Radiation-induced arterial disease of the lower limb.
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. Percutaneous transluminal balloon angioplasty seems to have no place in the treatment of such lesions.
Saliou
C
C
Department de Chirurgie Cardio-Vasculaire, Hopital Broussais, Paris, France.
Julia
P
P
Feito
B
B
Renaudin
J M
JM
Fabiani
J N
JN
D000328:Adult; D000800:Angioplasty, Balloon; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005266:Femoral Neoplasms / Q000532:radiotherapy*; D006801:Humans; D008297:Male; D012516:Osteosarcoma / Q000532:radiotherapy; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D011832:Radiation Injuries / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy; D011859:Radiography; D012501:Saphenous Vein / Q000637:transplantation