Cerebrovascular Insufficiency from Radiation-Induced Progressive Obstruction of Supra-Aortic Vessels

Ann Vasc Surg. 2019 May:57:276.e1-276.e4. doi: 10.1016/j.avsg.2018.10.053. Epub 2019 Feb 4.

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angioplasty
  • Arterial Occlusive Diseases / diagnostic imaging
  • Arterial Occlusive Diseases / etiology*
  • Arterial Occlusive Diseases / physiopathology
  • Arterial Occlusive Diseases / surgery
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation / instrumentation
  • Cerebrovascular Circulation
  • Cerebrovascular Disorders / diagnostic imaging
  • Cerebrovascular Disorders / etiology*
  • Cerebrovascular Disorders / physiopathology
  • Cerebrovascular Disorders / surgery
  • Computed Tomography Angiography
  • Disease Progression
  • Endarterectomy
  • Female
  • Humans
  • Radiation Injuries / diagnostic imaging
  • Radiation Injuries / etiology*
  • Radiation Injuries / physiopathology
  • Radiation Injuries / surgery
  • Radiotherapy / adverse effects
  • Recovery of Function
  • Recurrence
  • Treatment Outcome
  • Vascular Calcification / diagnostic imaging
  • Vascular Calcification / etiology*
  • Vascular Calcification / physiopathology
  • Vascular Calcification / surgery
  • Vascular Patency