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

Authors
 Jae Hyung Park  ;  Jin Wook Chung  ;  Joon Hee Joh  ;  Soon Young Song  ;  Sang June Shin  ;  Kyu Sik Chung  ;  Do Yun Lee  ;  Jong Yoon Won  ;  Sang Joon Kim 
Citation
 RADIOLOGY, Vol.220(3) : 745-750, 2001 
Journal Title
RADIOLOGY
ISSN
 0033-8419 
Issue Date
2001
MeSH
Adult ; Aneurysm/etiology ; Aneurysm/surgery* ; Aortic Aneurysm/etiology ; Aortic Aneurysm/surgery* ; Aortic Aneurysm, Thoracic/etiology ; Aortic Aneurysm, Thoracic/surgery ; Behcet Syndrome/complications* ; Blood Vessel Prosthesis* ; Carotid Artery Diseases/etiology ; Carotid Artery Diseases/surgery ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures* ; Recurrence ; Reoperation ; Stents* ; Subclavian Artery ; Tomography, X-Ray Computed
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.
Full Text
http://pubs.rsna.org/doi/abs/10.1148/radiol.2203001418
DOI
10.1148/radiol.2203001418
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Lee, Do Yun(이도연)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/142337
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