Carotid stenting for irradiation-associated carotid stenosis 3 years after previous carotid endarterectomy

Hong Kong Med J. 2003 Feb;9(1):51-3.

Abstract

Extracranial carotid stenosis is a known complication of external irradiation to the head and neck region. We report on a patient with previous carotid endarterectomy for irradiation-associated carotid stenosis. This patient developed symptomatic carotid stenosis over the ipsilateral common carotid artery proximal to the previous endarterectomy site 3 years later, and was successfully treated with carotid angioplasty and stenting. This case illustrates the importance of Duplex scan surveillance after carotid endarterectomy for patients with irradiation-associated carotid stenosis. The complimentary role of carotid endarterectomy and carotid angioplasty for managing such a patient is highlighted.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty, Balloon
  • Carotid Stenosis / diagnostic imaging
  • Carotid Stenosis / etiology*
  • Carotid Stenosis / surgery
  • Carotid Stenosis / therapy*
  • Endarterectomy, Carotid*
  • Humans
  • Male
  • Middle Aged
  • Nasopharyngeal Neoplasms / radiotherapy
  • Radiography
  • Radiotherapy / adverse effects
  • Stents*
  • Treatment Failure