Therapy of peripheral vessel stenosis and occlusion in patients with thromboangiitis obliterans

Vasculitis consists of a group of diseases characterized by an inflammatory process of the vessel wall. There is a wide variation in symptoms and almost any organ or tissue can be affected. Thromboangiitis obliterans (TAO; also known as Buerger's disease) is a special form of vasculitis with re...

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Bibliographic Details
Published in:Radiologe 2010-10, Vol.50 (10), p.887
Main Authors: Sandner, T A, Degenhart, C, Becker-Lienau, J, Reiser, M F, Treitl, M
Format: Article
Language:ger
Subjects:
Adult
Angiography
Angioplasty
Arterial Occlusive Diseases - diagnostic imaging
Arterial Occlusive Diseases - therapy
Arteries - surgery
Combined Modality Therapy
Foot - blood supply
Hand - blood supply
Heparin - therapeutic use
Humans
Ischemia - diagnostic imaging
Ischemia - therapy
Limb Salvage
Male
Microsurgery
Prostaglandins - therapeutic use
Raynaud Disease - diagnostic imaging
Raynaud Disease - therapy
Smoking - adverse effects
Thromboangiitis Obliterans - diagnostic imaging
Thromboangiitis Obliterans - therapy
Young Adult
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Description
Summary:Vasculitis consists of a group of diseases characterized by an inflammatory process of the vessel wall. There is a wide variation in symptoms and almost any organ or tissue can be affected. Thromboangiitis obliterans (TAO; also known as Buerger's disease) is a special form of vasculitis with recurring inflammation and thrombosis of small and medium size arteries and veins of the hands and feet. To date the etiology still remains unclear but there is a strong association with the use of tobacco products. Ulcerations and gangrene of the extremities are common complications often resulting in the need for amputation of the extremity involved. Treatment of TAO includes both surgical and non-surgical methods but there is still no agreement concerning the optimal treatment strategy. In this contribution the advantages and disadvantages of different treatment options will be addressed and representative cases will be discussed.
ISSN:1432-2102
DOI:10.1007/s00117-010-2003-z