Angioplasty and stenting of stenosed carotid arteries in patients after radiotherapy for laryngeal cancer — a report of three cases

Abstract

Despite constant improving radiotherapy technique In oncology radiation-induced vascular injuries are still of an important clinical issue. When radiotherapy is concerned with neck malignancies it is relatively frequent that patient may present obstructions in scope of antebrain arteries and finally, brain ischemia. Post-radiation arterial stenoses are different when compared to ordinary atherosclerotic changes — they may affect long arterial segments and they are localized in many (different) arteries, commonly multilevel. Endovascular angioplasty and stenting is nowadays a treatment method of choice in these pathologies, because of high efficacy, non-invasiveness — at obvious limitations of classic surgery. The paper presents three different (selected) cases of endovascular stenting in patients who underwent radiotherapy due to laryngeal cancer.

Acta Angiol 2010; 16, 4: 172–180