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Peripheral vascular disease in Behcet's syndrome.
R H Nayak1, L Dhas, A S Mullasari
1Department of Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, No. 4A, Dr J. Jayalalitha Nagar, Mogappair, Chennai 600-050, India.
The Journal of Invasive Cardiology
|April 4, 2000
Summary
This case study details a Behcet's syndrome patient with peripheral vascular disease. Treatment involved angioplasty and stent placement, but recurrence necessitated reangioplasty due to in-stent restenosis.
Area of Science:
- Vascular Medicine
- Interventional Cardiology
- Rheumatology
Background:
- Behcet's syndrome is a rare multisystem inflammatory disorder.
- Peripheral vascular disease (PVD) is a known, though less common, manifestation of Behcet's syndrome.
- Management of PVD in Behcet's syndrome can be challenging due to potential for recurrent disease.
Observation:
- A patient with Behcet's syndrome presented with PVD affecting the left subclavian artery.
- Initial treatment involved angioplasty with stent placement for the subclavian artery stenosis.
- Recurrence of symptoms occurred one year post-intervention.
Findings:
- Angiography revealed diffuse disease progression in the axillary and radial arteries.
- Mild to moderate in-stent restenosis was identified at the site of the original stent placement.
- This indicates a potential for aggressive vascular remodeling and recurrence in Behcet's syndrome patients.
Implications:
- This case highlights the importance of long-term surveillance for patients with Behcet's syndrome and PVD undergoing endovascular procedures.
- Recurrent stenosis and diffuse arterial involvement underscore the complex nature of vascular complications in this condition.
- Further research into optimal management strategies and long-term outcomes for vascular interventions in Behcet's syndrome is warranted.