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Metzger PB, Costa KR, Metzger SL, de Almeida LC. Endovascular treatment of aortic saccular aneurysms associated with Adamantiades-Behçet disease. J Vasc Bras 2021; 20:e20200201. [PMID: 34249117 PMCID: PMC8244983 DOI: 10.1590/1677-5449.200201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2020] [Accepted: 04/08/2021] [Indexed: 11/21/2022] Open
Abstract
Adamantiades-Behçet disease is a multisystemic disorder that classically presents with oral and genital ulcers and ocular involvement, with vascular involvement in up to 38% of cases. Aortic involvement is one of the most serious manifestations and is associated with high mortality rates, occurring in 1.5 to 2.7% of cases. We report a case of a saccular abdominal aorta aneurysm in a 49-year-old male patient with complicated Adamantiades-Behçet disease that was treated with endovascular repair.
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Affiliation(s)
| | | | - Simone Lessa Metzger
- Escola Bahiana de Medicina e Saúde Pública - EBMSP, Salvador, BA, Brasil.,Universidade Salvador - UNIFACS, Salvador, BA, Brasil.,Obra Sociais Irmã Dulce - OSID, Hospital Santo Antônio, Salvador, BA, Brasil
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Gao P, Dong D, Yang L, Yuan H, Wang M, Zhang J, Zhong Z, Zhang S, Jin X, Wu X. Technical issues and clinical outcomes of endovascular repair of isolated iliac artery aneurysms: A single-center experience. Vascular 2018; 26:591-599. [PMID: 29863442 DOI: 10.1177/1708538118776854] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Purpose Isolated iliac artery aneurysms are the relatively uncommon condition. This study aims to evaluate the technical issues and clinical outcomes of endovascular repair in a cohort of isolated iliac artery aneurysms treated. Methods We retrospectively reviewed 22 consecutive patients with isolated iliac artery aneurysms between December 2006 and September 2016. Iliac artery aneurysms were treated in one of the three ways: (1) standard bifurcated aortic stent graft placement with limb extension; (2) coverage of iliac artery aneurysms with covered stent grafts; and (3) embolization of the arterial branches distal to the aneurysms with coils or vascular plugs. Results Twenty-two patients (20 men) with a mean age 64.7 years underwent endovascular repair during the study period. The median diameter of the isolated iliac artery aneurysms was 5.9 ± 1.7 cm (2.9–9.0 cm). Technical success was 95.5%. Conversion to open surgery was performed in one patient with bilateral internal iliac artery aneurysms. Four patients underwent placement of a bifurcated stent graft. A covered stent graft was deployed in 16 patients, with embolization of internal iliac artery in 14 patients. Simple coil embolization of isolated internal iliac artery aneurysm was performed in one patient. There was one sudden cardiac death on day 4 after the procedure due to heart failure. During the follow-up period (range: 1–50 months, mean 19.8 months), five patients died of causes not related to isolated iliac artery aneurysms, and transient buttock claudication was observed in one patient. Conclusions Our study documents the safety and effectiveness of endovascular repair of isolated iliac artery aneurysms with low morbidity and mortality.
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Affiliation(s)
- Peixian Gao
- Department of Vascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Ji’nan, Shandong, China
| | - Dianning Dong
- Department of Vascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Ji’nan, Shandong, China
| | - Le Yang
- Department of Vascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Ji’nan, Shandong, China
| | - Hai Yuan
- Department of Vascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Ji’nan, Shandong, China
| | - Mo Wang
- Department of Vascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Ji’nan, Shandong, China
| | - Jingyong Zhang
- Department of Vascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Ji’nan, Shandong, China
| | - Zhenyue Zhong
- Department of Vascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Ji’nan, Shandong, China
| | - Shiyi Zhang
- Department of Vascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Ji’nan, Shandong, China
| | - Xing Jin
- Department of Vascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Ji’nan, Shandong, China
| | - Xuejun Wu
- Department of Vascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Ji’nan, Shandong, China
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Endovascular Treatment of a Ruptured Innominate Artery Aneurysm in Behcet Disease. Ann Vasc Surg 2016; 33:230.e1-4. [PMID: 26907373 DOI: 10.1016/j.avsg.2015.11.024] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2015] [Revised: 10/26/2015] [Accepted: 11/14/2015] [Indexed: 11/20/2022]
Abstract
In Behcet disease (BD), vascular complication such as false aneurysm formation is common after surgical treatment in the arterial lesion, and the optimal treatment method remains controversial. Concerning the innominate artery aneurysm, lack of experience due to its rarity in vasculo BD makes decision making even more difficult. We report a ruptured innominate artery aneurysm in a 70-year-old man with BD, which was successfully treated by innominate artery stent grafting through the right common carotid artery, axillo-axillary artery bypass grafting, and right subclavian artery coil embolization. The patient is doing well without any vascular complications at eighth postoperative month.
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Lyazidi Y, Abissegue Y, Chtata H, Taberkant M. Une maladie de Behçet révélée par un anévrisme aortique et fémoral. ACTA ACUST UNITED AC 2015; 40:399-401. [DOI: 10.1016/j.jmv.2015.08.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2015] [Accepted: 08/09/2015] [Indexed: 10/22/2022]
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