Carotid artery stenting for stenosis following cervical radiotherapy

Report of early failure with associated stent fracture

Charles B. Ross, Ali Khoobehi, Chance L. Irwin, Jeffrey B. Dattilo, Thomas C. Naslund

    Research output: Contribution to journalArticle

    5 Citations (Scopus)

    Abstract

    Experience with carotid artery stenting (CAS) as an alternative to carotid endarterectomy (CE) for management of carotid stenosis continues to evolve. We report the case of a 64-year-old man who was treated with bilateral CAS for stenoses, which developed 7 years following thyroidectomy, neck dissection, and radiotherapy. Although long considered an ideal alternative to CE in this clinical setting, CAS in this case was complicated by multiple episodes of recurrent stenosis in his left carotid, managed by balloon angioplasty. Severe, early recurrence in his right carotid associated with a type III stent fracture was managed by CE. Close surveillance and intervention prevented neurologic morbidity. This case, combined with emerging published experience, argues for reappraisal of the general consensus that CAS is an ideal alternative to CE for radiotherapy-associated carotid stenoses.

    Original languageEnglish (US)
    Pages (from-to)599-605
    Number of pages7
    JournalVascular and Endovascular Surgery
    Volume43
    Issue number6
    DOIs
    StatePublished - Dec 1 2009

    Fingerprint

    Carotid Endarterectomy
    Carotid Stenosis
    Stents
    Radiotherapy
    Carotid Arteries
    Neck Dissection
    Balloon Angioplasty
    Thyroidectomy
    Nervous System
    Pathologic Constriction
    Morbidity
    Recurrence

    All Science Journal Classification (ASJC) codes

    • Surgery
    • Cardiology and Cardiovascular Medicine

    Cite this

    Carotid artery stenting for stenosis following cervical radiotherapy : Report of early failure with associated stent fracture. / Ross, Charles B.; Khoobehi, Ali; Irwin, Chance L.; Dattilo, Jeffrey B.; Naslund, Thomas C.

    In: Vascular and Endovascular Surgery, Vol. 43, No. 6, 01.12.2009, p. 599-605.

    Research output: Contribution to journalArticle

    Ross, Charles B. ; Khoobehi, Ali ; Irwin, Chance L. ; Dattilo, Jeffrey B. ; Naslund, Thomas C. / Carotid artery stenting for stenosis following cervical radiotherapy : Report of early failure with associated stent fracture. In: Vascular and Endovascular Surgery. 2009 ; Vol. 43, No. 6. pp. 599-605.
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