CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S26
DOI: 10.1055/s-0041-1730716
Abstract

Aortic False Aneurysm Endovascular Treatment on Behcet's Disease in four Cases

Sekkal Abderrahmane Riad
EHU, Oran, Algeria
,
Bouayed Mohamed Nadjib
EHU, Oran, Algeria
› Author Affiliations

Background: Behcet's disease is a systemic vasculitis of unknown origin. The vascular or angio-Behcet's manifestations interest all vessels. Venous involvement is frequent (30%) manifested as venous thrombosis. Arterial involvement is rare but severe (3%–5%) presenting as aneurysm and false aneurysm and may affect all vessels. The purpose of this poster is to show our experience in the endovascular treatment of false aortic aneurysms on Behcet's disease. Methods: We operated four patients who had false aneurysms of the thoracic and abdominal aorta that we treated according to their locations using endograft or Multi-layer Flow-modulating Stents (MFM). All our patients have been put under adequate medical treatment. Clinical improvements, permeability, stent thrombosis, and exclusion of false aneurysm were evaluated. Results: Our patients were treated endovascularly, two benefited from the placement of a covered endoprosthesis excluding the false aneurysm immediately after the control in per procedure, for the other ones, a multilayer stent was used and this seen the absence of landing zone compared to the digestive arteries, and the results were marked by the total exclusion of false aneurysms after 18 months of follow-up. After a 3-year follow-up, the stents are permeable with no false aneurysms at the impaction zones. Conclusion: For the Behcet's disease, the endovascular methods represent a good alternative to the classical surgical attitude and thus open up new therapeutic perspectives framed of course by a corticoid and immunosuppressive treatment.



Publication History

Article published online:
11 May 2021

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