Spontaneous Pseudoaneurysm of the Superficial Femoral Artery in Behcet's Disease—Endovascular Stent-Graft Treatment Combined with Percutaneous Drainage: A Case Report
DOI:
https://doi.org/10.1532/HSF98.20061154Abstract
Behcet's disease is a rare multisystemic chronic autoimmune disorder characterized by a classic triad of urogenital ulcerations, chronic eye inflammation, and skin lesions. We report on a case of a spontaneous pseudoaneurysm of the superficial femoral artery caused by Behcet's disease that was treated with an endovascular stent-graft followed by percutaneous drainage. We emphasize the use of percutaneous drainage of the pseudoaneurysm to decrease compression on the stent-graft and native vessel.References
Akpolat T, Danaci M, Belet U, et al. 2000. MR imaging and MR angiography in vascular Behcet's disease. Magn Reson Imaging 18:1089-96.nAlhan C, Camur G. 1999. Pseudoaneurysm repair in a Behcet case having multiple arterial invasions. Turk J Thorac Cardiovasc Surg 7:344-6.nCasana R, Nano G, Dalainas I, Stegher S, Bianchi P, Tealdi DG. 2003. Midterm experience with the endovascular treatment of isolated iliac aneurysms. Int Angiol 22:32-5.nChristensen L, Justensen P, Larsen KE. 1996. Percutaneous treatment of an iliac pseudoaneurysm with endoprosthesis implantation. Acta Radiol 37:542-4.nHenry M, Amor M, Henry I, et al. 2000. Percutaneous endovascular treatment of peripheral aneurysms. J Cardiovasc Surg 41:871-83.nKasirajan K, Marek JM, Langsfeld M. 2001. Behcet's disease: endovascular management of a ruptured peripheral arterial aneurysm. J Vasc Surg 34:1127-9.nKutlu R, Gulcan O, Akbulut, A, et al. 2002. Endovascular treatment of a huge saccular abdominal aortic aneurysm in a young Behcet patient: mid-term result. BMC Med Imaging 2:1.nMatsumoto T, Uekusa T, Fukuda Y. 1991. Vasculo-Behcet's disease: a pathologic study of eight cases. Hum Pathol 22:45-51.nOkada K, Eishi K, Takamoto S, et al. 1997. Surgical management of Behcet's aortitis: a report of eight patients. Ann Thorac Surg 64:116-9.nPark JH, Chung JW, John JH, et al. 2001. Aortic and arterial aneurysms in Behcet's disease: management with stent grafts—initial experience. Radiology 220:745-50.nRazavi M, Dake M, Semba C, Nyman U, Liddell R. 1995. Percutaneous endoluminal placement of stent-grafts for the treatment of isolated iliac artery aneurysms. Radiology 197:801-4.nRuebben A, Merlo M, Verri A, et al. 1997. Exclusion of an internal carotid aneurysm by a covered stent. J Cardiovasc Surg 38:301-3.nSasaki S, Yasuda K, Takigami K, Shiiya N, Matsui Y, Sakuma M. 1998. Surgical experiences with peripheral arterial aneurysms due to vasculo-Behcet's disease. J Cardiovasc Surg 39:147-50.nWhite GH, Liew SC, Waugh RC, et al. 1995. Early outcome and intermediate follow-up of vascular stents in the femoral and popliteal arteries without long-term anticoagulation. J Vasc Surg 21:270-81.n
