Background: Radiation therapy may accelerate atherosclerosis with progressive stenosis and occlusions of supra-aortic trunks.Methods and Results: We report the case of a 44-year-old woman with radiation-induced occlusion of the supra-aortic trunks presenting with recurrent cerebrovascular insufficiency after an unusual surgical revascularization technique (retrograde femoral-axillary bypass) performed for late failure of previous endovascular treatment.Conclusions: Customized surgical procedure can be considered as a bailout to improve cerebral blood inflow in selected cases.
Ferrante, A. M. R., Minelli, F., Natola, M., Tshomba, Y., Cerebrovascular Insufficiency from Radiation-Induced Progressive Obstruction of Supra-Aortic Vessels, <<ANNALS OF VASCULAR SURGERY>>, 2019; 57 (n.d): E4-E4. [doi:10.1016/j.avsg.2018.10.053] [http://hdl.handle.net/10807/171744]
Cerebrovascular Insufficiency from Radiation-Induced Progressive Obstruction of Supra-Aortic Vessels
Ferrante, Angela Maria Rosaria;Minelli, Fabrizio;Tshomba, Yamume
2019
Abstract
Background: Radiation therapy may accelerate atherosclerosis with progressive stenosis and occlusions of supra-aortic trunks.Methods and Results: We report the case of a 44-year-old woman with radiation-induced occlusion of the supra-aortic trunks presenting with recurrent cerebrovascular insufficiency after an unusual surgical revascularization technique (retrograde femoral-axillary bypass) performed for late failure of previous endovascular treatment.Conclusions: Customized surgical procedure can be considered as a bailout to improve cerebral blood inflow in selected cases.
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