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Published on: August 15, 2025
Cerebrovascular Insufficiency from Radiation-Induced Progressive Obstruction of Supra-Aortic Vessels
Angela Maria Rosaria Ferrante1, Fabrizio Minelli2, Marco Natola2
1UOC Chirurgia Vascolare, Polo Scienze Cardiovascolari e Toraciche - Area Vascolare, Fondazione Policlinico Universitario A.Gemelli IRCCS, Roma, Italy; Istituto di Patologia Speciale Chirurgica, Università Cattolica del S.Cuore - Roma, Italy.
Background:
Radiation therapy may accelerate atherosclerosis with progressive stenosis and occlusions of supra-aortic trunks.
Methods And Results:
We report the case of a 44-year-old woman with radiation-induced occlusion of the supra-aortic trunks presenting with recurrent cerebrovascular insufficiency after an unusual surgical revascularization technique (retrograde femoral-axillary bypass) performed for late failure of previous endovascular treatment.
Conclusions:
Customized surgical procedure can be considered as a bailout to improve cerebral blood inflow in selected cases.
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