Mechanical thrombectomy combined with stenting for radiation-induced carotid stenosis-related stroke with high-load embolization: A case report
Radiation therapy in patients with nasopharyngeal carcinoma can cause chronic progressive carotid artery injury, but acute ischemic stroke caused by carotid artery high-load thrombosis rarely occurs in patients with tandem lesions. We performed carotid mechanical thrombectomy combined with angioplas...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-11-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322007531 |
| _version_ | 1828373542247333888 |
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| author | Xiao-Jiang Deng, MS Xin Lin, BS Liang Zhou, PhD Zhong Ji, PhD |
| author_facet | Xiao-Jiang Deng, MS Xin Lin, BS Liang Zhou, PhD Zhong Ji, PhD |
| author_sort | Xiao-Jiang Deng, MS |
| collection | DOAJ |
| description | Radiation therapy in patients with nasopharyngeal carcinoma can cause chronic progressive carotid artery injury, but acute ischemic stroke caused by carotid artery high-load thrombosis rarely occurs in patients with tandem lesions. We performed carotid mechanical thrombectomy combined with angioplasty in a 57-year-old man who received radiotherapy for nasopharyngeal carcinoma more than 10 years before presentation. He presented with acute-onset left hemiplegia, confusion, and mixed aphasia. Head CT revealed a hyper-dense sign in the right middle cerebral artery M1 region, and angiography disclosed occlusion in the right internal carotid artery C5 region with extremely severe stenosis in the middle C1 region. Intra-arterial mechanical thrombectomy with carotid stenting was performed, and re-canalization was achieved. Re-examination angiography after 3 months revealed worsening of ulcerative plaques and pseudoaneurysms in the left common carotid artery. Consequently, we performed carotid stenting over the left common carotid artery, and the patient recovered well postoperatively. Our experience suggests that early detection of large blood vessel damage and intervention are necessary to prevent large-vessel ischemic stroke in patients who received radiotherapy for nasopharyngeal carcinoma. |
| first_indexed | 2024-04-14T07:20:10Z |
| format | Article |
| id | doaj.art-e07a9a1371814965803fea3e7745ccf4 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-14T07:20:10Z |
| publishDate | 2022-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-e07a9a1371814965803fea3e7745ccf42022-12-22T02:06:12ZengElsevierRadiology Case Reports1930-04332022-11-01171144534458Mechanical thrombectomy combined with stenting for radiation-induced carotid stenosis-related stroke with high-load embolization: A case reportXiao-Jiang Deng, MS0Xin Lin, BS1Liang Zhou, PhD2Zhong Ji, PhD3Department of Neurology, ZengCheng Branch of Nanfang Hospital, Southern Medical University, Guangzhou 511340, P.R. China; Corresponding author.Department of Neurology, ZengCheng Branch of Nanfang Hospital, Southern Medical University, Guangzhou 511340, P.R. ChinaDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, P.R. ChinaDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, P.R. ChinaRadiation therapy in patients with nasopharyngeal carcinoma can cause chronic progressive carotid artery injury, but acute ischemic stroke caused by carotid artery high-load thrombosis rarely occurs in patients with tandem lesions. We performed carotid mechanical thrombectomy combined with angioplasty in a 57-year-old man who received radiotherapy for nasopharyngeal carcinoma more than 10 years before presentation. He presented with acute-onset left hemiplegia, confusion, and mixed aphasia. Head CT revealed a hyper-dense sign in the right middle cerebral artery M1 region, and angiography disclosed occlusion in the right internal carotid artery C5 region with extremely severe stenosis in the middle C1 region. Intra-arterial mechanical thrombectomy with carotid stenting was performed, and re-canalization was achieved. Re-examination angiography after 3 months revealed worsening of ulcerative plaques and pseudoaneurysms in the left common carotid artery. Consequently, we performed carotid stenting over the left common carotid artery, and the patient recovered well postoperatively. Our experience suggests that early detection of large blood vessel damage and intervention are necessary to prevent large-vessel ischemic stroke in patients who received radiotherapy for nasopharyngeal carcinoma.http://www.sciencedirect.com/science/article/pii/S1930043322007531Radiation-induced carotid stenosisAcute ischemic strokeEndovascular therapyHigh-load embolization |
| spellingShingle | Xiao-Jiang Deng, MS Xin Lin, BS Liang Zhou, PhD Zhong Ji, PhD Mechanical thrombectomy combined with stenting for radiation-induced carotid stenosis-related stroke with high-load embolization: A case report Radiology Case Reports Radiation-induced carotid stenosis Acute ischemic stroke Endovascular therapy High-load embolization |
| title | Mechanical thrombectomy combined with stenting for radiation-induced carotid stenosis-related stroke with high-load embolization: A case report |
| title_full | Mechanical thrombectomy combined with stenting for radiation-induced carotid stenosis-related stroke with high-load embolization: A case report |
| title_fullStr | Mechanical thrombectomy combined with stenting for radiation-induced carotid stenosis-related stroke with high-load embolization: A case report |
| title_full_unstemmed | Mechanical thrombectomy combined with stenting for radiation-induced carotid stenosis-related stroke with high-load embolization: A case report |
| title_short | Mechanical thrombectomy combined with stenting for radiation-induced carotid stenosis-related stroke with high-load embolization: A case report |
| title_sort | mechanical thrombectomy combined with stenting for radiation induced carotid stenosis related stroke with high load embolization a case report |
| topic | Radiation-induced carotid stenosis Acute ischemic stroke Endovascular therapy High-load embolization |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322007531 |
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