Occlusive stenotic pathology of carotid arteries caused by radiotherapy of malignant tumors
Abstract
Introduction. Reconstructive surgery of carotid arteries in atherosclerosis is an important section of cardiovascular surgery. The authors present the material on surgical treatment of occlusive-stenotic changes of carotid arteries caused by radiotherapy of malignant neoplasms. Most of the patients were previously treated for laryngeal cancer. Publications on this topic are very rare.
Materials and results. The cases of 55 symptomatic patients 57 operations on the cervical segment of carotid arteries. In the course of the previous tumor treatment the total focal dose of 16 -74,8 (on the average 54,1) Gy. was received. Carotid artery lesions were detected after 17 288 (mean 84.1) months. Among 57 surgical interventions, 30 were endovascular. There were 2 strokes after open surgeries, and 1 of these patients died.
Conclusion. The results should be recognized as successful. Knowledge of postradiation arterial pathology should be shared by both angiosurgeons and onco logists. Such critical symptomatic stenosis requires surgical treatment. Surgery is technically challenging due to paravasal fibrosis. There is a high probability of postoperative neuropathy. Endarterectomy is often not feasible. Endovascular techniques should be preferred.
About the Authors
A. A. Fokin
South-Urals State Medical University
Russian Federation
Russian Federation
Chelyabinsk
O. S. Tereshin
Chelyabinsk Regional Clinical Center of Oncology and Nuclear Medicine
Russian Federation
Russian Federation
Chelyabinsk
A. E. Fink
South-Urals State Medical University
Russian Federation
Russian Federation
Chelyabinsk
A. V. Vazhenin
South-Urals State Medical University
Russian Federation
Russian Federation
Chelyabinsk
I. A. Astakhov
South-Urals State Medical University
Russian Federation
Russian Federation
Chelyabinsk
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For citations:
Fokin A.A., Tereshin O.S., Fink A.E., Vazhenin A.V., Astakhov I.A. Occlusive stenotic pathology of carotid arteries caused by radiotherapy of malignant tumors. Title in english. 2024;19(3):4-8. (In Russ.)
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