries was satisfactory. The patient was discharged with no neurological complications. Follow-up ultrasonography and computed tomography angiography 6 months later showed no endoleak, as well as significant shrinkage of the aneurysm sac.

Endovascular Therapy Combined with Immunosuppressive Treatment for Pseudoaneurysms in Patients with Behçet's Disease

2003 ◽  
Vol 10 (1) ◽  
pp. 75-80 ◽  
Author(s):  
Bon Kwon Koo ◽  
Won-Heum Shim ◽  
Young-Sup Yoon ◽  
Byoung Kwon Lee ◽  
Donghoon Choi ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Endovascular Treatment ◽  
Immunosuppressive Therapy ◽  
Behçet’S Disease ◽  
Endovascular Therapy ◽  
Behcet’S Disease ◽  
Behçet's Disease ◽  
Artery Pseudoaneurysm ◽  
Behcet's Disease

Purpose: To evaluate the feasibility, efficacy, and outcome of endovascular therapy combined with immunosuppression for the treatment of arterial pseudoaneurysms due to Behçet's disease. Methods: Eleven pseudoaneurysms (3 in the abdominal aorta, 3 in the subclavian artery, and individual lesions in the brachiocephalic artery, renal artery, common iliac artery, common carotid artery, and the descending thoracic aorta) in 9 patients with Behçet's disease were treated with 10 stent-grafts and 1 self-expanding stent. All patients with elevated erythrocyte sedimentation rate (ESR) were treated with immunosuppressive agents (azathioprine, prednisolone) before and after the procedure. Results: Endovascular treatment was successful in all cases, without major adverse events. The ESR was reduced from 42.7 ± 18.0 mm/h initially to 18.6 ± 12.6 mm/h after immunosuppressive therapy prior to endovascular repair. During follow-up (mean 24.1 ± 14.0 months, range 6–43), 8 of 11 lesions showed complete resolution. One stent-graft to treat a postsurgical recurrent carotid artery pseudoaneurysm was occluded, and an abdominal aortic pseudoaneurysm recurred; both patients stopped their medications. ESR during follow-up was 7.9 ± 4.5 mm/h. Conclusions: Endovascular treatment for pseudoaneurysms due to Behçet's disease is feasible and effective when disease activity is strictly controlled with immunosuppressive therapy.

scholarly journals Subclavian artery pseudoaneurysm in Behcet’s disease

2006 ◽  
Vol 26 (7) ◽  
pp. 1151-1154 ◽  
Author(s):  
Ahmet Yildirim ◽  
Ahmet Isik ◽  
Suleyman Koca
Keyword(s):  
Behçet’S Disease ◽  
Subclavian Artery ◽  
Behcet’S Disease ◽  
Behçet's Disease ◽  
Artery Pseudoaneurysm ◽  
Behcet's Disease

scholarly journals Huge femoral artery pseudoaneurysm in a patient with Behçet’s disease

2017 ◽  
Vol 39 (4) ◽  
pp. 267-270 ◽  
Author(s):  
Tarlaan Hasanaghaei ◽  
Hamed Ghoddusi Johari ◽  
Saeedeh Shenavandeh
Keyword(s):  
Behçet’S Disease ◽  
Femoral Artery ◽  
Behcet’S Disease ◽  
Behçet's Disease ◽  
Artery Pseudoaneurysm ◽  
Behcet's Disease

scholarly journals Spontaneous Superficial Femoral Artery Pseudoaneurysm in Behcet's Disease

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Murat Ugurlucan ◽  
Selin Sendil ◽  
Omer Ali Sayin ◽  
Mehmet Barburoglu ◽  
Emre Gok ◽  
...  
Keyword(s):  
Behçet’S Disease ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Treatment Strategy ◽  
Behcet’S Disease ◽  
Behçet's Disease ◽  
Important Predictor ◽  
Artery Pseudoaneurysm ◽  
Behcet's Disease ◽  
Cardiovascular Involvement

Behcet’s disease is an autoimmune multisystemic disorder on vasculitis base. Cardiovascular involvement is the most important predictor of morbidity and mortality. The treatment should be planned carefully for pathologies requiring interventions. In our report, we present a 45-year-old patient with spontaneous superficial femoral artery pseudoaneurysm, our treatment strategy, and circumstances we faced.

scholarly journals Large pulmonary artery pseudoaneurysm in a patient with Behçet’s disease treated with an Amplatzer vascular plug

2019 ◽  
Vol 12 (6) ◽  
pp. e229516
Author(s):  
Miguel Agustin Pardinas Gutierrez ◽  
Jorge Luis Cabrera
Keyword(s):  
Pulmonary Artery ◽  
Behçet’S Disease ◽  
Behcet’S Disease ◽  
Behçet's Disease ◽  
Significant Risk ◽  
Amplatzer Vascular Plug ◽  
Vascular Plug ◽  
Artery Pseudoaneurysm ◽  
Behcet's Disease ◽  
Pulmonary Artery Pseudoaneurysm

This is the case of a 33-year-old man with Behçet’s disease who presented with recurrent haemoptysis and a rapidly expanding right pulmonary artery pseudoaneurysm. Due to the significant risk of major bleeding and death, he was promptly treated with an Amplatzer vascular plug.

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