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Case Reports
Endovascular management of radiotherapy-induced injury to brachiocephalic artery using covered stents.
- Noelia Maria Cenizo, Jose A Gonzalez-Fajardo, Maria A Ibanez, Victoria Gastambide, Miguel Martin-Pedrosa, Vicente Gutierrez, James Taylor, and Carlos Vaquero.
- Hospital Clinico Universitario de Valladolid, Valladolid, Spain. Electronic address: noecen@yahoo.es.
- Ann Vasc Surg. 2014 Apr 1; 28 (3): 741.e15-8.
AbstractActinic vascular lesions tend to be stenotic-occlusive lesions. In this article, we present 2 exceptional cases of pseudoaneurysms caused by radionecrosis of the supra-aortic trunks. Both patients were treated by a retrograde carotid approach and deployment of a self-expanding covered stent. Proper exclusion of the pseudoaneurysm was attained in both cases; the first patient remained asymptomatic 12 months later; the second patient died of mediastinitis. Compared with conventional surgery, endovascular management is a viable, less invasive alternative in select patients, especially in life-threatening cases.Copyright © 2014 Elsevier Inc. All rights reserved.
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