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Short-term outcome of primary stent graft for peripheral artery aneurysm in patients with Behçet disease.

Abstract：

OBJECTIVE:Endovascular treatment of peripheral artery aneurysms (PAAs) in patients with Behçet disease is controversial. We report a single-institution experience of primary stent graft repair of PAAs in Behçet patients. METHODS:Behçet patients who had endovascular stent graft repair of PAAs at a single center between January 2012 and December 2018 were identified. Demographics, past medical history, cardiovascular risk profile, and perioperative details were analyzed. RESULTS:Twenty-two patients (mean age, 38 ± 7 years; 100% male) were included. The distribution of PAAs was external iliac artery in 2 (9%) patients, common femoral artery in 4 (18%) patients, superficial femoral artery in 15 (68%) patients, and above-knee popliteal artery in 1 (5%) patient. Pseudoaneurysm was diagnosed in five (23%) patients. We used antegrade access in the majority of patients (16 [73%]). Technical success was achieved in 21 (95%) patients. The mean hospital stay was 3 ± 2 days. There were no deaths or serious complications, and five (23%) patients experienced access site complications. The mean follow-up was 23 ± 11 months. The early primary and assisted primary patency rate was 91%. However, follow-up computed tomography angiography detected stent graft occlusion in six patients (27%). CONCLUSIONS:Stent graft for PAA in patients with Behçet disease had a high early patency rate and minimal morbidity. However, the complication and reintervention rates were high during follow-up, with low surgical conversion.

journal_name

J Vasc Surg

journal_title

Journal of vascular surgery

authors

Eleshra A,Abdelgawwad M,Regal S,Soliman M,Khafagy T

doi

10.1016/j.jvs.2020.03.031

subject

Has Abstract

pub_date

2021-01-01 00:00:00

pages

279-284

issue

1

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(20)30485-7

journal_volume

73

pub_type

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