Hong Kong Med J 2003;9:51-3 | Number 1, February 2003
Carotid stenting for irradiation-associated carotid stenosis 3 years after previous carotid endarterectomy
ACW Ting, SWK Cheng, PW Cheng
Department of Surgery, The University of Hong Kong, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong
Extracranial carotid stenosis is a known complication of external irradiation to the head and neck region. We report on a patient with previous carotid endarterectomy for irradiation-associated carotid stenosis. This patient developed symptomatic carotid stenosis over the ipsilateral common carotid artery proximal to the previous endarterectomy site 3 years later, and was successfully treated with carotid angioplasty and stenting. This case illustrates the importance of Duplex scan surveillance after carotid endarterectomy for patients with irradiation-associated carotid stenosis. The complimentary role of carotid endarterectomy and carotid angioplasty for managing such a patient is highlighted.
Key words: Carotid stenosis; Radiotherapy, adverse effects; Stents; Ultrasonography, Doppler, Duplex
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