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.
Copyright © 2019 Elsevier Inc. All rights reserved.
MeSH terms
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Adult
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Angioplasty
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Arterial Occlusive Diseases / diagnostic imaging
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Arterial Occlusive Diseases / etiology*
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Arterial Occlusive Diseases / physiopathology
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Arterial Occlusive Diseases / surgery
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Blood Vessel Prosthesis
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Blood Vessel Prosthesis Implantation / instrumentation
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Cerebrovascular Circulation
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Cerebrovascular Disorders / diagnostic imaging
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Cerebrovascular Disorders / etiology*
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Cerebrovascular Disorders / physiopathology
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Cerebrovascular Disorders / surgery
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Computed Tomography Angiography
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Disease Progression
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Endarterectomy
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Female
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Humans
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Radiation Injuries / diagnostic imaging
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Radiation Injuries / etiology*
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Radiation Injuries / physiopathology
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Radiation Injuries / surgery
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Radiotherapy / adverse effects
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Recovery of Function
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Recurrence
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Treatment Outcome
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Vascular Calcification / diagnostic imaging
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Vascular Calcification / etiology*
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Vascular Calcification / physiopathology
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Vascular Calcification / surgery
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Vascular Patency