Endovascular treatment in Behçet's disease: an integrative review
Lígia Sant'Ana Dumont1, Renan Rodrigues de Oliveira Cunha1, Thais Carolina Alves Cardoso1
1Universidade Evangélica de Goiás - UniEVANGÉLICA, Anápolis, GO, Brasil.
Insights
Endovascular treatment is increasingly used for arterial aneurysms in Behçet's Disease (BD), a rare inflammatory condition. While effective, its role compared to other treatments remains under investigation.
Area of Science:
- Vascular Surgery
- Rheumatology
- Internal Medicine
Background:
- Behçet's Disease (BD) is a rare, chronic, multisystemic inflammatory disorder.
- Diagnosis is clinical, based on oral ulcers, genital ulcers, and uveitis.
- BD affects both venous and arterial systems, with aneurysm rupture being a leading cause of mortality.
Purpose of the Study:
- To evaluate the significance and role of endovascular treatment in managing arterial aneurysms associated with Behçet's Disease.
- To review current literature on endovascular interventions for BD-related vascular complications.
Main Methods:
- A literature review of 30 articles published between 2002 and 2021.
- Analysis of studies focusing on endovascular treatment strategies for arterial aneurysms in BD patients.
Main Results:
- Endovascular surgery is emerging as a viable option for treating arterial aneurysms in BD.
- The management of BD-related aneurysms includes clinical, open surgical, and endovascular approaches.
- The optimal therapeutic strategy for these aneurysms is still a subject of debate.
Conclusions:
- Endovascular treatment is gaining prominence for arterial aneurysms in Behçet's Disease.
- Further research is needed to establish the definitive role of endovascular therapy versus other treatment modalities.
Abstract:
Behçet's Disease (BD) is a rare, chronic, relapsing, inflammatory, and multisystemic disease. There is no universally described test for confirming diagnosis, so it is made clinically, on the basis of its classic triad of signs: oral ulcers, genital ulcers, and uveitis (inflammation of the uveal tract of the eye). The aim of this study is to evaluate the importance of endovascular treatment in Behçet's disease. The literature review conducted to achieve this objective covered 30 articles published between 2002 and 2021. Behçet's Disease affects both the venous and arterial systems. Rupture of aneurysms is the main cause of death and thus requires treatment, which can be clinical, open surgical, or endovascular. Endovascular surgery has been gaining ground for surgical treatment of arterial aneurysms, including those related to BD, although the therapy of choice is still controversial.
Related Concept Videos
Peripheral Artery Disease III: Interprofessional Care
Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme...
Endocarditis III: Medical Management
Venous Thrombosis III: Interprofessional Care
Inflammatory Bowel Disease IV: Pharmacological Management
Pharmacologic...
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:


