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.

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