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Published on: April 15, 2021
Systemic Artery Aneurysms and Kawasaki Disease
Qu-Ming Zhao1,2, Chen Chu1,2, Lin Wu1
1Children's Hospital of Fudan University, Shanghai, China; and.
Systemic artery aneurysms (SAAs) occurred in 14.2% of Kawasaki disease (KD) patients screened. Most SAAs showed significant regression within six months, indicating a favorable short-term outcome.
Area of Science:
- Cardiology
- Pediatric Rheumatology
- Vascular Medicine
Background:
- Coronary artery aneurysms (CAAs) are a known Kawasaki disease (KD) complication.
- Data on systemic artery aneurysms (SAAs) in KD are limited in the current era.
Purpose of the Study:
- To determine the incidence and early outcomes of SAAs in KD patients.
- To analyze SAA development in relation to CAAs.
Main Methods:
- Screened 162 KD patients at risk for SAAs using magnetic resonance angiography or peripheral angiography.
- Analyzed incidence and early outcomes of SAAs from April 2016 to March 2019.
Main Results:
- SAAs detected in 14.2% of screened KD patients (23/162) at 1 month post-onset.
- 2% of all KD patients (23/1148) had SAAs; median age at onset was 5 months.
- 129 SAAs found in 17 arteries; common sites include axillary, common iliac, and brachial arteries. High regression rate (92.9%) observed within 6 months.
Conclusions:
- SAAs in KD patients have a notable incidence.
- SAAs demonstrate a high rate of regression during short-term follow-up.
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