Carotid Artery Stenosis after Radiation Therapy in a Patient with Lung Cancer: A Case Report and Literature Review
- 1 January 2019
- journal article
- review article
- Vol. 40 (3), 113-118
Abstract
We reported a case of carotid artery stenosis with stroke symptoms detected in a patient with lung cancer after radiotherapy. The patient was a 58-year-old male with a complaint of "a single episode of temporary amaurosis in the right eye for 10 minutes". The clinical diagnosis at admission, after consideration of the patient's age, medical history, and auxiliary examination results, was as follows: lung cancer; right common carotid artery stenosis; left common carotid artery stenosis; left vertebral artery stenosis; and right subclavian artery occlusion with right subclavian steal syndrome (Grade 3). Carotid angioplasty and stenting (CAS) were subsequently performed. During the 6-month follow-up, we observed no episode of temporary vision loss or other signs of stroke. Clinicians should pay great attention to delayed radiation-induced carotid stenosis. It is recommended that patients with a history of radiotherapy should undergo regular color Doppler ultrasound examination of the cervical region to diagnose, prevent, and treat RICS in an expedient fashion. This approach should improve survival rate and quality of life.Keywords
This publication has 11 references indexed in Scilit:
- The Latest Information on Intracranial Atherosclerosis: Diagnosis and TreatmentInterventional Neurology, 2015
- Carotid artery stenting may be performed safely in patients with radiation therapy-associated carotid stenosis without increased restenosis or target lesion revascularizationJournal of Vascular Surgery, 2015
- Radiation-Induced Carotid Artery Stenosis: A Comprehensive Review of the LiteratureInterventional Neurology, 2013
- Long-term Outcomes of Carotid Artery Stenting for Radiation-Associated StenosisBiomedical Journal, 2013
- Radiation-induced Carotid Stenotic Lesions have a more Stable Phenotype than De Novo Atherosclerotic PlaquesEuropean Journal of Vascular and Endovascular Surgery, 2012
- Understanding Radiation-Induced Vascular DiseaseJournal of the American College of Cardiology, 2010
- Novel insights into pathological changes in muscular arteries of radiotherapy patientsRadiotherapy and Oncology, 2009
- Predictors of carotid artery stenosis after radiotherapy for head and neck cancersJournal of Vascular Surgery, 2009
- Angiographic Characteristics of Radiation-Induced Carotid Arterial StenosisAngiology, 2009
- Neck irradiation, carotid injury and its consequencesOral Oncology, 2004