Radiation-associated atheromatous disease of the cervical carotid artery: Report of seven cases and review of the literature

J. L D Atkinson, T. M. Sundt, A. J D Dale, T. L. Cascino, D. A. Nichols

Research output: Contribution to journalReview article

73 Citations (Scopus)

Abstract

The natural history of postirradiation extracranial cerebrovascular disease is uncertain. Previous reported cases spanning 20 years of carotid surgery are difficult to evaluate, because patients may sometimes have unspecified symptoms, physical examinations, postoperative results, and follow-up. Also, the evolution of carotid surgery over the past two decades makes it impossible to compare earlier operative tehnique with the state-of-the-art technique of today. Our series of 7 patients underwent 9 carotid endarterectomies with an average follow-up period of 46 months. The number of patients is small, and although technically this is a more difficult operation, we feel the results are favorable and may be comparable with endarterectomy procedures in nonirradiated patients. These patients should be approached as if radiation changes are not a major factor when they are considered for reconstructive arterial surgery.

Original languageEnglish (US)
Pages (from-to)171-178
Number of pages8
JournalNeurosurgery
Volume24
Issue number2
StatePublished - 1989

Fingerprint

Carotid Artery Diseases
Radiation
Reconstructive Surgical Procedures
Cerebrovascular Disorders
Endarterectomy
Carotid Endarterectomy
Natural History
Physical Examination

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Atkinson, J. L. D., Sundt, T. M., Dale, A. J. D., Cascino, T. L., & Nichols, D. A. (1989). Radiation-associated atheromatous disease of the cervical carotid artery: Report of seven cases and review of the literature. Neurosurgery, 24(2), 171-178.

Radiation-associated atheromatous disease of the cervical carotid artery : Report of seven cases and review of the literature. / Atkinson, J. L D; Sundt, T. M.; Dale, A. J D; Cascino, T. L.; Nichols, D. A.

In: Neurosurgery, Vol. 24, No. 2, 1989, p. 171-178.

Research output: Contribution to journalReview article

Atkinson, JLD, Sundt, TM, Dale, AJD, Cascino, TL & Nichols, DA 1989, 'Radiation-associated atheromatous disease of the cervical carotid artery: Report of seven cases and review of the literature', Neurosurgery, vol. 24, no. 2, pp. 171-178.
Atkinson, J. L D ; Sundt, T. M. ; Dale, A. J D ; Cascino, T. L. ; Nichols, D. A. / Radiation-associated atheromatous disease of the cervical carotid artery : Report of seven cases and review of the literature. In: Neurosurgery. 1989 ; Vol. 24, No. 2. pp. 171-178.
@article{ebc42f93c5d94846a9462a4e5d900ef1,
title = "Radiation-associated atheromatous disease of the cervical carotid artery: Report of seven cases and review of the literature",
abstract = "The natural history of postirradiation extracranial cerebrovascular disease is uncertain. Previous reported cases spanning 20 years of carotid surgery are difficult to evaluate, because patients may sometimes have unspecified symptoms, physical examinations, postoperative results, and follow-up. Also, the evolution of carotid surgery over the past two decades makes it impossible to compare earlier operative tehnique with the state-of-the-art technique of today. Our series of 7 patients underwent 9 carotid endarterectomies with an average follow-up period of 46 months. The number of patients is small, and although technically this is a more difficult operation, we feel the results are favorable and may be comparable with endarterectomy procedures in nonirradiated patients. These patients should be approached as if radiation changes are not a major factor when they are considered for reconstructive arterial surgery.",
author = "Atkinson, {J. L D} and Sundt, {T. M.} and Dale, {A. J D} and Cascino, {T. L.} and Nichols, {D. A.}",
year = "1989",
language = "English (US)",
volume = "24",
pages = "171--178",
journal = "Neurosurgery",
issn = "0148-396X",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Radiation-associated atheromatous disease of the cervical carotid artery

T2 - Report of seven cases and review of the literature

AU - Atkinson, J. L D

AU - Sundt, T. M.

AU - Dale, A. J D

AU - Cascino, T. L.

AU - Nichols, D. A.

PY - 1989

Y1 - 1989

N2 - The natural history of postirradiation extracranial cerebrovascular disease is uncertain. Previous reported cases spanning 20 years of carotid surgery are difficult to evaluate, because patients may sometimes have unspecified symptoms, physical examinations, postoperative results, and follow-up. Also, the evolution of carotid surgery over the past two decades makes it impossible to compare earlier operative tehnique with the state-of-the-art technique of today. Our series of 7 patients underwent 9 carotid endarterectomies with an average follow-up period of 46 months. The number of patients is small, and although technically this is a more difficult operation, we feel the results are favorable and may be comparable with endarterectomy procedures in nonirradiated patients. These patients should be approached as if radiation changes are not a major factor when they are considered for reconstructive arterial surgery.

AB - The natural history of postirradiation extracranial cerebrovascular disease is uncertain. Previous reported cases spanning 20 years of carotid surgery are difficult to evaluate, because patients may sometimes have unspecified symptoms, physical examinations, postoperative results, and follow-up. Also, the evolution of carotid surgery over the past two decades makes it impossible to compare earlier operative tehnique with the state-of-the-art technique of today. Our series of 7 patients underwent 9 carotid endarterectomies with an average follow-up period of 46 months. The number of patients is small, and although technically this is a more difficult operation, we feel the results are favorable and may be comparable with endarterectomy procedures in nonirradiated patients. These patients should be approached as if radiation changes are not a major factor when they are considered for reconstructive arterial surgery.

UR - http://www.scopus.com/inward/record.url?scp=0024490669&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024490669&partnerID=8YFLogxK

M3 - Review article

C2 - 2645540

AN - SCOPUS:0024490669

VL - 24

SP - 171

EP - 178

JO - Neurosurgery

JF - Neurosurgery

SN - 0148-396X

IS - 2

ER -