Endovascular Treatment of Behcet Disease With Recurrent Infrainguinal Arterial Pseudoaneurysms: A Case Report and Literature Review.
Endovascular Treatment of Behcet Disease With Recurrent Infrainguinal Arterial Pseudoaneurysms: A Case Report and Literature Review.
复制标题
复发性腹股沟下动脉假性动脉瘤白塞病的血管内治疗一例并文献复习
DOI：
10.1097/md.0000000000003545
复制
发表时间：
2016-05
期刊：
影响因子：
1.6
通讯作者：
Yang J
中科院分区：
文献类型：
--
作者：
Ding ZY;Jin GN;Ai X;Li LY;Zheng P;Guan Y;Wang Q;Zhang ZW;Yang J
动脉瘤或假性动脉瘤的形成是白塞病的血管并发症之一。目前，该疾病的最佳治疗方法尚未确定。作者报告一例血管- behcet病（v-BD）伴有左腹股沟下动脉（股总动脉、股浅动脉和腘动脉）复发性假性动脉瘤，以及腘静脉和胫后静脉血栓形成。患者接受了三轮手术，但每次手术几个月后又出现了新的假性动脉瘤。最终，患者通过血管内修复（使用全覆盖支架）和强的松的联合治疗成功。假性动脉瘤消退1年以上无复发。对于v-BD，单独使用免疫抑制治疗可能不足以预防假性动脉瘤的复发。对于影响腹股沟下动脉的v-BD假性动脉瘤的血管内治疗，无超大尺寸的全覆盖支架移植是防止假性动脉瘤复发的必要条件。
Aneurysm or pseudoaneurysm formation is one of the vascular complications of Behcet disease. At present, the optimal treatment for the disease has not been established. The authors report a case of vasculo-Behcet disease (v-BD) with recurrent pseudoaneurysms in the left infrainguinal arteries (common femoral artery, superficial femoral artery, and popliteal artery), as well as thrombosis in the popliteal vein and posterior tibial vein. The patient underwent 3 rounds of surgery, but developed a new pseudoaneurysm several months after each surgery. Eventually, the patient was successfully treated with a combination of endovascular repair, using a fully covered stent graft, and prednisone. The pseudoaneurysm regressed without recurrence for more than 1 year. For v-BD, treatment with immunosuppressive therapy alone may not be sufficient to prevent the recurrence of pseudoaneurysms. For the endovascular treatment of pseudoaneurysms affecting the infrainguinal arteries in v-BD, a fully covered stent graft without oversizing is essential to prevent the recurrence of pseudoaneurysms.