Carotid stenting for radiation-induced stenoses : A report of 7 cases
Radiation-induced stenoses of the carotid artery are associated with fibrosis of the arterial layers and tissue planes that renders their surgical treatment difficult. We present our clinical experience in carotid angioplasty stenting (CAS) of patients harboring such stenoses. Seven patients underwe...
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| Veröffentlicht in: | Stroke (1970) 2001, Vol.32 (1), p.118-121 |
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| container_title | Stroke (1970) |
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| creator | HOUDART, Emmanuel MOUNAYER, Charbel CHAPOT, René SAINT-MAURICE, Jean-Pierre MERLAND, Jean-Jacques |
| description | Radiation-induced stenoses of the carotid artery are associated with fibrosis of the arterial layers and tissue planes that renders their surgical treatment difficult. We present our clinical experience in carotid angioplasty stenting (CAS) of patients harboring such stenoses.
Seven patients underwent transfemoral CAS of 10 radiation-induced stenoses located on either the common or the internal carotid artery. Six patients presented neurological symptoms. Four patients had undergone previous radical neck dissection, and 3 had permanent tracheostomies. Stenoses were primarily covered with a self-expandable stent before carotid dilation.
All interventions were successful, with residual stenoses |
| doi_str_mv | 10.1161/01.STR.32.1.118 |
| format | Article |
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Seven patients underwent transfemoral CAS of 10 radiation-induced stenoses located on either the common or the internal carotid artery. Six patients presented neurological symptoms. Four patients had undergone previous radical neck dissection, and 3 had permanent tracheostomies. Stenoses were primarily covered with a self-expandable stent before carotid dilation.
All interventions were successful, with residual stenoses <20%. No permanent complication occurred. The mean follow-up was 8 months. Patients were symptom free at the last clinical examination, and Doppler control showed no evidence of restenosis.
Carotid stenting appears very attractive for such "hostile neck" patients and seems a safe and efficient treatment for radiation-induced stenoses.</description><identifier>ISSN: 0039-2499</identifier><identifier>EISSN: 1524-4628</identifier><identifier>DOI: 10.1161/01.STR.32.1.118</identifier><identifier>PMID: 11136925</identifier><identifier>CODEN: SJCCA7</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Aged ; Angiography ; Angioplasty, Balloon - adverse effects ; Angioplasty, Balloon - methods ; Biological and medical sciences ; Carotid Arteries - diagnostic imaging ; Carotid Arteries - pathology ; Carotid Arteries - surgery ; Carotid Stenosis - diagnosis ; Carotid Stenosis - surgery ; Diseases of the cardiovascular system ; Humans ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Radiotherapy - adverse effects ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Stents ; Tomography, X-Ray Computed ; Treatment Outcome ; Ultrasonography</subject><ispartof>Stroke (1970), 2001, Vol.32 (1), p.118-121</ispartof><rights>2001 INIST-CNRS</rights><rights>Copyright American Heart Association, Inc. Jan 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c337t-a30f911664c8a98f1189f490a1078c9617c303c36c30d94c3627f1e62ddb9bfa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,3685,4048,4049,23929,23930,25139,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=861407$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11136925$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HOUDART, Emmanuel</creatorcontrib><creatorcontrib>MOUNAYER, Charbel</creatorcontrib><creatorcontrib>CHAPOT, René</creatorcontrib><creatorcontrib>SAINT-MAURICE, Jean-Pierre</creatorcontrib><creatorcontrib>MERLAND, Jean-Jacques</creatorcontrib><title>Carotid stenting for radiation-induced stenoses : A report of 7 cases</title><title>Stroke (1970)</title><addtitle>Stroke</addtitle><description>Radiation-induced stenoses of the carotid artery are associated with fibrosis of the arterial layers and tissue planes that renders their surgical treatment difficult. We present our clinical experience in carotid angioplasty stenting (CAS) of patients harboring such stenoses.
Seven patients underwent transfemoral CAS of 10 radiation-induced stenoses located on either the common or the internal carotid artery. Six patients presented neurological symptoms. Four patients had undergone previous radical neck dissection, and 3 had permanent tracheostomies. Stenoses were primarily covered with a self-expandable stent before carotid dilation.
All interventions were successful, with residual stenoses <20%. No permanent complication occurred. The mean follow-up was 8 months. Patients were symptom free at the last clinical examination, and Doppler control showed no evidence of restenosis.
