Radiation-induced carotid stenosis successfully treated with carotid endarterectomy

Noritaka Sano, Kenji Fukuda, Tetsu Satow, Morio Takasaki, Kenichi Morita, Hiroharu Kataoka, Koji Iihara

Research output: Contribution to journalArticle

Abstract

A 78-year-old man with a history of cervical radiation therapy for malignant lymphoma presented with disseminated cerebral infarctions in the left cerebral hemisphere. Five years before this episode, he had suffered from a right cerebral infarction due to right carotid artery stenosis with mobile plaque, and had undergone carotid artery stenting (CAS). Thereafter, despite the reinforcement of antiplatelet and anticoagulant therapy, he had experienced recurrent in- stent thrombosis and ipsilateral cerebral infarctions for more than three years. This time, we chose carotid endarterectomy (CEA) for the left stenotic lesion to remove the embolic source including mobile plaque at the carotid bifurcation. His postoperative course was uneventful, with no new neurological deficits. Radiation-induced carotid stenosis (RI-CS) used to be considered high risk for CEA, but recent reports suggest that the long- term clinical results of CAS for these lesions are inferior to those of CEA. CEA may be a promising alternative for the treatment of RI-CSs, depending on the plaque characteristics and previous surgical history involving the cervical region.

Original languageEnglish
Pages (from-to)314-318
Number of pages5
JournalJapanese Journal of Neurosurgery
Volume22
Issue number4
DOIs
Publication statusPublished - Apr 25 2013
Externally publishedYes

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All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Sano, N., Fukuda, K., Satow, T., Takasaki, M., Morita, K., Kataoka, H., & Iihara, K. (2013). Radiation-induced carotid stenosis successfully treated with carotid endarterectomy. Japanese Journal of Neurosurgery, 22(4), 314-318. https://doi.org/10.7887/jcns.22.314