[Iatrogenic arterial pseudo aneurysms in Behçet's disease. Two cases]

Area of Science:

• Vascular Surgery
• Rheumatology
• Internal Medicine

Background:

• Behçet's disease is a systemic vasculitis with diverse manifestations, including mucocutaneous lesions and potential vascular complications.
• Vascular involvement in Behçet's disease affects veins more commonly, but arterial involvement, though less frequent, carries significant mortality.
• Arterial complications include aneurysms, pseudoaneurysms, and occlusions, posing serious clinical challenges.

Observation:

• Iatrogenic pseudoaneurysms, resulting from accidental arterial puncture, are rare but serious complications.
• This report details two exceptional cases of iatrogenic pseudoaneurysms in patients with Behçet's disease.
• The affected arteries were the internal carotid artery and the humeral artery.

Findings:

• Accidental arterial puncture can lead to pseudoaneurysm formation, even in the context of Behçet's disease.
• The internal carotid and humeral arteries represent unusual sites for such iatrogenic pseudoaneurysms.
• Prompt recognition and appropriate therapeutic strategies are crucial for managing these vascular complications.

Implications:

• These findings underscore the importance of meticulous technique during invasive vascular procedures in patients with Behçet's disease.
• Increased vigilance is necessary for diagnosing and treating iatrogenic pseudoaneurysms in this patient population.
• Understanding the clinical characteristics and treatment options for these rare complications can improve patient outcomes.