Reoperation Results of Arterial Involvement in Behçet's Disease

Objectives to retrospectively evaluate the role of vascular interventions in Behçet's disease with arterial involvement. So far, little information is available on the surgical approach for arterial involvement in Behçet's disease. Material and methods between February 1989 and August 1997...

Full description

Saved in:
Bibliographic Details
Published in:European journal of vascular and endovascular surgery 2000-12, Vol.20 (6), p.512-516
Main Authors: Ozeren, M., Mavioglu, I., Dogan, O.V., Yucel, E.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aneurysm
Arterial occlusion
Behcet Syndrome - diagnosis
Behcet Syndrome - surgery
Behçet's disease
Female
Humans
Male
Middle Aged
Postoperative Complications - diagnosis
Postoperative Complications - surgery
Reoperation
Reoperations
Treatment Outcome
Vasculitis - diagnosis
Vasculitis - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objectives to retrospectively evaluate the role of vascular interventions in Behçet's disease with arterial involvement. So far, little information is available on the surgical approach for arterial involvement in Behçet's disease. Material and methods between February 1989 and August 1997, among 178 patients with Behçet's disease referred to our clinic, vascular involvement was established in total of 67 patients (38%) which consisted of 59 venous (33%) and 12 (7%) arterial involvements requiring urgent surgical intervention. Primary arterial lesions were occlusive in one patient, aneurysm formation in nine or both in four. Results twelve primary operations and 12 reoperations were performed. The reasons for reoperations were anastomotic aneurysms, graft occlusion, occlusion of native vessel, graft infection, bleeding from anastomosis and aortoenteric fistula. First reoperation was performed after a mean period of 6.4 months (1–15 months). Postoperative follow-up was 12–60 months (mean 36 months) and three patients died during follow-up. Conclusions the surgical results were not satisfactory because of progressive graft thrombosis and formation of new aneurysms at the anastomosis. Aggressive medical treatment should be combined when major vessel involvement occurs. All types of arterial punctures for angiography or blood gases should be minimised because of the risk of new aneurysm formation. Surgical intervention is indicated only in patients with a growing aneurysm, acute rupture or severe ischaemia.
ISSN:1078-5884
1532-2165
DOI:10.1053/ejvs.2000.1240