Donate Help Contact The AHA Sign In Home
American Heart Association
Stroke
Search: search_blue_button Advanced Search
« Previous Article | Table of Contents | Next Article »
Stroke. 2001;32:118-121

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Houdart, E.
Right arrow Articles by Merland, J.-J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Houdart, E.
Right arrow Articles by Merland, J.-J.
Related Collections
Right arrow Other arteriosclerosis
Right arrow Carotid Stenosis
Right arrow Angioplasty and Stenting
Right arrow Transient Ischemic Attacks

(Stroke. 2001;32:118.)
© 2001 American Heart Association, Inc.

Original Contributions

Carotid Stenting for Radiation-Induced Stenoses

A Report of 7 Cases

Emmanuel Houdart, MD; Charbel Mounayer, MD; René Chapot, MD; Jean-Pierre Saint-Maurice, MD Jean-Jacques Merland, MD, PhD

From the Department of Neuroradiology and Therapeutic Angiography, Hôpital Lariboisière, Paris, France.

Background and Purpose—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.

Methods—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.

Results—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.

Conclusions—Carotid stenting appears very attractive for such "hostile neck" patients and seems a safe and efficient treatment for radiation-induced stenoses.


Key Words: angioplasty • carotid artery diseases • stenosis • stents




This article has been cited by other articles:


Home page
 ANGIOLOGYHome page
T. Shichita, T. Ogata, M. Yasaka, K. Yasumori, T. Inoue, S. Ibayashi, M. Iida, and Y. Okada
Angiographic Characteristics of Radiation-Induced Carotid Arterial Stenosis
Angiology, June 1, 2009; 60(3): 276 - 282.
[Abstract] [PDF]

Home page
 Vasc MedHome page
E. R. Bates, C. J. D. Babb, D. E. Casey, C. U. Cates, G. R. Duckwiler, T. E. Feldman, W. A. Gray, K. Ouriel, E. D. Peterson, K. Rosenfield, et al.
ACCF/SCAI/SVMB/SIR/ASITN 2007 Clinical Expert Consensus Document on Carotid Stenting: A Report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents (ACCF/SCAI/SVMB/SIR/ASITN Clinical Expert Consensus Document Committee on Carotid Stenting)
Vascular Medicine, February 1, 2007; 12(1): 35 - 83.
[PDF]

Home page
 J Am Coll CardiolHome page
American Society of Interventional & Therapeutic N, Society for Cardiovascular Angiography and Interve, Society for Vascular Medicine and Biology, Society of Interventional Radiology, E. R. Bates, J. D. Babb, D. E. Casey Jr, C. U. Cates, G. R. Duckwiler, T. E. Feldman, et al.
ACCF/SCAI/SVMB/SIR/ASITN 2007 Clinical Expert Consensus Document on Carotid Stenting: A Report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents (ACCF/SCAI/SVMB/SIR/ASITN Clinical Expert Consensus Document Committee on Carotid Stenting)
J. Am. Coll. Cardiol., January 2, 2007; 49(1): 126 - 170.
[Full Text] [PDF]

Home page
 NeurologyHome page
M. Marcel, D. Leys, F. Mounier-Vehier, D. Bertheloot, E. Lartigau, J. P. Pruvo, M. Al-Koussa, D. Chevalier, and H. Henon
Clinical outcome in patients with high-grade internal carotid artery stenosis after irradiation
Neurology, September 27, 2005; 65(6): 959 - 961.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
P. Harrod-Kim, Y. Kadkhodayan, C. P. Derdeyn, D. T. Cross III, and C. J. Moran
Outcomes of Carotid Angioplasty and Stenting for Radiation-Associated Stenosis
AJNR Am. J. Neuroradiol., August 1, 2005; 26(7): 1781 - 1788.
[Abstract] [Full Text] [PDF]

Home page
 JAMAHome page
M. C. Hull, C. G. Morris, C. J. Pepine, and N. P. Mendenhall
Valvular Dysfunction and Carotid, Subclavian, and Coronary Artery Disease in Survivors of Hodgkin Lymphoma Treated With Radiation Therapy
JAMA, December 3, 2003; 290(21): 2831 - 2837.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
J. D. Barr, J. J. Connors III, D. Sacks, J. C. Wojak, G. J. Becker, J. F. Cardella, B. Chopko, J. E. Dion, A. J. Fox, R. T. Higashida, et al.
Quality Improvement Guidelines for the Performance of Cervical Carotid Angioplasty and Stent Placement: Developed by a Collaborative Panel of the American Society of Interventional and Therapeutic Neuroradiology, the American Society of Neuroradiology, and the Society of Interventional Radiology
AJNR Am. J. Neuroradiol., November 1, 2003; 24(10): 2020 - 2034.
[Full Text] [PDF]


Stroke Home | Subscriptions | Archives | Feedback | Authors | Help | AHA Journals Home | Search
Copyright © 2001 American Heart Association, Inc. All rights reserved. Unauthorized use prohibited.