[Surgery of carotid lesions after irradiation. Apropos of 15 cases].
Out of 15 patients operated on for a carotid stenosis 3 to 19 years after a cervical irradiation, 2 were treated by a subclavian-carotid by-pass, 3 by a common carotid-internal carotid by-pass, 10 by an endarterectomy (6 closed with a patch), 3 of these endarterectomy extended largely down on the common carotid. Although the surgical approach was often difficult through the sclerotic tissues and 8 times the scar of a lymphadenectomy, the removal of the atherosclerotic core was as easy as usual. We observed neither mishap in arterial and cutaneous healings nor post operative stenotic myointimal hyperplasia.
Testart
J
J
Centre hospitalier universitaire de Rouen, Hôpital Charles-Nicolle, Rouen.
Soury
P
P
Plissonnier
D
D
Watelet
J
J
Litzler
P Y
PY
Peillon
C
C
D000328:Adult; D016893:Carotid Stenosis / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000009:adverse effects; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010039:Otorhinolaryngologic Neoplasms / Q000532:radiotherapy; D011832:Radiation Injuries / Q000601:surgery*; D012189:Retrospective Studies