Irradiation: A Significant Risk Factor for Carotid Atherosclerosis

Feehs, Robert S.; McGuirt, W. Frederick; Bond, M. Gene; Strickland, Harriet L.; Craven, Tim; Hiltbrand, J B

doi:10.1001/archotol.1991.01870220083014

Cited by 61 publications

(34 citation statements)

References 13 publications

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“…Indeed, histologically, atherosclerosis caused by hypertension is identical to atherosclerosis caused by irradiation (26 -28). Thus, it has been suggested that blood vessels are damaged by irradiation and hypertension through similar mechanisms (29,30).…”

Section: The Nature Of Vascular Irradiation Damagementioning

confidence: 99%

Pathogenesis of Cognitive Decline Following Therapeutic Irradiation for Head and Neck Tumors

Abayomi

2002

Acta Oncologica

103

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Section: The Nature Of Vascular Irradiation Damagementioning

confidence: 99%

Pathogenesis of Cognitive Decline Following Therapeutic Irradiation for Head and Neck Tumors

Abayomi

2002

Acta Oncologica

103

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“…However, adverse effects from radiation therapy include severe fibrosis of the arterial layers and surrounding tissues. 2,3,9,18,19,22) Direct surgery to the irradiated field must consider problems concerning the skin incision line, difficulty in dissection of connective tissue, and poor wound healing. 6,12,20,22) We describe a case of rupture of pseudoaneurysm of the left common carotid artery (CCA) that was induced after radiation therapy and neck surgery.…”

Section: Introductionmentioning

confidence: 99%

Treatment of a Cervical Carotid Pseudoaneurysm That Occurred Years After Laryngectomy and Irradiation of a Neck Tumor -Case Report-

Hanakita

Iijima

Ishikawa

et al. 2011

Neurol. Med. Chir.(Tokyo)

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A 62-year-old man presented with rupture of a pseudoaneurysm of the left common carotid artery (CCA) that was induced after radiation therapy and neck surgery. The initial treatment was an endovascular procedure to obliterate the aneurysm with coils, and a covered stent was placed in the parent artery. However, the patient presented with subsequent coil migration, wound infection, and left CCA stenosis. Direct surgical procedures were then performed, including resection of the pseudoaneurysm with coils and stent; replacement of the carotid artery with a saphenous vein graft; and operative wound reinforcement with a pedicle flap. Endovascular treatments may be chosen for vascular diseases after irradiation, because of the low risk of wound infection and fragility of the vessels, but the long-term outcomes of intravascular treatments are still unclear. In direct surgery, dissection of the adhesive tissue and adequate wound healing are difficult. Musculocutaneous flaps with vascular pedicles can achieve good results.

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“…the incidence of carotid stenosis and occlusion appears higher among patients who have undergone radiation therapy for head and neck malignancies [1][2][3][4] . the latent period ranges from two to 18 years according to the type of malignancy and overall radiation dose 1 .…”

Section: Introductionmentioning

confidence: 99%

Stenting in the Remnant of the Third Aortic Arch in a Case of Post-Irradiation Occluded Internal Carotid Artery

et al. 2011

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Collateral networks between the external carotid artery and internal carotid arteries become crucial for cerebral perfusion after occlusion of internal carotid arteries. We report the first case of a patient who received percutaneous transluminal angioplasty and stenting in a collateral vessel between the external and internal carotid artery for treatment of radiation induced severe stenosis of the internal carotid artery in the context of a contralateral internal carotid artery occlusion.

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Irradiation: A Significant Risk Factor for Carotid Atherosclerosis

Cited by 61 publications

References 13 publications

Pathogenesis of Cognitive Decline Following Therapeutic Irradiation for Head and Neck Tumors

Pathogenesis of Cognitive Decline Following Therapeutic Irradiation for Head and Neck Tumors

Treatment of a Cervical Carotid Pseudoaneurysm That Occurred Years After Laryngectomy and Irradiation of a Neck Tumor -Case Report-

Stenting in the Remnant of the Third Aortic Arch in a Case of Post-Irradiation Occluded Internal Carotid Artery

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