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Aortic and Arterial Aneurysms in Behçet Disease: Management with Stent-Grafts—Initial Experience

Title
Aortic and Arterial Aneurysms in Behçet Disease: Management with Stent-Grafts—Initial Experience
Authors
Jae Hyung Park;Jin Wook Chung;Sang Joon Kim;Jong Yoon Won;Do Yun Lee;Kyu Sik Chung;Sang June Shin;Soon Young Song;Joon Hee Joh
Issue Date
2001
Journal Title
Radiology
ISSN
0033-8419
Citation
Radiology, Vol.220(3) : 745~750, 2001
Abstract
PURPOSE: To assess the application of stent-grafts in the management of aortic and arterial aneurysms in patients with Behçet disease. MATERIALS AND METHODS: Nine aneurysms in seven patients were managed with various types of stent-grafts. Diagnoses were based on clinical findings. The aortic aneurysms (n = 3) were thoracic (n = 1), suprarenal (n = 1), or infrarenal (n = 1). The arterial aneurysms (n = 6) were in the right and left subclavian (n = 2), right common carotid (n = 2), right brachiocephalic (n = 1), or left common iliac arteries (n = 1). A tandem connection of Gianturco stent covered with polytetrafluorethylene was placed in three aneurysms, and a balloon-expandable stent was placed in six. RESULTS: The stent-graft was successfully placed in all patients. Immediate follow-up angiography revealed complete exclusion of the aneurysm in all cases. Follow-up computed tomography performed 3 days to 2 weeks later revealed complete exclusion and thrombosis of the aneurysm and patency of the stent-graft in six patients. In one patient, total occlusion of the artery with a stent occurred due to flow disturbance caused by double lesions. During follow-up (range, 6-59 months; mean, 28 months), the aneurysm resolved and completely regressed in four patients. A recurrent aneurysm at the distal margin of previously inserted stent-graft was successfully managed with an additional stent-graft. CONCLUSION: The findings in this initial experience suggest that stent-graft insertion may be a safe and effective alternative to surgical treatment of aortic and arterial aneurysms in patients with Behçet disease.
URI
http://pubs.rsna.org/doi/abs/10.1148/radiol.2203001418

http://ir.ymlib.yonsei.ac.kr/handle/22282913/142337
DOI
10.1148/radiol.2203001418
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Radiology
Yonsei Authors
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