Carotid stenting appears very attractive for such "hostile neck" patients and seems a safe and efficient treatment for radiation-induced stenoses.</description><subject>Aged</subject><subject>Angiography</subject><subject>Angioplasty, Balloon - adverse effects</subject><subject>Angioplasty, Balloon - methods</subject><subject>Biological and medical sciences</subject><subject>Carotid Arteries - diagnostic imaging</subject><subject>Carotid Arteries - pathology</subject><subject>Carotid Arteries - surgery</subject><subject>Carotid Stenosis - diagnosis</subject><subject>Carotid Stenosis - surgery</subject><subject>Diseases of the cardiovascular system</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Radiotherapy - adverse effects</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Stents</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Ultrasonography</subject><issn>0039-2499</issn><issn>1524-4628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkM1LAzEQxYMotlbP3iToebeZJM2HNyn1AwqC1nNIs4lsaTc12R7874100dMMb34z83gIXQOpAQRMCdTvq7ea0RqKoE7QGGaUV1xQdYrGhDBdUa71CF3kvCGEUKZm52gEAExoOhujxdym2LcNzr3v-rb7xCEmnGzT2r6NXdV2zcH54zhmn_E9fsDJ72PqcQxYYmeLeonOgt1mfzXUCfp4XKzmz9Xy9ell_rCsHGOyrywjQRffgjtltQrFsQ5cEwtEKqcFSMcIc0yU0mheGioDeEGbZq3XwbIJuj3e3af4dfC5N5t4SF15aUBLyTVQXaDpEXIp5px8MPvU7mz6NkDMb2qGgCmpGUYNFEGVjZvh7GG9880_P8RUgLsBsNnZbUi2c23-45QATiT7AcBbcls</recordid><startdate>2001</startdate><enddate>2001</enddate><creator>HOUDART, Emmanuel</creator><creator>MOUNAYER, Charbel</creator><creator>CHAPOT, René</creator><creator>SAINT-MAURICE, Jean-Pierre</creator><creator>MERLAND, Jean-Jacques</creator><general>Lippincott Williams & Wilkins</general><general>American Heart Association, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>2001</creationdate><title>Carotid stenting for radiation-induced stenoses : A report of 7 cases</title><author>HOUDART, Emmanuel ; MOUNAYER, Charbel ; CHAPOT, René ; SAINT-MAURICE, Jean-Pierre ; MERLAND, Jean-Jacques</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-a30f911664c8a98f1189f490a1078c9617c303c36c30d94c3627f1e62ddb9bfa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Aged</topic><topic>Angiography</topic><topic>Angioplasty, Balloon - adverse effects</topic><topic>Angioplasty, Balloon - methods</topic><topic>Biological and medical sciences</topic><topic>Carotid Arteries - diagnostic imaging</topic><topic>Carotid Arteries - pathology</topic><topic>Carotid Arteries - surgery</topic><topic>Carotid Stenosis - diagnosis</topic><topic>Carotid Stenosis - surgery</topic><topic>Diseases of the cardiovascular system</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Radiotherapy - adverse effects</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Stents</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HOUDART, Emmanuel</creatorcontrib><creatorcontrib>MOUNAYER, Charbel</creatorcontrib><creatorcontrib>CHAPOT, René</creatorcontrib><creatorcontrib>SAINT-MAURICE, Jean-Pierre</creatorcontrib><creatorcontrib>MERLAND, Jean-Jacques</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Stroke (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HOUDART, Emmanuel</au><au>MOUNAYER, Charbel</au><au>CHAPOT, René</au><au>SAINT-MAURICE, Jean-Pierre</au><au>MERLAND, Jean-Jacques</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Carotid stenting for radiation-induced stenoses : A report of 7 cases</atitle><jtitle>Stroke (1970)</jtitle><addtitle>Stroke</addtitle><date>2001</date><risdate>2001</risdate><volume>32</volume><issue>1</issue><spage>118</spage><epage>121</epage><pages>118-121</pages><issn>0039-2499</issn><eissn>1524-4628</eissn><coden>SJCCA7</coden><abstract>Radiation-induced stenoses of the carotid artery are associated with fibrosis of the arterial layers and tissue planes that renders their surgical treatment difficult. We present our clinical experience in carotid angioplasty stenting (CAS) of patients harboring such stenoses.
Seven patients underwent transfemoral CAS of 10 radiation-induced stenoses located on either the common or the internal carotid artery. Six patients presented neurological symptoms. Four patients had undergone previous radical neck dissection, and 3 had permanent tracheostomies. Stenoses were primarily covered with a self-expandable stent before carotid dilation.
All interventions were successful, with residual stenoses <20%. No permanent complication occurred. The mean follow-up was 8 months. Patients were symptom free at the last clinical examination, and Doppler control showed no evidence of restenosis.
Carotid stenting appears very attractive for such "hostile neck" patients and seems a safe and efficient treatment for radiation-induced stenoses.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>11136925</pmid><doi>10.1161/01.STR.32.1.118</doi><tpages>4</tpages></addata></record> |
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| language | eng |
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| source | Journals@Ovid Ovid Autoload; MEDLINE; Alma/SFX Local Collection; EZB Electronic Journals Library; American Heart Association |
| subjects | Aged Angiography Angioplasty, Balloon - adverse effects Angioplasty, Balloon - methods Biological and medical sciences Carotid Arteries - diagnostic imaging Carotid Arteries - pathology Carotid Arteries - surgery Carotid Stenosis - diagnosis Carotid Stenosis - surgery Diseases of the cardiovascular system Humans Magnetic Resonance Imaging Male Medical sciences Middle Aged Radiotherapy - adverse effects Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Stents Tomography, X-Ray Computed Treatment Outcome Ultrasonography |
| title | Carotid stenting for radiation-induced stenoses : A report of 7 cases |
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