Beyond peripheral arteries in Buerger's disease: angiographic considerations in thromboangiitis obliterans
- Resource Type
- Authors
- Ehtisham Mahmud; Bobbi Hoppe; Eunhee S. Yi; Jonathan T. Lu; Patricia A. Thistlewaite
- Source
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac AngiographyInterventions. 57(3)
- Subject
- Adult
medicine.medical_specialty
Systemic disease
education
Myocardial Infarction
Dissection (medical)
Coronary Angiography
Coronary artery disease
Internal medicine
medicine
Humans
Radiology, Nuclear Medicine and imaging
Derivation
Coronary Artery Bypass
Mammary Arteries
Buerger's disease
Peripheral Vascular Diseases
medicine.diagnostic_test
Vascular disease
business.industry
Thromboangiitis Obliterans
General Medicine
medicine.disease
Coronary Vessels
Surgery
medicine.anatomical_structure
Angiography
Cardiology
Female
Cardiology and Cardiovascular Medicine
business
Artery
- Language
- ISSN
- 1522-1946
Thromboangiitis obliterans is an inflammatory peripheral vascular disease that is strongly associated with smoking. It predominantly affects distal small- and medium-sized blood vessels of both the upper and lower extremities. We present histological evidence of this disease process affecting the internal mammary arteries. This can be of paramount clinical significance for patients with Buerger's disease who present with obstructive coronary artery disease and require coronary artery bypass grafting surgery (CABG). Internal mammary arteries involved with thromboangiitis obliterans cannot be utilized as arterial conduits during CABG and other alternatives have to be used. Therefore, we recommend preoperative angiography of both internal mammary arteries in patients with Buerger's disease requiring CABG to prevent extensive intraoperative dissection of diseased internal mammary arteries. Cathet Cardiovasc Intervent 2002;57:363–366. © 2002 Wiley-Liss, Inc.