Prolonged success with a covered endovascular stent after emergent use in radiation-induced subclavian artery blowout: a case report.
Radiation-induced damage to the bone, soft tissues, and vasculature represents the unfortunate consequences of radiation therapy for the treatment of malignant tumors. Complications arising from irradiation are frequently challenging to manage and may be life threatening. A case is presented of a patient with a longstanding clavicular osteoradionecrosis with an acute massive hemorrhage after rupture of the subclavian artery and subsequent management with endovascular stent placement. With over 2 years' follow-up, vascular patency was maintained with no further bleeding episodes in this surgically high-risk patient.
Ewings
Ember L
EL
Division of Plastic and Reconstructive Surgery, Department of Surgery, St Louis University School of Medicine, St Louis, MO 63110-0250, USA.
Wittgen
Catherine M
CM
Paletta
Christian E
CE
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D002968:Clavicle / Q000528:radiation effects; D004621:Embolization, Therapeutic; D017809:Fatal Outcome; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D006689:Hodgkin Disease / Q000532:radiotherapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010025:Osteoradionecrosis / Q000209:etiology; D011832:Radiation Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D011859:Radiography; D011878:Radiotherapy / Q000009:adverse effects; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000528:radiation effects / Q000601:surgery*