Polyarteritis major, also known as pulseless disease, but it also has a beautiful name – Oriental Beauty Disease. Polyarteritis is a chronic non-specific inflammatory (aseptic inflammatory) disease of the human aorta and its main branches, often causing multiple arterial stenosis and occlusion, with symptoms of ischemia in the organs and tissues supplied with blood by the corresponding arteries. The “Oriental beauty disease” does not only occur in beauty. Multiple aortitis is predominantly seen in young women under the age of 40 and is commonly seen in Asian countries such as China and Japan, hence the name “Oriental Beauty Disease”, but it can also occur in men, with a male to female incidence ratio of about 1:10.4.
The disease is like a beauty, with a variety of forms. The symptoms of polyarteritis vary depending on the blood vessels involved, and are divided into four types: cephalothoracic, thoracoabdominal aortic, pulmonary and generalized. In severe cases, cerebral infarction, cardiac infarction, intractable hypertension (especially in adolescents with intractable hypertension); in case of vascular obstruction in the limbs, lower limb claudication and pulselessness may occur. Due to the establishment of collateral circulation and shunting and compensation of congestive heart failure, the pulmonary artery type usually has no obvious specific symptoms.
Minimally invasive treatment makes health more beautiful. Multiple aortitis in the active inflammatory phase is treated conservatively, with immune-related drug therapy to reduce inflammatory reactivity; after the inflammatory response is controlled, surgical treatment can be performed. Surgical treatment modalities include traditional open surgery and minimally invasive endoluminal surgery. Traditional open surgery is mainly for stenosis or occlusion bypass surgery, which is more traumatic and most of the surgery requires general anesthesia; minimally invasive endoluminal surgery is to significantly improve the patient’s symptoms by dilating the stenotic vessels with balloons, which only requires local anesthesia, small surgical incisions, no surgical scars, and does not affect the aesthetics; however, traditional balloons are mainly used for atherosclerotic stenosis, while the vessels of multiple aortitis With the development of minimally invasive treatment medical devices, some special balloons have been applied to the minimally invasive treatment of multiple aortitis in domestic professional vascular surgery treatment centers, and good treatment results have been achieved. Zhao Zhiqing, Department of Vascular Surgery, Shanghai Changhai Hospital