Vascular toxicity associated with chemotherapy and molecular targeted therapy: what should a radiologist know?

AJR Am J Roentgenol. 2014 Dec;203(6):1353-62. doi: 10.2214/AJR.13.11967.

Abstract

Objective: Venous and arterial thromboembolic events and rarely hemorrhage are complications of chemotherapy and, more recently, of molecular targeted therapy in patients with solid and hematologic malignancies. This article will use a drug-based approach to illustrate, with examples, vessel damage and end-organ damage induced by molecular targeted therapy and chemotherapy in cancer patients and will provide a clinical perspective.

Conclusion: Imaging plays a key role in the detection of complications of cancer therapies. A high index of suspicion and an awareness of modern-day drug toxicities are key to the early diagnosis and management of these complications.

Keywords: chemotherapy; embolism; hemorrhage; molecular targeted therapy; thrombosis.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Antibodies, Monoclonal / adverse effects*
  • Antineoplastic Agents / adverse effects*
  • Drug Therapy / methods
  • Female
  • Hemorrhage / chemically induced*
  • Hemorrhage / diagnosis*
  • Humans
  • Magnetic Resonance Imaging / methods
  • Male
  • Middle Aged
  • Molecular Targeted Therapy / adverse effects*
  • Thromboembolism / chemically induced*
  • Thromboembolism / diagnosis*
  • Tomography, X-Ray Computed / methods

Substances

  • Antibodies, Monoclonal
  • Antineoplastic Agents