Right common iliac artery stenosis and stent insertion in Behçet's disease

Area of Science:

• Vascular Medicine
• Rheumatology
• Interventional Cardiology

Background:

• Behçet's disease is a multisystem inflammatory disorder characterized by vasculitis affecting various blood vessels.
• Vascular manifestations include venous/arterial occlusion and aneurysms, with vasculitis of the vasa vasorum as a key pathological feature.
• Iliac artery stenosis is an exceptionally rare presentation of Behçet's disease.

Observation:

• A 48-year-old patient with Behçet's disease presented with common iliac artery stenosis.
• High risk of intraoperative aneurysm formation necessitated a minimally invasive approach.
• Initial treatment involved vascular stent implantation.

Findings:

• The implanted stent occluded two months post-procedure.
• Percutaneous transluminal angioplasty with an 8-mm balloon was subsequently performed.
• The patient remained free of obstruction during a three-year follow-up period.

Implications:

• This case highlights the importance of considering rare vascular complications in Behçet's disease management.
• Endovascular interventions like angioplasty can be effective for managing iliac artery stenosis in these patients.
• Long-term surveillance is crucial for monitoring treatment success and preventing recurrence.