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Radiation-Induced Arterial Disease of the Lower Limb

Radiation-Induced Arterial Disease of the Lower Limb Radiation-Induced Arterial Disease of the Lower Limb Christophe Saliou, MD, Pierre Julia, MD, Boris Feito, MD, Jean-Marc Renaudin, MD, and Jean-Noel Fabiani, MD, Paris, France We describe a case of radiation injury to the superficial femoral and upper popliteal arteries in a 39-year-old man treated 13 years earlier for an osteosarcoma of the right femur. Following two failed attempts at transluminal angioplasty, a saphenous vein femoropopliteal bypass graft was performed successfully. A comprehensive review of the literature on radiation-induced arterial injury to the limbs is presented with a discussion of the different management options. Percu- taneous transluminal balloon angioplasty seems to have no place in the treatment of such lesions (Ann Vasc Surg 1997;11:173-177). chemotherapy (each of Oncovin 2 mg and Methotrexate Therapeutic irradiation can generate arterial lesions 12 g) over a period of 12 months. A total of 48 Grays were that are often asymptomatic. They are occasionally 2 3 4,5 administered to the right lower limb, with another 72 revealed by stenosis, thrombosis, rupture, and, 5,6 Grays of Cobalt therapy to the lesion itself during 6 infrequently, aneurysmal dilatation. These com- weeks. Follow-up was assessed by clinical surveillance, plications arise several years after radiation expo- roentgenogram and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Vascular Surgery Springer Journals

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References (45)

Publisher
Springer Journals
Copyright
Copyright © Inc. by 1997 by Annals of Vascular Surgery
Subject
Medicine & Public Health; Abdominal Surgery
ISSN
0890-5096
eISSN
1615-5947
DOI
10.1007/s100169900030
pmid
9181774
Publisher site
See Article on Publisher Site

Abstract

Radiation-Induced Arterial Disease of the Lower Limb Christophe Saliou, MD, Pierre Julia, MD, Boris Feito, MD, Jean-Marc Renaudin, MD, and Jean-Noel Fabiani, MD, Paris, France We describe a case of radiation injury to the superficial femoral and upper popliteal arteries in a 39-year-old man treated 13 years earlier for an osteosarcoma of the right femur. Following two failed attempts at transluminal angioplasty, a saphenous vein femoropopliteal bypass graft was performed successfully. A comprehensive review of the literature on radiation-induced arterial injury to the limbs is presented with a discussion of the different management options. Percu- taneous transluminal balloon angioplasty seems to have no place in the treatment of such lesions (Ann Vasc Surg 1997;11:173-177). chemotherapy (each of Oncovin 2 mg and Methotrexate Therapeutic irradiation can generate arterial lesions 12 g) over a period of 12 months. A total of 48 Grays were that are often asymptomatic. They are occasionally 2 3 4,5 administered to the right lower limb, with another 72 revealed by stenosis, thrombosis, rupture, and, 5,6 Grays of Cobalt therapy to the lesion itself during 6 infrequently, aneurysmal dilatation. These com- weeks. Follow-up was assessed by clinical surveillance, plications arise several years after radiation expo- roentgenogram and

Journal

Annals of Vascular SurgerySpringer Journals

Published: Mar 1, 1997

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